Digiforma

Pre-registration of a trainee

Autohypnose Peurs et Anxiété - du June 18, 2022 au June 19, 2022

Vous pouvez préinscrire un apprenant 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'.

City of birth

Date of birth / /

Postcode / Zip code of the place of birth

Language on the extranet:

Address

Zip / Postcode

City

Phone number*

Status

Company

Profession

Free text

Information for funders

Disabled worker recognition

The data collected in this form are processed by Christine Magat 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

Fields marked with * are mandatory.