Pre-registration of a learner

REC-SO - Anglet 01/24 - from January 8, 2024 to January 18, 2024

Vous pouvez vous préinscrire 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'.

General information

Honorific

First name*

Last name* Email* Date of birth*

Postcode of place of birth

Address*

Postcode*

City*

Country

Phone*

Secondary phone

Language in the Learners' Portal

Status

Profession

Other

Free notes

Fields marked with * are mandatory.

The data collected in this form is processed by INTUITIVE PROCESS 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