{"id":26539,"date":"2023-05-30T13:58:36","date_gmt":"2023-05-30T11:58:36","guid":{"rendered":"https:\/\/ccsrdc.ch\/index.php\/contact-2-2\/"},"modified":"2023-05-30T17:27:09","modified_gmt":"2023-05-30T15:27:09","slug":"contact-2-2","status":"publish","type":"page","link":"https:\/\/ccsrdc.ch\/index.php\/contact-2-2\/","title":{"rendered":"Contact_individuel"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"26539\" class=\"elementor elementor-26539\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-147be41 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"147be41\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3dea8af\" data-id=\"3dea8af\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7a21740 elementor-widget elementor-widget-rs-heading\" data-id=\"7a21740\" data-element_type=\"widget\" data-widget_type=\"rs-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t        <div class=\"rs-heading default  \">\r\n        \t<div class=\"title-inner\">        \t\t      \t\t\r\n\t            <h2 class=\"title\"><span class=\"watermark\"><\/span>Formulaire d'ah\u00e9sion Individuelle<\/h2>\t\t\t\t\t        <\/div>\r\n\t                <\/div>\r\n\r\n        \t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7d28b07 elementor-widget elementor-widget-rs-cf7\" data-id=\"7d28b07\" data-element_type=\"widget\" data-widget_type=\"rs-cf7.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f26533-o1\" lang=\"fr-FR\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/26539#wpcf7-f26533-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"26533\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.7.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f26533-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-sm-6\">\n\t\t<p><label style=\"color:white;\">Votre civilit\u00e9 <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"Civilite\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Civilite\"><option value=\"Mr.\">Mr.<\/option><option value=\"Mme.\">Mme.<\/option><option value=\"Mlle\">Mlle<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<p><label style=\"color:white;\">Votre nom <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-nom\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nom\" value=\"\" type=\"text\" name=\"your-nom\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<p><label style=\"color:white;\">Votre pr\u00e9nom <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-prenom\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Pr\u00e9nom\" value=\"\" type=\"text\" name=\"your-prenom\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<p><label style=\"color:white;\">Votre adresse<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-adresse\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Adresse\" value=\"\" type=\"text\" name=\"your-adresse\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<p><label style=\"color:white;\">Votre nom <\/label><span class=\"wpcf7-form-control-wrap country_auto country_auto-675\"><select class=\"wpcf7-form-control wpcf7-select country_auto wpcf7-country_auto wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"country_auto-675\" ><option value=\"0\" data-id=\"0\" >Select Country<\/option><option value='Afghanistan' data-id='1'>Afghanistan<\/option><option value='Aland Islands' data-id='2'>Aland Islands<\/option><option value='Albania' data-id='3'>Albania<\/option><option value='Algeria' data-id='4'>Algeria<\/option><option value='American Samoa' data-id='5'>American Samoa<\/option><option value='Andorra' data-id='6'>Andorra<\/option><option value='Angola' data-id='7'>Angola<\/option><option value='Anguilla' data-id='8'>Anguilla<\/option><option value='Antarctica' data-id='9'>Antarctica<\/option><option value='Antigua And Barbuda' data-id='10'>Antigua And Barbuda<\/option><option value='Argentina' data-id='11'>Argentina<\/option><option value='Armenia' data-id='12'>Armenia<\/option><option value='Aruba' data-id='13'>Aruba<\/option><option value='Australia' data-id='14'>Australia<\/option><option value='Austria' data-id='15'>Austria<\/option><option value='Azerbaijan' data-id='16'>Azerbaijan<\/option><option value='Bahamas The' data-id='17'>Bahamas The<\/option><option value='Bahrain' data-id='18'>Bahrain<\/option><option value='Bangladesh' data-id='19'>Bangladesh<\/option><option value='Barbados' data-id='20'>Barbados<\/option><option value='Belarus' data-id='21'>Belarus<\/option><option value='Belgium' data-id='22'>Belgium<\/option><option value='Belize' data-id='23'>Belize<\/option><option value='Benin' data-id='24'>Benin<\/option><option value='Bermuda' data-id='25'>Bermuda<\/option><option value='Bhutan' data-id='26'>Bhutan<\/option><option value='Bolivia' data-id='27'>Bolivia<\/option><option value='Bosnia and Herzegovina' data-id='28'>Bosnia and Herzegovina<\/option><option value='Botswana' data-id='29'>Botswana<\/option><option value='Bouvet Island' data-id='30'>Bouvet Island<\/option><option value='Brazil' data-id='31'>Brazil<\/option><option value='British Indian Ocean Territory' data-id='32'>British Indian Ocean Territory<\/option><option value='Brunei' data-id='33'>Brunei<\/option><option value='Bulgaria' data-id='34'>Bulgaria<\/option><option value='Burkina Faso' data-id='35'>Burkina Faso<\/option><option value='Burundi' data-id='36'>Burundi<\/option><option value='Cambodia' data-id='37'>Cambodia<\/option><option value='Cameroon' data-id='38'>Cameroon<\/option><option value='Canada' data-id='39'>Canada<\/option><option value='Cape Verde' data-id='40'>Cape Verde<\/option><option value='Cayman Islands' data-id='41'>Cayman Islands<\/option><option value='Central African Republic' data-id='42'>Central African Republic<\/option><option value='Chad' data-id='43'>Chad<\/option><option value='Chile' data-id='44'>Chile<\/option><option value='China' data-id='45'>China<\/option><option value='Christmas Island' data-id='46'>Christmas Island<\/option><option value='Cocos (Keeling) Islands' data-id='47'>Cocos (Keeling) Islands<\/option><option value='Colombia' data-id='48'>Colombia<\/option><option value='Comoros' data-id='49'>Comoros<\/option><option value='Congo' data-id='50'>Congo<\/option><option value='Congo The Democratic Republic Of The' data-id='51'>Congo The Democratic Republic Of The<\/option><option value='Cook Islands' data-id='52'>Cook Islands<\/option><option value='Costa Rica' data-id='53'>Costa Rica<\/option><option value='Cote D&#039;Ivoire (Ivory Coast)' data-id='54'>Cote D&#039;Ivoire (Ivory Coast)<\/option><option value='Croatia (Hrvatska)' data-id='55'>Croatia (Hrvatska)<\/option><option value='Cuba' data-id='56'>Cuba<\/option><option value='Cyprus' data-id='57'>Cyprus<\/option><option value='Czech Republic' data-id='58'>Czech