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Article 28 of the Law of 8 march 2017
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Registration form
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Registration form
Course
*
LA-LB-731-25 - B1.1
LA-LB-721-25 - B1.3
LA-LB-720-25 - A2.3
Title
*
Madam
Mister
Surname (Maiden name)
*
First name
*
Social Security number
*
Name of spouse
Date of birth
*
Date Format: DD slash MM slash YYYY
Place of birth
*
Country of birth
*
Nationality
*
Profession
Address (street and number)
*
Postal code
*
Locality
*
Country
*
Luxembourg
Allemagne
Belgique
France
Other
Other country
*
Email
*
Phone 1
*
Phone 2
Do you have a voucher from ADEM, ONIS or MIFA
*
No, I do not have a voucher
Yes, I have a voucher from ADEM or ONIS
Yes, I have a voucher from MIFA
ADEM or ONIS voucher number
*
MIFA voucher number
*
Photo/scan of the voucher
*
Drop files here or
Accepted file types: pdf, jpg, jpeg, png.
ATTENTION: for a validated registration you are obliged to
send the original voucher within eight days by post
to Moien asbl, 2, rue Batty Weber L-3493 Dudelange
Enter the code of the course that you currently participate in
You need to send us a copy of the voucher to moienasbl@pt.lu as soon as possible.
Administrative fee
*
Price:
10,00 €
Total
0,00 €
Comments
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Homepage
Courses
Luxembourgish Language Courses
Summer Intensive Courses
Nationality courses
Article 28 of the Law of 8 march 2017
About us
Board
Activities
Become a Member
Informations
CEFR Levels
Links
Nationality Article 28 of the Law 8 mars 2017
Frequently Asked Questions
Contact
