Pre-registration of a learner

Hypnose Ericksonienne - la Méthode de Rossi - from December 16, 2023 to December 18, 2023

Bonjour,
Merci de remplir ce formulaire de pré-inscription.
Vous recevrez ensuite une convention de formation à nous renvoyer signée.
Nous sommes à votre disposition pour toute question à secretariat@efai.fr
A très bientôt,
l'Equipe de l'EFAI

General information

Learner's photo *

JPG, PNG or WebP, ≤ 500Ko

Honorific

First name*

Last name* Email* Date of birth*

Birth name*

City 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

Socio-professional category

Disabled worker recognition

Fields marked with * are mandatory.

The data collected in this form is processed by ECOLE FRANCAISE D'AROMATHERAPIE INTEGRATIVE 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