Republic<\/option><option value='Denmark' data-id='59'>Denmark<\/option><option value='Djibouti' data-id='60'>Djibouti<\/option><option value='Dominica' data-id='61'>Dominica<\/option><option value='Dominican Republic' data-id='62'>Dominican Republic<\/option><option value='East Timor' data-id='63'>East Timor<\/option><option value='Ecuador' data-id='64'>Ecuador<\/option><option value='Egypt' data-id='65'>Egypt<\/option><option value='El Salvador' data-id='66'>El Salvador<\/option><option value='Equatorial Guinea' data-id='67'>Equatorial Guinea<\/option><option value='Eritrea' data-id='68'>Eritrea<\/option><option value='Estonia' data-id='69'>Estonia<\/option><option value='Ethiopia' data-id='70'>Ethiopia<\/option><option value='Falkland Islands' data-id='71'>Falkland Islands<\/option><option value='Faroe Islands' data-id='72'>Faroe Islands<\/option><option value='Fiji Islands' data-id='73'>Fiji Islands<\/option><option value='Finland' data-id='74'>Finland<\/option><option value='France' data-id='75'>France<\/option><option value='French Guiana' data-id='76'>French Guiana<\/option><option value='French Polynesia' data-id='77'>French Polynesia<\/option><option value='French Southern Territories' data-id='78'>French Southern Territories<\/option><option value='Gabon' data-id='79'>Gabon<\/option><option value='Gambia The' data-id='80'>Gambia The<\/option><option value='Georgia' data-id='81'>Georgia<\/option><option value='Germany' data-id='82'>Germany<\/option><option value='Ghana' data-id='83'>Ghana<\/option><option value='Gibraltar' data-id='84'>Gibraltar<\/option><option value='Greece' data-id='85'>Greece<\/option><option value='Greenland' data-id='86'>Greenland<\/option><option value='Grenada' data-id='87'>Grenada<\/option><option value='Guadeloupe' data-id='88'>Guadeloupe<\/option><option value='Guam' data-id='89'>Guam<\/option><option value='Guatemala' data-id='90'>Guatemala<\/option><option value='Guernsey and Alderney' data-id='91'>Guernsey and Alderney<\/option><option value='Guinea' data-id='92'>Guinea<\/option><option value='Guinea-Bissau' data-id='93'>Guinea-Bissau<\/option><option value='Guyana' data-id='94'>Guyana<\/option><option value='Haiti' data-id='95'>Haiti<\/option><option value='Heard and McDonald Islands' data-id='96'>Heard and McDonald Islands<\/option><option value='Honduras' data-id='97'>Honduras<\/option><option value='Hong Kong S.A.R.' data-id='98'>Hong Kong S.A.R.<\/option><option value='Hungary' data-id='99'>Hungary<\/option><option value='Iceland' data-id='100'>Iceland<\/option><option value='India' data-id='101'>India<\/option><option value='Indonesia' data-id='102'>Indonesia<\/option><option value='Iran' data-id='103'>Iran<\/option><option value='Iraq' data-id='104'>Iraq<\/option><option value='Ireland' data-id='105'>Ireland<\/option><option value='Israel' data-id='106'>Israel<\/option><option value='Italy' data-id='107'>Italy<\/option><option value='Jamaica' data-id='108'>Jamaica<\/option><option value='Japan' data-id='109'>Japan<\/option><option value='Jersey' data-id='110'>Jersey<\/option><option value='Jordan' data-id='111'>Jordan<\/option><option value='Kazakhstan' data-id='112'>Kazakhstan<\/option><option value='Kenya' data-id='113'>Kenya<\/option><option value='Kiribati' data-id='114'>Kiribati<\/option><option value='Korea North' data-id='115'>Korea North<\/option><option value='Korea South' data-id='116'>Korea South<\/option><option value='Kuwait' data-id='117'>Kuwait<\/option><option value='Kyrgyzstan' data-id='118'>Kyrgyzstan<\/option><option value='Laos' data-id='119'>Laos<\/option><option value='Latvia' data-id='120'>Latvia<\/option><option value='Lebanon' data-id='121'>Lebanon<\/option><option value='Lesotho' data-id='122'>Lesotho<\/option><option value='Liberia' data-id='123'>Liberia<\/option><option value='Libya' data-id='124'>Libya<\/option><option value='Liechtenstein' data-id='125'>Liechtenstein<\/option><option value='Lithuania' data-id='126'>Lithuania<\/option><option value='Luxembourg' data-id='127'>Luxembourg<\/option><option value='Macau S.A.R.' data-id='128'>Macau S.A.R.<\/option><option value='Macedonia' data-id='129'>Macedonia<\/option><option value='Madagascar' data-id='130'>Madagascar<\/option><option value='Malawi' data-id='131'>Malawi<\/option><option value='Malaysia' data-id='132'>Malaysia<\/option><option value='Maldives' data-id='133'>Maldives<\/option><option value='Mali' data-id='134'>Mali<\/option><option value='Malta' data-id='135'>Malta<\/option><option value='Man (Isle of)' data-id='136'>Man (Isle of)<\/option><option value='Marshall Islands' data-id='137'>Marshall Islands<\/option><option value='Martinique' data-id='138'>Martinique<\/option><option value='Mauritania' data-id='139'>Mauritania<\/option><option value='Mauritius' data-id='140'>Mauritius<\/option><option value='Mayotte' data-id='141'>Mayotte<\/option><option value='Mexico' data-id='142'>Mexico<\/option><option value='Micronesia' data-id='143'>Micronesia<\/option><option value='Moldova' data-id='144'>Moldova<\/option><option value='Monaco' data-id='145'>Monaco<\/option><option value='Mongolia' data-id='146'>Mongolia<\/option><option value='Montenegro' data-id='147'>Montenegro<\/option><option value='Montserrat' data-id='148'>Montserrat<\/option><option value='Morocco' data-id='149'>Morocco<\/option><option value='Mozambique' data-id='150'>Mozambique<\/option><option value='Myanmar' data-id='151'>Myanmar<\/option><option value='Namibia' data-id='152'>Namibia<\/option><option value='Nauru' data-id='153'>Nauru<\/option><option value='Nepal' data-id='154'>Nepal<\/option><option value='Netherlands Antilles' data-id='155'>Netherlands Antilles<\/option><option value='Netherlands The' data-id='156'>Netherlands The<\/option><option value='New Caledonia' data-id='157'>New Caledonia<\/option><option value='New Zealand' data-id='158'>New Zealand<\/option><option value='Nicaragua' data-id='159'>Nicaragua<\/option><option value='Niger' data-id='160'>Niger<\/option><option value='Nigeria' data-id='161'>Nigeria<\/option><option value='Niue' data-id='162'>Niue<\/option><option value='Norfolk Island' data-id='163'>Norfolk Island<\/option><option value='Northern Mariana Islands' data-id='164'>Northern Mariana Islands<\/option><option value='Norway' data-id='165'>Norway<\/option><option value='Oman' data-id='166'>Oman<\/option><option value='Pakistan' data-id='167'>Pakistan<\/option><option value='Palau' data-id='168'>Palau<\/option><option value='Palestinian Territory Occupied' data-id='169'>Palestinian Territory Occupied<\/option><option value='Panama' data-id='170'>Panama<\/option><option value='Papua new Guinea' data-id='171'>Papua new Guinea<\/option><option value='Paraguay' data-id='172'>Paraguay<\/option><option