{"id":179,"date":"2022-10-12T11:35:58","date_gmt":"2022-10-12T11:35:58","guid":{"rendered":"https:\/\/regiesandbox.scalp.dev\/?page_id=179"},"modified":"2025-07-17T10:50:18","modified_gmt":"2025-07-17T09:50:18","slug":"connexion-inscription","status":"publish","type":"page","link":"https:\/\/regiesandbox.scalp.dev\/nl\/connexion-inscription\/","title":{"rendered":"Inloggen\/Registreren"},"content":{"rendered":"<p><div class=\"forminator-ui forminator-custom-form forminator-custom-form-118832   \" data-forminator-render=\"0\" data-form=\"forminator-module-118832\" data-uid=\"6a6dac89ddc08\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-118832\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-118832   \"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"118832\"\r\n\t\t\t\t\r\n\t\t\t\tdata-design=\"none\"\r\n\t\t\t\tdata-color-option=\"default\"\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\tdata-grid=\"open\"\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\tstyle=\"display: none;\"\r\n\t\t\t\t\r\n\t\t\t\tdata-uid=\"6a6dac89ddc08\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div role=\"tablist\" class=\"forminator-pagination-steps\" aria-label=\"Pagination\"><\/div><div tabindex=\"-1\" role=\"tabpanel\" id=\"forminator-custom-form-118832--page-0\" class=\"forminator-pagination forminator-pagination-start\" aria-labelledby=\"forminator-custom-form-118832--page-0-label\" data-step=\"0\" data-label=\"Voltooien\" data-name=\"page-break-1\"><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><p><span data-teams=\"true\"><i>Les informations recueillies via ce formulaire sont n\u00e9cessaires \u00e0 l\u2019\u00e9tude de votre demande de logement au <a rel=\"noopener\" target=\"_blank\" href=\"\/regles-dattribution\/\">regard du r\u00e8glement d\u2019attribution<\/a> en vigueur et afin de faciliter le rapprochement avec les logements disponibles<\/i>.&nbsp;<\/span><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6a6dac89ddc08\" id=\"forminator-field-name-1_6a6dac89ddc08-label\" class=\"forminator-label\">Nom <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_6a6dac89ddc08\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_6a6dac89ddc08\" id=\"forminator-field-name-2_6a6dac89ddc08-label\" class=\"forminator-label\">Pr\u00e9nom <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"\" id=\"forminator-field-name-2_6a6dac89ddc08\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a6dac89ddc08\" id=\"forminator-field-email-1_6a6dac89ddc08-label\" class=\"forminator-label\">E-mail <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"Par exemple\u00a0: jacques@martin.com\" id=\"forminator-field-email-1_6a6dac89ddc08\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"password-1\" class=\"forminator-field-password forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-password-1_6a6dac89ddc08\" id=\"forminator-field-password-1_6a6dac89ddc08-label\" class=\"forminator-label\">Mot de passe <span class=\"forminator-required\">*<\/span><\/label><input name=\"password-1\" value=\"\" placeholder=\"Saisissez votre mot de passe\" id=\"forminator-field-password-1_6a6dac89ddc08\" class=\"forminator-input forminator-name--field\" data-required=\"1\" type=\"password\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-confirm_password-1_6a6dac89ddc08\" id=\"forminator-field-confirm_password-1_6a6dac89ddc08-label\" class=\"forminator-label\">Confirmez le mot de passe <span class=\"forminator-required\">*<\/span><\/label><input name=\"confirm_password-1\" value=\"\" placeholder=\"Confirmer le nouveau mot de passe\" id=\"forminator-field-confirm_password-1_6a6dac89ddc08\" class=\"forminator-input forminator-name--field\" data-required=\"1\" type=\"password\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-118832__field--select-4_6a6dac89ddc08\" id=\"forminator-form-118832__field--select-4_6a6dac89ddc08-label\" class=\"forminator-label\">Sexe<\/label><select  id=\"forminator-form-118832__field--select-4_6a6dac89ddc08\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-4\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-118832__field--select-4_6a6dac89ddc08-label\"><option value=\"masculin\"  data-calculation=\"0\">Masculin<\/option><option value=\"feminin\"  data-calculation=\"0\">F\u00e9minin<\/option><option value=\"non-genre\"  data-calculation=\"0\">Non genr\u00e9<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-6  pattern-field\"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_6a6dac89ddc08\" id=\"forminator-field-name-3_6a6dac89ddc08-label\" class=\"forminator-label\">Num\u00e9ro National<\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"\" id=\"forminator-field-name-3_6a6dac89ddc08\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" \/><\/div><\/div><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_6a6dac89ddc08\" id=\"forminator-field-date-1-picker_6a6dac89ddc08-label\" class=\"forminator-label\">Date de naissance <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Choisissez une date\" id=\"forminator-field-date-1-picker_6a6dac89ddc08\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"yy\/mm\/dd\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1925\" data-end-year=\"2007\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"01\/01\/1925\" data-end-date=\"11\/30\/2007\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-3\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-3_6a6dac89ddc08\" id=\"forminator-field-phone-3_6a6dac89ddc08-label\" class=\"forminator-label\">GSM\/ TEL 01 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-3\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-3_6a6dac89ddc08\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"disabled\" data-country=\"be\" data-validation=\"international\" \/><\/div><\/div><div id=\"phone-2\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-2_6a6dac89ddc08\" id=\"forminator-field-phone-2_6a6dac89ddc08-label\" class=\"forminator-label\">GSM\/ TEL 02<\/label><input