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1. INFORMATIONS G&Eacute;N&Eacute;RALES

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			<td style="padding: 10px; width: 35%; text-align: center; vertical-align: middle;">Identification du syndic</td>
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			Nom : 
			{% textarea_tag name=&quot;bc2f103d&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;nom du syndic&quot; data_map_field=&quot;syndic&quot; data_help=&quot;nom du syndic&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}

D&eacute;nomination sociale :&nbsp; 
			{% textarea_tag name=&quot;5b989878&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;d&eacute;nomination sociale du syndic&quot; data_map_field=&quot;nomap&quot; data_help=&quot;d&eacute;nomination sociale du syndic&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}

Immatriculation au registre du commerce et des soci&eacute;t&eacute;s de : 
			{% textarea_tag name=&quot;23a0215c&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;lieu immatriculation RCS&quot; data_map_field=&quot;nomap&quot; data_help=&quot;lieu immatriculation RCS&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}

N&deg; d&rsquo;identification :&nbsp;{% textinput_tag name=&quot;6bec0de2&quot; data_label=&quot;num&eacute;ro immatriculation RCS&quot; data_map_field=&quot;nomap&quot; data_help=&quot;num&eacute;ro immatriculation RCS&quot; maxlength=&quot;80&quot; style=&quot;max-width:383px;min-width:383px;width:383px;&quot; fixedwidth=&quot;383&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}

Titulaire de la carte professionnelle :

n&deg; : &nbsp;{% textinput_tag name=&quot;f14255d0&quot; data_label=&quot;num&eacute;ro carte professionnelle&quot; data_map_field=&quot;nomap&quot; data_help=&quot;num&eacute;ro carte professionnelle&quot; maxlength=&quot;45&quot; style=&quot;max-width:380px;min-width:380px;width:380px;&quot; fixedwidth=&quot;380&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}

d&eacute;livr&eacute;e le :&nbsp; {% dateinput_tag name=&quot;2630b8ea&quot; placeholder=&quot;jj/mm/aaaa&quot; data_label=&quot;date de d&eacute;livrance carte professionnelle&quot; data_map_field=&quot;nomap&quot; data_help=&quot;date de d&eacute;livrance carte professionnelle&quot; style=&quot;max-width:80px;min-width:80px;width:80px;&quot; fixedwidth=&quot;80&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %}&nbsp; par :&nbsp;&nbsp;{% textinput_tag name=&quot;52ce4314&quot; data_label=&quot;carte professionnelle d&eacute;livr&eacute; par&quot; data_map_field=&quot;nomap&quot; data_help=&quot;carte professionnelle d&eacute;livr&eacute; par&quot; maxlength=&quot;33&quot; style=&quot;max-width:270px;min-width:270px;width:270px;&quot; fixedwidth=&quot;270&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}

Adresse :&nbsp; 
			{% textarea_tag name=&quot;7da92eb3&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;adresse du syndic&quot; data_map_field=&quot;nomap&quot; data_help=&quot;adresse du syndic&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}
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			<td style="padding: 10px; width: 35%; text-align: center; vertical-align: middle;">Identification&nbsp;de la copropri&eacute;t&eacute; concern&eacute;e, telle que r&eacute;sultant du registre institu&eacute; &agrave; l&rsquo;article L. 711-1 du code de la construction et de l&rsquo;habitation</td>
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			Adresse :&nbsp; 
			{% textarea_tag name=&quot;5fb235eb&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;adresse de la copropri&eacute;t&eacute;&quot; data_map_field=&quot;nomap&quot; data_help=&quot;adresse de la copropri&eacute;t&eacute;&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}

N&deg; d&rsquo;immatriculation :&nbsp;{% textinput_tag name=&quot;ab905389&quot; data_label=&quot;num&eacute;ro d&#39;immatriculation de la copropri&eacute;t&eacute;&quot; data_map_field=&quot;nomap&quot; data_help=&quot;num&eacute;ro d&#39;immatriculation de la copropri&eacute;t&eacute;&quot; maxlength=&quot;40&quot; style=&quot;max-width:333px;min-width:333px;width:333px;&quot; fixedwidth=&quot;333&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}

