Pre-registration of a trainee

Formation initiale SST inter-entreprise - from September 18, 2023 to September 19, 2023

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'.

Nationality*

Birth name

City of birth

Birth department

Date of birth* / /

Postcode of place of birth

Language on the extranet:

Address*

Postcode*

City*

Phone*

Secondary phone

Status

Company

Profession

Company name

VAT number

Company registration number

Trainee's photo

Free notes

Information for funders

Socio-professional category

Disabled worker recognition

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Fields marked with * are mandatory.