{"id":7954,"date":"2022-01-22T10:13:26","date_gmt":"2022-01-22T10:13:26","guid":{"rendered":"https:\/\/www.lignebleue.biz\/?page_id=7954"},"modified":"2022-03-10T11:27:22","modified_gmt":"2022-03-10T11:27:22","slug":"doc1_fiche_client","status":"publish","type":"page","link":"https:\/\/www.lignebleue.biz\/index.php\/doc1_fiche_client\/","title":{"rendered":"Doc 1 &#8211; fiche client"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"7954\" class=\"elementor elementor-7954\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6e66f51 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"6e66f51\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7f782a5\" data-id=\"7f782a5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-52646a8 elementor-widget elementor-widget-heading\" data-id=\"52646a8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Devenez client\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fb763b1 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"fb763b1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9d0040b elementor-widget elementor-widget-text-editor\" data-id=\"9d0040b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Remplissez le formulaire ci-dessous pour introduire votre demande de nouveau client. Une fois sign\u00e9, et valid\u00e9 par l&rsquo;administrateur, vous serez membre de Ligne Bleue et vous pourrez souscrire \u00e0 un produit propos\u00e9 par Ligne Bleue ou un de ses partenaires.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e746e3b stax-condition-yes stax-user_role_enabled-yes elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e746e3b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bb40466\" data-id=\"bb40466\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-dff03c1 elementor-widget elementor-widget-text-editor\" data-id=\"dff03c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><div class=\"frm_forms  with_frm_style frm_style_formidable-style-2\" id=\"frm_form_10_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_js_validate  frm_pro_form \" id=\"form_fiche_client_doc_1cb3c348de822d51d56c0\" >\n<div class=\"frm_form_fields  form-group frm_page_num_1\">\n<fieldset>\n<legend class=\"frm_screen_reader\">Souscription &#8211; Doc 1 inscription<\/legend>\n\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"10\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_10\" id=\"frm_hide_fields_10\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"fiche_client_doc_1cb3c348de822d51d56c0\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_10\" name=\"frm_submit_entry_10\" value=\"7c50d652ed\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/7954\" \/><div id=\"frm_field_1870_container\" class=\"frm_form_field frm_section_heading form-field \">\n<h3 class=\"frm_pos_top frm_section_spacing\">Fiche client (confidentielle)<\/h3>\n\n\n<div id=\"frm_field_1871_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\n\t<label for=\"field_kxr4m3f5490fdfac862b32145\" id=\"field_kxr4m3f5490fdfac862b32145_label\" class=\"frm_primary_label control-label\">Pr\u00e9nom\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<input type=\"text\" id=\"field_kxr4m3f5490fdfac862b32145\" name=\"item_meta[1871]\" value=\"\"  data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" aria-required=\"true\" data-invmsg=\"Pr\u00e9nom is invalid\" class=\"form-control\" aria-invalid=\"false\"  \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_1872_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\n\t<label for=\"field_ezzsa211440ce2620f0532b7d\" id=\"field_ezzsa211440ce2620f0532b7d_label\" class=\"frm_primary_label control-label\">Nom\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<input type=\"text\" id=\"field_ezzsa211440ce2620f0532b7d\" name=\"item_meta[1872]\" value=\"\"  data-sectionid=\"1870\" data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" aria-required=\"true\" data-invmsg=\"Nom is invalid\" class=\"form-control\" aria-invalid=\"false\"  \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_4206_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\n\t<label for=\"field_lg1rc\" id=\"field_lg1rc_label\" class=\"frm_primary_label control-label\">Nom d&rsquo;utilisateur\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<input type=\"text\" id=\"field_lg1rc\" name=\"item_meta[4206]\" value=\"\"  data-sectionid=\"1870\" data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" aria-required=\"true\" data-invmsg=\"Nom d&#039;utilisateur is invalid\" class=\"form-control\" aria-invalid=\"false\"  \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_1873_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\n\t<label for=\"field_v2h3dc93fab9fdf2933d59088\" id=\"field_v2h3dc93fab9fdf2933d59088_label\" class=\"frm_primary_label control-label\">Adresse e-mail\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<input type=\"email\" id=\"field_v2h3dc93fab9fdf2933d59088\" name=\"item_meta[1873]\" value=\"\"  data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" aria-required=\"true\" data-invmsg=\"Adresse e-mail is invalid\" class=\"form-control\" aria-invalid=\"false\"  \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_1874_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\n\t<label for=\"field_vdqsk1d6d0f530e5023762434\" id=\"field_vdqsk1d6d0f530e5023762434_label\" class=\"frm_primary_label control-label\">Adresse et n\u00b0 \/ Bte\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<input type=\"text\" id=\"field_vdqsk1d6d0f530e5023762434\" name=\"item_meta[1874]\" value=\"\"  data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" aria-required=\"true\" data-invmsg=\"Adresse et n\u00b0 \/ Bte is invalid\" class=\"form-control\" aria-invalid=\"false\"  \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_1875_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\n\t<label for=\"field_5yld42cf3dab9c18fc93b8f64\" id=\"field_5yld42cf3dab9c18fc93b8f64_label\" class=\"frm_primary_label control-label\">Code postal\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<input type=\"text\" id=\"field_5yld42cf3dab9c18fc93b8f64\" name=\"item_meta[1875]\" value=\"\"  data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" aria-required=\"true\" data-invmsg=\"Code postal is invalid\" class=\"form-control\" aria-invalid=\"false\"  \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_1876_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container frm_fourth frm_third\">\r\n    <label for=\"field_n7jr17e273b4bc4d1db40c91b\" id=\"field_n7jr17e273b4bc4d1db40c91b_label\" class=\"frm_primary_label control-label\">Ville\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_n7jr17e273b4bc4d1db40c91b\" name=\"item_meta[1876]\" value=\"\"  placeholder=\"Exemple : Bouge\" data-reqmsg=\"Ville cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1877_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\n\t<label for=\"field_xgbvkd9ba49cafbd705c2dac6\" id=\"field_xgbvkd9ba49cafbd705c2dac6_label\" class=\"frm_primary_label control-label\">N\u00b0 Registre National\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<input type=\"text\" id=\"field_xgbvkd9ba49cafbd705c2dac6\" name=\"item_meta[1877]\" value=\"\"  data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" aria-required=\"true\" data-invmsg=\"N\u00b0 Registre National is invalid\" class=\"form-control\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_xgbvkd9ba49cafbd705c2dac6\"\/>\n\t<div class=\"frm_description help-block\" id=\"frm_desc_field_xgbvkd9ba49cafbd705c2dac6\">Indiquez uniquement les chiffres. Ce num\u00e9ro est repris au verso de votre carte d&rsquo;identit\u00e9.