Pre-registration of a learner

Accompagnant·e Périnatal·e CeFAP® - Janvier 2024 - from January 29, 2024 to January 24, 2025

En complétant le formulaire ci-dessous, vous recevrez un dossier complet dans les meilleurs délais. Pour confirmer votre inscription, il vous faudra renvoyer l'ensemble des documents dûment complétés. Vous pouvez laisser un message complémentaire dans la partie 'Notes libres'.

General information

Learner's photo

JPG, PNG or WebP, ≤ 500Ko

Honorific

First name*

Last name* Email* Address*

Postcode*

City*

Country

Phone

Language in the Learners' Portal

Status

Company

Profession*

Company name

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 CeFAP 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