Admin - Plateforme Administration Editions Préference

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Nom mobile

Nom de recherche

Paramètres de duplication

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 HTML

<p style="text-align: justify;"><span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;">R&Eacute;F&Eacute;RENCES LOGEMENT</span><br />
{% textarea_tag name=&quot;e313cf27&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;R&eacute;f&eacute;rence du logment&quot; data_help=&quot;R&eacute;f&eacute;rence du logment&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</p>

<p style="text-align: justify;"><span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;">CAUTION SIGNATAIRE DU PR&Eacute;SENT ENGAGEMENT</span></p>

<table cellpadding="1" cellspacing="1" style="width: 100%;">
	<caption>
	<p style="text-align: left;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Nom et Pr&eacute;noms :</span></p>
	</caption>
	<tbody>
		<tr>
			<td>{% textarea_tag name=&quot;2b24ea76&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Nom et Pr&eacute;noms : &quot; data_help=&quot;Nom et Pr&eacute;noms : &quot; data_ancien_ids=&quot;5833&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

<table border="0" cellpadding="1" cellspacing="1" style="width: 100%; break-inside: avoid;">
	<tbody>
		<tr>
			<td style="width: 20%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Date de naissance :</span></td>
			<td style="width: 80%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Lieu de naissance :</span></td>
		</tr>
		<tr>
			<td style="width: 20%;">{% dateinput_tag name=&quot;7abc5256&quot; placeholder=&quot;jj/mm/aaaa&quot; data_label=&quot; Date de naissance :&quot; data_help=&quot; Date de naissance :&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %}</td>
			<td style="width: 80%;">{% textinput_tag name=&quot;5f34688a&quot; data_label=&quot;Lieu de 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>
		</tr>
	</tbody>
</table>

<table border="0" cellpadding="1" cellspacing="1" style="width: 100%; break-inside: avoid;">
	<tbody>
		<tr>
			<td style="width: 20%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Nationalit&eacute; :</span></td>
			<td style="width: 80%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><font face="ITCAvantGardePro">Situation familiale :&nbsp;</font></span></td>
		</tr>
		<tr>
			<td style="width: 20%;">{% textinput_tag name=&quot;4e3bbffc&quot; data_label=&quot;Nationalit&eacute;&quot; data_help=&quot;Nationalit&eacute;&quot; maxlength=&quot;20&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="width: 80%;">{% textinput_tag name=&quot;efb33be9&quot; data_label=&quot;Situation familiale&quot; data_help=&quot;Situation familiale&quot; maxlength=&quot;80&quot; data_ancien_ids=&quot;21911&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

<table border="0" cellpadding="1" cellspacing="1" style="width: 100%;">
	<caption>
	<p style="text-align: left;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Domicile :</span></p>
	</caption>
	<tbody>
		<tr>
			<td>{% textarea_tag name=&quot;1838fbe1&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Domicile :&quot; data_help=&quot;Domicile :&quot; data_ancien_ids=&quot;21964&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

<table border="0" cellpadding="1" cellspacing="1" style="width:100%;">
	<tbody>
		<tr>
			<td style="vertical-align: middle; width: 6%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">E-mail :</span></td>
			<td style="width: 64%;">{% textinput_tag name=&quot;17f4eba2&quot; data_label=&quot;email&quot; data_help=&quot;email&quot; maxlength=&quot;60&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="vertical-align: middle; width: 5%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;T&egrave;l :</span></td>
			<td style="width: 25%;">{% textinput_tag name=&quot;5729ce35&quot; data_label=&quot;t&eacute;l&eacute;phone&quot; data_help=&quot;t&eacute;l&eacute;phone&quot; maxlength=&quot;20&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

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