{"id":573,"date":"2019-01-21T23:52:24","date_gmt":"2019-01-21T22:52:24","guid":{"rendered":"https:\/\/cracwto.dz\/?page_id=573"},"modified":"2019-01-23T13:56:57","modified_gmt":"2019-01-23T12:56:57","slug":"devenir-partenaire","status":"publish","type":"page","link":"https:\/\/cracwto.dz\/?page_id=573","title":{"rendered":"Devenir partenaire"},"content":{"rendered":"<div id=\"vfb-form-6\" class=\"visual-form-builder-container\"><form id=\"devenir-membre-6\" class=\"visual-form-builder vfb-form-6 \" method=\"post\" enctype=\"multipart\/form-data\">\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"6\" \/><fieldset class=\"vfb-fieldset vfb-fieldset-1 formulaire \" id=\"item-vfb-53\"><div class=\"vfb-legend\"><h3>Formulaire<\/h3><\/div><ul class=\"vfb-section vfb-section-1\"><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-57\"><label for=\"vfb-57\" class=\"vfb-desc\">Extrait de naissance  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"file\" name=\"vfb-57\" id=\"vfb-57\" value=\"\" class=\"vfb-text  vfb-medium  required    {accept:'png|jpe?g|gif'}\" \/><\/li><li class=\"vfb-item vfb-item-email  \" id=\"item-vfb-58\"><label for=\"vfb-58\" class=\"vfb-desc\">Adresse e-mail  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"email\" name=\"vfb-58\" id=\"vfb-58\" value=\"\" class=\"vfb-text  vfb-medium  required  email \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-59\"><label for=\"vfb-59\" class=\"vfb-desc\">Adresse de r\u00e9sidence  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-59\" id=\"vfb-59\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-phone  \" id=\"item-vfb-60\"><label for=\"vfb-60\" class=\"vfb-desc\">Num\u00e9ro de t\u00e9l\u00e9phone  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"tel\" name=\"vfb-60\" id=\"vfb-60\" value=\"\" class=\"vfb-text  vfb-medium  required  phone \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-61\"><label for=\"vfb-61\" class=\"vfb-desc\">Compte Facebook <\/label><input type=\"text\" name=\"vfb-61\" id=\"vfb-61\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-select  \" id=\"item-vfb-62\"><label for=\"vfb-62\" class=\"vfb-desc\">Comit\u00e9 local d&#039;adh\u00e9sion  <span class=\"vfb-required-asterisk\">*<\/span><\/label><select name=\"vfb-62\" id=\"vfb-62\" class=\"vfb-select  vfb-medium  required \"><option value=\"Ain El Hammam\">Ain El Hammam<\/option><option value=\"Azazga\">Azazga<\/option><option value=\"Azeffoun\">Azeffoun<\/option><option value=\"Beni Douala\">Beni Douala<\/option><option value=\"Beni Yenni\">Beni Yenni<\/option><option value=\"Boghni\">Boghni<\/option><option value=\"Bouzegu\u00e8ne\">Bouzegu\u00e8ne<\/option><option value=\"Dra\u00e2 Ben Khedda\">Dra\u00e2 Ben Khedda<\/option><option value=\"Dra\u00e2 El Mizan\">Dra\u00e2 El Mizan<\/option><option value=\"Iferhoun\u00e8ne\">Iferhoun\u00e8ne<\/option><option value=\"Larba\u00e2 Nath Irathen\">Larba\u00e2 Nath Irathen<\/option><option value=\"M\u00e2atkas\">M\u00e2atkas<\/option><option value=\"Makouda\">Makouda<\/option><option value=\"Mekla\">Mekla<\/option><option value=\"Ouacif\">Ouacif<\/option><option value=\"Ouadhia\">Ouadhia<\/option><option value=\"Ouaguenoun\">Ouaguenoun<\/option><option value=\"Tigzirt\">Tigzirt<\/option><option value=\"Tizi Gheniff\">Tizi Gheniff<\/option><option value=\"Tizi Ouzou\" selected='selected'>Tizi Ouzou<\/option><option value=\"Tizi Rached\">Tizi Rached<\/option><\/select><\/li><li class=\"vfb-item vfb-item-number  \" id=\"item-vfb-63\"><label for=\"vfb-63\" class=\"vfb-desc\">N\u00b0 du Bulletin d&#039;adh\u00e9sion  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-63\" id=\"vfb-63\" value=\"\" class=\"vfb-text  vfb-medium  required  digits \" \/><\/li><li class=\"vfb-item vfb-item-number  \" id=\"item-vfb-64\"><label for=\"vfb-64\" class=\"vfb-desc\">N\u00b0 du re\u00e7u de cotisation  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-64\" id=\"vfb-64\" value=\"\" class=\"vfb-text  vfb-medium  required  digits \" \/><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-65\"><label for=\"vfb-65\" class=\"vfb-desc\">Copie du Bulletin d&#039;adhesion  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"file\" name=\"vfb-65\" id=\"vfb-65\" value=\"\" class=\"vfb-text  