Admin - Plateforme Administration Editions Préference

Contient un/plusieurs signataires

Reprise des signataires

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						<td style="vertical-align: bottom; width: 10px;"><strong>&nbsp;</strong>{% select_tag name=&quot;83339xfd&quot; data_label=&quot;Civilit&eacute;&quot; data_map_field=&quot;civilite&quot; data_help=&quot;Choisissez la civilit&eacute;&quot; data_choices=&quot;Civilit&eacute;|civilite; Monsieur|monsieur; Madame|madame;&quot; relation_ids_list=&quot;833391fd&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp;<span style="font-size:12px"><span style="font-family:ITCAvantGardePro"><span style="font-weight:200">Nom :</span></span></span></td>
						<td style="vertical-align:bottom; width:50%"><span style="font-size:12px"><span style="font-family:ITCAvantGardePro"><span style="font-weight:200">Pr&eacute;nom :</span></span></span></td>
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						<td style="vertical-align: middle; width: 10px;">{% textinput_tag name=&quot;087a9c2a&quot; data_label=&quot;Nom &quot; data_map_field=&quot;nom&quot; data_help=&quot;Nom du signataire &quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
						<td style="vertical-align:middle; width:50%">{% textinput_tag name=&quot;002cb93f&quot; data_label=&quot;Pr&eacute;nom &quot; data_map_field=&quot;prenom&quot; data_help=&quot;Pr&eacute;nom du signataire&quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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						<td style="width:68%"><span style="font-size:12px"><span style="font-family:ITCAvantGardePro"><span style="font-weight:200">Adresse :</span></span></span></td>
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						<td style="width:68%">{% textinput_tag name=&quot;109d7745&quot; data_label=&quot;Adresse postale du signataire&quot; data_map_field=&quot;adresse&quot; data_help=&quot;Adresse postale du signataire&quot; maxlength=&quot;100&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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						<td style="width:20%"><span style="font-size:12px"><span style="font-family:ITCAvantGardePro"><span style="font-weight:200">Code postal :</span></span></span></td>
						<td style="width:55%"><span style="font-size:12px"><span style="font-family:ITCAvantGardePro"><span style="font-weight:200">Ville :</span></span></span></td>
						<td style="width:25%"><span style="font-size:12px"><span style="font-family:ITCAvantGardePro"><span style="font-weight:200">Pays :</span></span></span></td>
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						<td style="width:20%">{% numberinput_tag name=&quot;f5e66571&quot; data_label=&quot;Code Postal du signataire&quot; data_map_field=&quot;zipcode&quot; data_help=&quot;Code Postal du signataire&quot; maxlength=&quot;8&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
						<td style="width:55%">{% textinput_tag name=&quot;ed0a66fe&quot; data_label=&quot;Ville du signataire&quot; data_map_field=&quot;ville&quot; data_help=&quot;Ville du signataire&quot; maxlength=&quot;80&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
						<td style="width:25%">{% textinput_tag name=&quot;4e0fc70a&quot; placeholder=&quot;France&quot; data_label=&quot;Pays du signataire&quot; data_map_field=&quot;pays&quot; data_help=&quot;Pays du signataire&quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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						<td style="vertical-align:middle; width:70%"><span style="font-size:12px"><span style="font-family:ITCAvantGardePro"><span style="font-weight:200">E-mail :&nbsp;</span></span></span></td>
						<td style="vertical-align:middle; width:30%">&nbsp;<span style="font-size:12px"><span style="font-family:ITCAvantGardePro"><span style="font-weight:200">T&eacute;l :&nbsp;&nbsp;</span></span></span></td>
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						<td style="vertical-align:middle; width:70%">{% textinput_tag name=&quot;385a4815&quot; data_label=&quot;Email du signataire&quot; data_map_field=&quot;email&quot; data_help=&quot;Email du signataire&quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
						<td style="vertical-align:middle; width:30%">{% textinput_tag name=&quot;e98e647c&quot; data_label=&quot;T&eacute;l du signataire&quot; data_map_field=&quot;mobile&quot; data_help=&quot;T&eacute;l du signataire&quot; maxlength=&quot;15&quot; relation_ids_list=&quot;9d621ed1&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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						<td style="vertical-align:middle; width:70%"><span style="font-size:12px"><span style="font-family:ITCAvantGardePro"><span style="font-weight:200">Lieu de naissance :</span></span></span></td>
						<td style="vertical-align:middle; width:30%"><span style="font-size:12px"><span style="font-family:ITCAvantGardePro"><span style="font-weight:200">Date de naissance :</span></span></span></td>
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						<td style="vertical-align:middle; width:70%">{% textinput_tag name=&quot;67fe78de&quot; data_label=&quot;Lieu de naissance&quot; data_map_field=&quot;lieu_naissance&quot; data_help=&quot;Lieu de naissance&quot; maxlength=&quot;80&quot; data_ancien_ids=&quot;21911&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
