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Course*

Title*

First name*

Surname (Maiden name)*

Name of spouse

Social Security number*

Date of birth*

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Place of birth*

Country of birth*

Nationality*

Profession

Address (street and number)*

Postal code*

Locality*

Country*

Other country*

Email*

Phonenumber*

Do you have a voucher ?*

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Yes, I have a a voucher

Voucher number*

Photo/scan of the voucher*

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Accepted file types: pdf, jpg, jpeg, png, Max. file size: 40 MB, Max. files: 1.

Do you have language leave?*

Yes

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

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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:

Total

Consent 1*

I made sure I signed up for the right class.

Consent 2*

I have read and agree to the terms and conditions and the rules of proper operation.

Cours pour adultes agréés par

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Luxembourgish Language Courses
Summer Intensive Courses

Contact

2, rue Batty Weber
L-3493 Dudelange

Email: moienasbl@pt.lu

Frequently Asked Questions
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