type=\"text\" name=\"phone-2\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-2_6a6dac89ddc08\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" data-national_mode=\"disabled\" data-country=\"be\" data-validation=\"international\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-1-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-street_address_6a6dac89ddc08\" id=\"forminator-field-address-1-street_address_6a6dac89ddc08-label\" class=\"forminator-label\">Rue <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" data-forminator_autosuggest=\"true\" name=\"address-1-street_address\" placeholder=\"Par exemple\u00a0: 10 grande rue\" id=\"forminator-field-address-1-street_address_6a6dac89ddc08\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1-address_line\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-address_line_6a6dac89ddc08\" id=\"forminator-field-address-1-address_line_6a6dac89ddc08-label\" class=\"forminator-label\">Boite <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-address_line\" placeholder=\"\" id=\"forminator-field-address-1-address_line_6a6dac89ddc08\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-1-city\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-city_6a6dac89ddc08\" id=\"forminator-field-address-1-city_6a6dac89ddc08-label\" class=\"forminator-label\">Ville <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-city\" placeholder=\"Par exemple\u00a0: Paris\" id=\"forminator-field-address-1-city_6a6dac89ddc08\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" value=\"\" \/><\/div><\/div><div id=\"address-1-state\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-state_6a6dac89ddc08\" id=\"forminator-field-address-1-state_6a6dac89ddc08-label\" class=\"forminator-label\">\u00c9tat\/Province<\/label><input type=\"text\" name=\"address-1-state\" placeholder=\"\" id=\"forminator-field-address-1-state_6a6dac89ddc08\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-1-zip\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-zip_6a6dac89ddc08\" id=\"forminator-field-address-1-zip_6a6dac89ddc08-label\" class=\"forminator-label\">Code postal <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-zip\" placeholder=\"Par exemple\u00a0: 2000\" id=\"forminator-field-address-1-zip_6a6dac89ddc08\" class=\"forminator-input\" value=\"\" \/><\/div><\/div><div id=\"address-1-country\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-118832__field--address-1-country_6a6dac89ddc08\" id=\"forminator-field-118832__field--address-1-country_6a6dac89ddc08-label\" class=\"forminator-label\">Pays <span class=\"forminator-required\">*<\/span><\/label><select name=\"address-1-country\" id=\"forminator-field-118832__field--address-1-country_6a6dac89ddc08\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"Land selecteren\" data-default-value=\"\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afghanistan\" data-country-code=\"AF\" >Afghanistan<\/option><option value=\"Albani\u00eb\" data-country-code=\"AL\" >Albani\u00eb<\/option><option value=\"Algerije\" data-country-code=\"DZ\" >Algerije<\/option><option value=\"Amerikaans Samoa\" data-country-code=\"AS\" >Amerikaans Samoa<\/option><option value=\"Amerikaanse Maagdeneilanden.\" data-country-code=\"VI\" >Amerikaanse Maagdeneilanden.<\/option><option value=\"Amerikaanse Ondergeschikte Afgelegen Eilanden\" data-country-code=\"UM\" >Amerikaanse Ondergeschikte Afgelegen Eilanden<\/option><option value=\"Andorra\" data-country-code=\"AD\" >Andorra<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguilla\" data-country-code=\"AI\" >Anguilla<\/option><option value=\"Antarctica\" data-country-code=\"AQ\" >Antarctica<\/option><option value=\"Antigua en Barbuda\" data-country-code=\"AG\" >Antigua en Barbuda<\/option><option value=\"Argentini\u00eb\" data-country-code=\"AR\" >Argentini\u00eb<\/option><option value=\"Armeni\u00eb\" data-country-code=\"AM\" >Armeni\u00eb<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Australi\u00eb\" data-country-code=\"AU\" >Australi\u00eb<\/option><option value=\"Azerbeidzjan\" data-country-code=\"AZ\" >Azerbeidzjan<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahrein\" data-country-code=\"BH\" >Bahrein<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Barbados\" data-country-code=\"BB\" >Barbados<\/option><option value=\"Belgi\u00eb\" data-country-code=\"BE\" >Belgi\u00eb<\/option><option value=\"Belize\" data-country-code=\"BZ\" >Belize<\/option><option value=\"Benin\" data-country-code=\"BJ\" >Benin<\/option><option value=\"Bermuda\" data-country-code=\"BM\" >Bermuda<\/option><option value=\"Bhutan\" data-country-code=\"BT\" >Bhutan<\/option><option value=\"Boeroendi\" data-country-code=\"BI\" >Boeroendi<\/option><option value=\"Bolivia\" data-country-code=\"BO\" >Bolivia<\/option><option value=\"Bosni\u00eb-Herzegovina\" data-country-code=\"BA\" >Bosni\u00eb-Herzegovina<\/option><option value=\"Botswana\" data-country-code=\"BW\" >Botswana<\/option><option value=\"Bouvet Island\" data-country-code=\"BV\" >Bouvet Island<\/option><option value=\"Brazili\u00eb\" data-country-code=\"BR\" >Brazili\u00eb<\/option><option value=\"Brits Indische Oceaanterritorium\" data-country-code=\"IO\" >Brits Indische Oceaanterritorium<\/option><option value=\"Britse Maagdeneilanden\" data-country-code=\"VG\" >Britse Maagdeneilanden<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Bulgarije\" data-country-code=\"BG\" >Bulgarije<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Cambodja\" data-country-code=\"KH\" >Cambodja<\/option><option value=\"Canada\" data-country-code=\"CA\" >Canada<\/option><option value=\"Centraal Afrikaanse Republiek\" data-country-code=\"CF\" >Centraal Afrikaanse Republiek<\/option><option value=\"Chili\" data-country-code=\"CL\" >Chili<\/option><option value=\"China, Volksrepubliek\" data-country-code=\"CN\" >China, Volksrepubliek<\/option><option value=\"Cocos eilanden\" data-country-code=\"CC\" >Cocos eilanden<\/option><option value=\"Colombia\" data-country-code=\"CO\" >Colombia<\/option><option value=\"Comoren\" data-country-code=\"KM\" >Comoren<\/option><option value=\"Congo, Democratische Republiek van de\" data-country-code=\"CD\" >Congo, Democratische Republiek van de<\/option><option value=\"Congo, Republiek van de\" data-country-code=\"CG\" >Congo, Republiek van de<\/option><option value=\"Cook Eilanden\" data-country-code=\"CK\" >Cook