{"id":11731,"date":"2021-08-30T10:13:46","date_gmt":"2021-08-30T10:13:46","guid":{"rendered":"https:\/\/store.symphony.tn\/?page_id=11731"},"modified":"2021-08-30T10:13:58","modified_gmt":"2021-08-30T10:13:58","slug":"formulaire-de-validation","status":"publish","type":"page","link":"https:\/\/store.symphony.tn\/en\/formulaire-de-validation\/","title":{"rendered":"Formulaire de validation"},"content":{"rendered":"\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f11727-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"11727\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/11731#wpcf7-f11727-o1\" method=\"post\" class=\"wpcf7-form init 25f8b825ef92 cmatic-disconn cmatic-aud-0 cmatic-mapd0-0 cmatic-v097804 cmatic-sent-0 cmatic-total-32\" aria-label=\"Formulaire de contact\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"11727\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.7\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f11727-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:11727,&quot;conditions&quot;:[{&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;identite&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;CIN&quot;}]},{&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;identite&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Passeport&quot;}]},{&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;identite&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Carte de s\\u00e9jour&quot;}]},{&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;identite&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;CIN&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;repeater_remove_button&quot;:&quot;bottom&quot;}}\" \/><input type=\"hidden\" name=\"_wpcf7dtx_version\" value=\"5.0.6\" \/>\n<\/fieldset>\n<table style=\"border: 0px solid rgba(0,0,0,.0);\">\n\t<tbody style=\"border: 0px solid rgba(0,0,0,.0);\">\n\t\t<tr style=\"border: 0px solid rgba(0,0,0,.0);\">\n\t\t\t<td style=\"width: 3%;background-color: #d2d2d2;  border: 0px solid rgba(0,0,0,.0);\">\n\t\t\t\t<p><strong>1.<\/strong>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"width: 47%; text-align: left; border: 0px solid rgba(0,0,0,.0);\">\n\t\t\t\t<p><strong>Nom de l'Email Personnalis\u00e9<\/strong>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n<table>\n\t<td >\n\t\t<p><span class=\"wpcf7-form-control-wrap pmail\" data-name=\"pmail\"><input type=\"text\" name=\"pmail\" class=\"wpcf7-form-control wpcf7-text wpcf7dtx wpcf7dtx-text\" aria-invalid=\"false\" readonly=\"readonly\" value=\"wbcr_php_snippet id=&apos;4758&apos;\"><\/span>\n\t\t<\/p>\n\t<\/td>\n<\/table>\n<table style=\"border: 0px solid rgba(0,0,0,.0);\">\n\t<tbody style=\"border: 0px solid rgba(0,0,0,.0);\">\n\t\t<tr style=\"border: 0px solid rgba(0,0,0,.0);\">\n\t\t\t<td style=\"width: 3%;background-color: #d2d2d2;  border: 0px solid rgba(0,0,0,.0);\">\n\t\t\t\t<p><strong>2.<\/strong>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"width: 47%; text-align: left; border: 0px solid rgba(0,0,0,.0);\">\n\t\t\t\t<p><strong>Le demandeur<\/strong>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n<table style=\"width: 80%;\">\n\t<tbody>\n\t\t<tr >\n\t\t\t<td style=\"width: 70%;text-align: left;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p>Nom *\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"width: 30%; text-align: center;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td style=\"width: 70%;text-align: left;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p>Pr\u00e9nom *\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"width: 30%; text-align: center;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"prenom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"prenom\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr >\n\t\t\t<td style=\"width: 70%;text-align: left;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p>Civilit\u00e9\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"width: 30%; text-align: center;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"civlilite\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"civlilite\"><option value=\"Mr\">Mr<\/option><option value=\"Mme\">Mme<\/option><option value=\"Melle\">Melle<\/option><option value=\"Dr\">Dr<\/option><option value=\"Me\">Me<\/option><option value=\"Pr\">Pr<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr >\n\t\t\t<td style=\"width: 70%;text-align: left;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p>Sexe\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"width: 30%; text-align: center;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"sexe\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">Masculin<\/span><input type=\"radio\" name=\"sexe\" value=\"Masculin\" checked=\"checked\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">F\u00e9minin<\/span><input type=\"radio\" name=\"sexe\" value=\"F\u00e9minin\" \/><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td style=\"width: 70%;text-align: left;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p>Date de naissance *\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"width: 30%; text-align: center;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"age\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" max=\"2003-01-01\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"age\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td style=\"width: 70%;text-align: left;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p>Pi\u00e8ce d'identit\u00e9 *\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"width: 30 %; text-align: center;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"identite\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"identite\" value=\"CIN\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">CIN<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"identite\" value=\"Passeport\" \/><span class=\"wpcf7-list-item-label\">Passeport<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"identite\" value=\"Carte de s\u00e9jour\" \/><span class=\"wpcf7-list-item-label\">Carte de s\u00e9jour<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td style=\"width: 70%;text-align: left;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p>Num\u00e9ro de la pi\u00e8ce d'identit\u00e9 *\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"width: 30%; text-align: center;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"numid\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"numid\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td style=\"width: 70%;text-align: left;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p>T\u00e9l\u00e9phone portable *\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"width: 30%; text-align: center;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mobile\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"mobile\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td style=\"width: 70%;text-align: left;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p>T\u00e9l\u00e9phone fixe\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"width: 30%; text-align: center;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<td style=\"width: 70%;text-align: left;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t<p>Fax\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<td style=\"width: 30%; text-align: center;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fax\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"fax\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/td>\n\t\t<tr>\n\t\t\t<td style=\"width: 70%;text-align: left;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p>Adresse de correspondance *\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"width: 30%; text-align: center;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"adcor\"><textarea cols=\"40\" rows=\"7\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"adcor\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td style=\"width: 70%;text-align: left;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p>Domaine d'activit\u00e9\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"width: 30%; text-align: center;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dact\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dact\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td style=\"width: 70%;text-align: left;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p>Votre adresse Email *\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"width: 30%; text-align: center;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td style=\"width: 70%;text-align: left;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p>Confirmation de votre adresse email *\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"width: 30%; text-align: center;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p>[confirm_email* confirm_email-430]\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td style=\"width:70%;text-align: left;border: 0px solid rgba(0,0,0,0)\">\n\t\t\t\t<p>Copie de votre pi\u00e8ce d'identit\u00e9 *\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"width: 30%; text-align: center;border: 0px solid rgba(0,0,0,.0)\">\n\t\t\t\t<p>[multilinefile* copie]\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n<p><div id=\"cf7sr-6af6a4c721149\" class=\"cf7sr-g-recaptcha\" data-theme=\"light\" data-type=\"image\" data-size=\"normal\" data-sitekey=\"6LdqvqoUAAAAAICphN39k4U5Z1emuJ8Il3JeJNk2\"><\/div><span class=\"wpcf7-form-control-wrap cf7sr-recaptcha\" data-name=\"cf7sr-recaptcha\"><input type=\"hidden\" name=\"cf7sr-recaptcha\" value=\"\" class=\"wpcf7-form-control\"><\/span><br \/>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Envoyer\" \/>\n<\/p><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"212\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"folder":[],"class_list":["post-11731","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/store.symphony.tn\/en\/wp-json\/wp\/v2\/pages\/11731","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/store.symphony.tn\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/store.symphony.tn\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/store.symphony.tn\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/store.symphony.tn\/en\/wp-json\/wp\/v2\/comments?post=11731"}],"version-history":[{"count":1,"href":"https:\/\/store.symphony.tn\/en\/wp-json\/wp\/v2\/pages\/11731\/revisions"}],"predecessor-version":[{"id":11732,"href":"https:\/\/store.symphony.tn\/en\/wp-json\/wp\/v2\/pages\/11731\/revisions\/11732"}],"wp:attachment":[{"href":"https:\/\/store.symphony.tn\/en\/wp-json\/wp\/v2\/media?parent=11731"}],"wp:term":[{"taxonomy":"folder","embeddable":true,"href":"https:\/\/store.symphony.tn\/en\/wp-json\/wp\/v2\/folder?post=11731"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}