value='Peru' data-id='173'>Peru<\/option><option value='Philippines' data-id='174'>Philippines<\/option><option value='Pitcairn Island' data-id='175'>Pitcairn Island<\/option><option value='Poland' data-id='176'>Poland<\/option><option value='Portugal' data-id='177'>Portugal<\/option><option value='Puerto Rico' data-id='178'>Puerto Rico<\/option><option value='Qatar' data-id='179'>Qatar<\/option><option value='Reunion' data-id='180'>Reunion<\/option><option value='Romania' data-id='181'>Romania<\/option><option value='Russia' data-id='182'>Russia<\/option><option value='Rwanda' data-id='183'>Rwanda<\/option><option value='Saint Helena' data-id='184'>Saint Helena<\/option><option value='Saint Kitts And Nevis' data-id='185'>Saint Kitts And Nevis<\/option><option value='Saint Lucia' data-id='186'>Saint Lucia<\/option><option value='Saint Pierre and Miquelon' data-id='187'>Saint Pierre and Miquelon<\/option><option value='Saint Vincent And The Grenadines' data-id='188'>Saint Vincent And The Grenadines<\/option><option value='Saint-Barthelemy' data-id='189'>Saint-Barthelemy<\/option><option value='Saint-Martin (French part)' data-id='190'>Saint-Martin (French part)<\/option><option value='Samoa' data-id='191'>Samoa<\/option><option value='San Marino' data-id='192'>San Marino<\/option><option value='Sao Tome and Principe' data-id='193'>Sao Tome and Principe<\/option><option value='Saudi Arabia' data-id='194'>Saudi Arabia<\/option><option value='Senegal' data-id='195'>Senegal<\/option><option value='Serbia' data-id='196'>Serbia<\/option><option value='Seychelles' data-id='197'>Seychelles<\/option><option value='Sierra Leone' data-id='198'>Sierra Leone<\/option><option value='Singapore' data-id='199'>Singapore<\/option><option value='Slovakia' data-id='200'>Slovakia<\/option><option value='Slovenia' data-id='201'>Slovenia<\/option><option value='Solomon Islands' data-id='202'>Solomon Islands<\/option><option value='Somalia' data-id='203'>Somalia<\/option><option value='South Africa' data-id='204'>South Africa<\/option><option value='South Georgia' data-id='205'>South Georgia<\/option><option value='South Sudan' data-id='206'>South Sudan<\/option><option value='Spain' data-id='207'>Spain<\/option><option value='Sri Lanka' data-id='208'>Sri Lanka<\/option><option value='Sudan' data-id='209'>Sudan<\/option><option value='Suriname' data-id='210'>Suriname<\/option><option value='Svalbard And Jan Mayen Islands' data-id='211'>Svalbard And Jan Mayen Islands<\/option><option value='Swaziland' data-id='212'>Swaziland<\/option><option value='Sweden' data-id='213'>Sweden<\/option><option value='Switzerland' data-id='214'>Switzerland<\/option><option value='Syria' data-id='215'>Syria<\/option><option value='Taiwan' data-id='216'>Taiwan<\/option><option value='Tajikistan' data-id='217'>Tajikistan<\/option><option value='Tanzania' data-id='218'>Tanzania<\/option><option value='Thailand' data-id='219'>Thailand<\/option><option value='Togo' data-id='220'>Togo<\/option><option value='Tokelau' data-id='221'>Tokelau<\/option><option value='Tonga' data-id='222'>Tonga<\/option><option value='Trinidad And Tobago' data-id='223'>Trinidad And Tobago<\/option><option value='Tunisia' data-id='224'>Tunisia<\/option><option value='Turkey' data-id='225'>Turkey<\/option><option value='Turkmenistan' data-id='226'>Turkmenistan<\/option><option value='Turks And Caicos Islands' data-id='227'>Turks And Caicos Islands<\/option><option value='Tuvalu' data-id='228'>Tuvalu<\/option><option value='Uganda' data-id='229'>Uganda<\/option><option value='Ukraine' data-id='230'>Ukraine<\/option><option value='United Arab Emirates' data-id='231'>United Arab Emirates<\/option><option value='United Kingdom' data-id='232'>United Kingdom<\/option><option value='United States' data-id='233'>United States<\/option><option value='United States Minor Outlying Islands' data-id='234'>United States Minor Outlying Islands<\/option><option value='Uruguay' data-id='235'>Uruguay<\/option><option value='Uzbekistan' data-id='236'>Uzbekistan<\/option><option value='Vanuatu' data-id='237'>Vanuatu<\/option><option value='Vatican City State (Holy See)' data-id='238'>Vatican City State (Holy See)<\/option><option value='Venezuela' data-id='239'>Venezuela<\/option><option value='Vietnam' data-id='240'>Vietnam<\/option><option value='Virgin Islands (British)' data-id='241'>Virgin Islands (British)<\/option><option value='Virgin Islands (US)' data-id='242'>Virgin Islands (US)<\/option><option value='Wallis And Futuna Islands' data-id='243'>Wallis And Futuna Islands<\/option><option value='Western Sahara' data-id='244'>Western Sahara<\/option><option value='Yemen' data-id='245'>Yemen<\/option><option value='Zambia' data-id='246'>Zambia<\/option><option value='Zimbabwe' data-id='247'>Zimbabwe<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<p><label style=\"color:white;\">Votre t\u00e9l\u00e9phone<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"T\u00e9l\u00e9phone\" value=\"\" type=\"text\" name=\"your-phone\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<p><label style=\"color:white;\">Votre E-mail <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"E-Mail\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<p><label style=\"color:white;\">Votre profession<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-profession\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Profession\" value=\"\" type=\"text\" name=\"your-profession\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<p><label style=\"color:white;\">Votre secteur d'activit\u00e9 <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-secteur\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Secteur d&#039;int\u00e9r\u00eat\" value=\"\" type=\"text\" name=\"your-secteur\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<p><label style=\"color:white;\">Activit\u00e9\tprofessionnelle\ten Afrique ? <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"activity_en_afrique\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"activity_en_afrique\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<p><label>Sinon, Dans quel pays ? <\/label><span class=\"wpcf7-form-control-wrap country_auto country_auto-675\"><select class=\"wpcf7-form-control wpcf7-select country_auto wpcf7-country_auto wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"country_auto-675\" ><option value=\"0\" data-id=\"0\" >Select Country<\/option><option value='Afghanistan' data-id='1'>Afghanistan<\/option><option value='Aland Islands' data-id='2'>Aland Islands<\/option><option value='Albania' data-id='3'>Albania<\/option><option value='Algeria' data-id='4'>Algeria<\/option><option value='American Samoa' data-id='5'>American Samoa<\/option><option