Pre-registration of a learner

Neurodynamique des membres supérieurs - from January 15, 2021 to January 17, 2021

LISTE D'ATTENTE pour la formation Neurodynamique des membres Supérieurs - janvier 2021 - du 15 au 17 janvier 2021

En cas de désistement d'un stagiaire, nous vous préviendrons par ordre d'inscriptions.

General information

Honorific

First name*

Last name* Email* Date of birth*

Birth name

Address*

Postcode*

City*

Country

Phone*

Language in the Learners' Portal

Status

Company

Profession*

DPC fields

ADELI NO.*

RPPS NO.

Main exercise (> 50%)*

National guidelines

Other

Free notes*

Information for funding agencies

Disabled worker recognition

Fields marked with * are mandatory.

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