Digiforma

Pre-registration of a trainee

202207-001 St005j 35h Echay - du July 11, 2022 au July 15, 2022

Pour vous pré-inscrire à la formation : merci de compléter le formulaire suivant et de préciser dans le champ "Notes libres" le financement que vous envisagez pour cette formation (individuel, employeur, OPCO - Afdas/Pôle emploi/Uniformation...). A la suite de cette préinscription, nous vous contacterons pour parler de vive voix de votre demande.

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*

Company name

VAT NO.

Company registration number

Trainee's photo

Free notes

Information for funders

Social security number*

Socio-professional category

Nature of the employment contract

Gross hourly wage

Disabled worker recognition

The data collected in this form are processed by Compagnie du Moment 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

Fields marked with * are mandatory.