Eilanden<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Cura\u00e7ao\" data-country-code=\"CW\" >Cura\u00e7ao<\/option><option value=\"Cyprus\" data-country-code=\"CY\" >Cyprus<\/option><option value=\"Denemarken\" data-country-code=\"DK\" >Denemarken<\/option><option value=\"Djibouti\" data-country-code=\"DJ\" >Djibouti<\/option><option value=\"Dominica\" data-country-code=\"DM\" >Dominica<\/option><option value=\"Dominicaanse Republiek\" data-country-code=\"DO\" >Dominicaanse Republiek<\/option><option value=\"Duitsland\" data-country-code=\"DE\" >Duitsland<\/option><option value=\"Ecuador\" data-country-code=\"EC\" >Ecuador<\/option><option value=\"Egypte\" data-country-code=\"EG\" >Egypte<\/option><option value=\"El Salvador\" data-country-code=\"SV\" >El Salvador<\/option><option value=\"Equatoriaal-Guinea\" data-country-code=\"GQ\" >Equatoriaal-Guinea<\/option><option value=\"Eritrea\" data-country-code=\"ER\" >Eritrea<\/option><option value=\"Estland\" data-country-code=\"EE\" >Estland<\/option><option value=\"Ethiopi\u00eb\" data-country-code=\"ET\" >Ethiopi\u00eb<\/option><option value=\"Faer\u00f6er\" data-country-code=\"FO\" >Faer\u00f6er<\/option><option value=\"Falkland Eilanden\" data-country-code=\"FK\" >Falkland Eilanden<\/option><option value=\"Fiji\" data-country-code=\"FJ\" >Fiji<\/option><option value=\"Filipijnen\" data-country-code=\"PH\" >Filipijnen<\/option><option value=\"Finland\" data-country-code=\"FI\" >Finland<\/option><option value=\"Frankrijk\" data-country-code=\"FR\" >Frankrijk<\/option><option value=\"Frankrijk, Metropolitan\" data-country-code=\"FX\" >Frankrijk, Metropolitan<\/option><option value=\"Frans-Guyana\" data-country-code=\"GF\" >Frans-Guyana<\/option><option value=\"Frans-Polynesi\u00eb\" data-country-code=\"PF\" >Frans-Polynesi\u00eb<\/option><option value=\"Franse Zuidelijke Gebieden\" data-country-code=\"TF\" >Franse Zuidelijke Gebieden<\/option><option value=\"Gabon\" data-country-code=\"GA\" >Gabon<\/option><option value=\"Gambia\" data-country-code=\"GM\" >Gambia<\/option><option value=\"Georgi\u00eb\" data-country-code=\"GE\" >Georgi\u00eb<\/option><option value=\"Ghana\" data-country-code=\"GH\" >Ghana<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Grenada\" data-country-code=\"GD\" >Grenada<\/option><option value=\"Griekenland\" data-country-code=\"GR\" >Griekenland<\/option><option value=\"Groenland\" data-country-code=\"GL\" >Groenland<\/option><option value=\"Guadeloupe\" data-country-code=\"GP\" >Guadeloupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guatemala\" data-country-code=\"GT\" >Guatemala<\/option><option value=\"Guernsey\" data-country-code=\"GG\" >Guernsey<\/option><option value=\"Guinea\" data-country-code=\"GN\" >Guinea<\/option><option value=\"Guinee-Bissau\" data-country-code=\"GW\" >Guinee-Bissau<\/option><option value=\"Guyana\" data-country-code=\"GY\" >Guyana<\/option><option value=\"Ha\u00efti\" data-country-code=\"HT\" >Ha\u00efti<\/option><option value=\"Heard Island en Mcdonald Island\" data-country-code=\"HM\" >Heard Island en Mcdonald Island<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong\" data-country-code=\"HK\" >Hong Kong<\/option><option value=\"Hongarije\" data-country-code=\"HU\" >Hongarije<\/option><option value=\"IJsland\" data-country-code=\"IS\" >IJsland<\/option><option value=\"Ierland\" data-country-code=\"IE\" >Ierland<\/option><option value=\"Indi\u00eb\" data-country-code=\"IN\" >Indi\u00eb<\/option><option value=\"Indonesi\u00eb\" data-country-code=\"ID\" >Indonesi\u00eb<\/option><option value=\"Irak\" data-country-code=\"IQ\" >Irak<\/option><option value=\"Iran\" data-country-code=\"IR\" >Iran<\/option><option value=\"Isra\u00ebl\" data-country-code=\"IL\" >Isra\u00ebl<\/option><option value=\"Itali\u00eb\" data-country-code=\"IT\" >Itali\u00eb<\/option><option value=\"Ivoorkust\" data-country-code=\"CI\" >Ivoorkust<\/option><option value=\"Jamaica\" data-country-code=\"JM\" >Jamaica<\/option><option value=\"Japan\" data-country-code=\"JP\" >Japan<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Johnston Island\" data-country-code=\"JT\" >Johnston Island<\/option><option value=\"Jordani\u00eb\" data-country-code=\"JO\" >Jordani\u00eb<\/option><option value=\"Kaaiman Eilanden\" data-country-code=\"KY\" >Kaaiman Eilanden<\/option><option value=\"Kaap Verdi\u00eb\" data-country-code=\"CV\" >Kaap Verdi\u00eb<\/option><option value=\"Kameroen\" data-country-code=\"CM\" >Kameroen<\/option><option value=\"Katar\" data-country-code=\"QA\" >Katar<\/option><option value=\"Kazachstan\" data-country-code=\"KZ\" >Kazachstan<\/option><option value=\"Kenia\" data-country-code=\"KE\" >Kenia<\/option><option value=\"Kersteiland\" data-country-code=\"CX\" >Kersteiland<\/option><option value=\"Kirgizi\u00eb\" data-country-code=\"KG\" >Kirgizi\u00eb<\/option><option value=\"Kiribati\" data-country-code=\"KI\" >Kiribati<\/option><option value=\"Koeweit\" data-country-code=\"KW\" >Koeweit<\/option><option value=\"Korea, Democratische Volksrepubliek\" data-country-code=\"KP\" >Korea, Democratische Volksrepubliek<\/option><option value=\"Korea, Republiek van\" data-country-code=\"KR\" >Korea, Republiek van<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kroati\u00eb\" data-country-code=\"HR\" >Kroati\u00eb<\/option><option value=\"Lao Democratische Volksrepubliek\" data-country-code=\"LA\" >Lao Democratische Volksrepubliek<\/option><option value=\"Lesotho\" data-country-code=\"LS\" >Lesotho<\/option><option value=\"Letland\" data-country-code=\"LV\" >Letland<\/option><option value=\"Libanon\" data-country-code=\"LB\" >Libanon<\/option><option value=\"Liberia\" data-country-code=\"LR\" >Liberia<\/option><option value=\"Libi\u00eb\" data-country-code=\"LY\" >Libi\u00eb<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Litouwen\" data-country-code=\"LT\" >Litouwen<\/option><option value=\"Luxemburg\" data-country-code=\"LU\" >Luxemburg<\/option><option value=\"Macau\" data-country-code=\"MO\" >Macau<\/option><option value=\"Madagascar\" data-country-code=\"MG\" >Madagascar<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Malediven\" data-country-code=\"MV\" >Malediven<\/option><option value=\"Maleisi\u00eb\" data-country-code=\"MY\" >Maleisi\u00eb<\/option><option