<\/div>\n\t\n<\/div>\n<div id=\"frm_field_1878_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\n\t<label for=\"field_w8dgma12f2e99c8f14d877cc9\" id=\"field_w8dgma12f2e99c8f14d877cc9_label\" class=\"frm_primary_label control-label\">Lieu de naissance\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<input type=\"text\" id=\"field_w8dgma12f2e99c8f14d877cc9\" name=\"item_meta[1878]\" value=\"\"  data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" aria-required=\"true\" data-invmsg=\"Lieu de naissance is invalid\" class=\"form-control\" aria-invalid=\"false\"  \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_1879_container\" class=\"frm_form_field form-field  form-group frm_top_container\">\n\t<label for=\"field_lu909ec1d08410e87b47466df\" id=\"field_lu909ec1d08410e87b47466df_label\" class=\"frm_primary_label control-label\">N\u00b0 de t\u00e9l\u00e9phone fixe\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<input type=\"tel\" id=\"field_lu909ec1d08410e87b47466df\" name=\"item_meta[1879]\" value=\"\"  data-invmsg=\"&quot;N\u00c2\u00b0 non valid\" class=\"form-control\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_1880_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_half\">\r\n    <label for=\"field_22i4ma3c49ea8ed5b466c88e5\" id=\"field_22i4ma3c49ea8ed5b466c88e5_label\" class=\"frm_primary_label control-label\">N\u00b0 de GSM\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_22i4ma3c49ea8ed5b466c88e5\" name=\"item_meta[1880]\" value=\"\"  data-sectionid=\"1870\" placeholder=\"0494725753\" data-invmsg=\"Phone is invalid\" class=\"form-control\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1881_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\n\t<label for=\"field_w42fvf50612b851a02c3b3965\" id=\"field_w42fvf50612b851a02c3b3965_label\" class=\"frm_primary_label control-label\">N\u00b0 de carte d&rsquo;identit\u00e9\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<input type=\"text\" id=\"field_w42fvf50612b851a02c3b3965\" name=\"item_meta[1881]\" value=\"\"  data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" aria-required=\"true\" data-invmsg=\"N\u00b0 de carte d&#039;identit\u00e9 is invalid\" class=\"form-control\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_w42fvf50612b851a02c3b3965\"\/>\n\t<div class=\"frm_description help-block\" id=\"frm_desc_field_w42fvf50612b851a02c3b3965\">Ce num\u00e9ro est repris au verso de votre carte d&rsquo;identit\u00e9.<\/div>\n\t\n<\/div>\n<div id=\"frm_field_1882_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\n\t<label for=\"field_zqsfx59584d6dd7e3d3614bcc\" id=\"field_zqsfx59584d6dd7e3d3614bcc_label\" class=\"frm_primary_label control-label\">Valable jusqu&rsquo;au\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<input type=\"text\" id=\"field_zqsfx59584d6dd7e3d3614bcc\" name=\"item_meta[1882]\" value=\"\"  maxlength=\"10\" data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" aria-required=\"true\" data-invmsg=\"Valable jusqu&#039;au is invalid\" class=\"frm_date form-control\" aria-invalid=\"false\"  \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_1883_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\n\t<label for=\"field_ju91z2df80ec7671d858fe21\" id=\"field_ju91z2df80ec7671d858fe21_label\" class=\"frm_primary_label control-label\">\u00c9tat Civil\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t\t\t<select name=\"item_meta[1883]\" id=\"field_ju91z2df80ec7671d858fe21\"  data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" aria-required=\"true\" data-invmsg=\"\u00c9tat Civil is invalid\" class=\"form-control\" aria-invalid=\"false\"  >\n\t\t<option  value=\"&quot;S\u00c3\u00a9lectionnez une optio\">&quot;S\u00c3\u00a9lectionnez une optio<\/option><option  value=\"\" selected='selected'><\/option>\t<\/select>\n\t\n\t\n\t\n<\/div>\n<div id=\"frm_field_1884_container\" class=\"frm_form_field form-field  form-group frm_top_container\">\r\n    <label for=\"field_ndx7waf48137d8612af757762\" id=\"field_ndx7waf48137d8612af757762_label\" class=\"frm_primary_label control-label\">Nom et pr\u00e9nom du conjoint\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ndx7waf48137d8612af757762\" name=\"item_meta[1884]\" value=\"\"  data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1885_container\" class=\"frm_form_field form-field  form-group frm_top_container\">\n\t<label for=\"field_pvisjbfa510e3ff2c2d114e0b\" id=\"field_pvisjbfa510e3ff2c2d114e0b_label\" class=\"frm_primary_label