Pre-registration of a learner

2024 BAY - 3 Concevoir et animer une action de formation - from September 12, 2024 to December 13, 2024

Vous pouvez préinscrire un apprenant 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

Birth name

Nationality

City of birth

County of birth

Postcode of place of birth

Address

Postcode

City

Country

Phone*

Secondary phone

Language in the Learners' Portal

Status

Company

Profession

Company name

VAT number

Company registration number

Other

Free notes

Information for funding agencies

Socio-professional category

Nature of the employment contract

Gross hourly wage

Disabled worker recognition

Fields marked with * are mandatory.

The data collected in this form is processed by EI - Laura CHAMBRON / 3P FORM 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