{"id":1276,"date":"2024-10-04T16:50:20","date_gmt":"2024-10-04T14:50:20","guid":{"rendered":"https:\/\/rdg8.be\/?page_id=1276"},"modified":"2024-10-04T21:07:45","modified_gmt":"2024-10-04T19:07:45","slug":"fiche-dinformations-candidat-locataire","status":"publish","type":"page","link":"https:\/\/rdg8.be\/?page_id=1276","title":{"rendered":"Fiche d\u2019informations candidat locataire"},"content":{"rendered":"<div id=\"quform-bc5ff1\" class=\"quform quform-2 quform-theme-simple quform-support-page-caching\"><form id=\"quform-form-bc5ff1\" class=\"quform-form quform-form-2\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1276#quform-bc5ff1\" method=\"post\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-options=\"{&quot;id&quot;:2,&quot;uniqueId&quot;:&quot;bc5ff1&quot;,&quot;theme&quot;:&quot;simple&quot;,&quot;ajax&quot;:true,&quot;logic&quot;:{&quot;logic&quot;:{&quot;83&quot;:{&quot;action&quot;:false,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;34&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;7&quot;,&quot;value&quot;:&quot;Aucun Revenu&quot;}]},&quot;108&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;109&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Oui&quot;}]},&quot;36&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;35&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot; Mari\\u00e9(e)&quot;},{&quot;elementId&quot;:&quot;35&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot; Divorc\\u00e9(e)&quot;},{&quot;elementId&quot;:&quot;35&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;5&quot;,&quot;value&quot;:&quot;Cohabitant(e)&quot;}]},&quot;37&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;35&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot; Mari\\u00e9(e)&quot;},{&quot;elementId&quot;:&quot;35&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot; Divorc\\u00e9(e)&quot;},{&quot;elementId&quot;:&quot;35&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;5&quot;,&quot;value&quot;:&quot;Cohabitant(e)&quot;}]},&quot;38&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;35&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot; Mari\\u00e9(e)&quot;},{&quot;elementId&quot;:&quot;35&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot; Divorc\\u00e9(e)&quot;}]},&quot;39&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;35&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot; Mari\\u00e9(e)&quot;}]},&quot;40&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;35&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot; Mari\\u00e9(e)&quot;}]},&quot;49&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;35&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot; Mari\\u00e9(e)&quot;}]},&quot;42&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;35&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot; Mari\\u00e9(e)&quot;}]},&quot;50&quot;:{&quot;action&quot;:false,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;35&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;3&quot;,&quot;value&quot;:&quot;C\\u00e9libataire&quot;},{&quot;elementId&quot;:&quot;35&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;4&quot;,&quot;value&quot;:&quot;Veuf&quot;}]},&quot;51&quot;:{&quot;action&quot;:false,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;35&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;3&quot;,&quot;value&quot;:&quot;C\\u00e9libataire&quot;},{&quot;elementId&quot;:&quot;35&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;4&quot;,&quot;value&quot;:&quot;Veuf&quot;}]},&quot;88&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;50&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Ind\\u00e9pendant(e)&quot;},{&quot;elementId&quot;:&quot;50&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;Salari\\u00e9(e)&quot;},{&quot;elementId&quot;:&quot;50&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;3&quot;,&quot;value&quot;:&quot;Mutuelle&quot;},{&quot;elementId&quot;:&quot;50&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;5&quot;,&quot;value&quot;:&quot;Pension&quot;},{&quot;elementId&quot;:&quot;