LVTC - Registration form

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             Registration / Inscription 

School year / Année Scolaire  : 2020-2021

Name of program:  


Family name:   First Name:  

Address :  

City:   , ,

Telephone: , Email:  

Gender:   , Date of birth: ,  Permanent code:  

Country, Province and town of birth:

Mother Tongue: ,  S.I.N:


Father’s name: ,   Father’s First name:

Mother’s Maiden name: , Mother’s First name:  



I declare this information to be correct. I authorize the ETSB to verify all attached documents and to furnish any information requested to organizations that provide services and/or grants relating to the program of study /  Je déclare que les renseignements ci-dessus son exacts. J’autorise la commission scolaire à vérifier les documents annexés à cette demande d’admission et à transmettre aux organismes concernés par mes études les renseignements requis.

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Document name: LVTC - Registration form
lock iconUnique Document ID: 6a77f7d720168f2bc8fedfd32c86a91bc76f1920
Timestamp Audit
2020-05-14 7:53 am EDTLVTC - Registration form Uploaded by Lennoxville Vocational Training Center - IP
2020-07-13 10:44 am EDTMarie Josée Vaillancourt - added by Lennoxville Vocational Training Center - as a CC'd Recipient Ip: