Pre-registration of a learner

ANNULÉE - Formation Petit Poucet - 2024 - from April 23, 2024 to June 20, 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

Learner's photo

JPG, PNG or WebP, ≤ 500Ko

Honorific

First name*

Last name* Email* Address

Postcode

City

Phone*

Secondary phone*

Language in the Learners' Portal

Status

Company*

Profession*

Other

Free notes

Fields marked with * are mandatory.

The data collected in this form is processed by CoDES 84 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