50&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;4&quot;,&quot;value&quot;:&quot;Ch\\u00f4mage&quot;},{&quot;elementId&quot;:&quot;50&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;6&quot;,&quot;value&quot;:&quot;CPAS&quot;}]},&quot;74&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;92&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Oui&quot;}]}},&quot;dependents&quot;:{&quot;34&quot;:[83],&quot;109&quot;:[108],&quot;35&quot;:[36,36,36,37,37,37,38,38,39,40,49,42,50,50,51,51],&quot;50&quot;:[88,88,88,88,88,88],&quot;92&quot;:[74]},&quot;elementIds&quot;:[83,108,36,37,38,39,40,49,42,50,51,88,74],&quot;dependentElementIds&quot;:[&quot;34&quot;,&quot;109&quot;,&quot;35&quot;,&quot;50&quot;,&quot;92&quot;],&quot;animate&quot;:true},&quot;currentPageId&quot;:1,&quot;errorsIcon&quot;:&quot;&quot;,&quot;updateFancybox&quot;:true,&quot;hasPages&quot;:false,&quot;pages&quot;:[1],&quot;pageProgressType&quot;:&quot;numbers&quot;,&quot;tooltipsEnabled&quot;:true,&quot;tooltipClasses&quot;:&quot;qtip-quform-dark qtip-shadow&quot;,&quot;tooltipMy&quot;:&quot;left center&quot;,&quot;tooltipAt&quot;:&quot;right center&quot;,&quot;isRtl&quot;:false,&quot;scrollOffset&quot;:-50,&quot;scrollSpeed&quot;:800}\"><button class=\"quform-default-submit\" name=\"quform_submit\" type=\"submit\" value=\"submit\" aria-hidden=\"true\" tabindex=\"-1\"><\/button><div class=\"quform-form-inner quform-form-inner-2\"><input type=\"hidden\" name=\"quform_form_id\" value=\"2\" \/><input type=\"hidden\" name=\"quform_form_uid\" value=\"bc5ff1\" \/><input type=\"hidden\" name=\"quform_count\" value=\"1\" \/><input type=\"hidden\" name=\"form_url\" value=\"https:\/\/rdg8.be\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1276\" \/><input type=\"hidden\" name=\"referring_url\" value=\"\" \/><input type=\"hidden\" name=\"post_id\" value=\"\" \/><input type=\"hidden\" name=\"post_title\" value=\"\" \/><input type=\"hidden\" name=\"quform_current_page_id\" value=\"1\" \/><input type=\"hidden\" name=\"quform_csrf_token\" value=\"DPPRlIgRt0gCk9a98ZWz7D5liXRhCrjcbVe5P36h\" \/><div class=\"quform-form-title-description\"><p class=\"quform-form-description\">Avertissement : L\u2019essentiel de ce document est le fruit d\u2019une collaboration entre l\u2019IPI, le Centre pour l\u2019\u00e9galit\u00e9 des chances et la lutte contre le racisme et la Commission de Protection de la Vie Priv\u00e9e. Ce document est une fiche d\u2019informations pour candidats locataires et ne peut en aucun cas \u00eatre consid\u00e9r\u00e9 comme un contrat de bail. Ce document n\u2019engage le bailleur \u00e0 aucune obligation envers les candidats locataires. Ces donn\u00e9es sont fournies par les candidats locataires sans engagement contractuel de leur part et les propri\u00e9taires s\u2019engagent \u00e0 utiliser ces donn\u00e9es de mani\u00e8re confidentielle et uniquement pour un usage interne, avec autorisation de transmission au bailleur. En outre, si le candidat- locataire n\u2019est pas s\u00e9lectionn\u00e9, ces documents seront d\u00e9truits au moment de la conclusion du contrat de bail avec le candidat s\u00e9lectionn\u00e9. *** Une fois le formulaire de renseignements compl\u00e9t\u00e9, vous recevrez un e\u2011mail contenant le lien pour planifier un rendez\u2011vous selon vos disponibilit\u00e9s.***<\/p><\/div><div class=\"quform-elements quform-elements-2 quform-cf quform-responsive-elements-phone-landscape\"><div class=\"quform-element quform-element-page quform-page-1 quform-page-2_1 quform-cf quform-group-style-plain quform-first-page quform-last-page quform-current-page\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-select quform-element-2_3 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_3\"><label class=\"quform-label-text\" for=\"quform_2_3_bc5ff1\">Votre Civilit\u00e9<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-2_3 quform-field-width-small\"><div class=\"quform-input quform-input-select quform-input-2_3 quform-cf\"><select id=\"quform_2_3_bc5ff1\" name=\"quform_2_3\" class=\"quform-field quform-field-select quform-field-2_3\"><option value=\"\" selected=\"selected\">Faite votre choix<\/option><option value=\"Mr\">Mr<\/option><option value=\"Md\">Md<\/option><option value=\"Mlle\">Mlle<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-name quform-element-2_97 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_97\"><label class=\"quform-label-text\" id=\"quform_2_97_bc5ff1_label\">Nom<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-name quform-inner-2_97\"><div class=\"quform-input quform-input-name quform-input-2_97 quform-cf\"><div class=\"quform-element-row quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element-column\"><div class=\"quform-element quform-element-text quform-element-2_97_2 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-inner quform-inner-text quform-inner-2_97_2\"><div class=\"quform-input quform-input-text quform-input-2_97_2 quform-cf\"><input type=\"text\" id=\"quform_2_97_2_bc5ff1\" name=\"quform_2_97[2]\" class=\"quform-field quform-field-text quform-field-2_97_2\" aria-labelledby=\"quform_2_97_bc5ff1_label quform_2_97_2_bc5ff1_sub_label_below\" \/><\/div><label id=\"quform_2_97_2_bc5ff1_sub_label_below\" class=\"quform-sub-label quform-sub-label-below\">Pr\u00e9nom<\/label><\/div><\/div><\/div><\/div><div class=\"quform-element-column\"><div class=\"quform-element quform-element-text quform-element-2_97_4 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-inner quform-inner-text quform-inner-2_97_4\"><div class=\"quform-input quform-input-text quform-input-2_97_4 quform-cf\"><input type=\"text\" id=\"quform_2_97_4_bc5ff1\" name=\"quform_2_97[4]\" class=\"quform-field quform-field-text quform-field-2_97_4\" aria-labelledby=\"quform_2_97_bc5ff1_label quform_2_97_4_bc5ff1_sub_label_below\" \/><\/div><label id=\"quform_2_97_4_bc5ff1_sub_label_below\" class=\"quform-sub-label quform-sub-label-below\">Nom de famille<\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-name quform-element-2_98 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_98\"><label class=\"quform-label-text\" id=\"quform_2_98_bc5ff1_label\">Votre adresse actuelle<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-name quform-inner-2_98\"><div class=\"quform-input quform-input-name quform-input-2_98 quform-cf\"><div class=\"quform-element-row quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element-column\"><div class=\"quform-element quform-element-text quform-element-2_98_2 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-inner quform-inner-text quform-inner-2_98_2\"><div class=\"quform-input quform-input-text quform-input-2_98_2 quform-cf\"><input type=\"text\" id=\"quform_2_98_2_bc5ff1\" name=\"quform_2_98[2]\" class=\"quform-field quform-field-text quform-field-2_98_2\" aria-labelledby=\"quform_2_98_bc5ff1_label quform_2_98_2_bc5ff1_sub_label_below\" \/><\/div><label id=\"quform_2_98_2_bc5ff1_sub_label_below\" class=\"quform-sub-label quform-sub-label-below\">Rue<\/label><\/div><\/div><\/div><\/div><div class=\"quform-element-column\"><div class=\"quform-element quform-element-text quform-element-2_98_4 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-inner quform-inner-text quform-inner-2_98_4\"><div class=\"quform-input quform-input-text quform-input-2_98_4 quform-cf\"><input type=\"text\" id=\"quform_2_98_4_bc5ff1\" name=\"quform_2_98[4]\" class=\"quform-field quform-field-text quform-field-2_98_4\" aria-labelledby=\"quform_2_98_bc5ff1_label quform_2_98_4_bc5ff1_sub_label_below\" \/><\/div><label id=\"quform_2_98_4_bc5ff1_sub_label_below\" class=\"quform-sub-label quform-sub-label-below\">Num\u00e9ro<\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-name quform-element-2_99 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-inner quform-inner-name quform-inner-2_99\"><div class=\"quform-input quform-input-name quform-input-2_99 quform-cf\"><div class=\"quform-element-row quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element-column\"><div class=\"quform-element quform-element-text quform-element-2_99_2 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-inner quform-inner-text