Pre-registration of a learner

PROPAILLE - from September 24, 2024 to October 2, 2024

Vous pouvez préinscrire un stagiaire à la formation grâce à ce formulaire. Merci de rentrer un maximum d'informations pour simplifier le suivi de votre dossier d'enregistrement. Vous pouvez - bien entendu - laisser un message complémentaire dans la partie 'Notes libres'

General information

Learner's photo

JPG, PNG or WebP, ≤ 500Ko

Honorific

First name*

Last name* Email* Date of birth

Address

Postcode

City*

Country

Phone*

Secondary phone

Language in the Learners' Portal

Status

Company*

Profession*

Company name*

VAT number*

Company registration number*

Other

Free notes

Information for funding agencies

Disabled worker recognition

Fields marked with * are mandatory.

The data collected in this form is processed by CD2E 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