Registration

Identification

Civility
Usual name *
Birth name
First name *
Date of birth *
Diplomas
If Agro
School Diploma Class year  
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PROOF FILE OF THE STUDENT STATUS (PDF or JPEG format)

Personal details

e-mail *
Address *

Postal code *
City *
Country *
State
Fixed phone
Mobile
Website

Professional contact information

Company
Address
 
Postal code
City
Country
State
Position
e-mail
Mobile

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It is recalled, in accordance with Article 27 of Law 78/17 of 6 January 1978 and Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 that :
- the information requested is for à Grignon 2000,
- the member is free to provide only a part of the informations
- the member has the right to obtain the copy of the informations stocked into the computer file of the Association, and to ask for the deletion or modification of the notes which are in it.