quform-inner-2_99_2\"><div class=\"quform-input quform-input-text quform-input-2_99_2 quform-cf\"><input type=\"text\" id=\"quform_2_99_2_bc5ff1\" name=\"quform_2_99[2]\" class=\"quform-field quform-field-text quform-field-2_99_2\" aria-labelledby=\"quform_2_99_2_bc5ff1_sub_label_below\" \/><\/div><label id=\"quform_2_99_2_bc5ff1_sub_label_below\" class=\"quform-sub-label quform-sub-label-below\">Code postale<\/label><\/div><\/div><\/div><\/div><div class=\"quform-element-column\"><div class=\"quform-element quform-element-text quform-element-2_99_4 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-inner quform-inner-text quform-inner-2_99_4\"><div class=\"quform-input quform-input-text quform-input-2_99_4 quform-cf\"><input type=\"text\" id=\"quform_2_99_4_bc5ff1\" name=\"quform_2_99[4]\" class=\"quform-field quform-field-text quform-field-2_99_4\" aria-labelledby=\"quform_2_99_4_bc5ff1_sub_label_below\" \/><\/div><label id=\"quform_2_99_4_bc5ff1_sub_label_below\" class=\"quform-sub-label quform-sub-label-below\">Votre Ville<\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-2_8 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-2_9\"><div class=\"quform-element quform-element-text quform-element-2_14 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_14\"><label class=\"quform-label-text\" for=\"quform_2_14_bc5ff1\">N\u00b0 GSM<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-2_14\"><div class=\"quform-input quform-input-text quform-input-2_14 quform-cf\"><input type=\"text\" id=\"quform_2_14_bc5ff1\" name=\"quform_2_14\" class=\"quform-field quform-field-text quform-field-2_14\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-2_10\"><div class=\"quform-element quform-element-email quform-element-2_12 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_12\"><label class=\"quform-label-text\" for=\"quform_2_12_bc5ff1\">E mail<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-email quform-inner-2_12\"><div class=\"quform-input quform-input-email quform-input-2_12 quform-cf\"><input type=\"email\" id=\"quform_2_12_bc5ff1\" name=\"quform_2_12\" class=\"quform-field quform-field-email quform-field-2_12\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-2_31 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-2_32\"><div class=\"quform-element quform-element-select quform-element-2_34 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_34\"><label class=\"quform-label-text\" for=\"quform_2_34_bc5ff1\">Votre Statut<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-2_34\"><div class=\"quform-input quform-input-select quform-input-2_34 quform-cf\"><select id=\"quform_2_34_bc5ff1\" name=\"quform_2_34\" class=\"quform-field quform-field-select quform-field-2_34\"><option value=\"\" selected=\"selected\">Faite votre choix<\/option><option value=\"Ind\u00e9pendant(e)\">Ind\u00e9pendant(e)<\/option><option value=\"Salari\u00e9(e)\">Salari\u00e9(e)<\/option><option value=\"Mutuelle\">Mutuelle<\/option><option value=\"Pension\">Pension<\/option><option value=\"Ch\u00f4mage\">Ch\u00f4mage<\/option><option value=\"CPAS\">CPAS<\/option><option value=\"Aucun Revenu\">Aucun Revenu<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-2_33\"><div class=\"quform-element quform-element-select quform-element-2_35 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_35\"><label class=\"quform-label-text\" for=\"quform_2_35_bc5ff1\">Votre \u00e9tat civil<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-2_35\"><div class=\"quform-input quform-input-select quform-input-2_35 quform-cf\"><select id=\"quform_2_35_bc5ff1\" name=\"quform_2_35\" class=\"quform-field quform-field-select quform-field-2_35\"><option value=\"\" selected=\"selected\">Faite votre choix<\/option><option value=\" Mari\u00e9(e)\"> Mari\u00e9(e)<\/option><option value=\" Divorc\u00e9(e)\"> Divorc\u00e9(e)<\/option><option value=\"C\u00e9libataire\">C\u00e9libataire<\/option><option value=\"Veuf\">Veuf<\/option><option value=\"Cohabitant(e)\">Cohabitant(e)<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-2_83 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_83\"><label