value='Andorra' data-id='6'>Andorra<\/option><option value='Angola' data-id='7'>Angola<\/option><option value='Anguilla' data-id='8'>Anguilla<\/option><option value='Antarctica' data-id='9'>Antarctica<\/option><option value='Antigua And Barbuda' data-id='10'>Antigua And Barbuda<\/option><option value='Argentina' data-id='11'>Argentina<\/option><option value='Armenia' data-id='12'>Armenia<\/option><option value='Aruba' data-id='13'>Aruba<\/option><option value='Australia' data-id='14'>Australia<\/option><option value='Austria' data-id='15'>Austria<\/option><option value='Azerbaijan' data-id='16'>Azerbaijan<\/option><option value='Bahamas The' data-id='17'>Bahamas The<\/option><option value='Bahrain' data-id='18'>Bahrain<\/option><option value='Bangladesh' data-id='19'>Bangladesh<\/option><option value='Barbados' data-id='20'>Barbados<\/option><option value='Belarus' data-id='21'>Belarus<\/option><option value='Belgium' data-id='22'>Belgium<\/option><option value='Belize' data-id='23'>Belize<\/option><option value='Benin' data-id='24'>Benin<\/option><option value='Bermuda' data-id='25'>Bermuda<\/option><option value='Bhutan' data-id='26'>Bhutan<\/option><option value='Bolivia' data-id='27'>Bolivia<\/option><option value='Bosnia and Herzegovina' data-id='28'>Bosnia and Herzegovina<\/option><option value='Botswana' data-id='29'>Botswana<\/option><option value='Bouvet Island' data-id='30'>Bouvet Island<\/option><option value='Brazil' data-id='31'>Brazil<\/option><option value='British Indian Ocean Territory' data-id='32'>British Indian Ocean Territory<\/option><option value='Brunei' data-id='33'>Brunei<\/option><option value='Bulgaria' data-id='34'>Bulgaria<\/option><option value='Burkina Faso' data-id='35'>Burkina Faso<\/option><option value='Burundi' data-id='36'>Burundi<\/option><option value='Cambodia' data-id='37'>Cambodia<\/option><option value='Cameroon' data-id='38'>Cameroon<\/option><option value='Canada' data-id='39'>Canada<\/option><option value='Cape Verde' data-id='40'>Cape Verde<\/option><option value='Cayman Islands' data-id='41'>Cayman Islands<\/option><option value='Central African Republic' data-id='42'>Central African Republic<\/option><option value='Chad' data-id='43'>Chad<\/option><option value='Chile' data-id='44'>Chile<\/option><option value='China' data-id='45'>China<\/option><option value='Christmas Island' data-id='46'>Christmas Island<\/option><option value='Cocos (Keeling) Islands' data-id='47'>Cocos (Keeling) Islands<\/option><option value='Colombia' data-id='48'>Colombia<\/option><option value='Comoros' data-id='49'>Comoros<\/option><option value='Congo' data-id='50'>Congo<\/option><option value='Congo The Democratic Republic Of The' data-id='51'>Congo The Democratic Republic Of The<\/option><option value='Cook Islands' data-id='52'>Cook Islands<\/option><option value='Costa Rica' data-id='53'>Costa Rica<\/option><option value='Cote D&#039;Ivoire (Ivory Coast)' data-id='54'>Cote D&#039;Ivoire (Ivory Coast)<\/option><option value='Croatia (Hrvatska)' data-id='55'>Croatia (Hrvatska)<\/option><option value='Cuba' data-id='56'>Cuba<\/option><option value='Cyprus' data-id='57'>Cyprus<\/option><option value='Czech Republic' data-id='58'>Czech Republic<\/option><option value='Denmark' data-id='59'>Denmark<\/option><option value='Djibouti' data-id='60'>Djibouti<\/option><option value='Dominica' data-id='61'>Dominica<\/option><option value='Dominican Republic' data-id='62'>Dominican Republic<\/option><option value='East Timor' data-id='63'>East Timor<\/option><option value='Ecuador' data-id='64'>Ecuador<\/option><option value='Egypt' data-id='65'>Egypt<\/option><option value='El Salvador' data-id='66'>El Salvador<\/option><option value='Equatorial Guinea' data-id='67'>Equatorial Guinea<\/option><option value='Eritrea' data-id='68'>Eritrea<\/option><option value='Estonia' data-id='69'>Estonia<\/option><option value='Ethiopia' data-id='70'>Ethiopia<\/option><option value='Falkland Islands' data-id='71'>Falkland Islands<\/option><option value='Faroe Islands' data-id='72'>Faroe Islands<\/option><option value='Fiji Islands' data-id='73'>Fiji Islands<\/option><option value='Finland' data-id='74'>Finland<\/option><option value='France' data-id='75'>France<\/option><option value='French Guiana' data-id='76'>French Guiana<\/option><option value='French Polynesia' data-id='77'>French Polynesia<\/option><option value='French Southern Territories' data-id='78'>French Southern Territories<\/option><option value='Gabon' data-id='79'>Gabon<\/option><option value='Gambia The' data-id='80'>Gambia The<\/option><option value='Georgia' data-id='81'>Georgia<\/option><option value='Germany' data-id='82'>Germany<\/option><option value='Ghana' data-id='83'>Ghana<\/option><option value='Gibraltar' data-id='84'>Gibraltar<\/option><option value='Greece' data-id='85'>Greece<\/option><option value='Greenland' data-id='86'>Greenland<\/option><option value='Grenada' data-id='87'>Grenada<\/option><option value='Guadeloupe' data-id='88'>Guadeloupe<\/option><option value='Guam' data-id='89'>Guam<\/option><option value='Guatemala' data-id='90'>Guatemala<\/option><option value='Guernsey and Alderney' data-id='91'>Guernsey and Alderney<\/option><option value='Guinea' data-id='92'>Guinea<\/option><option value='Guinea-Bissau' data-id='93'>Guinea-Bissau<\/option><option value='Guyana' data-id='94'>Guyana<\/option><option value='Haiti' data-id='95'>Haiti<\/option><option value='Heard and McDonald Islands' data-id='96'>Heard and McDonald Islands<\/option><option value='Honduras' data-id='97'>Honduras<\/option><option value='Hong Kong S.A.R.' data-id='98'>Hong Kong S.A.R.<\/option><option value='Hungary' data-id='99'>Hungary<\/option><option value='Iceland' data-id='100'>Iceland<\/option><option value='India' data-id='101'>India<\/option><option value='Indonesia' data-id='102'>Indonesia<\/option><option value='Iran' data-id='103'>Iran<\/option><option value='Iraq' data-id='104'>Iraq<\/option><option value='Ireland' data-id='105'>Ireland<\/option><option value='Israel' data-id='106'>Israel<\/option><option value='Italy' data-id='107'>Italy<\/option><option value='Jamaica' data-id='108'>Jamaica<\/option><option value='Japan' data-id='109'>Japan<\/option><option value='Jersey' data-id='110'>Jersey<\/option><option value='Jordan' data-id='111'>Jordan<\/option><option value='Kazakhstan' data-id='112'>Kazakhstan<\/option><option value='Kenya' data-id='113'>Kenya<\/option><option value='Kiribati' data-id='114'>Kiribati<\/option><option value='Korea North' data-id='115'>Korea North<\/option><option value='Korea South' data-id='116'>Korea South<\/option><option value='Kuwait' data-id='117'>Kuwait<\/option><option value='Kyrgyzstan' data-id='118'>Kyrgyzstan<\/option><option value='Laos' data-id='119'>Laos<\/option><option value='Latvia' data-id='120'>Latvia<\/option><option value='Lebanon' data-id='121'>Lebanon<\/option><option value='Lesotho' data-id='122'>Lesotho<\/option><option value='Liberia' data-id='123'>Liberia<\/option><option value='Libya' data-id='124'>Libya<\/option><option value='Liechtenstein' data-id='125'>Liechtenstein<\/option><option value='Lithuania' data-id='126'>Lithuania<\/option><option value='Luxembourg' data-id='127'>Luxembourg<\/option><option value='Macau S.A.R.' data-id='128'>Macau S.A.R.