value=\"Mali\" data-country-code=\"ML\" >Mali<\/option><option value=\"Malta\" data-country-code=\"MT\" >Malta<\/option><option value=\"Marokko\" data-country-code=\"MA\" >Marokko<\/option><option value=\"Marshall eilanden\" data-country-code=\"MH\" >Marshall eilanden<\/option><option value=\"Martinique\" data-country-code=\"MQ\" >Martinique<\/option><option value=\"Mauritani\u00eb\" data-country-code=\"MR\" >Mauritani\u00eb<\/option><option value=\"Mauritius\" data-country-code=\"MU\" >Mauritius<\/option><option value=\"Mayotte\" data-country-code=\"YT\" >Mayotte<\/option><option value=\"Mexico\" data-country-code=\"MX\" >Mexico<\/option><option value=\"Micronesi\u00eb\" data-country-code=\"FM\" >Micronesi\u00eb<\/option><option value=\"Moldavi\u00eb\" data-country-code=\"MD\" >Moldavi\u00eb<\/option><option value=\"Monaco\" data-country-code=\"MC\" >Monaco<\/option><option value=\"Mongoli\u00eb\" data-country-code=\"MN\" >Mongoli\u00eb<\/option><option value=\"Montenegro\" data-country-code=\"ME\" >Montenegro<\/option><option value=\"Montserrat\" data-country-code=\"MS\" >Montserrat<\/option><option value=\"Mozambique\" data-country-code=\"MZ\" >Mozambique<\/option><option value=\"Myanmar\" data-country-code=\"MM\" >Myanmar<\/option><option value=\"Namibi\u00eb\" data-country-code=\"NA\" >Namibi\u00eb<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nederland\" data-country-code=\"NL\" >Nederland<\/option><option value=\"Nederlandse Antillen\" data-country-code=\"AN\" >Nederlandse Antillen<\/option><option value=\"Nepal\" data-country-code=\"NP\" >Nepal<\/option><option value=\"Nicaragua\" data-country-code=\"NI\" >Nicaragua<\/option><option value=\"Nieuw Zeeland\" data-country-code=\"NZ\" >Nieuw Zeeland<\/option><option value=\"Nieuw-Caledoni\u00eb\" data-country-code=\"NC\" >Nieuw-Caledoni\u00eb<\/option><option value=\"Niger\" data-country-code=\"NE\" >Niger<\/option><option value=\"Nigeria\" data-country-code=\"NG\" >Nigeria<\/option><option value=\"Niue\" data-country-code=\"NU\" >Niue<\/option><option value=\"Noord Macedoni\u00eb\" data-country-code=\"MK\" >Noord Macedoni\u00eb<\/option><option value=\"Noordelijke Marianen\" data-country-code=\"MP\" >Noordelijke Marianen<\/option><option value=\"Noorwegen\" data-country-code=\"NO\" >Noorwegen<\/option><option value=\"Norfolk Island\" data-country-code=\"NF\" >Norfolk Island<\/option><option value=\"Oeganda\" data-country-code=\"UG\" >Oeganda<\/option><option value=\"Oekra\u00efne\" data-country-code=\"UA\" >Oekra\u00efne<\/option><option value=\"Oezbekistan\" data-country-code=\"UZ\" >Oezbekistan<\/option><option value=\"Oman\" data-country-code=\"OM\" >Oman<\/option><option value=\"Oost Timor\" data-country-code=\"TL\" >Oost Timor<\/option><option value=\"Oostenrijk\" data-country-code=\"AT\" >Oostenrijk<\/option><option value=\"Pakistan\" data-country-code=\"PK\" >Pakistan<\/option><option value=\"Palau\" data-country-code=\"PW\" >Palau<\/option><option value=\"Palestina, staat\" data-country-code=\"PS\" >Palestina, staat<\/option><option value=\"Panama\" data-country-code=\"PA\" >Panama<\/option><option value=\"Papoea-Nieuw-Guinea\" data-country-code=\"PG\" >Papoea-Nieuw-Guinea<\/option><option value=\"Paraguay\" data-country-code=\"PY\" >Paraguay<\/option><option value=\"Peru\" data-country-code=\"PE\" >Peru<\/option><option value=\"Pitcairneilanden\" data-country-code=\"PN\" >Pitcairneilanden<\/option><option value=\"Polen\" data-country-code=\"PL\" >Polen<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"Puerto Rico\" data-country-code=\"PR\" >Puerto Rico<\/option><option value=\"Reunion Eiland\" data-country-code=\"RE\" >Reunion Eiland<\/option><option value=\"Roemeni\u00eb\" data-country-code=\"RO\" >Roemeni\u00eb<\/option><option value=\"Rusland\" data-country-code=\"RU\" >Rusland<\/option><option value=\"Rwanda\" data-country-code=\"RW\" >Rwanda<\/option><option value=\"Saint Kitts en Nevis\" data-country-code=\"KN\" >Saint Kitts en Nevis<\/option><option value=\"Saint Lucia\" data-country-code=\"LC\" >Saint Lucia<\/option><option value=\"Saint Pierre & Miquelon\" data-country-code=\"PM\" >Saint Pierre & Miquelon<\/option><option value=\"Saint Vincent en de Grenadines\" data-country-code=\"VC\" >Saint Vincent en de Grenadines<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"San Marino\" data-country-code=\"SM\" >San Marino<\/option><option value=\"Sao Tom\u00e9 en Principe\" data-country-code=\"ST\" >Sao Tom\u00e9 en Principe<\/option><option value=\"Saoedi-Arabi\u00eb\" data-country-code=\"SA\" >Saoedi-Arabi\u00eb<\/option><option value=\"Senegal\" data-country-code=\"SN\" >Senegal<\/option><option value=\"Servi\u00eb\" data-country-code=\"RS\" >Servi\u00eb<\/option><option value=\"Seychellen\" data-country-code=\"SC\" >Seychellen<\/option><option value=\"Sierra Leone\" data-country-code=\"SL\" >Sierra Leone<\/option><option value=\"Singapore\" data-country-code=\"SG\" >Singapore<\/option><option value=\"Sint Helena\" data-country-code=\"SH\" >Sint Helena<\/option><option value=\"Sint Maarten\" data-country-code=\"MF\" >Sint Maarten<\/option><option value=\"Sloveni\u00eb\" data-country-code=\"SI\" >Sloveni\u00eb<\/option><option value=\"Slowakije\" data-country-code=\"SK\" >Slowakije<\/option><option value=\"Soedan\" data-country-code=\"SD\" >Soedan<\/option><option value=\"Solomon eilanden\" data-country-code=\"SB\" >Solomon eilanden<\/option><option value=\"Somali\u00eb\" data-country-code=\"SO\" >Somali\u00eb<\/option><option value=\"South Georgia en South Sandwich\" data-country-code=\"GS\" >South Georgia en South Sandwich<\/option><option value=\"Spanje\" data-country-code=\"ES\" >Spanje<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"Staatloze Personen\" data-country-code=\"XX\" >Staatloze Personen<\/option><option value=\"Sudan, Zuid\" data-country-code=\"SS\" >Sudan, Zuid<\/option><option value=\"Suriname\" data-country-code=\"SR\" >Suriname<\/option><option value=\"Svalbard en Jan Mayen\" data-country-code=\"SJ\" >Svalbard en Jan Mayen<\/option><option value=\"Swaziland\" data-country-code=\"SZ\" >Swaziland<\/option><option value=\"Syri\u00eb\" data-country-code=\"SY\" >Syri\u00eb<\/option><option