control-label\">Enfants \u00e0\u00a0 charge (nombre)\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<input type=\"number\" id=\"field_pvisjbfa510e3ff2c2d114e0b\" name=\"item_meta[1885]\" value=\"\"  data-invmsg=\"Enfants \u00e0\u00a0 charge (nombre) is invalid\" class=\"form-control\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\"\/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_1886_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\n\t<label for=\"field_s78ca0ba68e5e3ae37dfc3f17\" id=\"field_s78ca0ba68e5e3ae37dfc3f17_label\" class=\"frm_primary_label control-label\">Statut professionnel\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t\t\t<select name=\"item_meta[1886]\" id=\"field_s78ca0ba68e5e3ae37dfc3f17\"  data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" aria-required=\"true\" data-invmsg=\"Statut professionnel is invalid\" class=\"form-control\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Cliquez pour choisir dans la liste\">Cliquez pour choisir dans la liste<\/option><option  value=\"&quot;Ind\u00c3\u00a9pendant(e\">&quot;Ind\u00c3\u00a9pendant(e<\/option><option  value=\"\" selected='selected'><\/option>\t<\/select>\n\t\n\t\n\t\n<\/div>\n<div id=\"frm_field_1887_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\n\t<label for=\"field_213co6893f79fa160edd5e1bd\" id=\"field_213co6893f79fa160edd5e1bd_label\" class=\"frm_primary_label control-label\">Profession\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<input type=\"text\" id=\"field_213co6893f79fa160edd5e1bd\" name=\"item_meta[1887]\" value=\"\"  data-sectionid=\"1870\" data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" aria-required=\"true\" data-invmsg=\"Profession is invalid\" class=\"form-control\" aria-invalid=\"false\"  \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_1888_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\n\t<label for=\"field_jb8s9c476cd53584bea832081\" id=\"field_jb8s9c476cd53584bea832081_label\" class=\"frm_primary_label control-label\">Secteur d&rsquo;activit\u00e9\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<input type=\"text\" id=\"field_jb8s9c476cd53584bea832081\" name=\"item_meta[1888]\" value=\"\"  data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" aria-required=\"true\" data-invmsg=\"Secteur d&#039;activit\u00e9 is invalid\" class=\"form-control\" aria-invalid=\"false\"  \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_1889_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\n\t<label for=\"field_9ke1y09a47d5fdcdc3e5c2c13\" id=\"field_9ke1y09a47d5fdcdc3e5c2c13_label\" class=\"frm_primary_label control-label\">Niveau d&rsquo;enseignement\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t\t\t<select name=\"item_meta[1889]\" id=\"field_9ke1y09a47d5fdcdc3e5c2c13\"  data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" aria-required=\"true\" data-invmsg=\"Niveau d&#039;enseignement is invalid\" class=\"form-control\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Cliquez pour choisir dans la liste\">Cliquez pour choisir dans la liste<\/option><option  value=\"Universitaire\">Universitaire<\/option><option  value=\"&quot;Sup\u00c3\u00a9rieur non universitair\">&quot;Sup\u00c3\u00a9rieur non universitair<\/option><option  value=\"\" selected='selected'><\/option>\t<\/select>\n\t\n\t\n\t\n<\/div>\n<div id=\"frm_field_1890_container\" class=\"frm_form_field form-field  form-group frm_top_container\">\n\t<label for=\"field_epni0fa1a6cdfd116ba8339b3\" id=\"field_epni0fa1a6cdfd116ba8339b3_label\" class=\"frm_primary_label control-label\">N\u00b0 de compte \u00e0\u00a0 vue (IBAN)\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<input type=\"text\" id=\"field_epni0fa1a6cdfd116ba8339b3\" name=\"item_meta[1890]\" value=\"\"  maxlength=\"16\" data-invmsg=\"N\u00b0 de compte \u00e0\u00a0 vue (IBAN) is invalid\" class=\"form-control\" aria-invalid=\"false\"  \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_1891_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_left_container