{"id":1469,"date":"2025-09-22T10:03:02","date_gmt":"2025-09-22T08:03:02","guid":{"rendered":"https:\/\/ais-charleroi.be\/applications\/candidature-inscription-en-anglaiisssssss\/"},"modified":"2026-01-28T16:21:21","modified_gmt":"2026-01-28T15:21:21","slug":"application-registration","status":"publish","type":"page","link":"https:\/\/ais-charleroi.be\/en\/applications\/application-registration\/","title":{"rendered":"Application registration"},"content":{"rendered":"\n<div class=\"wp-block-group register-steps-numbers-container is-layout-constrained wp-container-core-group-is-layout-f6554d9c wp-block-group-is-layout-constrained\" style=\"margin-bottom:64px\"><\/div>\n\n\n\n<div class=\"wp-block-group form-steps-container is-layout-constrained wp-container-core-group-is-layout-89df4e79 wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-fidelo-fd-form fd_form_wrapper\" data-type=\"fd_block\"><div class=\"container\"><form method=\"POST\" action=\"#\" data-action=\"candidature-form\" data-redirect=\"666\"><input type=\"hidden\" name=\"action\" value=\"candidature-form\"\/><input type=\"hidden\" name=\"formID\"\/><input type=\"hidden\" name=\"postID\" value=\"1469\"\/><input type=\"hidden\" name=\"staff_template\" value=\"617\"\/><input type=\"hidden\" name=\"customer_template\" value=\"200\"\/>\n<div class=\"wp-block-group form-step active is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\">General information<\/h2>\n\n\n\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-55e49cef wp-block-group-is-layout-flex\" style=\"margin-bottom:32px\">\n<p class=\"has-primary-color has-text-color has-link-color wp-elements-df48f654679f22b1828e3665973d877f\">*<\/p>\n\n\n\n<p>Required fields<\/p>\n<\/div>\n\n\n\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"1\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr;\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.radio\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"gender\" id=\"gender-label\"><span class=\"label-text\">Gender<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"gender-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span>Please select an option<\/span><\/span><div class=\"field field-input field-radio-group\" role=\"radiogroup\" aria-labelledby=\"gender-label\"><div><input type=\"radio\" id=\"gender-homme\" name=\"gender\" value=\"Homme\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"gender-homme\">Male<\/label><\/div><div><input type=\"radio\" id=\"gender-femme\" name=\"gender\" value=\"Femme\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"gender-femme\">Female<\/label><\/div><div><input type=\"radio\" id=\"gender-neutre\" name=\"gender\" value=\"Neutre\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"gender-neutre\">Neutral<\/label><\/div><\/div><\/div>\n<\/fieldset>\n\n\n\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"2\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr 1fr;\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"name\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"name\" id=\"name-label\"><span class=\"label-text\">Your name<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"name-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span>Please fill in the form<\/span><\/span><div class=\"field field-input field-name\"><input type=\"text\" id=\"name\" name=\"name\" value=\"\" placeholder=\"Name\" required\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"firstname\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"firstname\" id=\"firstname-label\"><span class=\"label-text\">Your first name<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"firstname-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-firstname\"><input type=\"text\" id=\"firstname\" name=\"firstname\" value=\"\" placeholder=\"First name\" required\/><\/div><\/div>\n<\/fieldset>\n\n\n\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"1\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr;\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.radio\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"citizen-state\" id=\"citizen-state-label\"><span class=\"label-text\">Marital status<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"citizen-state-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-radio-group\" role=\"radiogroup\" aria-labelledby=\"citizen-state-label\"><div><input type=\"radio\" id=\"citizen-state-c\u00e9libataire\" name=\"citizen-state\" value=\"C\u00e9libataire\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"citizen-state-c\u00e9libataire\">Single<\/label><\/div><div><input type=\"radio\" id=\"citizen-state-mari\u00e9\" name=\"citizen-state\" value=\"Mari\u00e9\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"citizen-state-mari\u00e9\">Married<\/label><\/div><div><input type=\"radio\" id=\"citizen-state-s\u00e9par\u00e9\" name=\"citizen-state\" value=\"S\u00e9par\u00e9\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"citizen-state-s\u00e9par\u00e9\">Separated<\/label><\/div><div><input type=\"radio\" id=\"citizen-state-divorc\u00e9\" name=\"citizen-state\" value=\"Divorc\u00e9\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"citizen-state-divorc\u00e9\">Divorced<\/label><\/div><div><input type=\"radio\" id=\"citizen-state-veuf\" name=\"citizen-state\" value=\"Veuf\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"citizen-state-veuf\">Widowed<\/label><\/div><\/div><\/div>\n<\/fieldset>\n\n\n\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"2\" data-fieldset-name=\"Home address\" style=\"display: grid; grid-template-columns: 1fr 0.6fr;\"><legend>Home address<\/legend>\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.text\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"street\" id=\"street-label\"><span class=\"label-text\">Street<\/span> <span class=\"label-required-star\">*<\/span> <div class=\"info-bulle-container\"><span class=\"info-bulle\"><\/span><span class=\"info-bulle-text\">The requested address is the one listed in your household composition.<\/span><\/div><\/label><span class=\"empty-error-message-data\" id=\"street-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"text\" id=\"street\" name=\"street\" value=\"\" placeholder=\"Street\" required\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.text\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"house-number\" id=\"house-number-label\"><span class=\"label-text\">Number<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"house-number-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"text\" id=\"house-number\" name=\"house-number\" value=\"\" placeholder=\"Number\" required\/><\/div><\/div>\n<\/fieldset>\n\n\n\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"2\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr 1fr;\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.text\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"zip-code\" id=\"zip-code-label\"><span class=\"label-text\">Postal code<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"zip-code-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"text\" id=\"zip-code\" name=\"zip-code\" value=\"\" placeholder=\"Postal code\" required\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.text\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"city\" id=\"city-label\"><span class=\"label-text\">City<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"city-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"text\" id=\"city\" name=\"city\" value=\"\" placeholder=\"City\" required\/><\/div><\/div>\n<\/fieldset>\n\n\n\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"2\" data-fieldset-name=\"Mailing address\" style=\"display: grid; grid-template-columns: 1fr 0.6fr;\"><legend>Mailing address<\/legend>\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.text\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"sending-street\" id=\"sending-street-label\"><span class=\"label-text\">Street<\/span> <span class=\"label-required-star\">*<\/span> <div class=\"info-bulle-container\"><span class=\"info-bulle\"><\/span><span class=\"info-bulle-text\">The requested address is the one listed in your household composition.