value=\"Tadzjikistan\" data-country-code=\"TJ\" >Tadzjikistan<\/option><option value=\"Taiwan, Republiek China\" data-country-code=\"TW\" >Taiwan, Republiek China<\/option><option value=\"Tanzania\" data-country-code=\"TZ\" >Tanzania<\/option><option value=\"Thailand\" data-country-code=\"TH\" >Thailand<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinidad en Tobago\" data-country-code=\"TT\" >Trinidad en Tobago<\/option><option value=\"Tsjaad\" data-country-code=\"TD\" >Tsjaad<\/option><option value=\"Tsjechische Republiek\" data-country-code=\"CZ\" >Tsjechische Republiek<\/option><option value=\"Tunesi\u00eb\" data-country-code=\"TN\" >Tunesi\u00eb<\/option><option value=\"Turkije\" data-country-code=\"TR\" >Turkije<\/option><option value=\"Turkmenistan\" data-country-code=\"TM\" >Turkmenistan<\/option><option value=\"Turks- en Caicoseilanden\" data-country-code=\"TC\" >Turks- en Caicoseilanden<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"Uruguay\" data-country-code=\"UY\" >Uruguay<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Vaticaanstad\" data-country-code=\"VA\" >Vaticaanstad<\/option><option value=\"Venezuela\" data-country-code=\"VE\" >Venezuela<\/option><option value=\"Verenigd Koningkrijk\" data-country-code=\"GB\" >Verenigd Koningkrijk<\/option><option value=\"Verenigde Arabische Emiraten\" data-country-code=\"AE\" >Verenigde Arabische Emiraten<\/option><option value=\"Verenigde Staten van Amerika (VS)\" data-country-code=\"US\" >Verenigde Staten van Amerika (VS)<\/option><option value=\"Vietnam\" data-country-code=\"VN\" >Vietnam<\/option><option value=\"Wallis en Futuna eilanden\" data-country-code=\"WF\" >Wallis en Futuna eilanden<\/option><option value=\"Westelijke Sahara\" data-country-code=\"EH\" >Westelijke Sahara<\/option><option value=\"Wit-Rusland\" data-country-code=\"BY\" >Wit-Rusland<\/option><option value=\"Yemen\" data-country-code=\"YE\" >Yemen<\/option><option value=\"Zambia\" data-country-code=\"ZM\" >Zambia<\/option><option value=\"Zimbabwe\" data-country-code=\"ZW\" >Zimbabwe<\/option><option value=\"Zuid-Afrika\" data-country-code=\"ZA\" >Zuid-Afrika<\/option><option value=\"Zweden\" data-country-code=\"SE\" >Zweden<\/option><option value=\"Zwitserland\" data-country-code=\"CH\" >Zwitserland<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div tabindex=\"-1\" role=\"tabpanel\" id=\"forminator-custom-form-118832--page-1\" class=\"forminator-pagination\" aria-labelledby=\"forminator-custom-form-118832--page-1-label\" aria-hidden=\"true\" data-step=\"1\" data-label=\"Coordonn\u00e9es de contact\" data-name=\"page-break-2\" hidden><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"group-1\" class=\"forminator-field-group forminator-col forminator-col-12 \"><label class=\"forminator-label forminator-repeater-label\">Composition de m\u00e9nage<\/label><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:true,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Ajouter une personne&quot;,&quot;remove_text&quot;:&quot;Enlever une personne&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><p><strong>En tant que candidat, vous devez inscrire tous les membres du m\u00e9nage. \u00a0Veuillez donc encoder les donn\u00e9es relatives aux personnes avec lesquelles vous souhaitez constituer un m\u00e9nage au sein de la R\u00e9gie Fonci\u00e8re et ce de mani\u00e8re compl\u00e8te\u00a0<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-4\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-4_6a6dac89ddc08\" id=\"forminator-field-name-4_6a6dac89ddc08-label\" class=\"forminator-label\">Nom<\/label><input type=\"text\" name=\"name-4\" value=\"\" placeholder=\"\" id=\"forminator-field-name-4_6a6dac89ddc08\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" \/><\/div><\/div><div id=\"name-5\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-5_6a6dac89ddc08\" id=\"forminator-field-name-5_6a6dac89ddc08-label\" class=\"forminator-label\">Pr\u00e9nom<\/label><input type=\"text\" name=\"name-5\" value=\"\" placeholder=\"\" id=\"forminator-field-name-5_6a6dac89ddc08\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-6  titulaire-bail\"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-picker_6a6dac89ddc08\" id=\"forminator-field-date-2-picker_6a6dac89ddc08-label\" class=\"forminator-label\">Date de naissance<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-2\" value=\"\" placeholder=\"Choisissez une date\" id=\"forminator-field-date-2-picker_6a6dac89ddc08\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"yy\/mm\/dd\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><div id=\"name-11\" class=\"forminator-field-name forminator-col forminator-col-6  pattern-field\"><div class=\"forminator-field\"><label for=\"forminator-field-name-11_6a6dac89ddc08\" id=\"forminator-field-name-11_6a6dac89ddc08-label\" class=\"forminator-label\">Num\u00e9ro National<\/label><input type=\"text\" name=\"name-11\" value=\"\" placeholder=\"\" id=\"forminator-field-name-11_6a6dac89ddc08\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a6dac89ddc08\" id=\"forminator-field-phone-1_6a6dac89ddc08-label\" class=\"forminator-label\">GSM\/TEL<\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_6a6dac89ddc08\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" data-national_mode=\"disabled\" data-country=\"be\" data-validation=\"international\" \/><\/div><\/div><div id=\"email-2\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-2_6a6dac89ddc08\" id=\"forminator-field-email-2_6a6dac89ddc08-label\" class=\"forminator-label\">Email<\/label><input type=\"email\" name=\"email-2\" value=\"\" placeholder=\"\" id=\"forminator-field-email-2_6a6dac89ddc08\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-118832__field--select-1_6a6dac89ddc08\" id=\"forminator-form-118832__field--select-1_6a6dac89ddc08-label\" class=\"forminator-label\">Parent\u00e9<\/label><select  id=\"forminator-form-118832__field--select-1_6a6dac89ddc08\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"conjoint\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-118832__field--select-1_6a6dac89ddc08-label\"><option value=\"conjoint\" selected=\"selected\" data-calculation=\"0\">Conjoint<\/option><option value=\"colocataire\"  data-calculation=\"0\">Colocataire<\/option><option