Prévention PP58
Create a new student account
{1}
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{1}
##LOC[OK]##
##LOC[Cancel]##
{1}
##LOC[OK]##
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Last name
First name
Email address
Enter the name of your organization
Reason for the request
Worker (TA or Non AT) of which apprentice
Apprentice, Trainee and/or Long Term Training, Seasonal
Transport including Nuclear material and with Security Protocol
Inspector/ Member of the Administration/ Representative of the Forces de l'Ordre
ARV or Visitor or Deliveryman (Punctual, without Security Protocol)
School Intern and/or Short Term Training
Birth date (JJ/MM/AAAA)
Type the code from the image
LblLnameConfirmation
LblFnameConfirmation
LblMailConfirmation
LblOrganizationConfirmation
LblRequestReasonConfirmation
LblBirthDateConfirmation
LblNewAccountResult