Pre-registration of a learner

Journée d’actualité « Projet Loi de finances 2022 » : bilan et perspectives du mandat « Macron » - the November 24, 2021

Vous pouvez préinscrire un stagiaire à la formation grâce à ce formulaire. Merci de rentrer un maximum d'informations pour simplifier le travail d'enregistrement, et de renseigner les données de facturation 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*

Custom fields

Contact rh : email *

Facturation : n° de siret

Other

Free notes*

Information for funding agencies

Social security number

Socio-professional category

Disabled worker recognition

Fields marked with * are mandatory.

The data collected in this form is processed by AFIGESE 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