Pre-registration of a learner

SOS Cheville STRASBOURG - from November 19, 2024 to February 25, 2025

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. Vous pouvez laisser un message complémentaire dans la partie 'Notes libres'.

General information

Honorific

First name*

Last name* Email* Date of birth*

Postcode of place of birth

Address*

Postcode*

City*

Phone*

Language in the Learners' Portal

DPC fields

RPPS NO.*

Main exercise (> 50%)*

Other

Free notes

Fields marked with * are mandatory.

The data collected in this form is processed by MKNG Formations SAS 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