vertical_radio\">\n\t<div  id=\"field_kbxlf469a6949df1fda5a7ead_label\" class=\"frm_primary_label control-label\">\u00cates-vous r\u00e9sidant fiscal en Belgique\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/div>\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_kbxlf469a6949df1fda5a7ead_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio radio\" id=\"frm_radio_1891-0\">\t\t\t<label  for=\"field_kbxlf469a6949df1fda5a7ead-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[1891]\" id=\"field_kbxlf469a6949df1fda5a7ead-0\" value=\"Oui\"\n\t\t data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" data-invmsg=\"\u00cates-vous r\u00e9sidant fiscal en Belgique is invalid\"   \/> Oui<\/label><\/div>\n\t\t<div class=\"frm_radio radio\" id=\"frm_radio_1891-1\">\t\t\t<label  for=\"field_kbxlf469a6949df1fda5a7ead-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[1891]\" id=\"field_kbxlf469a6949df1fda5a7ead-1\" value=\"Non\"\n\t\t data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" data-invmsg=\"\u00cates-vous r\u00e9sidant fiscal en Belgique is invalid\"   \/> Non<\/label><\/div>\n<\/div>\n\t\n\t\n<\/div>\n<div id=\"frm_field_1892_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h3>Attention<\/h3>\n<p>Vous devez \u00eatre r\u00e9sidant fiscal en Belgique pour b\u00e9n\u00e9ficier de nos services.<\/p>\n<\/div>\n<div id=\"frm_field_1893_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_left_container vertical_radio\">\n\t<div  id=\"field_jk8zj19a644294fc3a3796094_label\" class=\"frm_primary_label control-label\">\u00cates-vous r\u00e9sidant fiscal dans un autre pays ?\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/div>\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_jk8zj19a644294fc3a3796094_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio radio\" id=\"frm_radio_1893-0\">\t\t\t<label  for=\"field_jk8zj19a644294fc3a3796094-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[1893]\" id=\"field_jk8zj19a644294fc3a3796094-0\" value=\"Oui\"\n\t\t data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" data-invmsg=\"\u00cates-vous r\u00e9sidant fiscal dans un autre pays ? is invalid\"   \/> Oui<\/label><\/div>\n\t\t<div class=\"frm_radio radio\" id=\"frm_radio_1893-1\">\t\t\t<label  for=\"field_jk8zj19a644294fc3a3796094-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[1893]\" id=\"field_jk8zj19a644294fc3a3796094-1\" value=\"Non\"\n\t\t data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" data-invmsg=\"\u00cates-vous r\u00e9sidant fiscal dans un autre pays ? is invalid\"   \/> Non<\/label><\/div>\n<\/div>\n\t\n\t\n<\/div>\n<div id=\"frm_field_1894_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\n\t<label for=\"field_tsozod34091bd678439b05ae1\" id=\"field_tsozod34091bd678439b05ae1_label\" class=\"frm_primary_label control-label\">Lequel ?\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/label>\n\t<input type=\"text\" id=\"field_tsozod34091bd678439b05ae1\" name=\"item_meta[1894]\" value=\"\"  data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" aria-required=\"true\" data-invmsg=\"Lequel ? is invalid\" class=\"form-control\" aria-invalid=\"false\"  \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_1895_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_left_container vertical_radio\">\n\t<div  id=\"field_ueo7zc3c791abc45be9cc8746_label\" class=\"frm_primary_label control-label\">\u00cates-vous soumis \u00e0\u00a0 la fiscalit\u00e9 am\u00e9ricaine (USA)\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/div>\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_ueo7zc3c791abc45be9cc8746_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio radio\" id=\"frm_radio_1895-0\">\t\t\t<label  for=\"field_ueo7zc3c791abc45be9cc8746-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[1895]\" id=\"field_ueo7zc3c791abc45be9cc8746-0\" value=\"Oui\"\n\t\t data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" data-invmsg=\"\u00cates-vous soumis \u00e0\u00a0 la fiscalit\u00e9 am\u00e9ricaine (USA) is invalid\"   \/> Oui<\/label><\/div>\n\t\t<div class=\"frm_radio radio\" id=\"frm_radio_1895-1\">\t\t\t<label  for=\"field_ueo7zc3c791abc45be9cc8746-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[1895]\" id=\"field_ueo7zc3c791abc45be9cc8746-1\" value=\"Non\"\n\t\t data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" data-invmsg=\"\u00cates-vous soumis \u00e0\u00a0 la fiscalit\u00e9 am\u00e9ricaine (USA) is invalid\"   \/> Non<\/label><\/div>\n<\/div>\n\t\n\t\n<\/div>\n<div id=\"frm_field_1896_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p><small>L&rsquo;accord FATCA (Foreign Account Tax Compliance Act) fixe un cadre pour la mise en place d&rsquo;un \u00e9change automatique d&rsquo;informations financi\u00e8res entre la Belgique et les \u00c9tats-Unis. (texte enlev\u00e9) Toute personne ayant un lien administratif priv\u00e9 ou professionnel avec les \u00c9tats-Unis dont notamment les r\u00e9sidents fiscaux am\u00e9ricains ; les personnes ayant des obligations fiscales aux USA ; les personnes en liens professionnels avec les USA ; les ressortissants am\u00e9ricains, y compris les personnes n\u00e9es aux USA et ayant la nationalit\u00e9 am\u00e9ricaine; les personnes assujetties de quelque mani\u00e8re que ce soit au fisc am\u00e9ricain.<\/small><\/p>\n<\/div>\n<div id=\"frm_field_1897_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h3 style=\"color:red;\"> Nous ne pouvons traiter votre dossier, mais nous vous aiguillerons volontiers vers d&rsquo;autres partenaires qui pourront assurer le service souhait\u00e9. <\/h3>\n<\/div>\n<div id=\"frm_field_1898_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_left_container vertical_radio\">\n\t<div  id=\"field_rj993d98092e749ad0be7e9fd_label\" class=\"frm_primary_label control-label\">\u00cates-vous une personne politiquement expos\u00e9e ? \n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n\t<\/div>\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_rj993d98092e749ad0be7e9fd_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio radio\" id=\"frm_radio_1898-0\">\t\t\t<label  for=\"field_rj993d98092e749ad0be7e9fd-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[1898]\" id=\"field_rj993d98092e749ad0be7e9fd-0\" value=\"Oui\"\n\t\t data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" data-invmsg=\"\u00cates-vous une personne politiquement expos\u00e9e ?  is invalid\"   \/> Oui<\/label><\/div>\n\t\t<div class=\"frm_radio radio\" id=\"frm_radio_1898-1\">\t\t\t<label  for=\"field_rj993d98092e749ad0be7e9fd-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[1898]\" id=\"field_rj993d98092e749ad0be7e9fd-1\" value=\"Non\"\n\t\t data-reqmsg=\"&quot;Ce champ ne peut \u00c3\u00aatre vide\" data-invmsg=\"\u00cates-vous une personne politiquement expos\u00e9e ?  is invalid\"   \/> Non<\/label><\/div>\n<\/div>\n\t\n\t\n<\/div>\n<div id=\"frm_field_1899_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p>Une personne doit \u00eatre consid\u00e9r\u00e9e comme politiquement expos\u00e9e : 1. soit en raison des fonctions publiques importantes qu&rsquo;elle-m\u00eame exerce actuellement ou a exerc\u00e9 end\u00e9ans les 12 mois. 2. soit en raison du fait qu&rsquo;elle est un proche parent d&rsquo;une personne exer\u00e7ant ou ayant exerc\u00e9 end\u00e9ans les 12 mois de telles fonctions. 3. soit en raison du fait qu&rsquo;elle est connue pour \u00eatre \u00e9troitement associ\u00e9e \u00e0\u00a0 une personne exer\u00e7ant ou ayant exerc\u00e9 de telles fonctions. Vous trouverez plus d&rsquo;informations dans la brochure explicative de Ligne Bleue.