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Confirmation
Date of birth
: 01.01.1970
Place of Origin
:
Personal details
visible on www.reg.ch
PO Box
-
Tel.
Mobile
:
Email
:
Professional details
visible on www.reg.ch
PO Box
-
Tel.
Mobile
:
Email
:
REG
| Professional field | |
| Register |
Training and capacity
| Capacity | |
| Professional field | |
| School | |
| Date | |
| Place |
Formation continue1*
| Désignation | |
| Place | |
| Institution | |
| Date |
Formation continue2*
| Désignation | |
| Place | |
| Institution | |
| Date |
Formation continue3*
| Désignation | |
| Place | |
| Institution | |
| Date |
Languages
| Mother tongue | |
| Other languages |
National professional organizations
| Member of REG | |
| European professional organizations (Euring / Eureta) |
References
| Reference 1 | |
| Reference 2 | |
| Reference 3 |
| Attachments | |
| Any comment |
Authentication
Reference
Place and date
Place and date
:
Signature
:
