Pre-registration of a learner

Autonomie dans le recouvrement de vos impayés

Avez-vous besoin d'assistance pour le dépôt de votre dossier de financement Opco ou Pole Emploi ou CPF ?

Vous pouvez prendre RV sur cet agenda pour un accompagnement : https://www.marketplace-ipnass.com/agenda-rv

Merci de préciser votre souhait de session de 3 h :

- Matin : 9 h
- Après midi : 14 h
- Soiree : 17 h

General information

Learner's photo

JPG, PNG or WebP, ≤ 500Ko

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

Other

Free notes

Information for funding agencies

Socio-professional category

Disabled worker recognition

Fields marked with * are mandatory.

The data collected in this form is processed by Ipnass by Centre Nat. de l'Innovation Pédagogique 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