Lumina Learning | Practitioner Application

Formulário de Inscrição de Novo Practitioner

Para se candidatar a uma conta Lumina Learning Practitioner, preencha o formulário abaixo.

Only complete this form when asked to do so by your Lumina Learning Partner.

To speak to us about our products and solutions or about becoming a Practitioner, please get in touch here .

Os campos marcados com * são de preenchimento obrigatório no registo.

A sua região de origem

* Selecione a sua região de origem

Código de Referência (se aplicável)

Informação Pessoal

* First Name

* Last Name

* Email Address

Secondary Email Address

* Indicativo do País do Número de Contacto Principal

* Primary Contact Number

Indicativo do País do Número de Contacto Móvel

Número de Contacto Secundário

Business Information

* Nome Legal da Empresa

Número de Identificação Jurídica da Empresa

* Country

Número de Registo Fiscal

Morada Profissional

* Address Line 1

Address Line 2

Address Line 3

* Cidade

* County

* Postcode

* Country

Morada de Faturação

Utilize a morada comercial acima para faturação

* Address Line 1

Address Line 2

Address Line 3

* Cidade

* County

* Postcode

* Country

Informações da Região

* Language

* Time Zone

Password da Conta

Please enter a password below. You will only need this password if you do not already have a Lumina Account that you use to sign in.

* Password

* Confirm Password

Business Agreement

Please tick the box below to indicate that you have read and agree to the following:

Termos & Condições

I agree

Personal Information and Privacy

By enrolling to become a Practitioner you share some of your personal information with:

Lumina Learning - More Details
- More Details

The personal information you share as a Practitioner is processed in accordance with the Practitioner Privacy Notice.

Please indicate that you acknowledge the following:

Practitioner Privacy Notice

I acknowledge

You will be contacted by your Lumina Learning Partner when your application has been processed.