Photo REGISTRATION FORM Follow us on
Transcription
Photo REGISTRATION FORM Follow us on
Photo 52 ter, rue des vinaigriers 75010 Paris Tél. 01 53 05 93 43 – Fax 01 53 05 93 42 Email : [email protected] N° d’agrément 11753660875, délivré par la Direction Régionale du Travail, de l’Emploi et de la Formation Professionnelle d’Ile de France REGISTRATION FORM TRAINEE DETAILS: PLEASE JOIN A RESUME NAME (MR, MS, MISS) : ................................................................................... FIRST NAME : ........................................................................................ DATE & PLACE OF BIRTH : .................................................................................. NATIONALITY : ....................................................................................... ADDRESS : .................................................................................................................................................................. ZIP CODE : .............................. CITY : ......................................................................................................... COUNTRY: ............................................................................................. EMAIL : ........................................................................................................ @ ....................................................................................................... TEL. : .......................................................................................................... MOBILE : .............................................................................................. LAST CERTIFICATE: .......................................................................................... OCCUPATION : ........................................................................................ HOW DID YOU KNOW THE ACADEMY : ................................................................................................................................................................................ ADDRESS DURING THE TRAINING : .................................................................................................................................................................................... ZIP CODE : ................................................... CITY : ...................................................................................... TEL. : .................................................... TICK DESCRIPTION LENGTH FEES BEAUTY - FASHION BEAUTY – FASHION Part1 30H (1Week) 1.500 € BEAUTY – FASHION Part2 30H (1Week) 1.500 € 120H (1 Month) 3.900 € 18H (3 jours) 1.100 € ARTISTIC MAKE UP: « FACE PAINTING » Part 1 30H (1 Week) 1.800 € ARTISTIC MAKE UP : « BODY PAINTING » Part 2 30H (1 Week) 1.800 € 30H spread on 5 different Mondays 30H (1 Week) 30H (1 Week) 18H (3 days) 18H (3 days) 1.500 € BEAUTY – FASHION MOVIE-TV AIR BRUSH MAKE UP ARTISTIC MAKE UP SPECIFIC PROGRAMS SPECIAL HAIRDRESSER SPECIAL BEAUTICIANS ORIENTAL MAKE UP BLACK BEAUTY CONTOURING 1.500 € 1.500 € 900 € 900 € DATE CHOSEN: FROM .................................................................................. TO .................................................................................. PAYMENT CONDITIONS: DEPOSIT: ................... * VISA BANK TRANSFER CASH * FOR THE COURSES UNDER 120 HOURS, THE DEPOSIT MUST BE MADE ONE WEEK BEFORE AT THE LATEST AND CANNOT BE REIMBURSED. THE REMAINING MUST BE PAID THE FIRST DAY IN THE MORNING BEFORE THE TRAINING. PAYING OFFICE : CORPORATE NAME : ............................................................................................................................................................................ ADDRESS : ................................................................................................ ZIP CODE : ................ CITY : .................................................................... TELEPHONE : ...................................................... FAX : ......................................................... FINANCIAL COMMITMENT (PERSON IN CHARGE OF THE PAYMENT IF DIFFERENT FROM THE TRAINEE): I, THE UNDERSIGNED FIRST NAME : ................................................................................... LAST NAME : ............................................................................ ADDRESS : ................................................................................................................................................................................................................ ZIP CODE : ....................... CITY : ........................................................................................................... TEL. : ........................................................ EMPLOYER NAME & ADDRESS : ........................................................................................................................................................................................ ............................................................................................................................................................ TEL. : ....................................................... ACTING AS : PARENT EMPLOYER OTHER I HEREBY ACKNOWLEDGE THE REGISTRATION FORM OF THE ABOVE MENTIONED STUDENT AND AGREE TO PAY THE TOTAL AMOUNT OF THE TRAINING FEES. IN : ............................................................................................................... THE : ................................................. Training Centre (stamp) Trainee Signature MAKE UP FOR EVER Société Anonyme au capital de 1.050.000 Euros Siège social 5 rue La Boétie - 75008 Paris RCS Paris B 318 309 267 - APE 4775Z - TVA FR 61 318 309 267 Follow us on Facebook ! 20