Pre-registration of a learner

MASSOPRATICIEN (MPR04) - from November 9, 2024 to June 7, 2025

Bonjour,
Pour vous préinscrire merci de remplir la formulaire ci-dessous en précisant dans la note libre quel(s) module(s) vous souhaitez suivre.

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

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