Pre-registration of a learner

SÉDIMATÉRIAUX : prise en main de la méthode pour accompagner les démarches de valorisation des sédiments - from July 1, 2021 to September 16, 2021

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*

Birth name

Nationality

City of birth

County of birth

Postcode of place 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

Social security number

Socio-professional category

Nature of the employment contract

Gross hourly wage

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