value=\"enfant\"  data-calculation=\"0\">Enfant fille<\/option><option value=\"isol\u00e9\"  data-calculation=\"0\">Isol\u00e9<\/option><option value=\"enfantgarcon\"  data-calculation=\"0\">Enfant Gar\u00e7on<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-6a6dac89ddc08-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-2-6a6dac89ddc08-label\" class=\"forminator-label\">Titulaire du bail<\/span><label id=\"forminator-field-checkbox-2-1-6a6dac89ddc08-label\" for=\"forminator-field-checkbox-2-1-6a6dac89ddc08\" class=\"forminator-checkbox\" title=\"Oui\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"one\" id=\"forminator-field-checkbox-2-1-6a6dac89ddc08\" aria-labelledby=\"forminator-field-checkbox-2-1-6a6dac89ddc08-label\" data-calculation=\"0\" checked=\"checked\"  data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Oui<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row forminator-action-buttons\"><div class=\"forminator-col forminator-col-12\"><input type=\"button\" value=\"Ajouter une personne\" class=\"forminator-repeater-action-button forminator-repeater-add\" \/><input type=\"button\" value=\"Enlever une personne\" class=\"forminator-repeater-action-button forminator-repeater-remove\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6a6dac89ddc08-label\"><span id=\"forminator-radiogroup-radio-2-6a6dac89ddc08-label\" class=\"forminator-label\">PMR <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6a6dac89ddc08\" class=\"forminator-radio\" title=\"Oui\"><input type=\"radio\" name=\"radio-2\" value=\"oui\" id=\"forminator-field-radio-2-1-6a6dac89ddc08\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Oui<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6a6dac89ddc08\" class=\"forminator-radio\" title=\"Non\"><input type=\"radio\" name=\"radio-2\" value=\"non\" id=\"forminator-field-radio-2-2-6a6dac89ddc08\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\" checked=\"checked\"  data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Non<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-6a6dac89ddc08-label\"><span id=\"forminator-radiogroup-radio-3-6a6dac89ddc08-label\" class=\"forminator-label\">Je suis enceinte \/ J&#039;attends un enfant <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-6a6dac89ddc08\" class=\"forminator-radio\" title=\"Oui\"><input type=\"radio\" name=\"radio-3\" value=\"oui\" id=\"forminator-field-radio-3-1-6a6dac89ddc08\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Oui<\/span><\/label><label id=\"forminator-field-radio-3-label-2\" for=\"forminator-field-radio-3-2-6a6dac89ddc08\" class=\"forminator-radio\" title=\"Non\"><input type=\"radio\" name=\"radio-3\" value=\"non\" id=\"forminator-field-radio-3-2-6a6dac89ddc08\" aria-labelledby=\"forminator-field-radio-3-label-2\" data-calculation=\"0\" checked=\"checked\"  data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Non<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6a6dac89ddc08-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-6a6dac89ddc08-label\" class=\"forminator-label\">Je confirme que ma composition de m\u00e9nage est exacte<\/span><label id=\"forminator-field-checkbox-1-1-6a6dac89ddc08-label\" for=\"forminator-field-checkbox-1-1-6a6dac89ddc08\" class=\"forminator-checkbox\" title=\"\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"one\" id=\"forminator-field-checkbox-1-1-6a6dac89ddc08\" aria-labelledby=\"forminator-field-checkbox-1-1-6a6dac89ddc08-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\"><\/span><\/label><\/div><\/div><\/div><\/div><\/div><div tabindex=\"-1\" role=\"tabpanel\" id=\"forminator-custom-form-118832--page-2\" class=\"forminator-pagination\" aria-labelledby=\"forminator-custom-form-118832--page-2-label\" aria-hidden=\"true\" data-step=\"2\" data-label=\"Composition de m\u00e9nages\" data-name=\"\" hidden><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"group-2\" class=\"forminator-field-group forminator-col forminator-col-12 \"><label class=\"forminator-label forminator-repeater-label\">Revenus mois 1<\/label><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:true,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Item toevoegen&quot;,&quot;remove_text&quot;:&quot;Verwijder item&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-1_6a6dac89ddc08\" id=\"forminator-field-number-1_6a6dac89ddc08-label\" class=\"forminator-label\">montant<\/label><input name=\"number-1\" value=\"\" placeholder=\"Par exemple\u00a0: 10\" id=\"forminator-field-number-1_6a6dac89ddc08\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-6\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-118832__field--select-6_6a6dac89ddc08\" id=\"forminator-form-118832__field--select-6_6a6dac89ddc08-label\" class=\"forminator-label\">Liste s\u00e9lective<\/label><select  id=\"forminator-form-118832__field--select-6_6a6dac89ddc08\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-6\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-118832__field--select-6_6a6dac89ddc08-label\"><option value=\"Revenus-mensuels\"  data-calculation=\"0\">Revenus mensuels<\/option><option value=\"Allocations\"  data-calculation=\"0\">Allocations<\/option><option value=\"Revenus-de-remplacement\"  data-calculation=\"0\">Revenus de remplacement<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row forminator-action-buttons\"><div class=\"forminator-col forminator-col-12\"><input type=\"button\" value=\"Item toevoegen\" class=\"forminator-repeater-action-button forminator-repeater-add\" \/><input type=\"button\" value=\"Verwijder item\" class=\"forminator-repeater-action-button forminator-repeater-remove\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"group-3\" class=\"forminator-field-group forminator-col forminator-col-12 \"><label class=\"forminator-label forminator-repeater-label\">Revenus mois 2<\/label><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:true,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Item toevoegen&quot;,&quot;remove_text&quot;:&quot;Verwijder item&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"number-2\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-2_6a6dac89ddc08\" id=\"forminator-field-number-2_6a6dac89ddc08-label\" class=\"forminator-label\">montant<\/label><input