Pre-registration of a learner

M3- 12 décembre 2025- Diagnostic par polygraphie ventilatoire, expertise et lecture avancée - Classe virtuelle - the December 12, 2025

Vous pouvez préinscrire un stagiaire à la formation grâce à ce formulaire.
Merci de rentrer un maximum d'informations pour simplifier le travail d'enregistrement. Vous pouvez laisser un message complémentaire dans la partie 'Notes libres'.
Ne prenez pas en compte le champ "orientation nationales", cela ne vous concerne pas.

General information
Status
DPC fields
Other
Information for funding agencies
Fields marked with * are mandatory.
The data collected in this form is processed by PSASS in order to manage your registration on the site. To find out more about the management of your personal data and to exercise your rights, we invite you to read our privacy policy

Customize the email content

Send the email with a delay

Select a date below Delivery will be scheduled on {{formattedDate}}
Predefined time limit
Tomorrow Next Monday In 1 week In 1 month In 2 months In 3 months
Date sent
Time of sending
Please note that if you add learners or change existing learner emails after scheduling the sending, these changes will not be taken into account.

Select at least one line Select the legal representative or sponsor

Select people

Multiple recipients selected
All selected signatories must sign for the signature to be valid!