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="2" style="width:100%;">
	<tbody>
		<tr>
			<td style="width: 70%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Handelsnaam:</span></td>
			<td style="width: 30%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Bedrijfstype:</span></td>
		</tr>
		<tr>
			<td style="width: 70%;">{% textinput_tag name=&quot;ab03824b&quot; data_label=&quot;Handelsnaam&quot; data_map_field=&quot;societe&quot; data_help=&quot;Handelsnaam&quot; maxlength=&quot;100&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="width: 30%;">{% textinput_tag name=&quot;efb4a22a&quot; data_label=&quot;Type&quot; data_map_field=&quot;nomap&quot; data_help=&quot;BV, NV, BVBA...&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

<table border="0" cellpadding="1" cellspacing="2" style="width:100%;">
	<tbody>
		<tr>
			<td style="vertical-align: middle; width: 50%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Ingeschreven in :</span></td>
			<td style="vertical-align: middle; width: 50%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Onder nummer :</span></td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 50%;">{% textinput_tag name=&quot;66cded07&quot; data_label=&quot;Registratieplaats&quot; data_map_field=&quot;nomap&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;79bc8f8a&quot; data_label=&quot;Ondernemingsnummer&quot; data_map_field=&quot;nomap&quot; data_help=&quot;RCS-nummer&quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

<table border="0" cellpadding="1" cellspacing="2" style="width:100%;">
	<tbody>
		<tr>
			<td style="vertical-align: middle; width: 15%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Met een kapitaal van :</span></td>
			<td>{% textinput_tag name=&quot;c5dc6c9c&quot; data_label=&quot;Maatschappelijk kapitaal&quot; data_map_field=&quot;nomap&quot; data_help=&quot;kapitaal&quot; maxlength=&quot;70&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

<p><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Vertegenwoordigd in zijn hoedanigheid van beheerder, door :</span>&nbsp;</p>

<table border="0" cellpadding="1" cellspacing="2" style="width:100%;">
	<tbody>
		<tr>
			<td style="vertical-align: middle; width: 50%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><strong>&nbsp;</strong></span>{% select_tag name=&quot;833391fd&quot; data_label=&quot;Aanhef&quot; data_help=&quot;Kies de aanhef&quot; data_choices=&quot;Aanhef|civilite; De heer|monsieur; Mevrouw|madame;&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; data_map_field=&quot;civilite&quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Achternaam :</span></td>
			<td style="vertical-align: bottom; width: 50%;"><span style="font-family:ITCAvantGarde

Pro;font-size:12px;font-weight:200;">Voornaam :</span></td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 50%;">{% textinput_tag name=&quot;087a9c2a&quot; data_label=&quot;Achternaam&quot; data_map_field=&quot;nom&quot; data_help=&quot;Naam van de ondertekenaar&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;Voornaam&quot; data_map_field=&quot;prenom&quot; data_help=&quot;Voornaam van de ondertekenaar&quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

<table border="0" cellpadding="1" cellspacing="2" style="width:100%;">
	<tbody>
		<tr>
			<td style="width: 68%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Waarvan de maatschappelijke zetel gevestigd is :</span></td>
		</tr>
		<tr>
			<td style="width: 68%;">{% textinput_tag name=&quot;109d7745&quot; data_label=&quot;Adres van de maatschappelijke zetel&quot; data_map_field=&quot;adresse&quot; data_help=&quot;Adres van de maatschappelijke zetel&quot; maxlength=&quot;100&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="width: 20%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Postcode :</span></td>
			<td style="width: 55%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Stad :</span></td>
			<td style="width: 25%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Land :</span></td>
		</tr>
		<tr>
			<td style="width: 20%;">{% textinput_tag name=&quot;f5e66571&quot; data_label=&quot;Postcode&quot; data_map_field=&quot;zipcode&quot; data_help=&quot;Postcode&quot; maxlength=&quot;10&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;Stad&quot; data_map_field=&quot;ville&quot; data_help=&quot;Stad&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;Luxemburg&quot; data_label=&quot;Land&quot; data_map_field=&quot;pays&quot; data_help=&quot;Land&quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

<table border="0" cellpadding="1" cellspacing="2" style="width:100%;">
	<tbody>
		<tr>
			<td style="vertical-align: middle; width: 70%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">E-mail :&nbsp;</span></td>
			<td style="vertical-align: middle; width: 30%;">&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Telefoon :&nbsp;&nbsp;</span></td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 70%;">{% textinput_tag name=&quot;385a4815&quot; data_label=&quot;E-mail van de ondertekenaar&quot; data_map_field=&quot;email&quot; data_help=&quot;E-mail van de ondertekenaar&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;3f66c14a&quot; data_label=&quot;Telefoon van de ondertekenaar&quot; data_map_field=&quot;tel&quot; data_help=&quot;Telefoon van de ondertekenaar&quot; maxlength=&quot;25&quot; relation_ids_list=&quot;e98e647c&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

<table border="0" cellpadding="1" cellspacing="2" style="width: 100%;">
	<tbody>
		<tr>
			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Andere nuttige informatie :&nbsp;</span></td>
		</tr>
		<tr>
			<td>{% textarea_tag name=&quot;eda2bf89&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Andere nuttige informatie&quot; data_map_field=&quot;comment&quot; data_help=&quot;Andere nuttige informatie&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>
		</tr>
	</tbody>
</table>

<table border="0" cellpadding="2" cellspacing="2" style="width:100%;">
	<tbody>
		<tr>
			<td style="vertical-align: middle; width: 20%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Andere vertegenwoordiger(s) :</span></td>
			<td>{% select_tag name=&quot;900779a0&quot; data_label=&quot;Andere vertegenwoordiger(s)&quot; data_map_field=&quot;nomap&quot; data_help=&quot;andere vertegenwoordiger(s)&quot; data_choices=&quot;nee&nbsp; &nbsp;|non; ja&nbsp; &nbsp; |oui&nbsp; &nbsp;;&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

<table border="0" cellpadding="2" cellspacing="2">
	<tbody>
		<tr>
			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Optredend als :&nbsp;{% radio_tag name=&quot;a6c38d5e&quot; data_label=&quot;hoedanigheid van de ondertekenaar&quot; data_map_field=&quot;nomap&quot; data_choices=&quot;eigenaar(s)&nbsp;&nbsp;&nbsp; |propri&eacute;taire(s); gevolmachtigde(n)&nbsp;&nbsp;&nbsp; |mandataire(s); borg&nbsp;&nbsp;&nbsp; |porte-fort;&quot; %}</span></td>
		</tr>
	</tbody>
</table>

Mode Simplifié

Version PDF Version mobile