<\/p>\n<\/div>\n<\/div>\n<input type=\"hidden\" name=\"frm_page_order_10\" id=\"frm_page_order_10\" value=\"59\" \/><input type=\"hidden\" name=\"item_meta[1901]\" id=\"field_zmiia7518eb12261dd277b142-0\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[4205]\" id=\"field_8y8q6-0\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[1902]\" id=\"field_bwnn87924e5bd3110d0b6372-0\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[2227]\" id=\"field_jkrm41ec9ee4d41001278219d\" value=\"[1876]\"  data-frmval=\"[1876]\" class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[2228]\" id=\"field_vdgwtce4b858bd635eac52cb2\" value=\"04\/30\/2026\"  data-frmval=\"04\/30\/2026\" class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[2229]\" id=\"field_ca2wndba7aecb78a055503c50-0\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[2230]\" id=\"field_2307u198718cd87\" value=\"Veuillez signer dans l\u00e2\u20ac\u2122encadr\u00c3\u00a9 de droite \u00c3\u00a0 l\u00e2\u20ac\u2122aide de votre souris ou de votre doigt (si votre \u00c3\u00a9cran est tactile). La signature doit correspondre \u00c3\u00a0 celle pr\u00c3\u00a9sente sur votre carte d\u00e2\u20ac\u2122identit\u00c3\u00a9.\"  data-frmval=\"Veuillez signer dans l\u00e2\u20ac\u2122encadr\u00c3\u00a9 de droite \u00c3\u00a0 l\u00e2\u20ac\u2122aide de votre souris ou de votre doigt (si votre \u00c3\u00a9cran est tactile). La signature doit correspondre \u00c3\u00a0 celle pr\u00c3\u00a9sente sur votre carte d\u00e2\u20ac\u2122identit\u00c3\u00a9.\" class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[2231]\" id=\"field_76iw72c0f71bb4a8835ef7599\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[2224]\" id=\"field_e8xw6c90fab4460\" value=\"\" data-frmval=\"\"\/>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_5060_container\">\n\t\t\t<label for=\"field_r7sdu\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_r7sdu\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[5060]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input type=\"hidden\" name=\"frm_register[email]\" value=\"1873\"\/><input type=\"hidden\" name=\"frm_register[username]\" value=\"4206\"\/><input type=\"hidden\" name=\"frm_register[password]\" value=\"\"\/><input type=\"hidden\" name=\"frm_register[subsite_title]\" value=\"username\"\/><input type=\"hidden\" name=\"frm_register[subsite_domain]\" value=\"blog_title\"\/><input name=\"frm_state\" type=\"hidden\" value=\"Ok118TOCZ4t6SdjZ0NHzzbB\/SpyyYvkhxbtMlPtgWEk=\" \/><div class=\"form-group frm_submit frm_flex\">\n<button class=\"frm_button_submit btn btn-default has-text-color has-background\" type=\"submit\"  >Suivant<\/button>\n\n\n\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n\n<p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"194\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><\/form>\n<\/div>\n<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Devenez client Remplissez le formulaire ci-dessous pour introduire votre demande de nouveau client. Une fois sign\u00e9, et valid\u00e9 par l&rsquo;administrateur, vous serez membre de Ligne Bleue et vous pourrez souscrire \u00e0\u00a0 un produit propos\u00e9 par Ligne Bleue ou un de ses partenaires. Vous avez d&rsquo;ores et d\u00e9j\u00e0\u00a0 rempli cette fiche. Acc\u00e9dez \u00e0\u00a0 votre compte ou&hellip; <a class=\"more-link\" href=\"https:\/\/www.lignebleue.biz\/index.php\/doc1_fiche_client\/\">Continue reading <span class=\"screen-reader-text\">Doc 1 &#8211; fiche client<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_eb_attr":"","footnotes":""},"class_list":["post-7954","page","type-page","status-publish","hentry","entry"],"_links":{"self":[{"href":"https:\/\/www.lignebleue.biz\/index.php\/wp-json\/wp\/v2\/pages\/7954","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.lignebleue.biz\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.lignebleue.biz\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.lignebleue.biz\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lignebleue.biz\/index.php\/wp-json\/wp\/v2\/comments?post=7954"}],"version-history":[{"count":20,"href":"https:\/\/www.lignebleue.biz\/index.php\/wp-json\/wp\/v2\/pages\/7954\/revisions"}],"predecessor-version":[{"id":8464,"href":"https:\/\/www.lignebleue.biz\/index.php\/wp-json\/wp\/v2\/pages\/7954\/revisions\/8464"}],"wp:attachment":[{"href":"https:\/\/www.lignebleue.biz\/index.php\/wp-json\/wp\/v2\/media?parent=7954"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}