Pre-registration of a learner

CQP Travailler sur cordes - niveau confirmé avec SST - from February 26, 2025 to March 21, 2025

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'.

General information

Honorific

First name*

Last name* Email* Date of birth*

Nationality*

City of birth*

Postcode of place of birth

Address*

Postcode*

City*

Country*

Phone*

Language in the Learners' Portal

Status

Profession

Information for funding agencies

Social security number

Disabled worker recognition

Fields marked with * are mandatory.

The data collected in this form is processed by RIG'UP 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