Préinscription - Primum Non Nocere

Présentiel

Votre demande de session intra pour le programme : Gestion des déchets en établissements sanitaires et médico-sociaux

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Votre profil *

Je m'inscris individuellement en tant que particulier (hors temps de travail) ou indépendant (profession libérale)

Je fais une demande d'inscription pour un ou plusieurs collaborateurs d'une structure (entreprise, association, autre…)

Vos informations

Nom *

Prénom *

Email *

Chercher par SIREN, SIRET ou dénomination

Raison sociale *

Email *

Téléphone

SIRET

Adresse

Ville

Code postal

Pays

Profession du particulier

êtes vous assujetti à la TVA ? *

nom de l'organisation *

contact pour la facturation (si différent) *

Sécurité informatique *

Souhaitez vous signaler un handicap à prendre en compte ?

Email de contact *

Contexte de la demande d'inscription *

Contact pour les conventions de formation (si différent) *

Sécurité informatique

Souhaitez vous signaler un handicap à prendre en compte ?

Identité du représentant légal

Contexte de l'inscription

Contact service a facturer (si différent)

Contact service RH/formation (si différent)

Assujetti à la TVA

Inscription des apprenants

* champs obligatoires

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