Civic Examination Registration — Mulhouse

Your personal information

To register for the Civic Examination in Mulhouse, you will need to provide the following information:

Title (Ms / Mr)
First name and Surname
Date of birth (DD/MM/YYYY format)
Mother tongue
Nationality
Foreigner Number: your AGDREF number, consisting of 9 or 10 digits (shown on your residence permit)
Email address and telephone number
Full address with postcode and city

Your registration

Which document do you wish to obtain?

Multi-year residence card
Resident card
French nationality

Registration fee payment methods:

Bank transfer: send the form and we will send you our bank details; please forward proof of transfer.
Bank card: send the form, then access payment via the 'Pay online' button.
Cheque: payable to LINGUAPHONE NT; must be sent to us before the test date, as soon as possible.

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Registration form

Registration — Examen civique

Title *

Mrs Mr

Last name *

First name *

Date of birth *

Place of birth *

Nationality *

Foreigner number (AGDREF) *

Mother tongue *

Email *

Phone *

Address *

Postal code *

City *

Dans quel but souhaitez-vous passer l'Examen civique ? *

À quelle date souhaitez-vous passer l'examen civique ? *

You can find our terms and conditions at the bottom of the page.

Payment method *

Credit card / PayPal

Secure online payment

Bank transfer

We will send you our bank details after registration. Please send us the transfer confirmation.

Comments (optional)

I agree that my data will be processed by Linguaphone for my exam registration. This data will not be used for commercial purposes.

Amount due

70 €

Secure payment via PayPal. No registration will be validated without payment.

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Civic Examination Registration — Mulhouse

Civic Examination Registration — Mulhouse

Your personal information

Your registration

Already registered?

Registration form

Registration — Examen civique

Paiement sécurisé

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