Pre-registration of a learner

Entretien motivationnel - from December 16, 2024 to December 18, 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

Honorific

First name*

Last name* Email* Date of birth*

Address*

Postcode*

City*

Phone*

Secondary phone*

Language in the Learners' Portal

Status

Company*

Profession*

Company name

VAT number

Company registration number

DPC fields

ADELI NO.*

RPPS NO.*

Other

Free notes

Information for funding agencies

Disabled worker recognition

Fields marked with * are mandatory.

The data collected in this form is processed by GRESMO FORMATION 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