name=\"number-2\" value=\"\" placeholder=\"Par exemple\u00a0: 10\" id=\"forminator-field-number-2_6a6dac89ddc08\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-7\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-118832__field--select-7_6a6dac89ddc08\" id=\"forminator-form-118832__field--select-7_6a6dac89ddc08-label\" class=\"forminator-label\">Liste s\u00e9lective<\/label><select  id=\"forminator-form-118832__field--select-7_6a6dac89ddc08\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-7\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-118832__field--select-7_6a6dac89ddc08-label\"><option value=\"Revenus-mensuels\"  data-calculation=\"0\">Revenus mensuels<\/option><option value=\"Allocations\"  data-calculation=\"0\">Allocations<\/option><option value=\"Revenus-de-remplacement\"  data-calculation=\"0\">Revenus de remplacement<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row forminator-action-buttons\"><div class=\"forminator-col forminator-col-12\"><input type=\"button\" value=\"Item toevoegen\" class=\"forminator-repeater-action-button forminator-repeater-add\" \/><input type=\"button\" value=\"Verwijder item\" class=\"forminator-repeater-action-button forminator-repeater-remove\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"group-4\" class=\"forminator-field-group forminator-col forminator-col-12 \"><label class=\"forminator-label forminator-repeater-label\">Revenus mois 3<\/label><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:true,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Item toevoegen&quot;,&quot;remove_text&quot;:&quot;Verwijder item&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"number-3\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-3_6a6dac89ddc08\" id=\"forminator-field-number-3_6a6dac89ddc08-label\" class=\"forminator-label\">montant<\/label><input name=\"number-3\" value=\"\" placeholder=\"Par exemple\u00a0: 10\" id=\"forminator-field-number-3_6a6dac89ddc08\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-8\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-118832__field--select-8_6a6dac89ddc08\" id=\"forminator-form-118832__field--select-8_6a6dac89ddc08-label\" class=\"forminator-label\">Liste s\u00e9lective<\/label><select  id=\"forminator-form-118832__field--select-8_6a6dac89ddc08\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-8\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-118832__field--select-8_6a6dac89ddc08-label\"><option value=\"Revenus-mensuels\"  data-calculation=\"0\">Revenus mensuels<\/option><option value=\"Allocations\"  data-calculation=\"0\">Allocations<\/option><option value=\"Revenus-de-remplacement\"  data-calculation=\"0\">Revenus de remplacement<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row forminator-action-buttons\"><div class=\"forminator-col forminator-col-12\"><input type=\"button\" value=\"Item toevoegen\" class=\"forminator-repeater-action-button forminator-repeater-add\" \/><input type=\"button\" value=\"Verwijder item\" class=\"forminator-repeater-action-button forminator-repeater-remove\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6a6dac89ddc08-label\"><span id=\"forminator-radiogroup-radio-1-6a6dac89ddc08-label\" class=\"forminator-label\">J&#039;ai un garant<\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6a6dac89ddc08\" class=\"forminator-radio\" title=\"Non\"><input type=\"radio\" name=\"radio-1\" value=\"non\" id=\"forminator-field-radio-1-1-6a6dac89ddc08\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Non<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6a6dac89ddc08\" class=\"forminator-radio\" title=\"Oui\"><input type=\"radio\" name=\"radio-1\" value=\"oui\" id=\"forminator-field-radio-1-2-6a6dac89ddc08\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Oui<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-13\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-13_6a6dac89ddc08\" id=\"forminator-field-name-13_6a6dac89ddc08-label\" class=\"forminator-label\">Pr\u00e9nom du garant<\/label><input type=\"text\" name=\"name-13\" value=\"\" placeholder=\"Par exemple\u00a0: Jacques Martin\" id=\"forminator-field-name-13_6a6dac89ddc08\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" \/><\/div><\/div><div id=\"name-12\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-12_6a6dac89ddc08\" id=\"forminator-field-name-12_6a6dac89ddc08-label\" class=\"forminator-label\">Nom du garant<\/label><input type=\"text\" name=\"name-12\" value=\"\" placeholder=\"\" id=\"forminator-field-name-12_6a6dac89ddc08\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-14\" class=\"forminator-field-name forminator-col forminator-col-12  pattern-field\"><div class=\"forminator-field\"><label for=\"forminator-field-name-14_6a6dac89ddc08\" id=\"forminator-field-name-14_6a6dac89ddc08-label\" class=\"forminator-label\">Num\u00e9ro national du garant<\/label><input type=\"text\" name=\"name-14\" value=\"\" placeholder=\"Par exemple\u00a0: Jacques Martin\" id=\"forminator-field-name-14_6a6dac89ddc08\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"group-5\" class=\"forminator-field-group forminator-col forminator-col-12 \"><label class=\"forminator-label forminator-repeater-label\">Revenus garant mois 1<\/label><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:true,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Item toevoegen&quot;,&quot;remove_text&quot;:&quot;Verwijder item&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"number-4\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-4_6a6dac89ddc08\" id=\"forminator-field-number-4_6a6dac89ddc08-label\" class=\"forminator-label\">montant<\/label><input name=\"number-4\" value=\"\" placeholder=\"Par exemple\u00a0: 10\" id=\"forminator-field-number-4_6a6dac89ddc08\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-9\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-118832__field--select-9_6a6dac89ddc08\" id=\"forminator-form-118832__field--select-9_6a6dac89ddc08-label\" class=\"forminator-label\">Liste s\u00e9lective<\/label><select  