Pre-registration of a learner

Thémo'Ostéo Strasbourg 2022/2023 - from September 30, 2022 to May 7, 2023

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

First name

Last name* Email* Postcode of place of birth

Address*

Postcode*

City*

Phone*

Language in the Learners' Portal

DPC fields

ADELI NO.

RPPS NO.

Main exercise (> 50%)*

National guidelines

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