Pre-registration of a learner

DDA ACADEMIE LYON 10 et 11 Decembre 2019 - from December 10, 2019 to December 11, 2019

Vous pouvez préinscrire un stagiaire à la formation grâce à ce formulaire. Merci de rentrer l'adresse de votre Société . 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* Postcode of place of birth

Address*

Postcode*

City*

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 Capital Humain Consulting 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