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.

Ce mode permet au responsable ou grh de faire une demande d'inscription pour un collaborateur. Merci d’utiliser un seul formulaire par inscription et d’y mentionner l’adresse mail du participant

Pre-registration for training

Qualification en soins palliatifs

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

Nationality of the private client *

Private client's profession *

Additional information

TVA

Alumni Hénallux

General information

Company name *

Company email *

Phone *

Company address

Company address (city)

Company address (postcode)

Company address (country)

Additional information

Nom et prénom participant *

Adresse email participant *

TVA

The data collected in this form is processed by Formation continue HENALLUX 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

search results

Your profile

Pre-registration for training

Qualification en soins palliatifs

Your information

General information

Additional information

Your information

General information

Additional information