<\/span><\/div><\/label><span class=\"empty-error-message-data\" id=\"sending-street-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"text\" id=\"sending-street\" name=\"sending-street\" value=\"\" placeholder=\"Street\" required\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.text\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"sending-house-number\" id=\"sending-house-number-label\"><span class=\"label-text\">Number<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"sending-house-number-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"text\" id=\"sending-house-number\" name=\"sending-house-number\" value=\"\" placeholder=\"Number\" required\/><\/div><\/div>\n<\/fieldset>\n\n\n\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"2\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr 1fr;\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.text\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"sending-zip-code\" id=\"sending-zip-code-label\"><span class=\"label-text\">Postal code<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"sending-zip-code-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"text\" id=\"sending-zip-code\" name=\"sending-zip-code\" value=\"\" placeholder=\"Postal code\" required\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.text\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"sending-city\" id=\"sending-city-label\"><span class=\"label-text\">City<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"sending-city-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"text\" id=\"sending-city\" name=\"sending-city\" value=\"\" placeholder=\"City\" required\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"mail\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"email\" id=\"email-label\"><span class=\"label-text\">Your email address<\/span> <span class=\"label-required-star\">*<\/span> <div class=\"info-bulle-container\"><span class=\"info-bulle\"><\/span><span class=\"info-bulle-text\">Please ensure you provide your full email address to receive registration confirmation.<\/span><\/div><\/label><span class=\"empty-error-message-data\" id=\"email-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-email\"><input type=\"email\" id=\"email\" name=\"email\" placeholder=\"Email address\" value=\"\" required\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"tel\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"phone\" id=\"phone-label\"><span class=\"label-text\">Your phone number<\/span> <span class=\"label-required-star\">*<\/span> <div class=\"info-bulle-container\"><span class=\"info-bulle\"><\/span><span class=\"info-bulle-text\">In case of a phone number change, it is imperative to contact the AIS to update your contact information.<\/span><\/div><\/label><span class=\"empty-error-message-data\" id=\"phone-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-phone\"><input type=\"tel\" id=\"phone\" name=\"phone\" placeholder=\"Phone\" value=\"\" required pattern=\"[\\d+]+\"\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.text\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"born-place\" id=\"born-place-label\"><span class=\"label-text\">Your place of birth<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"born-place-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"text\" id=\"born-place\" name=\"born-place\" value=\"\" placeholder=\"Place of birth\" required\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"born-date\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"born-date\" id=\"born-date-label\"><span class=\"label-text\">Your date of birth<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"error-message-data\" id=\"born-date-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span>Accepted format DD\/MM\/YYYY<\/span><\/span><span class=\"empty-error-message-data\" id=\"born-date-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span>Accepted format DD\/MM\/YYYY<\/span><\/span><div class=\"field field-input field-born-date\"><input type=\"text\" id=\"born-date\" name=\"born-date\" placeholder=\"DD\/MM\/YYYY\" value=\"\" required class=\"date-input\" maxlength=\"10\" inputmode=\"numeric\"\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.text\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"nationality\" id=\"nationality-label\"><span class=\"label-text\">Your nationality<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"nationality-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"text\" id=\"nationality\" name=\"nationality\" value=\"\" placeholder=\"Nationality\" required\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.text\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"national-register-number\" id=\"national-register-number-label\"><span class=\"label-text\">Your national registry number<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"national-register-number-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"text\" id=\"national-register-number\" name=\"national-register-number\" value=\"\" placeholder=\".. .. .. - \u2026 ..\" required\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.text\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"job\" id=\"job-label\"><span class=\"label-text\">Your occupation<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"job-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"text\" id=\"job\" name=\"job\" value=\"\" placeholder=\"Occupation\" required\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.text\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"means-of-transport\" id=\"means-of-transport-label\"><span class=\"label-text\">Your means of transport<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"means-of-transport-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"text\" id=\"means-of-transport\" name=\"means-of-transport\" value=\"\" placeholder=\"Means of transport\" required\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.radio\" data-accept=\"\" data-required=\"false\" data-attributes=\"default\"><label class=\"labelTop\" for=\"handicap\" id=\"handicap-label\"><span class=\"label-text\">Disability<\/span> <span class=\"label-required-star\"><\/span> <div class=\"info-bulle-container\"><span class=\"info-bulle\"><\/span><span class=\"info-bulle-text\">In case of disability, a certificate is required when submitting the application.<\/span><\/div><\/label><span class=\"empty-error-message-data\" id=\"handicap-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-radio-group\" role=\"radiogroup\" aria-labelledby=\"handicap-label\"><div><input type=\"radio\" id=\"handicap-oui\" name=\"handicap\" value=\"Oui\" aria-checked=\"false\"\/><label class=\"labelFor\" for=\"handicap-oui\">Yes<\/label><\/div><div><input type=\"radio\" id=\"handicap-non\" name=\"handicap\" value=\"Non\" aria-checked=\"false\"\/><label class=\"labelFor\" for=\"handicap-non\">No<\/label><\/div><\/div><\/div>\n<\/fieldset>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button-wrapper\"><div class=\"wp-block-button form-continue-btn\"><a class=\"wp-block-button__link wp-element-button\">Save and continue<\/a><\/div><\/div>\n\n\n\n<div class=\"wp-block-button-wrapper is-style-outline--1\"><div class=\"wp-block-button is-style-outline\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/ais-charleroi.be\/en\/applications\/\">Cancel<\/a><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group form-step is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\">Spouse\/Cohabitant<\/h2>\n\n\n\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-55e49cef wp-block-group-is-layout-flex\" style=\"margin-bottom:32px\">\n<p class=\"has-primary-color has-text-color has-link-color wp-elements-df48f654679f22b1828e3665973d877f\">*<\/p>\n\n\n\n<p>Required field<\/p>\n<\/div>\n\n\n\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"1\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr;\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field has-spouse-selector\" data-field=\"input.radio\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"has-spouse\" id=\"has-spouse-label\"><span class=\"label-text\">Do you have a spouse?<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"has-spouse-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span>Please fill in this field.<\/span><\/span><div class=\"field field-input field-radio-group\" role=\"radiogroup\" aria-labelledby=\"has-spouse-label\"><div><input type=\"radio\" id=\"has-spouse-oui\" name=\"has-spouse\" value=\"Oui\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"has-spouse-oui\">Yes<\/label><\/div><div><input type=\"radio\" id=\"has-spouse-non\" name=\"has-spouse\" value=\"Non\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"has-spouse-non\">No<\/label><\/div><\/div><\/div>\n<\/fieldset>\n\n\n\n<div class=\"wp-block-group spouse-form-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"1\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr;\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.radio\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"cohabitant-gender\" id=\"cohabitant-gender-label\"><span class=\"label-text\">Gender<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"cohabitant-gender-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-radio-group\" role=\"radiogroup\" aria-labelledby=\"cohabitant-gender-label\"><div><input type=\"radio\" id=\"cohabitant-gender-monsieur\" name=\"cohabitant-gender\" value=\"Monsieur\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"cohabitant-gender-monsieur\">Mr<\/label><\/div><div><input type=\"radio\" id=\"cohabitant-gender-madame\" name=\"cohabitant-gender\" value=\"Madame\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"cohabitant-gender-madame\">Mrs<\/label><\/div><div><input type=\"radio\" id=\"cohabitant-gender-non-binaire\" name=\"cohabitant-gender\" value=\"Non-binaire\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"cohabitant-gender-non-binaire\">Non-binary<\/label><\/div><\/div><\/div>\n<\/fieldset>\n\n\n\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"2\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr 1fr;\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"name\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"cohabitant-name\" id=\"cohabitant-name-label\"><span class=\"label-text\">Spouse&#8217;s last name<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"cohabitant-name-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-name\"><input type=\"text\" id=\"cohabitant-name\" name=\"cohabitant-name\" value=\"\" placeholder=\"\" required\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"firstname\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"cohabitant-firstname\" id=\"cohabitant-firstname-label\"><span class=\"label-text\">Spouse&#8217;s first name<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"cohabitant-firstname-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-firstname\"><input type=\"text\" id=\"cohabitant-firstname\" name=\"cohabitant-firstname\" value=\"\" placeholder=\"\" required\/><\/div><\/div>\n<\/fieldset>\n\n\n\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"1\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr;\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.radio\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"cohabitant-citizen-state\" id=\"cohabitant-citizen-state-label\"><span class=\"label-text\">Marital status<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"cohabitant-citizen-state-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-radio-group\" role=\"radiogroup\" aria-labelledby=\"cohabitant-citizen-state-label\"><div><input type=\"radio\" id=\"cohabitant-citizen-state-c\u00e9libataire\" name=\"cohabitant-citizen-state\" value=\"C\u00e9libataire\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"cohabitant-citizen-state-c\u00e9libataire\">Single<\/label><\/div><div><input type=\"radio\" id=\"cohabitant-citizen-state-mari\u00e9\" name=\"cohabitant-citizen-state\" value=\"Mari\u00e9\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"cohabitant-citizen-state-mari\u00e9\">Married<\/label><\/div><div><input type=\"radio\" id=\"cohabitant-citizen-state-s\u00e9par\u00e9\" name=\"cohabitant-citizen-state\" value=\"S\u00e9par\u00e9\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"cohabitant-citizen-state-s\u00e9par\u00e9\">Separated<\/label><\/div><div><input type=\"radio\" id=\"cohabitant-citizen-state-divorc\u00e9\" name=\"cohabitant-citizen-state\" value=\"Divorc\u00e9\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"cohabitant-citizen-state-divorc\u00e9\">Divorced<\/label><\/div><div><input type=\"radio\" id=\"cohabitant-citizen-state-veuf\" name=\"cohabitant-citizen-state\" value=\"Veuf\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"cohabitant-citizen-state-veuf\">Widowed<\/label><\/div><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.radio\" data-accept=\"\" data-required=\"false\" data-attributes=\"default\"><label class=\"labelTop\" for=\"family-link\" id=\"family-link-label\"><span class=\"label-text\">Relationship<\/span> <span class=\"label-required-star\"><\/span> <\/label><span class=\"empty-error-message-data\" id=\"family-link-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-radio-group\" role=\"radiogroup\" aria-labelledby=\"family-link-label\"><div><input type=\"radio\" id=\"family-link-conjoint(e)\" name=\"family-link\" value=\"Conjoint(e)\" aria-checked=\"false\"\/><label class=\"labelFor\" for=\"family-link-conjoint(e)\">Spouse<\/label><\/div><div><input type=\"radio\" id=\"family-link-fr\u00e8re\/soeur\" name=\"family-link\" value=\"Fr\u00e8re\/Soeur\" aria-checked=\"false\"\/><label class=\"labelFor\" for=\"family-link-fr\u00e8re\/soeur\">Brother\/Sister<\/label><\/div><div><input type=\"radio\" id=\"family-link-p\u00e8re\/m\u00e8re\" name=\"family-link\" value=\"P\u00e8re\/M\u00e8re\" aria-checked=\"false\"\/><label class=\"labelFor\" for=\"family-link-p\u00e8re\/m\u00e8re\">Father\/Mother<\/label><\/div><div><input type=\"radio\" id=\"family-link-cousin(e)\" name=\"family-link\" value=\"Cousin(e)\" aria-checked=\"false\"\/><label class=\"labelFor\" for=\"family-link-cousin(e)\">Cousin<\/label><\/div><\/div><\/div>\n<\/fieldset>\n\n\n\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"2\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr 1fr;\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"mail\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"cohabitant-email\" id=\"cohabitant-email-label\"><span class=\"label-text\">Email address<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"cohabitant-email-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-email\"><input type=\"email\" id=\"cohabitant-email\" name=\"cohabitant-email\" placeholder=\"\" value=\"\" required\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"tel\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"cohabitant-phone\" id=\"cohabitant-phone-label\"><span class=\"label-text\">Phone number<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"cohabitant-phone-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-phone\"><input type=\"tel\" id=\"cohabitant-phone\" name=\"cohabitant-phone\" placeholder=\"\" value=\"\" required pattern=\"[\\d+]+\"\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.text\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"cohabitant-born-place\" id=\"cohabitant-born-place-label\"><span class=\"label-text\">Place of birth<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"cohabitant-born-place-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"text\" id=\"cohabitant-born-place\" name=\"cohabitant-born-place\" value=\"\" placeholder=\"\" required\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.date\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"cohabitant-born-date\" id=\"cohabitant-born-date-label\"><span class=\"label-text\">Date of birth<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"cohabitant-born-date-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"text\" id=\"cohabitant-born-date\" name=\"cohabitant-born-date\" placeholder=\"DD\/MM\/YYYY\" value=\"\" required class=\"date-input\" maxlength=\"10\" inputmode=\"numeric\"\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.text\" data-accept=\"\" data-required=\"false\" data-attributes=\"default\"><label class=\"labelTop\" for=\"cohabitant-nationality\" id=\"cohabitant-nationality-label\"><span class=\"label-text\">Nationality<\/span> <span class=\"label-required-star\"><\/span> <\/label><span class=\"empty-error-message-data\" id=\"cohabitant-nationality-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"text\" id=\"cohabitant-nationality\" name=\"cohabitant-nationality\" value=\"\" placeholder=\"Nationality\"\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.text\" data-accept=\"\" data-required=\"false\" data-attributes=\"default\"><label class=\"labelTop\" for=\"cohabitant-national-register-number\" id=\"cohabitant-national-register-number-label\"><span class=\"label-text\">National registry number<\/span> <span class=\"label-required-star\"><\/span> <\/label><span class=\"empty-error-message-data\" id=\"cohabitant-national-register-number-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"text\" id=\"cohabitant-national-register-number\" name=\"cohabitant-national-register-number\" value=\"\" placeholder=\"National registry number\"\/><\/div><\/div>\n<\/fieldset>\n\n\n\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"1\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr;\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.text\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"cohabitant-job\" id=\"cohabitant-job-label\"><span class=\"label-text\">Occupation<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"cohabitant-job-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"text\" id=\"cohabitant-job\" name=\"cohabitant-job\" value=\"\" placeholder=\"Occupation\" required\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.radio\" data-accept=\"\" data-required=\"false\" data-attributes=\"default\"><label class=\"labelTop\" for=\"cohabitant-handicap\" id=\"cohabitant-handicap-label\"><span class=\"label-text\">Disability<\/span> <span class=\"label-required-star\"><\/span> <div class=\"info-bulle-container\"><span class=\"info-bulle\"><\/span><span class=\"info-bulle-text\">In case of disability, a certificate is required when submitting the application.