<\/option><option value='Macedonia' data-id='129'>Macedonia<\/option><option value='Madagascar' data-id='130'>Madagascar<\/option><option value='Malawi' data-id='131'>Malawi<\/option><option value='Malaysia' data-id='132'>Malaysia<\/option><option value='Maldives' data-id='133'>Maldives<\/option><option value='Mali' data-id='134'>Mali<\/option><option value='Malta' data-id='135'>Malta<\/option><option value='Man (Isle of)' data-id='136'>Man (Isle of)<\/option><option value='Marshall Islands' data-id='137'>Marshall Islands<\/option><option value='Martinique' data-id='138'>Martinique<\/option><option value='Mauritania' data-id='139'>Mauritania<\/option><option value='Mauritius' data-id='140'>Mauritius<\/option><option value='Mayotte' data-id='141'>Mayotte<\/option><option value='Mexico' data-id='142'>Mexico<\/option><option value='Micronesia' data-id='143'>Micronesia<\/option><option value='Moldova' data-id='144'>Moldova<\/option><option value='Monaco' data-id='145'>Monaco<\/option><option value='Mongolia' data-id='146'>Mongolia<\/option><option value='Montenegro' data-id='147'>Montenegro<\/option><option value='Montserrat' data-id='148'>Montserrat<\/option><option value='Morocco' data-id='149'>Morocco<\/option><option value='Mozambique' data-id='150'>Mozambique<\/option><option value='Myanmar' data-id='151'>Myanmar<\/option><option value='Namibia' data-id='152'>Namibia<\/option><option value='Nauru' data-id='153'>Nauru<\/option><option value='Nepal' data-id='154'>Nepal<\/option><option value='Netherlands Antilles' data-id='155'>Netherlands Antilles<\/option><option value='Netherlands The' data-id='156'>Netherlands The<\/option><option value='New Caledonia' data-id='157'>New Caledonia<\/option><option value='New Zealand' data-id='158'>New Zealand<\/option><option value='Nicaragua' data-id='159'>Nicaragua<\/option><option value='Niger' data-id='160'>Niger<\/option><option value='Nigeria' data-id='161'>Nigeria<\/option><option value='Niue' data-id='162'>Niue<\/option><option value='Norfolk Island' data-id='163'>Norfolk Island<\/option><option value='Northern Mariana Islands' data-id='164'>Northern Mariana Islands<\/option><option value='Norway' data-id='165'>Norway<\/option><option value='Oman' data-id='166'>Oman<\/option><option value='Pakistan' data-id='167'>Pakistan<\/option><option value='Palau' data-id='168'>Palau<\/option><option value='Palestinian Territory Occupied' data-id='169'>Palestinian Territory Occupied<\/option><option value='Panama' data-id='170'>Panama<\/option><option value='Papua new Guinea' data-id='171'>Papua new Guinea<\/option><option value='Paraguay' data-id='172'>Paraguay<\/option><option value='Peru' data-id='173'>Peru<\/option><option value='Philippines' data-id='174'>Philippines<\/option><option value='Pitcairn Island' data-id='175'>Pitcairn Island<\/option><option value='Poland' data-id='176'>Poland<\/option><option value='Portugal' data-id='177'>Portugal<\/option><option value='Puerto Rico' data-id='178'>Puerto Rico<\/option><option value='Qatar' data-id='179'>Qatar<\/option><option value='Reunion' data-id='180'>Reunion<\/option><option value='Romania' data-id='181'>Romania<\/option><option value='Russia' data-id='182'>Russia<\/option><option value='Rwanda' data-id='183'>Rwanda<\/option><option value='Saint Helena' data-id='184'>Saint Helena<\/option><option value='Saint Kitts And Nevis' data-id='185'>Saint Kitts And Nevis<\/option><option value='Saint Lucia' data-id='186'>Saint Lucia<\/option><option value='Saint Pierre and Miquelon' data-id='187'>Saint Pierre and Miquelon<\/option><option value='Saint Vincent And The Grenadines' data-id='188'>Saint Vincent And The Grenadines<\/option><option value='Saint-Barthelemy' data-id='189'>Saint-Barthelemy<\/option><option value='Saint-Martin (French part)' data-id='190'>Saint-Martin (French part)<\/option><option value='Samoa' data-id='191'>Samoa<\/option><option value='San Marino' data-id='192'>San Marino<\/option><option value='Sao Tome and Principe' data-id='193'>Sao Tome and Principe<\/option><option value='Saudi Arabia' data-id='194'>Saudi Arabia<\/option><option value='Senegal' data-id='195'>Senegal<\/option><option value='Serbia' data-id='196'>Serbia<\/option><option value='Seychelles' data-id='197'>Seychelles<\/option><option value='Sierra Leone' data-id='198'>Sierra Leone<\/option><option value='Singapore' data-id='199'>Singapore<\/option><option value='Slovakia' data-id='200'>Slovakia<\/option><option value='Slovenia' data-id='201'>Slovenia<\/option><option value='Solomon Islands' data-id='202'>Solomon Islands<\/option><option value='Somalia' data-id='203'>Somalia<\/option><option value='South Africa' data-id='204'>South Africa<\/option><option value='South Georgia' data-id='205'>South Georgia<\/option><option value='South Sudan' data-id='206'>South Sudan<\/option><option value='Spain' data-id='207'>Spain<\/option><option value='Sri Lanka' data-id='208'>Sri Lanka<\/option><option value='Sudan' data-id='209'>Sudan<\/option><option value='Suriname' data-id='210'>Suriname<\/option><option value='Svalbard And Jan Mayen Islands' data-id='211'>Svalbard And Jan Mayen Islands<\/option><option value='Swaziland' data-id='212'>Swaziland<\/option><option value='Sweden' data-id='213'>Sweden<\/option><option value='Switzerland' data-id='214'>Switzerland<\/option><option value='Syria' data-id='215'>Syria<\/option><option value='Taiwan' data-id='216'>Taiwan<\/option><option value='Tajikistan' data-id='217'>Tajikistan<\/option><option value='Tanzania' data-id='218'>Tanzania<\/option><option value='Thailand' data-id='219'>Thailand<\/option><option value='Togo' data-id='220'>Togo<\/option><option value='Tokelau' data-id='221'>Tokelau<\/option><option value='Tonga' data-id='222'>Tonga<\/option><option value='Trinidad And Tobago' data-id='223'>Trinidad And Tobago<\/option><option value='Tunisia' data-id='224'>Tunisia<\/option><option value='Turkey' data-id='225'>Turkey<\/option><option value='Turkmenistan' data-id='226'>Turkmenistan<\/option><option value='Turks And Caicos Islands' data-id='227'>Turks And Caicos Islands<\/option><option value='Tuvalu' data-id='228'>Tuvalu<\/option><option value='Uganda' data-id='229'>Uganda<\/option><option