Digiforma

Pre-registration of a trainee

Initiateur Mobilité Vélo LA ROCHELLE - du October 3, 2023 au October 6, 2023

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'.

Nationality*

Birth name

City of birth

Birth department

Date of birth* / /

Postal code of place of birth

Language on the extranet:

Address*

Postcode*

City*

Phone*

Secondary phone

Status

Company*

Profession*

Company name*

VAT NO.*

Company registration number*

Trainee's photo

Free notes

Information for funders

Social security number*

Socio-professional category

Nature of the employment contract

Gross hourly wage

Disabled worker recognition

The data collected in this form are processed by Fédération des Usagers de la Bicyclette 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

Fields marked with * are mandatory.