Nombre de lots de la copropri&eacute;t&eacute; : 
			&bull; Lots &agrave; usage de logements, de bureaux ou de commerces :&nbsp; 
			{% textarea_tag name=&quot;09fff6d5&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;nombre de lots &agrave; usage de logements, de bureaux ou de commerces&quot; data_map_field=&quot;nomap&quot; data_help=&quot;nombre de lots &agrave; usage de logements, de bureaux ou de commerces&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %} 
			&bull; Autres lots : 
			{% textarea_tag name=&quot;df955e8b&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;nombre d&#39;autres lots&quot; data_map_field=&quot;nomap&quot; data_help=&quot;nombre d&#39;autres lots&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}
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			<td style="padding: 10px; width: 35%; text-align: center; vertical-align: middle;">Dur&eacute;e du contrat</td>
			<td style="padding: 10px; width: 65%;">Le contrat est propos&eacute; pour une dur&eacute;e de :&nbsp;&nbsp;{% textinput_tag name=&quot;493e1a30&quot; data_label=&quot;dur&eacute;e du contrat&quot; data_map_field=&quot;nomap&quot; data_help=&quot;dur&eacute;e du contrat&quot; maxlength=&quot;35&quot; style=&quot;max-width:200px;min-width:200px;width:200px;&quot; fixedwidth=&quot;200&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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Du&nbsp;{% textinput_tag name=&quot;0bec1df9&quot; data_label=&quot;d&eacute;but jours ouvrables&quot; data_map_field=&quot;nomap&quot; data_help=&quot;d&eacute;but jours ouvrables&quot; maxlength=&quot;10&quot; style=&quot;max-width:110px;min-width:110px;width:110px;&quot; fixedwidth=&quot;110&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %} au&nbsp;{% textinput_tag name=&quot;54da3906&quot; data_label=&quot;fin jours ouvrables&quot; data_map_field=&quot;nomap&quot; data_help=&quot;fin jours ouvrables&quot; maxlength=&quot;10&quot; style=&quot;max-width:10px;min-width:110px;width:110px;&quot; fixedwidth=&quot;110&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}

de&nbsp;{% textinput_tag name=&quot;591e3fed&quot; data_label=&quot;d&eacute;but horaire matin&quot; data_map_field=&quot;nomap&quot; data_help=&quot;d&eacute;but horaire matin&quot; maxlength=&quot;6&quot; style=&quot;max-width:40px;min-width:40px;width:40px;&quot; fixedwidth=&quot;40&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp; h,&nbsp;&agrave;&nbsp; {% textinput_tag name=&quot;9a7c5576&quot; data_label=&quot;fin horaire matin&quot; data_map_field=&quot;nomap&quot; data_help=&quot;fin horaire matin&quot; maxlength=&quot;6&quot; style=&quot;max-width:40px;min-width:40px;width:40px;&quot; fixedwidth=&quot;40&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp; h,&nbsp;et de&nbsp; {% textinput_tag name=&quot;0f79a134&quot; data_label=&quot;d&eacute;but horaire apr&egrave;s-midi&quot; data_map_field=&quot;nomap&quot; data_help=&quot;d&eacute;but horaire apr&egrave;s-midi&quot; maxlength=&quot;6&quot; style=&quot;max-width:40px;min-width:40px;width:40px;&quot; fixedwidth=&quot;40&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp; h, &agrave;&nbsp;{% textinput_tag name=&quot;324290c7&quot; data_label=&quot;fin horaire apr&egrave;s-midi&quot; data_map_field=&quot;nomap&quot; data_help=&quot;fin horaire apr&egrave;s-midi&quot; maxlength=&quot;6&quot; style=&quot;max-width:40px;min-width:40px;width:40px;&quot; fixedwidth=&quot;40&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %} h

Sauf (le cas &eacute;ch&eacute;ant) le(s)&nbsp;&nbsp;{% textinput_tag name=&quot;345d1519&quot; data_label=&quot;exception jours ouvrables&quot; data_map_field=&quot;nomap&quot; data_help=&quot;exception jours ouvrables&quot; maxlength=&quot;25&quot; style=&quot;max-width:200px;min-width:200px;width:200px;&quot; fixedwidth=&quot;200&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp;

de&nbsp; {% textinput_tag name=&quot;4fe1a520&quot; data_label=&quot;exception jours ouvrables d&eacute;but horaire matin&quot; data_map_field=&quot;nomap&quot; data_help=&quot;exception jours ouvrables d&eacute;but horaire matin&quot; maxlength=&quot;6&quot; style=&quot;max-width:40px;min-width:40px;width:40px;&quot; fixedwidth=&quot;40&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %} h, &agrave;&nbsp; {% textinput_tag name=&quot;93178ee1&quot; data_label=&quot;exception jours ouvrables fin horaire matin&quot; data_map_field=&quot;nomap&quot; data_help=&quot;exception jours ouvrables fin horaire matin&quot; maxlength=&quot;6&quot; style=&quot;max-width:40px;min-width:40px;width:40px;&quot; fixedwidth=&quot;40&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp; h,&nbsp;et de&nbsp; {% textinput_tag name=&quot;778e3caf&quot; data_label=&quot;exception jours ouvrables d&eacute;but horaire apr&egrave;s-midi&quot; data_map_field=&quot;nomap&quot; data_help=&quot;exception jours ouvrables d&eacute;but horaire apr&egrave;s-midi&quot; maxlength=&quot;6&quot; style=&quot;max-width:40px;min-width:40px;width:40px;&quot; fixedwidth=&quot;40&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %} h, &agrave;&nbsp;{% textinput_tag name=&quot;ec290a96&quot; data_label=&quot;exception jours ouvrables fin horaire apr&egrave;s-midi&quot; data_map_field=&quot;nomap&quot; data_help=&quot;exception jours ouvrables fin horaire apr&egrave;s-midi&quot; maxlength=&quot;6&quot; style=&quot;max-width:40px;min-width:40px;width:40px;&quot; fixedwidth=&quot;40&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %} h
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			<td style="padding: 10px; width: 35%; text-align: center; vertical-align: middle;">Horaires de disponibilit&eacute;</td>
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			Les jours et horaires de disponibilit&eacute; du syndic sauf urgences (accueil physique et/ ou t&eacute;l&eacute;phonique) pour les d&eacute;marches individuelles de chaque copropri&eacute;taire ou occupant de l&#39;immeuble sont fix&eacute;s comme suit :

Accueil 
			Reporter, le cas &eacute;ch&eacute;ant, l&rsquo;option dont l&rsquo;amplitude est la plus &eacute;tendue 
			{% radio_tag name=&quot;3db848d2&quot; data_label=&quot;accueil&quot; data_map_field=&quot;nomap&quot; data_help=&quot;accueil&quot; data_choices=&quot;Physique |physique; T&eacute;l&eacute;phonique |tel;&quot; %}&nbsp;

&nbsp;

Du&nbsp;{% textinput_tag name=&quot;0bec41df9&quot; data_label=&quot;d&eacute;but jours ouvrables&quot; data_map_field=&quot;nomap&quot; data_help=&quot;d&eacute;but jours ouvrables&quot; maxlength=&quot;10&quot; style=&quot;max-width:110px;min-width:110px;width:110px;&quot; fixedwidth=&quot;110&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %} au&nbsp;{% textinput_tag name=&quot;54da4306&quot; data_label=&quot;fin jours ouvrables&quot; data_map_field=&quot;nomap&quot; data_help=&quot;fin jours ouvrables&quot; maxlength=&quot;10&quot; style=&quot;max-width:110px;min-width:110px;width:110px;&quot; fixedwidth=&quot;110&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}