value='Ukraine' data-id='230'>Ukraine<\/option><option value='United Arab Emirates' data-id='231'>United Arab Emirates<\/option><option value='United Kingdom' data-id='232'>United Kingdom<\/option><option value='United States' data-id='233'>United States<\/option><option value='United States Minor Outlying Islands' data-id='234'>United States Minor Outlying Islands<\/option><option value='Uruguay' data-id='235'>Uruguay<\/option><option value='Uzbekistan' data-id='236'>Uzbekistan<\/option><option value='Vanuatu' data-id='237'>Vanuatu<\/option><option value='Vatican City State (Holy See)' data-id='238'>Vatican City State (Holy See)<\/option><option value='Venezuela' data-id='239'>Venezuela<\/option><option value='Vietnam' data-id='240'>Vietnam<\/option><option value='Virgin Islands (British)' data-id='241'>Virgin Islands (British)<\/option><option value='Virgin Islands (US)' data-id='242'>Virgin Islands (US)<\/option><option value='Wallis And Futuna Islands' data-id='243'>Wallis And Futuna Islands<\/option><option value='Western Sahara' data-id='244'>Western Sahara<\/option><option value='Yemen' data-id='245'>Yemen<\/option><option value='Zambia' data-id='246'>Zambia<\/option><option value='Zimbabwe' data-id='247'>Zimbabwe<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<p><label style=\"color:white;\">Activit\u00e9 professionnelle en Suisse ?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"activity_en_suiss\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"activity_en_suiss\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<p><label style=\"color:white;\">Sinon, Dans quel pays ? <\/label><span class=\"wpcf7-form-control-wrap country_auto country_auto-675\"><select class=\"wpcf7-form-control wpcf7-select country_auto wpcf7-country_auto wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"country_auto-675\" ><option value=\"0\" data-id=\"0\" >Select Country<\/option><option value='Afghanistan' data-id='1'>Afghanistan<\/option><option value='Aland Islands' data-id='2'>Aland Islands<\/option><option value='Albania' data-id='3'>Albania<\/option><option value='Algeria' data-id='4'>Algeria<\/option><option value='American Samoa' data-id='5'>American Samoa<\/option><option value='Andorra' data-id='6'>Andorra<\/option><option value='Angola' data-id='7'>Angola<\/option><option value='Anguilla' data-id='8'>Anguilla<\/option><option value='Antarctica' data-id='9'>Antarctica<\/option><option value='Antigua And Barbuda' data-id='10'>Antigua And Barbuda<\/option><option value='Argentina' data-id='11'>Argentina<\/option><option value='Armenia' data-id='12'>Armenia<\/option><option value='Aruba' data-id='13'>Aruba<\/option><option value='Australia' data-id='14'>Australia<\/option><option value='Austria' data-id='15'>Austria<\/option><option value='Azerbaijan' data-id='16'>Azerbaijan<\/option><option value='Bahamas The' data-id='17'>Bahamas The<\/option><option value='Bahrain' data-id='18'>Bahrain<\/option><option value='Bangladesh' data-id='19'>Bangladesh<\/option><option value='Barbados' data-id='20'>Barbados<\/option><option value='Belarus' data-id='21'>Belarus<\/option><option value='Belgium' data-id='22'>Belgium<\/option><option value='Belize' data-id='23'>Belize<\/option><option value='Benin' data-id='24'>Benin<\/option><option value='Bermuda' data-id='25'>Bermuda<\/option><option value='Bhutan' data-id='26'>Bhutan<\/option><option value='Bolivia' data-id='27'>Bolivia<\/option><option value='Bosnia and Herzegovina' data-id='28'>Bosnia and Herzegovina<\/option><option value='Botswana' data-id='29'>Botswana<\/option><option value='Bouvet Island' data-id='30'>Bouvet Island<\/option><option value='Brazil' data-id='31'>Brazil<\/option><option value='British Indian Ocean Territory' data-id='32'>British Indian Ocean Territory<\/option><option value='Brunei' data-id='33'>Brunei<\/option><option value='Bulgaria' data-id='34'>Bulgaria<\/option><option value='Burkina Faso' data-id='35'>Burkina Faso<\/option><option value='Burundi' data-id='36'>Burundi<\/option><option value='Cambodia' data-id='37'>Cambodia<\/option><option value='Cameroon' data-id='38'>Cameroon<\/option><option value='Canada' data-id='39'>Canada<\/option><option value='Cape Verde' data-id='40'>Cape Verde<\/option><option value='Cayman Islands' data-id='41'>Cayman Islands<\/option><option value='Central African Republic' data-id='42'>Central African Republic<\/option><option value='Chad' data-id='43'>Chad<\/option><option value='Chile' data-id='44'>Chile<\/option><option value='China' data-id='45'>China<\/option><option value='Christmas Island' data-id='46'>Christmas Island<\/option><option value='Cocos (Keeling) Islands' data-id='47'>Cocos (Keeling) Islands<\/option><option value='Colombia' data-id='48'>Colombia<\/option><option value='Comoros' data-id='49'>Comoros<\/option><option value='Congo' data-id='50'>Congo<\/option><option value='Congo The Democratic Republic Of The' data-id='51'>Congo The Democratic Republic Of The<\/option><option value='Cook Islands' data-id='52'>Cook Islands<\/option><option value='Costa Rica' data-id='53'>Costa Rica<\/option><option value='Cote D&#039;Ivoire (Ivory Coast)' data-id='54'>Cote D&#039;Ivoire (Ivory Coast)<\/option><option value='Croatia (Hrvatska)' data-id='55'>Croatia (Hrvatska)<\/option><option value='Cuba' data-id='56'>Cuba<\/option><option value='Cyprus' data-id='57'>Cyprus<\/option><option value='Czech Republic' data-id='58'>Czech Republic<\/option><option value='Denmark' data-id='59'>Denmark<\/option><option value='Djibouti' data-id='60'>Djibouti<\/option><option value='Dominica' data-id='61'>Dominica<\/option><option value='Dominican Republic' data-id='62'>Dominican Republic<\/option><option value='East Timor' data-id='63'>East Timor<\/option><option value='Ecuador' data-id='64'>Ecuador<\/option><option value='Egypt' data-id='65'>Egypt<\/option><option value='El Salvador' data-id='66'>El Salvador<\/option><option value='Equatorial Guinea' data-id='67'>Equatorial Guinea<\/option><option value='Eritrea' data-id='68'>Eritrea<\/option><option value='Estonia' data-id='69'>Estonia<\/option><option value='Ethiopia' data-id='70'>Ethiopia<\/option><option value='Falkland Islands' data-id='71'>Falkland Islands<\/option><option value='Faroe Islands' data-id='72'>Faroe Islands<\/option><option value='Fiji Islands' data-id='73'>Fiji Islands<\/option><option value='Finland' data-id='74'>Finland<\/option><option value='France' data-id='75'>France<\/option><option value='French Guiana' data-id='76'>French Guiana<\/option><option value='French Polynesia' data-id='77'>French Polynesia<\/option><option value='French Southern Territories' data-id='78'>French Southern Territories<\/option><option value='Gabon' data-id='79'>Gabon<\/option><option