Digiforma

Pre-registration of a trainee

TP CIP 03 - Conseiller(ère) en insertion professionnelle_du 18 Octobre 2021 au 24 Juin 2022 - du October 18, 2021 au June 24, 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'.

Nationality*

Birth name*

City of birth*

Birth department

Date of birth* / /

Postal code of place of birth

Language on the extranet:

Address*

Postcode*

City*

Phone*

Secondary phone

Status

Company

Profession

Trainee's photo

Free notes

Information for funders

Social security number

Socio-professional category

Disabled worker recognition

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