Learner registration

Prépa Apprentissage CAP AU SPORT HAUTE PROVENCE - from May 9, 2023 to July 12, 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'.

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

Profession*

Other

Free notes

Information for funding agencies

Social security number

Disabled worker recognition

Fields marked with * are mandatory.

The data collected in this form is processed by OBJECTIF PLUS FORMATION 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