<\/span><\/div><\/label><span class=\"empty-error-message-data\" id=\"cohabitant-handicap-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-radio-group\" role=\"radiogroup\" aria-labelledby=\"cohabitant-handicap-label\"><div><input type=\"radio\" id=\"cohabitant-handicap-oui\" name=\"cohabitant-handicap\" value=\"Oui\" aria-checked=\"false\"\/><label class=\"labelFor\" for=\"cohabitant-handicap-oui\">Yes<\/label><\/div><div><input type=\"radio\" id=\"cohabitant-handicap-non\" name=\"cohabitant-handicap\" value=\"Non\" aria-checked=\"false\"\/><label class=\"labelFor\" for=\"cohabitant-handicap-non\">No<\/label><\/div><\/div><\/div>\n<\/fieldset>\n<\/div>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button-wrapper\"><div class=\"wp-block-button form-continue-btn\"><a class=\"wp-block-button__link wp-element-button\">Save and continue<\/a><\/div><\/div>\n\n\n\n<div class=\"wp-block-button-wrapper is-style-outline--2\"><div class=\"wp-block-button is-style-outline form-back-btn\"><a class=\"wp-block-button__link wp-element-button\">Back to the previous step<\/a><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group form-step is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\">Cohabitating children<\/h2>\n\n\n\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-55e49cef wp-block-group-is-layout-flex\" style=\"margin-bottom:32px\">\n<p class=\"has-primary-color has-text-color has-link-color wp-elements-df48f654679f22b1828e3665973d877f\">*<\/p>\n\n\n\n<p>Required field<\/p>\n<\/div>\n\n\n\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"1\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr;\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field has-kids-selector\" data-field=\"input.radio\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"has-children\" id=\"has-children-label\"><span class=\"label-text\">Do you have children?<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"has-children-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-radio-group\" role=\"radiogroup\" aria-labelledby=\"has-children-label\"><div><input type=\"radio\" id=\"has-children-oui\" name=\"has-children\" value=\"Oui\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"has-children-oui\">Yes<\/label><\/div><div><input type=\"radio\" id=\"has-children-non\" name=\"has-children\" value=\"Non\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"has-children-non\">No<\/label><\/div><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field how-many-kids\" data-field=\"select.one\" data-accept=\"\" data-required=\"false\" data-attributes=\"default\"><label class=\"labelTop\" for=\"children-number\" id=\"children-number-label\"><span class=\"label-text\">How much?<\/span> <span class=\"label-required-star\"><\/span> <\/label><span class=\"empty-error-message-data\" id=\"children-number-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-select\"><select id=\"children-number\" name=\"children-number\"><option id=\"children-number-1\" value=\"1\" name=\"children-number-1\">1<\/option><option id=\"children-number-2\" value=\"2\" name=\"children-number-2\">2<\/option><option id=\"children-number-3\" value=\"3\" name=\"children-number-3\">3<\/option><option id=\"children-number-4\" value=\"4\" name=\"children-number-4\">4<\/option><option id=\"children-number-5\" value=\"5\" name=\"children-number-5\">5<\/option><option id=\"children-number-6\" value=\"6\" name=\"children-number-6\">6<\/option><option id=\"children-number-7\" value=\"7\" name=\"children-number-7\">7<\/option><option id=\"children-number-8\" value=\"8\" name=\"children-number-8\">8<\/option><option id=\"children-number-9\" value=\"9\" name=\"children-number-9\">9<\/option><option id=\"children-number-10\" value=\"10\" name=\"children-number-10\">10<\/option><option id=\"children-number-11\" value=\"11\" name=\"children-number-11\">11<\/option><option id=\"children-number-12\" value=\"12\" name=\"children-number-12\">12<\/option><option id=\"children-number-13\" value=\"13\" name=\"children-number-13\">13<\/option><option id=\"children-number-14\" value=\"14\" name=\"children-number-14\">14<\/option><option id=\"children-number-15\" value=\"15\" name=\"children-number-15\">15<\/option><option id=\"children-number-16\" value=\"16\" name=\"children-number-16\">16<\/option><option id=\"children-number-17\" value=\"17\" name=\"children-number-17\">17<\/option><option id=\"children-number-18\" value=\"18\" name=\"children-number-18\">18<\/option><option id=\"children-number-19\" value=\"19\" name=\"children-number-19\">19<\/option><option id=\"children-number-20\" value=\"20\" name=\"children-number-20\">20<\/option><\/select><\/div><\/div>\n\n\n\n<div class=\"wp-block-group children-form-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group child-form-container-1 is-layout-constrained wp-block-group-is-layout-constrained\">\n<h3 class=\"wp-block-heading child-number-1\">Child #1<\/h3>\n\n\n\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"1\" data-fieldset-name=\"Child \" style=\"display: grid; grid-template-columns: 1fr;\"><legend>Child <\/legend>\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.radio\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"child-gender-1\" id=\"child-gender-1-label\"><span class=\"label-text\">Gender<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"child-gender-1-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-radio-group\" role=\"radiogroup\" aria-labelledby=\"child-gender-1-label\"><div><input type=\"radio\" id=\"child-gender-1-male\" name=\"child-gender-1\" value=\"Male\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"child-gender-1-male\">Male<\/label><\/div><div><input type=\"radio\" id=\"child-gender-1-female\" name=\"child-gender-1\" value=\"Female\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"child-gender-1-female\">Female<\/label><\/div><div><input type=\"radio\" id=\"child-gender-1-neutral\" name=\"child-gender-1\" value=\"Neutral\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"child-gender-1-neutral\">Neutral<\/label><\/div><\/div><\/div>\n<\/fieldset>\n\n\n\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"2\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr 1fr;\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"name\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"child-lastname-1\" id=\"child-lastname-1-label\"><span class=\"label-text\">Name<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"child-lastname-1-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-name\"><input type=\"text\" id=\"child-lastname-1\" name=\"child-lastname-1\" value=\"\" placeholder=\"\" required\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"firstname\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"child-firstname-1\" id=\"child-firstname-1-label\"><span class=\"label-text\">First name<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"child-firstname-1-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-firstname\"><input type=\"text\" id=\"child-firstname-1\" name=\"child-firstname-1\" value=\"\" placeholder=\"\" required\/><\/div><\/div>\n<\/fieldset>\n\n\n\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"1\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr;\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.date\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"child-birth-date-1\" id=\"child-birth-date-1-label\"><span class=\"label-text\">Date of birth<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"child-birth-date-1-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"text\" id=\"child-birth-date-1\" name=\"child-birth-date-1\" placeholder=\"DD\/MM\/YYYY\" value=\"\" required class=\"date-input\" maxlength=\"10\" inputmode=\"numeric\"\/><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.radio\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"child-garde-1\" id=\"child-garde-1-label\"><span class=\"label-text\">Child care<\/span> <span class=\"label-required-star\">*<\/span> <div class=\"info-bulle-container\"><span class=\"info-bulle\"><\/span><span class=\"info-bulle-text\">In the case of alternating custody, a judgment or a certificate of amicable agreement is required.<\/span><\/div><\/label><span class=\"empty-error-message-data\" id=\"child-garde-1-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-radio-group\" role=\"radiogroup\" aria-labelledby=\"child-garde-1-label\"><div><input type=\"radio\" id=\"child-garde-1-exclusive\" name=\"child-garde-1\" value=\"Exclusive\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"child-garde-1-exclusive\">Exclusive<\/label><\/div><div><input type=\"radio\" id=\"child-garde-1-partag\u00e9e\" name=\"child-garde-1\" value=\"Partag\u00e9e\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"child-garde-1-partag\u00e9e\">Shared<\/label><\/div><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.radio\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"email\" id=\"email-label\"><span class=\"label-text\">Disability<\/span> <span class=\"label-required-star\">*<\/span> <div class=\"info-bulle-container\"><span class=\"info-bulle\"><\/span><span class=\"info-bulle-text\">In case of disability, a certificate is required when submitting the application.