Pre-registration of a learner

La coordination d'un programme éducatif 1 2024 - from March 19, 2024 to April 17, 2024

Important : merci de mettre le nom et le mail de la personne responsable de la formation (si vous êtes salarié) dans la zone « Notes libres » en bas de la page.

General information

Honorific

First name*

Last name* Email* Address*

Postcode*

City*

Country

Phone*

Language in the Learners' Portal

Status

Company

Profession*

Custom fields

Qui finance votre formation ?

Adresse de la structure

Nom du contact/ responsable formation

Mail du contact/ responsable formation

DPC fields

ADELI NO.

RPPS NO.

Other

Free notes

Fields marked with * are mandatory.

The data collected in this form is processed by CRES PACA 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