id=\"forminator-form-118832__field--select-9_6a6dac89ddc08\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-9\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-118832__field--select-9_6a6dac89ddc08-label\"><option value=\"Revenus-mensuels\"  data-calculation=\"0\">Revenus mensuels<\/option><option value=\"Allocations\"  data-calculation=\"0\">Allocations<\/option><option value=\"Revenus-de-remplacement\"  data-calculation=\"0\">Revenus de remplacement<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row forminator-action-buttons\"><div class=\"forminator-col forminator-col-12\"><input type=\"button\" value=\"Item toevoegen\" class=\"forminator-repeater-action-button forminator-repeater-add\" \/><input type=\"button\" value=\"Verwijder item\" class=\"forminator-repeater-action-button forminator-repeater-remove\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"group-6\" class=\"forminator-field-group forminator-col forminator-col-12 \"><label class=\"forminator-label forminator-repeater-label\">Revenus garant mois 2<\/label><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:true,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Item toevoegen&quot;,&quot;remove_text&quot;:&quot;Verwijder item&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"number-5\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-5_6a6dac89ddc08\" id=\"forminator-field-number-5_6a6dac89ddc08-label\" class=\"forminator-label\">montant<\/label><input name=\"number-5\" value=\"\" placeholder=\"Par exemple\u00a0: 10\" id=\"forminator-field-number-5_6a6dac89ddc08\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-10\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-118832__field--select-10_6a6dac89ddc08\" id=\"forminator-form-118832__field--select-10_6a6dac89ddc08-label\" class=\"forminator-label\">Liste s\u00e9lective<\/label><select  id=\"forminator-form-118832__field--select-10_6a6dac89ddc08\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-10\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-118832__field--select-10_6a6dac89ddc08-label\"><option value=\"Revenus-mensuels\"  data-calculation=\"0\">Revenus mensuels<\/option><option value=\"Allocations\"  data-calculation=\"0\">Allocations<\/option><option value=\"Revenus-de-remplacement\"  data-calculation=\"0\">Revenus de remplacement<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row forminator-action-buttons\"><div class=\"forminator-col forminator-col-12\"><input type=\"button\" value=\"Item toevoegen\" class=\"forminator-repeater-action-button forminator-repeater-add\" \/><input type=\"button\" value=\"Verwijder item\" class=\"forminator-repeater-action-button forminator-repeater-remove\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"group-7\" class=\"forminator-field-group forminator-col forminator-col-12 \"><label class=\"forminator-label forminator-repeater-label\">Revenus garant mois 3<\/label><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:true,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Item toevoegen&quot;,&quot;remove_text&quot;:&quot;Verwijder item&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"number-6\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-6_6a6dac89ddc08\" id=\"forminator-field-number-6_6a6dac89ddc08-label\" class=\"forminator-label\">montant<\/label><input name=\"number-6\" value=\"\" placeholder=\"Par exemple\u00a0: 10\" id=\"forminator-field-number-6_6a6dac89ddc08\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-11\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-118832__field--select-11_6a6dac89ddc08\" id=\"forminator-form-118832__field--select-11_6a6dac89ddc08-label\" class=\"forminator-label\">Liste s\u00e9lective<\/label><select  id=\"forminator-form-118832__field--select-11_6a6dac89ddc08\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-11\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-118832__field--select-11_6a6dac89ddc08-label\"><option value=\"Revenus-mensuels\"  data-calculation=\"0\">Revenus mensuels<\/option><option value=\"Allocations\"  data-calculation=\"0\">Allocations<\/option><option value=\"Revenus-de-remplacement\"  data-calculation=\"0\">Revenus de remplacement<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row forminator-action-buttons\"><div class=\"forminator-col forminator-col-12\"><input type=\"button\" value=\"Item toevoegen\" class=\"forminator-repeater-action-button forminator-repeater-add\" \/><input type=\"button\" value=\"Verwijder item\" class=\"forminator-repeater-action-button forminator-repeater-remove\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row forminator-hidden d-none\"><input type=\"hidden\" id=\"hidden-1_6a6dac89ddc08\" name=\"hidden-1\" value=\"fr\" \/><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Je m&#039;inscris comme candidat locataire<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"7a300ae26f\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/nl\/wp-json\/wp\/v2\/pages\/179\" \/><input type=\"hidden\" name=\"form_id\" value=\"118832\"><input type=\"hidden\" name=\"page_id\" value=\"179\"><input type=\"hidden\" name=\"form_type\" value=\"registration\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/regiesandbox.scalp.dev\/nl\/connexion-inscription\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><br \/>\n<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template\/tunnel-users.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-179","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/regiesandbox.scalp.dev\/nl\/wp-json\/wp\/v2\/pages\/179","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/regiesandbox.scalp.dev\/nl\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/regiesandbox.scalp.dev\/nl\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/regiesandbox.scalp.dev\/nl\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/regiesandbox.scalp.dev\/nl\/wp-json\/wp\/v2\/comments?post=179"}],"version-history":[{"count":4,"href":"https:\/\/regiesandbox.scalp.dev\/nl\/wp-json\/wp\/v2\/pages\/179\/revisions"}],"predecessor-version":[{"id":118836,"href":"https:\/\/regiesandbox.scalp.dev\/nl\/wp-json\/wp\/v2\/pages\/179\/revisions\/118836"}],"wp:attachment":[{"href":"https:\/\/regiesandbox.scalp.dev\/nl\/wp-json\/wp\/v2\/media?parent=179"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}