class=\"quform-label-text\" for=\"quform_2_83_bc5ff1\">Votre salaire net\/mois<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-2_83\"><div class=\"quform-input quform-input-text quform-input-2_83 quform-cf\"><input type=\"text\" id=\"quform_2_83_bc5ff1\" name=\"quform_2_83\" class=\"quform-field quform-field-text quform-field-2_83\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-2_104 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-2_105\"><div class=\"quform-element quform-element-select quform-element-2_109 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_109\"><label class=\"quform-label-text\" for=\"quform_2_109_bc5ff1\">\u00cates-vous fumeur ?<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-2_109\"><div class=\"quform-input quform-input-select quform-input-2_109 quform-cf\"><select id=\"quform_2_109_bc5ff1\" name=\"quform_2_109\" class=\"quform-field quform-field-select quform-field-2_109\"><option value=\"\" selected=\"selected\">Faite votre choix<\/option><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-2_106\"><div class=\"quform-element quform-element-text quform-element-2_108 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_108\"><label class=\"quform-label-text\" for=\"quform_2_108_bc5ff1\">Quel(s) membre(s) de la famille f\u00fbme t-elle ?<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-2_108\"><div class=\"quform-input quform-input-text quform-input-2_108 quform-cf\"><input type=\"text\" id=\"quform_2_108_bc5ff1\" name=\"quform_2_108\" class=\"quform-field quform-field-text quform-field-2_108\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-2_36 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_36\"><label class=\"quform-label-text\" for=\"quform_2_36_bc5ff1\">Civilit\u00e9 de votre conjoint(e)<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-2_36 quform-field-width-small\"><div class=\"quform-input quform-input-select quform-input-2_36 quform-cf\"><select id=\"quform_2_36_bc5ff1\" name=\"quform_2_36\" class=\"quform-field quform-field-select quform-field-2_36\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Mr\">Mr<\/option><option value=\"Md\">Md<\/option><option value=\"Mlle\">Mlle<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-name quform-element-2_37 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_37\"><label class=\"quform-label-text\" id=\"quform_2_37_bc5ff1_label\">Nom de votre conjoint(e)<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-name quform-inner-2_37\"><div class=\"quform-input quform-input-name quform-input-2_37 quform-cf\"><div class=\"quform-element-row quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element-column\"><div class=\"quform-element quform-element-text quform-element-2_37_2 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-inner quform-inner-text quform-inner-2_37_2\"><div class=\"quform-input quform-input-text quform-input-2_37_2 quform-cf\"><input type=\"text\" id=\"quform_2_37_2_bc5ff1\" name=\"quform_2_37[2]\" class=\"quform-field quform-field-text quform-field-2_37_2\" aria-labelledby=\"quform_2_37_bc5ff1_label quform_2_37_2_bc5ff1_sub_label_below\" \/><\/div><label id=\"quform_2_37_2_bc5ff1_sub_label_below\" class=\"quform-sub-label quform-sub-label-below\">Pr\u00e9nom<\/label><\/div><\/div><\/div><\/div><div class=\"quform-element-column\"><div class=\"quform-element quform-element-text quform-element-2_37_4 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-inner quform-inner-text quform-inner-2_37_4\"><div class=\"quform-input quform-input-text quform-input-2_37_4 quform-cf\"><input type=\"text\" id=\"quform_2_37_4_bc5ff1\" name=\"quform_2_37[4]\" class=\"quform-field quform-field-text quform-field-2_37_4\" aria-labelledby=\"quform_2_37_bc5ff1_label quform_2_37_4_bc5ff1_sub_label_below\" \/><\/div><label id=\"quform_2_37_4_bc5ff1_sub_label_below\" class=\"quform-sub-label quform-sub-label-below\">Nom de famille<\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-2_43 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-2_44\"><div class=\"quform-element