<\/span><\/div><\/label><span class=\"empty-error-message-data\" id=\"email-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-radio-group\" role=\"radiogroup\" aria-labelledby=\"email-label\"><div><input type=\"radio\" id=\"email-oui\" name=\"email\" value=\"Oui\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"email-oui\">Yes<\/label><\/div><div><input type=\"radio\" id=\"email-non\" name=\"email\" value=\"Non\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"email-non\">No<\/label><\/div><\/div><\/div>\n<\/fieldset>\n<\/div>\n<\/div>\n<\/fieldset>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button-wrapper\"><div class=\"wp-block-button form-continue-btn\"><a class=\"wp-block-button__link wp-element-button\">Save and continue<\/a><\/div><\/div>\n\n\n\n<div class=\"wp-block-button-wrapper is-style-outline--3\"><div class=\"wp-block-button is-style-outline form-back-btn\"><a class=\"wp-block-button__link wp-element-button\">Back to the previous step<\/a><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group form-step is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\">Animals<\/h2>\n\n\n\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-55e49cef wp-block-group-is-layout-flex\" style=\"margin-bottom:32px\">\n<p class=\"has-primary-color has-text-color has-link-color wp-elements-df48f654679f22b1828e3665973d877f\">*<\/p>\n\n\n\n<p>Required field<\/p>\n<\/div>\n\n\n\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"1\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr;\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.radio\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"has-animals\" id=\"has-animals-label\"><span class=\"label-text\">Do you have any pets?<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"has-animals-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-radio-group\" role=\"radiogroup\" aria-labelledby=\"has-animals-label\"><div><input type=\"radio\" id=\"has-animals-oui\" name=\"has-animals\" value=\"Oui\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"has-animals-oui\">Yes<\/label><\/div><div><input type=\"radio\" id=\"has-animals-non\" name=\"has-animals\" value=\"Non\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"has-animals-non\">No<\/label><\/div><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field how-many-animals\" data-field=\"select.one\" data-accept=\"\" data-required=\"false\" data-attributes=\"default\"><label class=\"labelTop\" for=\"animals-number\" id=\"animals-number-label\"><span class=\"label-text\">How much?<\/span> <span class=\"label-required-star\"><\/span> <\/label><span class=\"empty-error-message-data\" id=\"animals-number-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-select\"><select id=\"animals-number\" name=\"animals-number\"><option id=\"animals-number-1\" value=\"1\" name=\"animals-number-1\">1<\/option><option id=\"animals-number-2\" value=\"2\" name=\"animals-number-2\">2<\/option><option id=\"animals-number-3\" value=\"3\" name=\"animals-number-3\">3<\/option><option id=\"animals-number-4\" value=\"4\" name=\"animals-number-4\">4<\/option><option id=\"animals-number-5\" value=\"5\" name=\"animals-number-5\">5<\/option><option id=\"animals-number-6\" value=\"6\" name=\"animals-number-6\">6<\/option><option id=\"animals-number-7\" value=\"7\" name=\"animals-number-7\">7<\/option><option id=\"animals-number-8\" value=\"8\" name=\"animals-number-8\">8<\/option><option id=\"animals-number-9\" value=\"9\" name=\"animals-number-9\">9<\/option><option id=\"animals-number-10\" value=\"10\" name=\"animals-number-10\">10<\/option><option id=\"animals-number-11\" value=\"11\" name=\"animals-number-11\">11<\/option><option id=\"animals-number-12\" value=\"12\" name=\"animals-number-12\">12<\/option><option id=\"animals-number-13\" value=\"13\" name=\"animals-number-13\">13<\/option><option id=\"animals-number-14\" value=\"14\" name=\"animals-number-14\">14<\/option><option id=\"animals-number-15\" value=\"15\" name=\"animals-number-15\">15<\/option><option id=\"animals-number-16\" value=\"16\" name=\"animals-number-16\">16<\/option><option id=\"animals-number-17\" value=\"17\" name=\"animals-number-17\">17<\/option><option id=\"animals-number-18\" value=\"18\" name=\"animals-number-18\">18<\/option><option id=\"animals-number-19\" value=\"19\" name=\"animals-number-19\">19<\/option><option id=\"animals-number-20\" value=\"20\" name=\"animals-number-20\">20<\/option><\/select><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field animals-description\" data-field=\"input.textarea\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"animal-description\" id=\"animal-description-label\"><span class=\"label-text\">Which ones?<\/span> <span class=\"label-required-star\">*<\/span> <div class=\"info-bulle-container\"><span class=\"info-bulle\"><\/span><span class=\"info-bulle-text\">Please provide as much information as possible about the animal (age, size, breed, etc.).<\/span><\/div><\/label><span class=\"empty-error-message-data\" id=\"animal-description-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-textarea\"><textarea id=\"animal-description\" name=\"animal-description\" placeholder=\"\" required><\/textarea><\/div><\/div>\n<\/fieldset>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button-wrapper\"><div class=\"wp-block-button form-continue-btn\"><a class=\"wp-block-button__link wp-element-button\">Save and continue<\/a><\/div><\/div>\n\n\n\n<div class=\"wp-block-button-wrapper is-style-outline--4\"><div class=\"wp-block-button is-style-outline form-back-btn\"><a class=\"wp-block-button__link wp-element-button\">Back to the previous step<\/a><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group form-step is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\">Housing &#8211; Candidate preferences<\/h2>\n\n\n\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-55e49cef wp-block-group-is-layout-flex\" style=\"margin-bottom:32px\">\n<p class=\"has-primary-color has-text-color has-link-color wp-elements-df48f654679f22b1828e3665973d877f\">*<\/p>\n\n\n\n<p>Required field<\/p>\n<\/div>\n\n\n\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"1\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr;\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.checkbox\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"lodging-type\" id=\"lodging-type-label\"><span class=\"label-text\">Type of accommodation?<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"lodging-type-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-checkbox-group\"><div><input type=\"checkbox\" id=\"lodging-type-maison\" name=\"lodging-type-maison\" value=\"Maison\"\/><label class=\"labelFor\" for=\"lodging-type-maison\">House<\/label><\/div><div><input type=\"checkbox\" id=\"lodging-type-appartement\" name=\"lodging-type-appartement\" value=\"Appartement\"\/><label class=\"labelFor\" for=\"lodging-type-appartement\">Apartment<\/label><\/div><div><input type=\"checkbox\" id=\"lodging-type-studio\" name=\"lodging-type-studio\" value=\"Studio\"\/><label class=\"labelFor\" for=\"lodging-type-studio\">Studio<\/label><\/div><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.checkbox\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"bedroom-number\" id=\"bedroom-number-label\"><span class=\"label-text\">Number of rooms ?<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"bedroom-number-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-checkbox-group\"><div><input type=\"checkbox\" id=\"bedroom-number-1\" name=\"bedroom-number-1\" value=\"1\"\/><label class=\"labelFor\" for=\"bedroom-number-1\">1<\/label><\/div><div><input type=\"checkbox\" id=\"bedroom-number-2\" name=\"bedroom-number-2\" value=\"2\"\/><label class=\"labelFor\" for=\"bedroom-number-2\">2<\/label><\/div><div><input type=\"checkbox\" id=\"bedroom-number-3\" name=\"bedroom-number-3\" value=\"3\"\/><label class=\"labelFor\" for=\"bedroom-number-3\">3<\/label><\/div><div><input type=\"checkbox\" id=\"bedroom-number-4\" name=\"bedroom-number-4\" value=\"4\"\/><label class=\"labelFor\" for=\"bedroom-number-4\">4<\/label><\/div><div><input type=\"checkbox\" id=\"bedroom-number-5\" name=\"bedroom-number-5\" value=\"5\"\/><label class=\"labelFor\" for=\"bedroom-number-5\">5<\/label><\/div><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.checkbox\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"cities-checkboxes\" id=\"cities-checkboxes-label\"><span class=\"label-text\">City(s)<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"cities-checkboxes-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-checkbox-group\"><div><input type=\"checkbox\" id=\"cities-checkboxes-charleroi_(6000)\" name=\"cities-checkboxes-charleroi_(6000)\" value=\"Charleroi (6000)\"\/><label class=\"labelFor\" for=\"cities-checkboxes-charleroi_(6000)\">Charleroi (6000)<\/label><\/div><div><input type=\"checkbox\" id=\"cities-checkboxes-marcinelle_(6001)\" name=\"cities-checkboxes-marcinelle_(6001)\" value=\"Marcinelle (6001)\"\/><label class=\"labelFor\" for=\"cities-checkboxes-marcinelle_(6001)\">Marcinelle (6001)<\/label><\/div><div><input type=\"checkbox\" id=\"cities-checkboxes-couillet_(6010)\" name=\"cities-checkboxes-couillet_(6010)\" value=\"Couillet (6010)\"\/><label class=\"labelFor\" for=\"cities-checkboxes-couillet_(6010)\">Couillet (6010)<\/label><\/div><div><input type=\"checkbox\" id=\"cities-checkboxes-dampremy_(6020)\" name=\"cities-checkboxes-dampremy_(6020)\" value=\"Dampremy (6020)\"\/><label class=\"labelFor\" for=\"cities-checkboxes-dampremy_(6020)\">Dampremy (6020)<\/label><\/div><div><input type=\"checkbox\" id=\"cities-checkboxes-goutroux_(6030)\" name=\"cities-checkboxes-goutroux_(6030)\" value=\"Goutroux (6030)\"\/><label class=\"labelFor\" for=\"cities-checkboxes-goutroux_(6030)\">Goutroux (6030)<\/label><\/div><div><input type=\"checkbox\" id=\"cities-checkboxes-marchienne-au-pont_(6030)\" name=\"cities-checkboxes-marchienne-au-pont_(6030)\" value=\"Marchienne-au-Pont (6030)\"\/><label class=\"labelFor\" for=\"cities-checkboxes-marchienne-au-pont_(6030)\">Marchienne-au-Pont (6030)<\/label><\/div><div><input type=\"checkbox\" id=\"cities-checkboxes-monceau-sur-sambre_(6031)\" name=\"cities-checkboxes-monceau-sur-sambre_(6031)\" value=\"Monceau-sur-Sambre (6031)\"\/><label class=\"labelFor\" for=\"cities-checkboxes-monceau-sur-sambre_(6031)\">Monceau-sur-Sambre (6031)<\/label><\/div><div><input type=\"checkbox\" id=\"cities-checkboxes-mont-sur-marchienne_(6032)\" name=\"cities-checkboxes-mont-sur-marchienne_(6032)\" value=\"Mont-sur-Marchienne (6032)\"\/><label class=\"labelFor\" for=\"cities-checkboxes-mont-sur-marchienne_(6032)\">Mont-sur-Marchienne (6032)<\/label><\/div><div><input type=\"checkbox\" id=\"cities-checkboxes-jumet_(6040)\" name=\"cities-checkboxes-jumet_(6040)\" value=\"Jumet (6040)\"\/><label class=\"labelFor\" for=\"cities-checkboxes-jumet_(6040)\">Jumet (6040)<\/label><\/div><div><input type=\"checkbox\" id=\"cities-checkboxes-gosselies_(6041)\" name=\"cities-checkboxes-gosselies_(6041)\" value=\"Gosselies (6041)\"\/><label class=\"labelFor\" for=\"cities-checkboxes-gosselies_(6041)\">Gosselies (6041)<\/label><\/div><div><input type=\"checkbox\" id=\"cities-checkboxes-lodelinsart_(6042)\" name=\"cities-checkboxes-lodelinsart_(6042)\" value=\"Lodelinsart (6042)\"\/><label class=\"labelFor\" for=\"cities-checkboxes-lodelinsart_(6042)\">Lodelinsart (6042)<\/label><\/div><div><input type=\"checkbox\" id=\"cities-checkboxes-ransart_(6043)\" name=\"cities-checkboxes-ransart_(6043)\" value=\"Ransart (6043)\"\/><label class=\"labelFor\" for=\"cities-checkboxes-ransart_(6043)\">Ransart (6043)<\/label><\/div><div><input type=\"checkbox\" id=\"cities-checkboxes-roux_(6044)\" name=\"cities-checkboxes-roux_(6044)\" value=\"Roux (6044)\"\/><label class=\"labelFor\" for=\"cities-checkboxes-roux_(6044)\">Roux (6044)<\/label><\/div><div><input type=\"checkbox\" id=\"cities-checkboxes-gilly_(6060)\" name=\"cities-checkboxes-gilly_(6060)\" value=\"Gilly (6060)\"\/><label class=\"labelFor\" for=\"cities-checkboxes-gilly_(6060)\">Gilly (6060)<\/label><\/div><div><input type=\"checkbox\" id=\"cities-checkboxes-montignies-sur-sambre_(6061)\" name=\"cities-checkboxes-montignies-sur-sambre_(6061)\" value=\"Montignies-sur-Sambre (6061)\"\/><label class=\"labelFor\" for=\"cities-checkboxes-montignies-sur-sambre_(6061)\">Montignies-sur-Sambre (6061)<\/label><\/div><\/div><\/div>\n<\/fieldset>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button-wrapper\"><div class=\"wp-block-button form-continue-btn\"><a class=\"wp-block-button__link wp-element-button\">Save and continue<\/a><\/div><\/div>\n\n\n\n<div class=\"wp-block-button-wrapper is-style-outline--5\"><div class=\"wp-block-button is-style-outline form-back-btn\"><a class=\"wp-block-button__link wp-element-button\">Back to the previous step<\/a><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group form-step is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\">Housing &#8211; Candidate preferences<\/h2>\n\n\n\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-55e49cef wp-block-group-is-layout-flex\" style=\"margin-bottom:32px\">\n<p class=\"has-primary-color has-text-color has-link-color wp-elements-df48f654679f22b1828e3665973d877f\">*<\/p>\n\n\n\n<p>Required field<\/p>\n<\/div>\n\n\n\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"1\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr;\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.textarea\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"lodging-explanation\" id=\"lodging-explanation-label\"><span class=\"label-text\">Accommodation :<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"lodging-explanation-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-textarea\"><textarea id=\"lodging-explanation\" name=\"lodging-explanation\" placeholder=\"Explanation\" required><\/textarea><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.textarea\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"family-situation-explanation\" id=\"family-situation-explanation-label\"><span class=\"label-text\">Family situation :<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"family-situation-explanation-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-textarea\"><textarea id=\"family-situation-explanation\" name=\"family-situation-explanation\" placeholder=\"Explanation\" required><\/textarea><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.textarea\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"force-majeure-explanation\" id=\"force-majeure-explanation-label\"><span class=\"label-text\">Force majeure :<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"force-majeure-explanation-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-textarea\"><textarea id=\"force-majeure-explanation\" name=\"force-majeure-explanation\" placeholder=\"Explanation\" required><\/textarea><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.textarea\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"other-info-explanation\" id=\"other-info-explanation-label\"><span class=\"label-text\">Other comments:<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"other-info-explanation-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-textarea\"><textarea id=\"other-info-explanation\" name=\"other-info-explanation\" placeholder=\"Explanation\" required><\/textarea><\/div><\/div>\n<\/fieldset>\n\n\n\n<h3 class=\"wp-block-heading\">Other social housing registrations<\/h3>\n\n\n\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"1\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr;\">\n<div class=\"wp-block-group has-sambrienne is-layout-constrained wp-block-group-is-layout-constrained\">\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"1\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr;\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.radio\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"sambrienne\" id=\"sambrienne-label\"><span class=\"label-text\">La Sambrienne<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"sambrienne-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-radio-group\" role=\"radiogroup\" aria-labelledby=\"sambrienne-label\"><div><input type=\"radio\" id=\"sambrienne-oui\" name=\"sambrienne\" value=\"Oui\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"sambrienne-oui\">Yes<\/label><\/div><div><input type=\"radio\" id=\"sambrienne-non\" name=\"sambrienne\" value=\"Non\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"sambrienne-non\">No<\/label><\/div><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field sambrienne-points\" data-field=\"input.number\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"sambrienne-points\" id=\"sambrienne-points-label\"><span class=\"label-text\">If yes, number of points<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"sambrienne-points-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"number\" min=\"0\" id=\"sambrienne-points\" name=\"sambrienne-points\" placeholder=\"\" value=\"\" required\/><\/div><\/div>\n<\/fieldset>\n<\/div>\n\n\n\n<div class=\"wp-block-group has-other-organisms is-layout-constrained wp-block-group-is-layout-constrained\">\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"1\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr;\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.radio\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"other-organisms\" id=\"other-organisms-label\"><span class=\"label-text\">Other housing organizations<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"other-organisms-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input field-radio-group\" role=\"radiogroup\" aria-labelledby=\"other-organisms-label\"><div><input type=\"radio\" id=\"other-organisms-oui\" name=\"other-organisms\" value=\"Oui\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"other-organisms-oui\">Yes<\/label><\/div><div><input type=\"radio\" id=\"other-organisms-non\" name=\"other-organisms\" value=\"Non\" required aria-checked=\"false\"\/><label class=\"labelFor\" for=\"other-organisms-non\">No<\/label><\/div><\/div><\/div>\n\n\n\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field other-organisms-details\" data-field=\"input.text\" data-accept=\"\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"other-organisms-details\" id=\"other-organisms-details-label\"><span class=\"label-text\">If so, which ones?