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

<table border="0" cellpadding="1" cellspacing="5" style="width:100%;">
	<tbody>
		<tr>
			<td>{% select_tag name=&quot;06154c80&quot; data_label=&quot;Civilit&eacute;&quot; data_help=&quot;Civilit&eacute;&quot; data_choices=&quot;Civilit&eacute;|civilite; Madame|madame; Monsieur|monsieur;&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp;Nom :</td>
			<td>Pr&eacute;nom :&nbsp;</td>
		</tr>
		<tr>
			<td>{% textinput_tag name=&quot;0b6f00bb&quot; data_label=&quot;nom de la caution&quot; data_help=&quot;nom de la caution&quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td>{% textinput_tag name=&quot;dc6e0c9c&quot; data_label=&quot;Pr&eacute;nom de la caution&quot; data_help=&quot;pr&eacute;nom de la caution&quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td>Date de naissance :&nbsp;</td>
			<td>Lieu de naissance :</td>
		</tr>
		<tr>
			<td>{% dateinput_tag name=&quot;f261d3aa&quot; placeholder=&quot;jj/mm/aaaa&quot; data_label=&quot;date de naissance de la caution&quot; data_help=&quot;date de naissance de la caution&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td>{% textinput_tag name=&quot;db999638&quot; data_label=&quot;Lieu de naissance de la caution&quot; data_help=&quot;Lieu de naissance de la caution&quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td>E mail :</td>
			<td>T&eacute;l&eacute;phone :</td>
		</tr>
		<tr>
			<td>{% textinput_tag name=&quot;67601c68&quot; data_label=&quot;e mail &quot; data_help=&quot;e mail &quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td>{% textinput_tag name=&quot;295d706c&quot; data_label=&quot;t&eacute;l&eacute;phone&quot; data_help=&quot;t&eacute;l&eacute;phone&quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

Adresse : 
{% textarea_tag name=&quot;2c044695&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;adresse de la caution&quot; data_help=&quot;adresse de la caution&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}

&nbsp;

<table border="0" cellpadding="1" cellspacing="5" style="width: 100%;">
	<tbody>
		<tr>
			<td style="vertical-align: middle; width: 50%;">{% select_tag name=&quot;a9633855&quot; data_label=&quot;Civilit&eacute;&quot; data_help=&quot;Civilit&eacute;&quot; data_choices=&quot;Civilit&eacute;|civilite; Madame|madame; Monsieur|monsieur;&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp;Nom :</td>
			<td style="vertical-align: middle; width: 50%;">Pr&eacute;nom :&nbsp;</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 50%;">{% textinput_tag name=&quot;1a57d222&quot; data_label=&quot;nom de la caution&quot; data_help=&quot;nom de la caution&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;4f62db40&quot; data_label=&quot;Pr&eacute;nom de la caution&quot; data_help=&quot;pr&eacute;nom de la caution&quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 50%;">Date de naissance :&nbsp;</td>
			<td style="vertical-align: middle; width: 50%;">Lieu de naissance :</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 50%;">{% dateinput_tag name=&quot;b39dc82e&quot; placeholder=&quot;jj/mm/aaaa&quot; data_label=&quot;date de naissance de la caution&quot; data_help=&quot;date de naissance de la caution&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;e9740426&quot; data_label=&quot;Lieu de naissance de la caution&quot; data_help=&quot;Lieu de naissance de la caution&quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 50%;">E mail :</td>
			<td style="vertical-align: middle; width: 50%;">T&eacute;l&eacute;phone :</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 50%;">{% textinput_tag name=&quot;605bf2b8&quot; data_label=&quot;e mail &quot; data_help=&quot;e mail &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;450ff44d&quot; data_label=&quot;t&eacute;l&eacute;phone&quot; data_help=&quot;t&eacute;l&eacute;phone&quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

Adresse : 
{% textarea_tag name=&quot;2c044696&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;adresse de la caution&quot; data_help=&quot;adresse de la caution&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}

Mode Simplifié

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