Withdrawal form

Are you an individual and are you enrolled in or have you paid for a training course in our training catalogue? Exercise your right of withdrawal, in accordance with European directive 2011/83/EU, using this form.

Your information

First name

Surname/Last name

To receive your withdrawal request confirmation.

Phone number

Training course name

The training course you enrolled in.

Comment

If you paid for your training course purchase online

Purchase date

Amount (€)

Stripe payment reference number

A time-stamped copy will be sent to you via email. We will get back to you to validate the details and agree on the next steps for your request.

Nous joindre

contact secrétariat

04.77.12.09.34

cesu42@chu-st-etienne.fr

Responsable pédagogique

Mr OUCHENE Yannis

yannis.ouchene@chu-st-etienne.fr

Our contact information

CHU de St Etienne
Site de Bellevue
25 bd Pasteur
42100 ST ETIENNE
04 77 12 09 34