Admin - Plateforme Administration Editions Préference

Contient un/plusieurs signataires

Reprise des signataires

Peut etre dupliqué

Nombre maximum de block

Texte du bouton 'ajouter'

Texte du bouton 'supprimer'

Ce block contient un

Contenu

Il est demand&eacute; de renseigner une attestation par Point de Comptage et d&#39;Estimation (PCE) ou par sous-station. 
1. Informations relatives au client concern&eacute;

<table border="0" cellpadding="2" cellspacing="2" style="width:100%;">
	<tbody>
		<tr>
			<td style="vertical-align: middle; width: 30%;">Raison sociale / Nom du client :</td>
			<td>{% textinput_tag name=&quot;8162b164&quot; data_label=&quot;Raison sociale / Nom du client&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Raison sociale / Nom du client&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 30%;">R&eacute;f&eacute;rence du contrat :</td>
			<td>{% textinput_tag name=&quot;8643f2dd&quot; data_label=&quot;R&eacute;f&eacute;rence du contrat&quot; data_map_field=&quot;nomap&quot; data_help=&quot;R&eacute;f&eacute;rence du contrat&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 30%;">Nom du site :</td>
			<td>{% textinput_tag name=&quot;ddecfe79&quot; data_label=&quot;Nom du site&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Nom du site&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 30%;">Adresse du site :</td>
			<td>{% textinput_tag name=&quot;e3a41a5a&quot; data_label=&quot;Adresse du site&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Adresse du site&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 30%;">PCE / sous-station (1) :</td>
			<td>{% textinput_tag name=&quot;e4f4dd31&quot; data_label=&quot;PCE / sous-station&quot; data_map_field=&quot;nomap&quot; data_help=&quot;PCE / sous-station&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 25%;">Nom du gestionnaire du site (1) :</td>
			<td>{% textinput_tag name=&quot;c966668c&quot; data_label=&quot;Nom du gestionnaire du site &quot; data_map_field=&quot;nomap&quot; data_help=&quot;Nom du gestionnaire du site &quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 30%;">Adresse du gestionnaire du site (1) :</td>
			<td>{% textinput_tag name=&quot;52d6dfda&quot; data_label=&quot;Adresse du gestionnaire du site&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Adresse du gestionnaire du site&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 30%;">Code NAF client (1) :</td>
			<td>{% textinput_tag name=&quot;88c9da0f&quot; data_label=&quot;Code NAF client&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Code NAF client&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 30%;">Num&eacute;ro SIRET du client (1) :</td>
			<td>{% textinput_tag name=&quot;2434f900&quot; data_label=&quot;Num&eacute;ro SIRET du client&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Num&eacute;ro SIRET du client&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 30%;">Code NAF gestionnaire (1) :</td>
			<td>{% textinput_tag name=&quot;7631b7ca&quot; data_label=&quot;Code NAF gestionnaire &quot; data_map_field=&quot;nomap&quot; data_help=&quot;Code NAF gestionnaire &quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

<table border="0" cellpadding="2" cellspacing="2" style="width:100%;">
	<tbody>
		<tr>
			<td style="vertical-align: middle; width: 47%;">Num&eacute;ro d&#39;enregistrement au registre des copropri&eacute;t&eacute;s (1) :</td>
			<td>{% textinput_tag name=&quot;2ae446fc&quot; data_label=&quot;Num&eacute;ro d&#39;enregistrement au registre des copropri&eacute;t&eacute;s&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Num&eacute;ro d&#39;enregistrement au registre des copropri&eacute;t&eacute;s&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

Mode Simplifié

Version PDF Version mobile