quform-element-text quform-element-2_38 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_38\"><label class=\"quform-label-text\" for=\"quform_2_38_bc5ff1\">N\u00b0 GSM de votre conjoint(e)<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-2_38\"><div class=\"quform-input quform-input-text quform-input-2_38 quform-cf\"><input type=\"text\" id=\"quform_2_38_bc5ff1\" name=\"quform_2_38\" class=\"quform-field quform-field-text quform-field-2_38\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-2_45\"><div class=\"quform-element quform-element-email quform-element-2_39 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_39\"><label class=\"quform-label-text\" for=\"quform_2_39_bc5ff1\">E mail de votre conjoint(e)<\/label><\/div><div class=\"quform-inner quform-inner-email quform-inner-2_39\"><div class=\"quform-input quform-input-email quform-input-2_39 quform-cf\"><input type=\"email\" id=\"quform_2_39_bc5ff1\" name=\"quform_2_39\" class=\"quform-field quform-field-email quform-field-2_39\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-2_40 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_40\"><label class=\"quform-label-text\" for=\"quform_2_40_bc5ff1\">Votre adresse actuelle de votre conjoint(e)<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-2_40\"><div class=\"quform-input quform-input-text quform-input-2_40 quform-cf\"><input type=\"text\" id=\"quform_2_40_bc5ff1\" name=\"quform_2_40\" class=\"quform-field quform-field-text quform-field-2_40\" placeholder=\"Rue et N\u00b0\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-2_46 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-2_47\"><div class=\"quform-element quform-element-text quform-element-2_49 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_49\"><label class=\"quform-label-text\" for=\"quform_2_49_bc5ff1\">Code Postale<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-2_49\"><div class=\"quform-input quform-input-text quform-input-2_49 quform-cf\"><input type=\"text\" id=\"quform_2_49_bc5ff1\" name=\"quform_2_49\" class=\"quform-field quform-field-text quform-field-2_49\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-2_48\"><div class=\"quform-element quform-element-text quform-element-2_42 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_42\"><label class=\"quform-label-text\" for=\"quform_2_42_bc5ff1\">Ville<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-2_42\"><div class=\"quform-input quform-input-text quform-input-2_42 quform-cf\"><input type=\"text\" id=\"quform_2_42_bc5ff1\" name=\"quform_2_42\" class=\"quform-field quform-field-text quform-field-2_42\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-2_52 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-2_53\"><div class=\"quform-element quform-element-select quform-element-2_50 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_50\"><label class=\"quform-label-text\" for=\"quform_2_50_bc5ff1\">Statut de votre conjoint(e)<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-2_50\"><div class=\"quform-input quform-input-select quform-input-2_50 quform-cf\"><select id=\"quform_2_50_bc5ff1\" name=\"quform_2_50\" class=\"quform-field quform-field-select quform-field-2_50\"><option value=\"\" selected=\"selected\">Faite votre choix<\/option><option value=\"Ind\u00e9pendant(e)\">Ind\u00e9pendant(e)<\/option><option value=\"Salari\u00e9(e)\">Salari\u00e9(e)<\/option><option value=\"Mutuelle\">Mutuelle<\/option><option value=\"Pension\">Pension<\/option><option value=\"Ch\u00f4mage\">Ch\u00f4mage<\/option><option value=\"CPAS\">CPAS<\/option><option value=\"Aucun Revenu\">Aucun Revenu<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-2_54\"><div class=\"quform-element quform-element-select quform-element-2_51 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_51\"><label class=\"quform-label-text\" for=\"quform_2_51_bc5ff1\">Etat civil de votre conjoint(e)<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-2_51\"><div class=\"quform-input quform-input-select quform-input-2_51 quform-cf\"><select id=\"quform_2_51_bc5ff1\" name=\"quform_2_51\" class=\"quform-field