vfb-medium  required    {accept:'png|jpe?g|gif'}\" \/><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-66\"><label for=\"vfb-66\" class=\"vfb-desc\">Carte de groupage  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"file\" name=\"vfb-66\" id=\"vfb-66\" value=\"\" class=\"vfb-text  vfb-medium  required    {accept:'png|jpe?g|gif'}\" \/><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-67\"><label for=\"vfb-67\" class=\"vfb-desc\">Copie du permis <\/label><input type=\"file\" name=\"vfb-67\" id=\"vfb-67\" value=\"\" class=\"vfb-text  vfb-medium     {accept:'png|jpe?g|gif'}\" \/><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-68\"><label for=\"vfb-68\" class=\"vfb-desc\">Copie de la carte d&#039;identit\u00e9 <\/label><input type=\"file\" name=\"vfb-68\" id=\"vfb-68\" value=\"\" class=\"vfb-text  vfb-medium     {accept:'png|jpe?g|gif'}\" \/><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-69\"><label for=\"vfb-69\" class=\"vfb-desc\">Copie de la carte d&#039;\u00e9tudiant <\/label><input type=\"file\" name=\"vfb-69\" id=\"vfb-69\" value=\"\" class=\"vfb-text  vfb-medium     {accept:'png|jpe?g|gif'}\" \/><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-70\"><label for=\"vfb-70\" class=\"vfb-desc\">Copie de la carte d&#039;Assurance <\/label><input type=\"file\" name=\"vfb-70\" id=\"vfb-70\" value=\"\" class=\"vfb-text  vfb-medium     {accept:'png|jpe?g|gif'}\" \/><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-71\"><label for=\"vfb-71\" class=\"vfb-desc\">Photo avec un fond blanc <\/label><input type=\"file\" name=\"vfb-71\" id=\"vfb-71\" value=\"\" class=\"vfb-text  vfb-medium     {accept:'png|jpe?g|gif'}\" \/><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-72\"><label for=\"vfb-72\" class=\"vfb-desc\">Copie(s) de(s) dipl\u00f4me(s) <\/label><input type=\"file\" name=\"vfb-72\" id=\"vfb-72\" value=\"\" class=\"vfb-text  vfb-medium     {accept:'png|jpe?g|gif'}\" \/><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-73\"><label for=\"vfb-73\" class=\"vfb-desc\">Copie d&#039;attestation de travail <\/label><input type=\"file\" name=\"vfb-73\" id=\"vfb-73\" value=\"\" class=\"vfb-text  vfb-medium     {accept:'png|jpe?g|gif'}\" \/><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-74\"><label for=\"vfb-74\" class=\"vfb-desc\">Copie des Attestations du CRA (Moniteur\/Formateur\/Secouriste\u2026)  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"file\" name=\"vfb-74\" id=\"vfb-74\" value=\"\" class=\"vfb-text  vfb-medium  required    {accept:'png|jpe?g|gif'}\" \/><\/li><li class=\"vfb-item vfb-item-select  \" id=\"item-vfb-75\"><label for=\"vfb-75\" class=\"vfb-desc\">Qualit\u00e9 au sein du CRA <\/label><select name=\"vfb-75\" id=\"vfb-75\" class=\"vfb-select  vfb-medium  \"><option value=\"Comit\u00e9 Local\">Comit\u00e9 Local<\/option><option value=\"Comit\u00e9 Wilayal\">Comit\u00e9 Wilayal<\/option><option value=\"Commision\">Commision<\/option><\/select><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-2 verification \" id=\"item-vfb-54\" style=\"display:block\"><div class=\"vfb-legend\"><h3>V\u00e9rification<\/h3><\/div><ul class=\"vfb-section vfb-section-2\"><li class=\"vfb-item vfb-item-secret\"  style=\"display:block\"><label for=\"vfb-55\" class=\"vfb-desc\">Veuillez saisir n&#039;importe quels deux chiffres <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"hidden\" name=\"_vfb-secret\" value=\"vfb-55\" \/><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-55\" id=\"vfb-55\" value=\"\" class=\"vfb-text  vfb-medium  required {digits:true,maxlength:2,minlength:2} \" style=\"display:block\" \/><label>Exemple : 12<\/label><\/span><li style=\"display:none;\"><label>Cette bo\u00eete est pour la protection contre le spam - <strong>Veuillez laisser en blanc<\/strong>:<\/label><div><input name=\"vfb-spam\" \/><\/div><\/li>\n\t\t\t<li class=\"vfb-item vfb-item-submit\" id=\"item-vfb-56\">\n\t\t\t\t\t\t<input type=\"submit\" name=\"vfb-submit\" id=\"vfb-56\" value=\"Soumettre\" class=\"vfb-submit \" \/>\n\t\t\t\t\t\t<\/li><\/ul>\n\t\t\t<\/fieldset><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F573\" \/><\/form><\/div> <!-- 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