Pre-registration of a learner

Handicap et alors ? - Confolens - Janv - from January 22, 2024 to February 5, 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

Honorific

First name*

Last name* Email* Address

Postcode

City

Phone

Language in the Learners' Portal

Status

Company*

Profession*

Company name

VAT number

Company registration number

Other

Free notes

Information for funding agencies

Disabled worker recognition

Fields marked with * are mandatory.

The data collected in this form is processed by FEDERATION REGIONALE NOUVELLE-AQUITAINE DU PLANNING FAMILIAL 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