quform-field-select quform-field-2_51\"><option value=\"\" selected=\"selected\">Faite votre choix<\/option><option value=\" Mari\u00e9(e)\"> Mari\u00e9(e)<\/option><option value=\" Divorc\u00e9(e)\"> Divorc\u00e9(e)<\/option><option value=\"C\u00e9libataire\">C\u00e9libataire<\/option><option value=\"Veuf\">Veuf<\/option><option value=\"Cohabitant(e)\">Cohabitant(e)<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-2_88 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_88\"><label class=\"quform-label-text\" for=\"quform_2_88_bc5ff1\">Votre salaire net\/mois<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-2_88\"><div class=\"quform-input quform-input-text quform-input-2_88 quform-cf\"><input type=\"text\" id=\"quform_2_88_bc5ff1\" name=\"quform_2_88\" class=\"quform-field quform-field-text quform-field-2_88\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-2_69 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-2_70\"><div class=\"quform-element quform-element-select quform-element-2_101 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_101\"><label class=\"quform-label-text\" for=\"quform_2_101_bc5ff1\">Composition de la famille<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-2_101\"><div class=\"quform-input quform-input-select quform-input-2_101 quform-cf\"><select id=\"quform_2_101_bc5ff1\" name=\"quform_2_101\" class=\"quform-field quform-field-select quform-field-2_101\"><option value=\"\" selected=\"selected\">Faite votre choix<\/option><option value=\"1 adulte\">1 adulte<\/option><option value=\"2 adultes\">2 adultes<\/option><option value=\"3 adultes\">3 adultes<\/option><option value=\"4 adultes\">4 adultes<\/option><\/select><\/div><label id=\"quform_2_101_bc5ff1_sub_label_below\" class=\"quform-sub-label quform-sub-label-below\">Nbre d'adulte<\/label><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-2_71\"><div class=\"quform-element quform-element-select quform-element-2_102 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_102\"><label class=\"quform-label-text\" for=\"quform_2_102_bc5ff1\">Composition de la famille<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-2_102\"><div class=\"quform-input quform-input-select quform-input-2_102 quform-cf\"><select id=\"quform_2_102_bc5ff1\" name=\"quform_2_102\" class=\"quform-field quform-field-select quform-field-2_102\"><option value=\"\" selected=\"selected\">Faite votre choix<\/option><option value=\"Pas d&#039;enfant\">Pas d&#039;enfant<\/option><option value=\"1 enfant\">1 enfant<\/option><option value=\"2 enfants\">2 enfants<\/option><option value=\"3 enfants\">3 enfants<\/option><option value=\"4 enfants\">4 enfants<\/option><\/select><\/div><label id=\"quform_2_102_bc5ff1_sub_label_below\" class=\"quform-sub-label quform-sub-label-below\">Nbre d'enfant(s)<\/label><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-2_93 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-2_94\"><div class=\"quform-element quform-element-select quform-element-2_92 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_92\"><label class=\"quform-label-text\" for=\"quform_2_92_bc5ff1\">Poss\u00e9der-vous des animaux de compagnie<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-2_92\"><div class=\"quform-input quform-input-select quform-input-2_92 quform-cf\"><select id=\"quform_2_92_bc5ff1\" name=\"quform_2_92\" class=\"quform-field quform-field-select quform-field-2_92\"><option value=\"\" selected=\"selected\">Faite votre choix<\/option><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-2_95\"><div class=\"quform-element quform-element-text quform-element-2_74 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_74\"><label class=\"quform-label-text\" for=\"quform_2_74_bc5ff1\">Animaux de compagnie <\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-2_74\"><div class=\"quform-input quform-input-text quform-input-2_74 quform-cf\"><input type=\"text\" id=\"quform_2_74_bc5ff1\" name=\"quform_2_74\" class=\"quform-field quform-field-text quform-field-2_74\" \/><\/div><p class=\"quform-description