Pre-registration of a learner

Les essentiels pas à pas Cycle 2 - from June 21, 2024 to December 13, 2024

Vous pouvez vous préinscrire ou préinscrire un de vos stagiaires 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 Address

Postcode

City

Country

Phone

Language in the Learners' Portal

Status

Company

Profession*

Company name

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 Esprit d'Alliance 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