value='Gambia The' data-id='80'>Gambia The<\/option><option value='Georgia' data-id='81'>Georgia<\/option><option value='Germany' data-id='82'>Germany<\/option><option value='Ghana' data-id='83'>Ghana<\/option><option value='Gibraltar' data-id='84'>Gibraltar<\/option><option value='Greece' data-id='85'>Greece<\/option><option value='Greenland' data-id='86'>Greenland<\/option><option value='Grenada' data-id='87'>Grenada<\/option><option value='Guadeloupe' data-id='88'>Guadeloupe<\/option><option value='Guam' data-id='89'>Guam<\/option><option value='Guatemala' data-id='90'>Guatemala<\/option><option value='Guernsey and Alderney' data-id='91'>Guernsey and Alderney<\/option><option value='Guinea' data-id='92'>Guinea<\/option><option value='Guinea-Bissau' data-id='93'>Guinea-Bissau<\/option><option value='Guyana' data-id='94'>Guyana<\/option><option value='Haiti' data-id='95'>Haiti<\/option><option value='Heard and McDonald Islands' data-id='96'>Heard and McDonald Islands<\/option><option value='Honduras' data-id='97'>Honduras<\/option><option value='Hong Kong S.A.R.' data-id='98'>Hong Kong S.A.R.<\/option><option value='Hungary' data-id='99'>Hungary<\/option><option value='Iceland' data-id='100'>Iceland<\/option><option value='India' data-id='101'>India<\/option><option value='Indonesia' data-id='102'>Indonesia<\/option><option value='Iran' data-id='103'>Iran<\/option><option value='Iraq' data-id='104'>Iraq<\/option><option value='Ireland' data-id='105'>Ireland<\/option><option value='Israel' data-id='106'>Israel<\/option><option value='Italy' data-id='107'>Italy<\/option><option value='Jamaica' data-id='108'>Jamaica<\/option><option value='Japan' data-id='109'>Japan<\/option><option value='Jersey' data-id='110'>Jersey<\/option><option value='Jordan' data-id='111'>Jordan<\/option><option value='Kazakhstan' data-id='112'>Kazakhstan<\/option><option value='Kenya' data-id='113'>Kenya<\/option><option value='Kiribati' data-id='114'>Kiribati<\/option><option value='Korea North' data-id='115'>Korea North<\/option><option value='Korea South' data-id='116'>Korea South<\/option><option value='Kuwait' data-id='117'>Kuwait<\/option><option value='Kyrgyzstan' data-id='118'>Kyrgyzstan<\/option><option value='Laos' data-id='119'>Laos<\/option><option value='Latvia' data-id='120'>Latvia<\/option><option value='Lebanon' data-id='121'>Lebanon<\/option><option value='Lesotho' data-id='122'>Lesotho<\/option><option value='Liberia' data-id='123'>Liberia<\/option><option value='Libya' data-id='124'>Libya<\/option><option value='Liechtenstein' data-id='125'>Liechtenstein<\/option><option value='Lithuania' data-id='126'>Lithuania<\/option><option value='Luxembourg' data-id='127'>Luxembourg<\/option><option value='Macau S.A.R.' data-id='128'>Macau S.A.R.<\/option><option value='Macedonia' data-id='129'>Macedonia<\/option><option value='Madagascar' data-id='130'>Madagascar<\/option><option value='Malawi' data-id='131'>Malawi<\/option><option value='Malaysia' data-id='132'>Malaysia<\/option><option value='Maldives' data-id='133'>Maldives<\/option><option value='Mali' data-id='134'>Mali<\/option><option value='Malta' data-id='135'>Malta<\/option><option value='Man (Isle of)' data-id='136'>Man (Isle of)<\/option><option value='Marshall Islands' data-id='137'>Marshall Islands<\/option><option value='Martinique' data-id='138'>Martinique<\/option><option value='Mauritania' data-id='139'>Mauritania<\/option><option value='Mauritius' data-id='140'>Mauritius<\/option><option value='Mayotte' data-id='141'>Mayotte<\/option><option value='Mexico' data-id='142'>Mexico<\/option><option value='Micronesia' data-id='143'>Micronesia<\/option><option value='Moldova' data-id='144'>Moldova<\/option><option value='Monaco' data-id='145'>Monaco<\/option><option value='Mongolia' data-id='146'>Mongolia<\/option><option value='Montenegro' data-id='147'>Montenegro<\/option><option value='Montserrat' data-id='148'>Montserrat<\/option><option value='Morocco' data-id='149'>Morocco<\/option><option value='Mozambique' data-id='150'>Mozambique<\/option><option value='Myanmar' data-id='151'>Myanmar<\/option><option value='Namibia' data-id='152'>Namibia<\/option><option value='Nauru' data-id='153'>Nauru<\/option><option value='Nepal' data-id='154'>Nepal<\/option><option value='Netherlands Antilles' data-id='155'>Netherlands Antilles<\/option><option value='Netherlands The' data-id='156'>Netherlands The<\/option><option value='New Caledonia' data-id='157'>New Caledonia<\/option><option value='New Zealand' data-id='158'>New Zealand<\/option><option value='Nicaragua' data-id='159'>Nicaragua<\/option><option value='Niger' data-id='160'>Niger<\/option><option value='Nigeria' data-id='161'>Nigeria<\/option><option value='Niue' data-id='162'>Niue<\/option><option value='Norfolk Island' data-id='163'>Norfolk Island<\/option><option value='Northern Mariana Islands' data-id='164'>Northern Mariana Islands<\/option><option value='Norway' data-id='165'>Norway<\/option><option value='Oman' data-id='166'>Oman<\/option><option value='Pakistan' data-id='167'>Pakistan<\/option><option value='Palau' data-id='168'>Palau<\/option><option value='Palestinian Territory Occupied' data-id='169'>Palestinian Territory Occupied<\/option><option value='Panama' data-id='170'>Panama<\/option><option value='Papua new Guinea' data-id='171'>Papua new Guinea<\/option><option value='Paraguay' data-id='172'>Paraguay<\/option><option value='Peru' data-id='173'>Peru<\/option><option value='Philippines' data-id='174'>Philippines<\/option><option value='Pitcairn Island' data-id='175'>Pitcairn Island<\/option><option value='Poland' data-id='176'>Poland<\/option><option value='Portugal' data-id='177'>Portugal<\/option><option value='Puerto Rico' data-id='178'>Puerto Rico<\/option><option value='Qatar' data-id='179'>Qatar<\/option><option value='Reunion' data-id='180'>Reunion<\/option><option value='Romania' data-id='181'>Romania<\/option><option value='Russia' data-id='182'>Russia<\/option><option value='Rwanda' data-id='183'>Rwanda<\/option><option value='Saint Helena' data-id='184'>Saint Helena<\/option><option value='Saint Kitts And Nevis' data-id='185'>Saint Kitts And Nevis<\/option><option value='Saint Lucia' data-id='186'>Saint Lucia<\/option><option value='Saint Pierre and Miquelon' data-id='187'>Saint Pierre and Miquelon<\/option><option value='Saint Vincent And The Grenadines' data-id='188'>Saint Vincent And The Grenadines<\/option><option value='Saint-Barthelemy' data-id='189'>Saint-Barthelemy<\/option><option value='Saint-Martin (French part)' data-id='190'>Saint-Martin (French part)<\/option><option value='Samoa' data-id='191'>Samoa<\/option><option value='San Marino' data-id='192'>San Marino<\/option><option