Training on COVID-19 (June 2020)

If you have any question regarding this training you can contact Mrs Marie-Helene Delhove :

Name of the organisation *

Name of the representative of the organisation *

Email *

Phone Number *

PARTICIPANT TO BE REGISTERED BY THE REPRESENTATIVE OF THE ORGANISATION

SURNAME (ALL CAPS) *

FIRST NAME (ALL CAPS) *

Gender *

Male

Female

Country *

Individual email *

Date of birth *

Month

Day

Year

Phone Number *

Your role in the organisation *

Place of residence *

Describe the participant's work in the organisation *

Is the participant registered to our e-learning platform ? *

Yes

Would you like to register a second participant for this training*? *

Yes

*The participation of this second participant will depend on the number of places still available for this training.

SECOND PARTICIPANT TO BE REGISTERED BY THE LEADER

SURNAME (ALL CAPS) *

FIRST NAME (ALL CAPS) *

Gender *

Male

Female

Country *

Individual email *

Date of birth *

Month

Day

Year

Phone Number *

Your role in the organisation *

Place of residence *

Describe the participant's work in the organisation *

Is the participant registered to our e-learning platform ? *

Yes

By checking this box, I certify that I have completed this form in my capacity as representative of the organisation. *

I am the representative of the organisation mentioned.

The requested information must be collected in order to process your request. The information provided is reserved for the exclusive use of COLEACP and will never by passed on to third parties. As part of managing our contacts, we retain the personal data linked to them for up to 3 years after the most recent contact. You have a right of access, to rectification, to object and to erasure of your personal data. To exercise this right, contact us via email or send us a letter stating your email address to: COLEACP 5 rue de la Corderie - Centra 342 94586 Rungis Cedex France. We will respond to you within one month. If you feel that your rights have been infringed, or if we do not reply, you are entitled to file a complaint to the CNIL (data protection authority). CNIL Declaration No 1359145.

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Training on COVID-19 (June 2020)