I am registering individually as an private client (outside working hours) or self-employed (liberal profession)

I am submitting a registration request for one or more employees of an organization (company, association, other...)

Sélectionnez ce mode si vous vous autofinancez.

Select this mode if your company is financing your training or if you want to schedule training for your employees. The contact details to be filled in are those of the training contact.

Pre-registration for training

CAP ESTHETIQUE, COSMETIQUE, PARFUMERIE. BLENDED LEARNING RNCP39030. DATE DE PUBLICATION DE LA FICHE : 23/05/24

General information

Name of the private client *

First name of the private client *

Private client email *

Phone *

Address of the private client

City

Postcode

Country

Date of birth of the private client

Civility of the private client

Reconnaissance travailleur handicapé

Nationality of the private client

Private client's profession

General information

Company name *

Company email *

Phone *

Company registration number

Company address

Company address (city)

Company address (postcode)

Company address (country)

The data collected in this form is processed by EB CONSULTING to manage your pre-registration on the site. To learn more about the management of your personal data and to exercise your rights, we invite you to read our privacy policy

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Pre-registration for training

CAP ESTHETIQUE, COSMETIQUE, PARFUMERIE. BLENDED LEARNING RNCP39030. DATE DE PUBLICATION DE LA FICHE : 23/05/24

Your information

General information

Your information

General information