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Registration Form – French for Federal Government Employees

For information, please contact us by email at emeinc@lacitec.on.ca or at (613) 742-2493, ext. 2763. Please fill out the form for registration *Required fields

Civil Status

*First Name

*Last Name

Student Number (from previous enrollment at La Cité collégiale)

Date of Birth (yyyy/mm/dd)

*Street Address

*City

*Postal Code

*Phone (include area code)

Business Phone (include area code)

Fax (include area code)

*Email

*Course Title

Company Name

Contact