<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"other-organisms-details-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"text\" id=\"other-organisms-details\" name=\"other-organisms-details\" value=\"\" placeholder=\"\" required\/><\/div><\/div>\n<\/fieldset>\n<\/div>\n<\/fieldset>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button-wrapper\"><div class=\"wp-block-button form-continue-btn\"><a class=\"wp-block-button__link wp-element-button\">Save and continue<\/a><\/div><\/div>\n\n\n\n<div class=\"wp-block-button-wrapper is-style-outline--6\"><div class=\"wp-block-button is-style-outline form-back-btn\"><a class=\"wp-block-button__link wp-element-button\">Back to the previous step<\/a><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group form-step is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\">Required documents<\/h2>\n\n\n\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-55e49cef wp-block-group-is-layout-flex\" style=\"margin-bottom:32px\">\n<p class=\"has-primary-color has-text-color has-link-color wp-elements-df48f654679f22b1828e3665973d877f\">*<\/p>\n\n\n\n<p>Required field<\/p>\n<\/div>\n\n\n\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"1\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr;\">\n<div class=\"wp-block-group input-file-dropzone-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.file\" data-accept=\".txt, .docx, .doc, .ppt, .pdf, .jpg, .jpeg, .png\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"file-address\" id=\"file-address-label\"><span class=\"label-text\">Address history of adults in the household<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"file-address-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"file\" id=\"file-address\" name=\"file-address\" required accept=\".txt, .docx, .doc, .ppt, .pdf, .jpg, .jpeg, .png\"\/><\/div><\/div>\n\n\n\n<div class=\"wp-block-group input-file-dropzone-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group input-file-dropzone is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-core-group-is-layout-8e843744 wp-block-group-is-layout-flex\">\n<div class=\"wp-block-fidelo-icon-picker fd_iconpicker_el\" data-width=\"24\" data-color=\"transparent\" data-type=\"fd_item\" data-rotation=\"0\" style=\"background-color:transparent\"><div class=\"icon-wrapper icon-file-input\" style=\"width:24px; min-width:24px\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"25\" height=\"25\" viewBox=\"0 0 25 25\" fill=\"none\">\n  <path d=\"M14.5 2.5L20.5 8.5V20.5C20.5 21.0304 20.2893 21.5391 19.9142 21.9142C19.5391 22.2893 19.0304 22.5 18.5 22.5H6.5C5.96957 22.5 5.46086 22.2893 5.08579 21.9142C4.71071 21.5391 4.5 21.0304 4.5 20.5V4.5C4.5 3.96957 4.71071 3.46086 5.08579 3.08579C5.46086 2.71071 5.96957 2.5 6.5 2.5H14.5ZM18.5 20.5V9.5H13.5V4.5H6.5V20.5H18.5ZM12.5 12.5L16.5 16.5H14V19.5H11V16.5H8.5L12.5 12.5Z\" fill=\"black\"><\/path>\n<\/svg><\/div><\/div>\n\n\n\n<p class=\"has-text-align-center has-text-color has-link-color wp-elements-b240c63f73ff805e77cb9930ef1f8ca0\" style=\"color:#0000008c\">Please upload the address history of the adults in the household in this field. Limited to 10 MB.<br>Allowed file types: txt, docx, doc, ppt, pdf, jpg, jpeg, png.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group input-file-dropzone-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.file\" data-accept=\".txt, .docx, .doc, .ppt, .pdf, .jpg, .jpeg, .png\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"file-composition-menage\" id=\"file-composition-menage-label\"><span class=\"label-text\">Household composition<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"file-composition-menage-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"file\" id=\"file-composition-menage\" name=\"file-composition-menage\" required accept=\".txt, .docx, .doc, .ppt, .pdf, .jpg, .jpeg, .png\"\/><\/div><\/div>\n\n\n\n<div class=\"wp-block-group input-file-dropzone-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group input-file-dropzone is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-core-group-is-layout-8e843744 wp-block-group-is-layout-flex\">\n<div class=\"wp-block-fidelo-icon-picker fd_iconpicker_el\" data-width=\"24\" data-color=\"transparent\" data-type=\"fd_item\" data-rotation=\"0\" style=\"background-color:transparent\"><div class=\"icon-wrapper icon-file-input\" style=\"width:24px; min-width:24px\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"25\" height=\"25\" viewBox=\"0 0 25 25\" fill=\"none\">\n  <path d=\"M14.5 2.5L20.5 8.5V20.5C20.5 21.0304 20.2893 21.5391 19.9142 21.9142C19.5391 22.2893 19.0304 22.5 18.5 22.5H6.5C5.96957 22.5 5.46086 22.2893 5.08579 21.9142C4.71071 21.5391 4.5 21.0304 4.5 20.5V4.5C4.5 3.96957 4.71071 3.46086 5.08579 3.08579C5.46086 2.71071 5.96957 2.5 6.5 2.5H14.5ZM18.5 20.5V9.5H13.5V4.5H6.5V20.5H18.5ZM12.5 12.5L16.5 16.5H14V19.5H11V16.5H8.5L12.5 12.5Z\" fill=\"black\"><\/path>\n<\/svg><\/div><\/div>\n\n\n\n<p class=\"has-text-align-center has-text-color has-link-color wp-elements-52ffea9356b16aa5873d4dcc57d5742d\" style=\"color:#0000008c\">Please upload your household composition in this field. Limited to 10 MB.\nAllowed file types: txt, docx, doc, ppt, pdf, jpg, jpeg, png.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group input-file-dropzone-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.file\" data-accept=\".txt, .docx, .doc, .ppt, .pdf, .jpg, .jpeg, .png\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"file-revenus\" id=\"file-revenus-label\"><span class=\"label-text\">Proof of income<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"file-revenus-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"file\" id=\"file-revenus\" name=\"file-revenus\" required accept=\".txt, .docx, .doc, .ppt, .pdf, .jpg, .jpeg, .png\"\/><\/div><\/div>\n\n\n\n<div class=\"wp-block-group input-file-dropzone-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group input-file-dropzone is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-core-group-is-layout-8e843744 wp-block-group-is-layout-flex\">\n<div class=\"wp-block-fidelo-icon-picker fd_iconpicker_el\" data-width=\"24\" data-color=\"transparent\" data-type=\"fd_item\" data-rotation=\"0\" style=\"background-color:transparent\"><div class=\"icon-wrapper icon-file-input\" style=\"width:24px; min-width:24px\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"25\" height=\"25\" viewBox=\"0 0 25 25\" fill=\"none\">\n  <path d=\"M14.5 2.5L20.5 8.5V20.5C20.5 21.0304 20.2893 21.5391 19.9142 21.9142C19.5391 22.2893 19.0304 22.5 18.5 22.5H6.5C5.96957 22.5 5.46086 22.2893 5.08579 21.9142C4.71071 21.5391 4.5 21.0304 4.5 20.5V4.5C4.5 3.96957 4.71071 3.46086 5.08579 3.08579C5.46086 2.71071 5.96957 2.5 6.5 2.5H14.5ZM18.5 20.5V9.5H13.5V4.5H6.5V20.5H18.5ZM12.5 12.5L16.5 16.5H14V19.5H11V16.5H8.5L12.5 12.5Z\" fill=\"black\"><\/path>\n<\/svg><\/div><\/div>\n\n\n\n<p class=\"has-text-align-center has-text-color has-link-color wp-elements-85f6d06bf7df7ce89646b6be4afc83e2\" style=\"color:#0000008c\">Please upload your proof of income in this field. Limited to 10 MB.\nAllowed file types: txt, docx, doc, ppt, pdf, jpg, jpeg, png.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group input-file-dropzone-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.file\" data-accept=\".txt, .docx, .doc, .ppt, .pdf, .jpg, .jpeg, .png\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"file-identity-copy\" id=\"file-identity-copy-label\"><span class=\"label-text\">Copies of identity cards of persons applying for accommodation <\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"file-identity-copy-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"file\" id=\"file-identity-copy\" name=\"file-identity-copy\" required accept=\".txt, .docx, .doc, .ppt, .pdf, .jpg, .jpeg, .png\"\/><\/div><\/div>\n\n\n\n<div class=\"wp-block-group input-file-dropzone-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group input-file-dropzone is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-core-group-is-layout-8e843744 wp-block-group-is-layout-flex\">\n<div class=\"wp-block-fidelo-icon-picker fd_iconpicker_el\" data-width=\"24\" data-color=\"transparent\" data-type=\"fd_item\" data-rotation=\"0\" style=\"background-color:transparent\"><div class=\"icon-wrapper icon-file-input\" style=\"width:24px; min-width:24px\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"25\" height=\"25\" viewBox=\"0 0 25 25\" fill=\"none\">\n  <path d=\"M14.5 2.5L20.5 8.5V20.5C20.5 21.0304 20.2893 21.5391 19.9142 21.9142C19.5391 22.2893 19.0304 22.5 18.5 22.5H6.5C5.96957 22.5 5.46086 22.2893 5.08579 21.9142C4.71071 21.5391 4.5 21.0304 4.5 20.5V4.5C4.5 3.96957 4.71071 3.46086 5.08579 3.08579C5.46086 2.71071 5.96957 2.5 6.5 2.5H14.5ZM18.5 20.5V9.5H13.5V4.5H6.5V20.5H18.5ZM12.5 12.5L16.5 16.5H14V19.5H11V16.5H8.5L12.5 12.5Z\" fill=\"black\"><\/path>\n<\/svg><\/div><\/div>\n\n\n\n<p class=\"has-text-align-center has-text-color has-link-color wp-elements-f7a2ec77b01ea6ab2496a02e25fb4da3\" style=\"color:#0000008c\">Please upload copies of the identity cards of the adults in the household in this field. Limited to 10 MB.\nAllowed file types: txt, docx, doc, ppt, pdf, jpg, jpeg, png.