						<td style="vertical-align:middle; width:30%">{% dateinput_tag name=&quot;f014d7d1&quot; placeholder=&quot;jj/mm/aaaa&quot; data_label=&quot;Date de naissance&quot; data_map_field=&quot;date_naissance&quot; data_help=&quot;Date de naissance&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %}</td>
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						<td style="vertical-align:middle; width:50%"><span style="font-size:12px"><span style="font-family:ITCAvantGardePro"><span style="font-weight:200">Profession&nbsp;:</span></span></span></td>
						<td style="vertical-align:middle; width:50%"><span style="font-size:12px"><span style="font-family:ITCAvantGardePro"><span style="font-weight:200">Nationalit&eacute;&nbsp;:</span></span></span></td>
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						<td style="vertical-align:middle; width:50%">{% textinput_tag name=&quot;9bb31b8e&quot; data_label=&quot;Profession &quot; data_map_field=&quot;job&quot; data_help=&quot;Profession &quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
						<td style="vertical-align:middle; width:50%">{% textinput_tag name=&quot;1f8f2318&quot; data_label=&quot;Nationalit&eacute; &quot; data_map_field=&quot;nationality&quot; data_help=&quot;Nationalit&eacute; &quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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						<td><span style="font-size:12px"><span style="font-family:ITCAvantGardePro"><span style="font-weight:200">{% checkbox_tag name=&quot;8b625420&quot; data_label=&quot;R&eacute;sident fiscal&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Ayant la qualit&eacute; de r&eacute;sident au sens de la r&egrave;glementation fiscale&quot; %} Ayant la qualit&eacute; de r&eacute;sident au sens de la r&egrave;glementation fiscale.</span></span></span></td>
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						<td><span style="font-size:12px"><span style="font-family:ITCAvantGardePro"><span style="font-weight:200"><font face="ITCAvantGardePro">Situation matrimoniale :&nbsp;</font>{% radio_tag name=&quot;d8242156f&quot; data_label=&quot;Situation matrimoniale&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Situation matrimoniale&quot; data_choices=&quot;C&eacute;libataire|C&eacute;libataire; Mari&eacute;(e)|Mari&eacute;(e); Pacs&eacute;(e)|Pacs&eacute;(e); Divorc&eacute;(e)|Divorc&eacute;(e);Veuf(ve)|Veuf(ve);&quot; %}</span></span></span></td>
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						<td><span style="font-size:12px"><span style="font-family:ITCAvantGardePro"><span style="font-weight:200">D&eacute;tail de la situation matrimoniale :</span></span></span></td>
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						<td><span style="font-size:12px"><span style="font-family:ITCAvantGardePro"><span style="font-weight:200">{% textarea_tag name=&quot;dcb41cd9&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;D&eacute;tail de la situation matrimoniale&quot; data_map_field=&quot;family_situation&quot; data_help=&quot;Indiquer la date&nbsp;le lieu de mariage et le r&eacute;gime matrimoniale.&nbsp;La date et lieu d&#39;enregistrement du pacs &quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</span></span></span></td>
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						<td><span style="font-size:12px"><span style="font-family:ITCAvantGardePro"><span style="font-weight:200">Autres informations utiles :</span></span></span></td>
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						<td>{% textarea_tag name=&quot;d5f7398c&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Autres informations utiles&quot; data_map_field=&quot;comment&quot; data_help=&quot;Autres informations utiles&quot; relation_ids_list=&quot;1256,1728,1111,7056,6290,10507,525,1206,1728,2248,6286,8701&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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						<td><span style="font-size:8px"><span style="font-family:ITCAvantGardePro"><span style="font-weight:200"><em>Vous avez la possibilit&eacute; de vous inscrire sur www.bloctel.gouv.fr pour vous opposer &agrave; tout d&eacute;marchage t&eacute;l&eacute;phonique conform&eacute;ment &agrave; l&#39;article L223-1 du Code de la consommation</em></span></span></span></td>
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						<td><span style="font-size:12px"><span style="font-family:ITCAvantGardePro"><span style="font-weight:200">Ici pr&eacute;sent (non repr&eacute;sent&eacute;) :&nbsp;{% radio_tag name=&quot;c38eb447&quot; data_label=&quot;Pr&eacute;sent &agrave; l&#39;acte&quot; data_map_field=&quot;nomap&quot; data_help=&quot;signataire de l&#39;acte, pas de procuration&quot; data_choices=&quot;oui|oui; non|non;&quot; %}</span></span></span></td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;Adresse :</span></td>
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			<td>{% textarea_tag name=&quot;1b1357bf&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Adresse&quot; data_help=&quot;Adresse mandant 1&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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