value='Sao Tome and Principe' data-id='193'>Sao Tome and Principe<\/option><option value='Saudi Arabia' data-id='194'>Saudi Arabia<\/option><option value='Senegal' data-id='195'>Senegal<\/option><option value='Serbia' data-id='196'>Serbia<\/option><option value='Seychelles' data-id='197'>Seychelles<\/option><option value='Sierra Leone' data-id='198'>Sierra Leone<\/option><option value='Singapore' data-id='199'>Singapore<\/option><option value='Slovakia' data-id='200'>Slovakia<\/option><option value='Slovenia' data-id='201'>Slovenia<\/option><option value='Solomon Islands' data-id='202'>Solomon Islands<\/option><option value='Somalia' data-id='203'>Somalia<\/option><option value='South Africa' data-id='204'>South Africa<\/option><option value='South Georgia' data-id='205'>South Georgia<\/option><option value='South Sudan' data-id='206'>South Sudan<\/option><option value='Spain' data-id='207'>Spain<\/option><option value='Sri Lanka' data-id='208'>Sri Lanka<\/option><option value='Sudan' data-id='209'>Sudan<\/option><option value='Suriname' data-id='210'>Suriname<\/option><option value='Svalbard And Jan Mayen Islands' data-id='211'>Svalbard And Jan Mayen Islands<\/option><option value='Swaziland' data-id='212'>Swaziland<\/option><option value='Sweden' data-id='213'>Sweden<\/option><option value='Switzerland' data-id='214'>Switzerland<\/option><option value='Syria' data-id='215'>Syria<\/option><option value='Taiwan' data-id='216'>Taiwan<\/option><option value='Tajikistan' data-id='217'>Tajikistan<\/option><option value='Tanzania' data-id='218'>Tanzania<\/option><option value='Thailand' data-id='219'>Thailand<\/option><option value='Togo' data-id='220'>Togo<\/option><option value='Tokelau' data-id='221'>Tokelau<\/option><option value='Tonga' data-id='222'>Tonga<\/option><option value='Trinidad And Tobago' data-id='223'>Trinidad And Tobago<\/option><option value='Tunisia' data-id='224'>Tunisia<\/option><option value='Turkey' data-id='225'>Turkey<\/option><option value='Turkmenistan' data-id='226'>Turkmenistan<\/option><option value='Turks And Caicos Islands' data-id='227'>Turks And Caicos Islands<\/option><option value='Tuvalu' data-id='228'>Tuvalu<\/option><option value='Uganda' data-id='229'>Uganda<\/option><option value='Ukraine' data-id='230'>Ukraine<\/option><option value='United Arab Emirates' data-id='231'>United Arab Emirates<\/option><option value='United Kingdom' data-id='232'>United Kingdom<\/option><option value='United States' data-id='233'>United States<\/option><option value='United States Minor Outlying Islands' data-id='234'>United States Minor Outlying Islands<\/option><option value='Uruguay' data-id='235'>Uruguay<\/option><option value='Uzbekistan' data-id='236'>Uzbekistan<\/option><option value='Vanuatu' data-id='237'>Vanuatu<\/option><option value='Vatican City State (Holy See)' data-id='238'>Vatican City State (Holy See)<\/option><option value='Venezuela' data-id='239'>Venezuela<\/option><option value='Vietnam' data-id='240'>Vietnam<\/option><option value='Virgin Islands (British)' data-id='241'>Virgin Islands (British)<\/option><option value='Virgin Islands (US)' data-id='242'>Virgin Islands (US)<\/option><option value='Wallis And Futuna Islands' data-id='243'>Wallis And Futuna Islands<\/option><option value='Western Sahara' data-id='244'>Western Sahara<\/option><option value='Yemen' data-id='245'>Yemen<\/option><option value='Zambia' data-id='246'>Zambia<\/option><option value='Zimbabwe' data-id='247'>Zimbabwe<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<p style=\"color:white;\">Je souhaite devenir membre de la\tChambre\tde promotion du\tcommerce et de l\u2019industrie\tentre la Suisse\tet la R\u00e9publique D\u00e9mocratique du Congo\t(CCSC)\tet je r\u00e8gle ma\tcotisation individuelle de CHF 150.- au moyen suivant\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-sm-12\" style=\"color:white;\">\n\t\t<p style=\"color:white;\"><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-75\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"checkbox-75[]\" value=\"Virement Bancaire \u2013 Postfinance IBAN CH89 0900 0000 1499 5841 0\" \/><span class=\"wpcf7-list-item-label\">Virement Bancaire \u2013 Postfinance IBAN CH89 0900 0000 1499 5841 0<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-button col-sm-12\">\n\t\t<div class=\"col-sm-12\" style=\"color:white;\">\n\t\t\t<p style=\"color:white;\"><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-75\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"checkbox-75[]\" value=\"Bulletin de versement-Pour la Chambre de commerce Suisse-R.D.Congo, Ch\u00eane-Bougeries\u2013Compte 14-995841-0\" \/><span class=\"wpcf7-list-item-label\">Bulletin de versement-Pour la Chambre de commerce Suisse-R.D.Congo, Ch\u00eane-Bougeries\u2013Compte 14-995841-0<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-12\">\n\t\t\t<p style=\"color:white;\">Les\tinformations\tn\u00e9cessaires\tvous\tseront\tcommuniqu\u00e9es\td\u00e8s\tr\u00e9ception\tdu\tformulaire\tdat\u00e9\tet<br \/>\nsign\u00e9\t\u00e0\tenvoyer\tpar\tcourriel\t\u00e0\tadhesion@ccsc.ch ou\tpar\tcourrier\tpostal\t\u00e0\tCCSC- Affiliation,\tcase<br \/>\npostale\t403,\tCH\t\u2013 1224\tCh\u00eane-Bougeries\/GE.\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"form-button col-sm-12\">\n\t\t\t<p class=\"submit-btn\"><input class=\"wpcf7-form-control has-spinner wpcf7-submit\" type=\"submit\" value=\"Envoyer\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Formulaire d&#8217;ah\u00e9sion Individuelle Votre civilit\u00e9 Mr.Mme.Mlle Votre nom Votre pr\u00e9nom Votre adresse Votre nom Select CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo The Democratic Republic Of TheCook IslandsCosta RicaCote D&#039;Ivoire (Ivory Coast)Croatia (Hrvatska)CubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFiji IslandsFinlandFranceFrench GuianaFrench&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-26539","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ccsrdc.ch\/index.php\/wp-json\/wp\/v2\/pages\/26539","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ccsrdc.ch\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ccsrdc.ch\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ccsrdc.ch\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ccsrdc.ch\/index.php\/wp-json\/wp\/v2\/comments?post=26539"}],"version-history":[{"count":4,"href":"https:\/\/ccsrdc.ch\/index.php\/wp-json\/wp\/v2\/pages\/26539\/revisions"}],"predecessor-version":[{"id":26544,"href":"https:\/\/ccsrdc.ch\/index.php\/wp-json\/wp\/v2\/pages\/26539\/revisions\/26544"}],"wp:attachment":[{"href":"https:\/\/ccsrdc.ch\/index.php\/wp-json\/wp\/v2\/media?parent=26539"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}