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group input-file-dropzone-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.file\" data-accept=\".txt, .docx, .doc, .ppt, .pdf, .jpg, .jpeg, .png\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"file-three-months-proof\" id=\"file-three-months-proof-label\"><span class=\"label-text\">Proof of last 3 months&#8217; rent<\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"file-three-months-proof-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"file\" id=\"file-three-months-proof\" name=\"file-three-months-proof\" required accept=\".txt, .docx, .doc, .ppt, .pdf, .jpg, .jpeg, .png\"\/><\/div><\/div>\n\n\n\n<div class=\"wp-block-group input-file-dropzone-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group input-file-dropzone is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-core-group-is-layout-8e843744 wp-block-group-is-layout-flex\">\n<div class=\"wp-block-fidelo-icon-picker fd_iconpicker_el\" data-width=\"24\" data-color=\"transparent\" data-type=\"fd_item\" data-rotation=\"0\" style=\"background-color:transparent\"><div class=\"icon-wrapper icon-file-input\" style=\"width:24px; min-width:24px\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"25\" height=\"25\" viewBox=\"0 0 25 25\" fill=\"none\">\n  <path d=\"M14.5 2.5L20.5 8.5V20.5C20.5 21.0304 20.2893 21.5391 19.9142 21.9142C19.5391 22.2893 19.0304 22.5 18.5 22.5H6.5C5.96957 22.5 5.46086 22.2893 5.08579 21.9142C4.71071 21.5391 4.5 21.0304 4.5 20.5V4.5C4.5 3.96957 4.71071 3.46086 5.08579 3.08579C5.46086 2.71071 5.96957 2.5 6.5 2.5H14.5ZM18.5 20.5V9.5H13.5V4.5H6.5V20.5H18.5ZM12.5 12.5L16.5 16.5H14V19.5H11V16.5H8.5L12.5 12.5Z\" fill=\"black\"><\/path>\n<\/svg><\/div><\/div>\n\n\n\n<p class=\"has-text-align-center has-text-color has-link-color wp-elements-87b56d1e2ab1b2e5d7963a63f9ca61e3\" style=\"color:#0000008c\">Please upload proof of rent for the last 3 months in this field. Limited to 10 MB.\nAllowed file types: txt, docx, doc, ppt, pdf, jpg, jpeg, png.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group input-file-dropzone-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.file\" data-accept=\".txt, .docx, .doc, .ppt, .pdf, .jpg, .jpeg, .png\" data-required=\"true\" data-attributes=\"default\"><label class=\"labelTop\" for=\"file-allocation-proof\" id=\"file-allocation-proof-label\"><span class=\"label-text\">Proof and amounts of family allowances and alimony <\/span> <span class=\"label-required-star\">*<\/span> <\/label><span class=\"empty-error-message-data\" id=\"file-allocation-proof-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"file\" id=\"file-allocation-proof\" name=\"file-allocation-proof\" required accept=\".txt, .docx, .doc, .ppt, .pdf, .jpg, .jpeg, .png\"\/><\/div><\/div>\n\n\n\n<div class=\"wp-block-group input-file-dropzone-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group input-file-dropzone is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-core-group-is-layout-8e843744 wp-block-group-is-layout-flex\">\n<div class=\"wp-block-fidelo-icon-picker fd_iconpicker_el\" data-width=\"24\" data-color=\"transparent\" data-type=\"fd_item\" data-rotation=\"0\" style=\"background-color:transparent\"><div class=\"icon-wrapper icon-file-input\" style=\"width:24px; min-width:24px\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"25\" height=\"25\" viewBox=\"0 0 25 25\" fill=\"none\">\n  <path d=\"M14.5 2.5L20.5 8.5V20.5C20.5 21.0304 20.2893 21.5391 19.9142 21.9142C19.5391 22.2893 19.0304 22.5 18.5 22.5H6.5C5.96957 22.5 5.46086 22.2893 5.08579 21.9142C4.71071 21.5391 4.5 21.0304 4.5 20.5V4.5C4.5 3.96957 4.71071 3.46086 5.08579 3.08579C5.46086 2.71071 5.96957 2.5 6.5 2.5H14.5ZM18.5 20.5V9.5H13.5V4.5H6.5V20.5H18.5ZM12.5 12.5L16.5 16.5H14V19.5H11V16.5H8.5L12.5 12.5Z\" fill=\"black\"><\/path>\n<\/svg><\/div><\/div>\n\n\n\n<p class=\"has-text-align-center has-text-color has-link-color wp-elements-8636d60f5f690380361c434702e1d6e2\" style=\"color:#0000008c\">Please upload proof and amounts of family allowances and alimony\/child support in this field. Limited to 10 MB.\nAllowed file types: txt, docx, doc, ppt, pdf, jpg, jpeg, png.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button-wrapper\"><div class=\"wp-block-button form-continue-btn\"><a class=\"wp-block-button__link wp-element-button\">Save and continue<\/a><\/div><\/div>\n\n\n\n<div class=\"wp-block-button-wrapper is-style-outline--7\"><div class=\"wp-block-button is-style-outline form-back-btn\"><a class=\"wp-block-button__link wp-element-button\">Back to the previous step<\/a><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group form-step is-layout-constrained wp-block-group-is-layout-constrained\">\n<h3 class=\"wp-block-heading\">Other documents<\/h3>\n\n\n\n<p>Depending on your situation, you are also required to submit the following documents:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Si vous occupez un logement d\u00e9clar\u00e9 inhabitable : attestation de la commune ou du service salubrit\u00e9 logements du Service Public de Wallonie d\u00e9clarant l\u2019insalubrit\u00e9 ou le surpeuplement du logement occup\u00e9. Les documents des pompiers si leur intervention lors d\u2019un sinistre a rendu votre logement inhabitable ; <\/li>\n\n\n\n<li>If judicial eviction: copy of the judgment;<\/li>\n\n\n\n<li>If leaving current housing following a notice: copy of the notice received or sent;<\/li>\n\n\n\n<li>If debts: any certificate or seizure notice by bailiff determining the amounts;<\/li>\n\n\n\n<li>If over-indebtedness: any certificate relating to budgetary guidance \/ debt mediation \/ provisional asset management \/ collective debt settlement;<\/li>\n\n\n\n<li>If child custody rights: the copy of the judgment specifying the principal, alternating or ancillary custody right. If the judgment has not yet been rendered, a provisional certificate from your lawyer or a notary <\/li>\n\n\n\n<li>Certificates proving your accommodation in a shelter or your homeless situation<\/li>\n\n\n\n<li>If you are currently an owner or usufructuary: proof that it is a non-improvable or uninhabitable housing, proof of sale or proof of management with a real estate operator (the Walloon Housing Company, a public housing company, the Walloon Housing Fund, a social real estate agency, an APL, the Walloon Social Credit Company)<\/li>\n\n\n\n<li>If you are currently pregnant: official pregnancy certificate.<\/li>\n\n\n\n<li>Sworn statement of non-ownership.<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-group input-file-dropzone-container is-layout-constrained wp-block-group-is-layout-constrained\" style=\"margin-top:0\">\n<fieldset data-type=\"fd_block\" class=\"wp-block-fidelo-fd-form-fieldset fd_form_fieldset\" data-columns=\"1\" data-fieldset-name=\"\" style=\"display: grid; grid-template-columns: 1fr;\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-field fd_form_field\" data-field=\"input.file\" data-accept=\".txt, .docx, .doc, .ppt, .pdf, .jpg, .jpeg, .png\" data-required=\"false\" data-attributes=\"default\"><label class=\"labelTop\" for=\"file-others\" id=\"file-others-label\"><span class=\"label-text\"><\/span> <span class=\"label-required-star\"><\/span> <\/label><span class=\"empty-error-message-data\" id=\"file-others-empty-error\" role=\"alert\" aria-live=\"polite\" style=\"display:none\"><span><\/span><\/span><div class=\"field field-input\"><input type=\"file\" id=\"file-others\" name=\"file-others\" accept=\".txt, .docx, .doc, .ppt, .pdf, .jpg, .jpeg, .png\"\/><\/div><\/div>\n<\/fieldset>\n\n\n\n<div class=\"wp-block-group input-file-dropzone-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group input-file-dropzone is-vertical is-content-justification-center is-nowrap is-layout-flex wp-container-core-group-is-layout-8e843744 wp-block-group-is-layout-flex\">\n<div class=\"wp-block-fidelo-icon-picker fd_iconpicker_el\" data-width=\"24\" data-color=\"transparent\" data-type=\"fd_item\" data-rotation=\"0\" style=\"background-color:transparent\"><div class=\"icon-wrapper icon-file-input\" style=\"width:24px; min-width:24px\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"25\" height=\"25\" viewBox=\"0 0 25 25\" fill=\"none\">\n  <path d=\"M14.5 2.5L20.5 8.5V20.5C20.5 21.0304 20.2893 21.5391 19.9142 21.9142C19.5391 22.2893 19.0304 22.5 18.5 22.5H6.5C5.96957 22.5 5.46086 22.2893 5.08579 21.9142C4.71071 21.5391 4.5 21.0304 4.5 20.5V4.5C4.5 3.96957 4.71071 3.46086 5.08579 3.08579C5.46086 2.71071 5.96957 2.5 6.5 2.5H14.5ZM18.5 20.5V9.5H13.5V4.5H6.5V20.5H18.5ZM12.5 12.5L16.5 16.5H14V19.5H11V16.5H8.5L12.5 12.5Z\" fill=\"black\"><\/path>\n<\/svg><\/div><\/div>\n\n\n\n<p class=\"has-text-align-center has-text-color has-link-color wp-elements-d034fb2f4663a60bb0cf0a8c3868fe85\" style=\"color:#0000008c\">Please upload your other documents in this field. Limited to 10 MB.\nAllowed file types: txt, docx, doc, ppt, pdf, jpg, jpeg, png.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group fd_form_submit_container is-layout-flex wp-block-group-is-layout-flex\">\n<div data-type=\"fd_item\" class=\"wp-block-fidelo-fd-form-submit fd_form_submit\" data-captcha=\"true\"><div class=\"submit-box\"><div class=\"loader\"><\/div><span><span class=\"required-indicator\">*<\/span><span class=\"required-fields-text\"><\/span><\/span><button class=\"fd-form-submit-button\"><span>Send form<\/span><\/button><\/div><\/div>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button-wrapper is-style-outline--8\"><div class=\"wp-block-button is-style-outline form-back-btn\"><a class=\"wp-block-button__link wp-element-button\">Back to the previous step<\/a><\/div><\/div>\n<\/div>\n<\/div>\n<\/form><\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":874,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1469","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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