Pre-registration of a trainee

Formation réflexologie faciale et crânienne - from May 1, 2023 to July 1, 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

Social security number

Socio-professional category

Nature of the employment contract

Gross hourly wage

Disabled worker recognition

The data collected in this form are processed by SARL Reflexo Naturel (capital social de 1000 €) 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.