Pre-registration of a learner

HERB01 - STAGE DISTILLATION ALCOOLS, HERBORISTERIE ET PREPARATIONS DE PLANTES Jessica Blum & Matthieu Frécon -2209 - from September 1, 2022 to September 4, 2022

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

Honorific

First name*

Last name* Email* Date of birth*

Nationality*

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

Fields marked with * are mandatory.

The data collected in this form is processed by Esprit Sublime - Centre de 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