quform-description-below\">Nbre(s) et sorte<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-2_80 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_80\"><label class=\"quform-label-text\" for=\"quform_2_80_bc5ff1\">Montant actuel du loyer<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-2_80\"><div class=\"quform-input quform-input-text quform-input-2_80 quform-cf\"><input type=\"text\" id=\"quform_2_80_bc5ff1\" name=\"quform_2_80\" class=\"quform-field quform-field-text quform-field-2_80\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-textarea quform-element-2_81 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_81\"><label class=\"quform-label-text\" for=\"quform_2_81_bc5ff1\">Votre message<\/label><\/div><div class=\"quform-inner quform-inner-textarea quform-inner-2_81\"><div class=\"quform-input quform-input-textarea quform-input-2_81 quform-cf\"><textarea id=\"quform_2_81_bc5ff1\" name=\"quform_2_81\" class=\"quform-field quform-field-textarea quform-field-2_81\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-file quform-element-2_119 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_119\"><label class=\"quform-label-text\" for=\"quform_2_119_bc5ff1\"> Importer des fichiers: jpg, jpeg, png, gif, pdf ( documents, ...)<\/label><\/div><div class=\"quform-inner quform-inner-file quform-inner-2_119\"><div class=\"quform-input quform-input-file quform-input-2_119 quform-cf quform-button-style-blue-3d\"><input type=\"file\" id=\"quform_2_119_bc5ff1\" name=\"quform_2_119[]\" class=\"quform-field quform-field-file quform-field-2_119 quform-field-file-enhanced\" multiple data-config=\"{&quot;id&quot;:119,&quot;identifier&quot;:&quot;2_119&quot;,&quot;name&quot;:&quot;quform_2_119&quot;,&quot;max&quot;:5,&quot;size&quot;:10485760,&quot;allowedExtensions&quot;:[&quot;jpg&quot;,&quot;jpeg&quot;,&quot;png&quot;,&quot;gif&quot;,&quot;pdf&quot;],&quot;notAllowedTypeWithFilename&quot;:&quot; Le type de fichier de \\u00ab\\u202f%filename%\\u202f\\u00bb n\\u2019est pas autoris\\u00e9&quot;,&quot;tooBigWithFilename&quot;:&quot;Le fichier \\u00ab\\u202f%filename%\\u202f\\u00bb d\\u00e9passe la taille maximale autoris\\u00e9e&quot;,&quot;tooMany&quot;:&quot;Vous ne pouvez pas t\\u00e9l\\u00e9charger plus de %max% fichier(s)&quot;,&quot;buttonType&quot;:&quot;button&quot;,&quot;buttonText&quot;:&quot;Parcourir...&quot;,&quot;buttonIcon&quot;:&quot;qicon-file_upload&quot;,&quot;buttonIconPosition&quot;:&quot;right&quot;}\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-captcha quform-element-2_111 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-2_111\"><label class=\"quform-label-text\" for=\"quform_2_111_bc5ff1\">Veuillez saisir les caract\u00e8res<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-captcha quform-inner-2_111\"><div class=\"quform-input quform-input-captcha quform-input-2_111 quform-cf\"><input type=\"text\" id=\"quform_2_111_bc5ff1\" name=\"quform_2_111\" class=\"quform-field quform-field-captcha quform-field-2_111\" \/><\/div><div class=\"quform-captcha quform-cf\"><div class=\"quform-captcha-image quform-captcha-image-2_111\"><img decoding=\"async\" class=\"quform-captcha-image-img\" src=\"data:image\/png;base64,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\" alt=\"CAPTCHA image\" data-element-id=\"111\" width=\"115\" height=\"40\" \/><\/div><\/div><p class=\"quform-description quform-description-below\">Cela nous aide \u00e0 \u00e9viter les spams, merci.<\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-submit quform-element-2_117 quform-cf quform-button-style-blue-3d\"><div class=\"quform-button-submit quform-button-submit-default quform-button-submit-2_117\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-submit\" value=\"submit\"><span class=\"quform-button-text quform-button-submit-text\">Envoyer<\/span><\/button><\/div><div class=\"quform-loading quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element-tree\"><label for=\"quform_2_0_bc5ff1\">This field should be left blank<\/label><input type=\"text\" 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