NUMERO DE CARTE :
NOM
PRENOM
DATE DE NAISSANCE :
{"name":"DatenaissOD","value":"","required":true,"disabled":false,"showTime":false,"rows":1,"cols":1,"title":false,"showDate":true,"preloadCalendar":false,"id":null,"placeholder_date":false,"placeholder_time":false,"size":"","start_id":"","class":"","class-time":"","calendar":{"cols":1,"rows":1,"dateCursor":"pointer"},"valueViewDate":"","valueViewTime":"","formatDate":"d\/m\/Y","formatTime":"H:i","checkDateOnLoad":false,"autocomplete":null}
SITUATION FAMILIALE :
ADRESSE
CP + VILLE
TELEPHONE
ADRESSE MAIL PERSONNELLE
CONTRAT :
DATE D’ENTREE
{"name":"CDDentree","value":"","required":true,"disabled":false,"showTime":false,"rows":1,"cols":1,"title":false,"showDate":true,"preloadCalendar":false,"id":null,"placeholder_date":false,"placeholder_time":false,"size":"","start_id":"","class":"","class-time":"","calendar":{"cols":1,"rows":1,"dateCursor":"pointer"},"valueViewDate":"","valueViewTime":"","formatDate":"d\/m\/Y","formatTime":"H:i","checkDateOnLoad":false,"autocomplete":null}
DATE DE SORTIE
{"name":"CDDsortie","value":"","required":false,"disabled":false,"showTime":false,"rows":1,"cols":1,"title":false,"showDate":true,"preloadCalendar":false,"id":null,"placeholder_date":false,"placeholder_time":false,"size":"","start_id":"","class":"","class-time":"","calendar":{"cols":1,"rows":1,"dateCursor":"pointer"},"valueViewDate":"","valueViewTime":"","formatDate":"d\/m\/Y","formatTime":"H:i","checkDateOnLoad":false,"autocomplete":null}
CONJOINT
NOM
PRENOM
DATE DE NAISSANCE
{"name":"datedenaissance","value":"","required":false,"disabled":false,"showTime":false,"rows":1,"cols":1,"title":false,"showDate":true,"preloadCalendar":false,"id":null,"placeholder_date":false,"placeholder_time":false,"size":"","start_id":"","class":"","class-time":"","calendar":{"cols":1,"rows":1,"dateCursor":"pointer"},"valueViewDate":"","valueViewTime":"","formatDate":"d\/m\/Y","formatTime":"H:i","checkDateOnLoad":false,"autocomplete":null}
ENFANT 1
NOM
PRENOM
DATE DE NAISSANCE
{"name":"Datedenaissance","value":"","required":false,"disabled":false,"showTime":false,"rows":1,"cols":1,"title":false,"showDate":true,"preloadCalendar":false,"id":null,"placeholder_date":false,"placeholder_time":false,"size":"","start_id":"","class":"","class-time":"","calendar":{"cols":1,"rows":1,"dateCursor":"pointer"},"valueViewDate":"","valueViewTime":"","formatDate":"d\/m\/Y","formatTime":"H:i","checkDateOnLoad":false,"autocomplete":null}
ENFANT 2
NOM
PRENOM
DATE DE NAISSANCE
{"name":"Datedenaissance","value":"","required":false,"disabled":false,"showTime":false,"rows":1,"cols":1,"title":false,"showDate":true,"preloadCalendar":false,"id":null,"placeholder_date":false,"placeholder_time":false,"size":"","start_id":"","class":"","class-time":"","calendar":{"cols":1,"rows":1,"dateCursor":"pointer"},"valueViewDate":"","valueViewTime":"","formatDate":"d\/m\/Y","formatTime":"H:i","checkDateOnLoad":false,"autocomplete":null}
ENFANT 3
NOM
PRENOM
DATE DE NAISSANCE
{"name":"Datedenaissance","value":"","required":false,"disabled":false,"showTime":false,"rows":1,"cols":1,"title":false,"showDate":true,"preloadCalendar":false,"id":null,"placeholder_date":false,"placeholder_time":false,"size":"","start_id":"","class":"","class-time":"","calendar":{"cols":1,"rows":1,"dateCursor":"pointer"},"valueViewDate":"","valueViewTime":"","formatDate":"d\/m\/Y","formatTime":"H:i","checkDateOnLoad":false,"autocomplete":null}
PIECES A FOURNIR
CONTRAT DE TRAVAIL {"name":"Contrat","label":"Parcourir...","required":true,"typeMimes":{"application\/msword":["doc"],"application\/vnd.openxmlformats-officedocument.wordprocessingml.document":["docx"],"application\/vnd.ms-excel":["xla","xls","xlt","xlw"],"application\/vnd.openxmlformats-officedocument.spreadsheetml.sheet":["xlsx"],"image\/jpeg":["jpg","jpeg"],"image\/gif":["gif"],"image\/png":["png"],"application\/pdf":["pdf"],"application\/x-download":["pdf"],"application\/download":["pdf"],"application\/octet-stream":["pdf"],"application\/octetstream":["pdf"]},"size_max":"5M","multiple":true,"increment":true,"valueIsHtml":true,"label_files":"Ajouter d'autres fichiers ([total] s\u00e9lectionn\u00e9[s])","id":"673ee5c6c5778","transmit":true,"label_max":"","title":"Le poids d'un fichier \u00e0 transmettre ne peut exc\u00e9der 5M. Les formats de fichier accept\u00e9s sont doc, docx, xla, xls, xlt, xlw, xlsx, jpg, jpeg, gif, png, pdf.","class":"","value":false,"html":"","initializeJS":true,"size_max_byte":5242880,"button":{"value":"Parcourir...","title":"Le poids d'un fichier \u00e0 transmettre ne peut exc\u00e9der 5M. Les formats de fichier accept\u00e9s sont doc, docx, xla, xls, xlt, xlw, xlsx, jpg, jpeg, gif, png, pdf.","class":"","id":"673ee5c6c5778"}}
LIVRET DE FAMILLE {"name":"Livret","label":"Parcourir...","required":false,"typeMimes":{"application\/msword":["doc"],"application\/vnd.openxmlformats-officedocument.wordprocessingml.document":["docx"],"application\/vnd.ms-excel":["xla","xls","xlt","xlw"],"application\/vnd.openxmlformats-officedocument.spreadsheetml.sheet":["xlsx"],"image\/jpeg":["jpg","jpeg"],"image\/gif":["gif"],"image\/png":["png"],"application\/pdf":["pdf"],"application\/x-download":["pdf"],"application\/download":["pdf"],"application\/octet-stream":["pdf"],"application\/octetstream":["pdf"]},"size_max":"5M","multiple":true,"increment":true,"valueIsHtml":true,"label_files":"Ajouter d'autres fichiers ([total] s\u00e9lectionn\u00e9[s])","id":"673ee5c6c5bbb","transmit":true,"label_max":"","title":"Le poids d'un fichier \u00e0 transmettre ne peut exc\u00e9der 5M. Les formats de fichier accept\u00e9s sont doc, docx, xla, xls, xlt, xlw, xlsx, jpg, jpeg, gif, png, pdf.","class":"","value":false,"html":"","initializeJS":true,"size_max_byte":5242880,"button":{"value":"Parcourir...","title":"Le poids d'un fichier \u00e0 transmettre ne peut exc\u00e9der 5M. Les formats de fichier accept\u00e9s sont doc, docx, xla, xls, xlt, xlw, xlsx, jpg, jpeg, gif, png, pdf.","class":"","id":"673ee5c6c5bbb"}}
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