de&nbsp;{% textinput_tag name=&quot;595e3fed&quot; data_label=&quot;d&eacute;but horaire matin&quot; data_map_field=&quot;nomap&quot; data_help=&quot;d&eacute;but horaire matin&quot; maxlength=&quot;6&quot; style=&quot;max-width:40px;min-width:40px;width:40px;&quot; fixedwidth=&quot;40&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp; h, &agrave;&nbsp; {% textinput_tag name=&quot;9a3c5576&quot; data_label=&quot;fin horaire matin&quot; data_map_field=&quot;nomap&quot; data_help=&quot;fin horaire matin&quot; maxlength=&quot;6&quot; style=&quot;max-width:40px;min-width:40px;width:40px;&quot; fixedwidth=&quot;40&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp; h,&nbsp;et de&nbsp; {% textinput_tag name=&quot;0f70a134&quot; data_label=&quot;d&eacute;but horaire apr&egrave;s-midi&quot; data_map_field=&quot;nomap&quot; data_help=&quot;d&eacute;but horaire apr&egrave;s-midi&quot; maxlength=&quot;6&quot; style=&quot;max-width:40px;min-width:40px;width:40px;&quot; fixedwidth=&quot;40&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp; h,&nbsp;&agrave;&nbsp;{% textinput_tag name=&quot;374290c7&quot; data_label=&quot;fin horaire apr&egrave;s-midi&quot; data_map_field=&quot;nomap&quot; data_help=&quot;fin horaire apr&egrave;s-midi&quot; maxlength=&quot;6&quot; style=&quot;max-width:40px;min-width:40px;width:40px;&quot; fixedwidth=&quot;40&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp; h

Sauf &nbsp;le(s)&nbsp;&nbsp;{% textinput_tag name=&quot;349d1519&quot; data_label=&quot;exception jours ouvrables&quot; data_map_field=&quot;nomap&quot; data_help=&quot;exception jours ouvrables&quot; maxlength=&quot;25&quot; style=&quot;max-width:200px;min-width:200px;width:200px;&quot; fixedwidth=&quot;200&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp;

de&nbsp; {% textinput_tag name=&quot;4fe22a520&quot; data_label=&quot;exception jours ouvrables d&eacute;but horaire matin&quot; data_map_field=&quot;nomap&quot; data_help=&quot;exception jours ouvrables d&eacute;but horaire matin&quot; maxlength=&quot;6&quot; style=&quot;max-width:40px;min-width:40px;width:40px;&quot; fixedwidth=&quot;40&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp; h,&nbsp;&agrave;&nbsp; {% textinput_tag name=&quot;93378ee1&quot; data_label=&quot;exception jours ouvrables fin horaire matin&quot; data_map_field=&quot;nomap&quot; data_help=&quot;exception jours ouvrables fin horaire matin&quot; maxlength=&quot;6&quot; style=&quot;max-width:40px;min-width:40px;width:40px;&quot; fixedwidth=&quot;40&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp; h,&nbsp;et de&nbsp; {% textinput_tag name=&quot;278e3caf&quot; data_label=&quot;exception jours ouvrables d&eacute;but horaire apr&egrave;s-midi&quot; data_map_field=&quot;nomap&quot; data_help=&quot;exception jours ouvrables d&eacute;but horaire apr&egrave;s-midi&quot; maxlength=&quot;6&quot; style=&quot;max-width:40px;min-width:40px;width:40px;&quot; fixedwidth=&quot;40&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp; h,&nbsp;&nbsp;&agrave;&nbsp;{% textinput_tag name=&quot;ec300a96&quot; data_label=&quot;exception jours ouvrables fin horaire apr&egrave;s-midi&quot; data_map_field=&quot;nomap&quot; data_help=&quot;exception jours ouvrables fin horaire apr&egrave;s-midi&quot; maxlength=&quot;6&quot; style=&quot;max-width:40px;min-width:40px;width:40px;&quot; fixedwidth=&quot;40&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp; h
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