{"id":2832,"date":"2025-09-24T06:05:06","date_gmt":"2025-09-24T06:05:06","guid":{"rendered":"https:\/\/ofsip.lu\/?page_id=2832"},"modified":"2025-10-24T06:13:13","modified_gmt":"2025-10-24T06:13:13","slug":"form-travailleur-designe","status":"publish","type":"page","link":"https:\/\/ofsip.lu\/en\/form-travailleur-designe\/","title":{"rendered":"Fiche de recueil d\u2019informations \u2013 Travailleur D\u00e9sign\u00e9"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"2832\" class=\"elementor elementor-2832\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-650e6c7 e-flex e-con-boxed e-con e-parent\" data-id=\"650e6c7\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5ab2fb3 elementor-widget elementor-widget-text-editor\" data-id=\"5ab2fb3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div style=\"border: 0px; font-style: inherit; font-variant-caps: inherit; font-width: inherit; font-size: inherit; line-height: inherit; font-family: inherit; font-size-adjust: inherit; font-kerning: inherit; font-variant-alternates: inherit; font-variant-ligatures: inherit; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-variant-position: inherit; font-feature-settings: inherit; font-optical-sizing: inherit; font-variation-settings: inherit; margin: 0px; padding: 0px; vertical-align: baseline;\" role=\"presentation\" data-olk-copy-source=\"MessageBody\"><div class=\"x_elementToProof\" style=\"font-size: 12pt; border: 0px; font-variant-ligatures: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-variant-alternates: inherit; font-variant-position: inherit; font-width: inherit; line-height: inherit; font-optical-sizing: inherit; font-size-adjust: inherit; font-kerning: inherit; font-feature-settings: inherit; font-variation-settings: inherit; margin: 0px; padding: 0px; vertical-align: baseline; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;\">Merci de compl\u00e9ter ce formulaire : vos r\u00e9ponses nous permettront de comprendre vos besoins sp\u00e9cifiques et de vous proposer une offre Travailleur D\u00e9sign\u00e9 adapt\u00e9e \u00e0 votre organisation et \u00e0 vos activit\u00e9s<\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a295759 e-flex e-con-boxed e-con e-parent\" data-id=\"a295759\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dbf5db1 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"dbf5db1\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Fiche de recueil d&#039;informations\" aria-label=\"Fiche de recueil d&#039;informations\" action=\"\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"2832\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"dbf5db1\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Fiche de recueil d\u2019informations \u2013 Travailleur D\u00e9sign\u00e9 - OFSIP\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"2832\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_14d27fb elementor-col-100\">\n\t\t\t\t\t<h3 style=\"color:#51ADDA; margin-top:20px; font-size:20px;\">\nPersonne de contact\n<\/h3>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_55f973e elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_55f973e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNom - Pr\u00e9nom\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_55f973e]\" id=\"form-field-field_55f973e\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_af5a2ee elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_af5a2ee\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAdresse mail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_af5a2ee]\" id=\"form-field-field_af5a2ee\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_ee06d77 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ee06d77\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNum\u00e9ro de t\u00e9l\u00e9phone\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_ee06d77]\" id=\"form-field-field_ee06d77\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_f2eaf4b elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f2eaf4b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tQuel est votre poste\/fonction au sein de l\u2019entreprise ?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before\">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewbox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_f2eaf4b]\" id=\"form-field-field_f2eaf4b\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\">S\u00e9lectionnez<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Dirigeant \/ G\u00e9rant \/ Administrateur\">Dirigeant \/ G\u00e9rant \/ Administrateur<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Responsable RH \/ Ressources humaines\">Responsable RH \/ Ressources humaines<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Responsable HSE \/ Sant\u00e9-S\u00e9curit\u00e9-Environnement\">Responsable HSE \/ Sant\u00e9-S\u00e9curit\u00e9-Environnement<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Travailleur d\u00e9sign\u00e9\">Travailleur d\u00e9sign\u00e9<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"D\u00e9l\u00e9gu\u00e9 du personnel\">D\u00e9l\u00e9gu\u00e9 du personnel<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Manager d\u2019\u00e9quipe \/ Chef de service\">Manager d\u2019\u00e9quipe \/ Chef de service<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Employ\u00e9 administratif\">Employ\u00e9 administratif<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Autre poste (\u00e0 pr\u00e9ciser)\">Autre poste (\u00e0 pr\u00e9ciser)<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_397d55e elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_397d55e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPr\u00e9cisez si Autre\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_397d55e]\" id=\"form-field-field_397d55e\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_fb8c869 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_fb8c869\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLangue utilis\u00e9e\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before\">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewbox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_fb8c869]\" id=\"form-field-field_fb8c869\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\">S\u00e9lectionnez<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Fran\u00e7ais\">Fran\u00e7ais<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Anglais\">Anglais<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Luxembourgeois\">Luxembourgeois<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Allemand\">Allemand<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Autre (\u00e0 pr\u00e9ciser)\">Autre (\u00e0 pr\u00e9ciser)<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_773ad03 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_773ad03\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPr\u00e9cisez si Autre\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_773ad03]\" id=\"form-field-field_773ad03\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_f443ffb elementor-col-100\">\n\t\t\t\t\t<h3 style=\"color:#51ADDA; margin-top:20px; font-size:20px;\">\nInformations sur l'entreprise\n<\/h3>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNom de l'entreprise\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_93e4162 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_93e4162\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tForme juridique\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before\">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewbox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_93e4162]\" id=\"form-field-field_93e4162\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\" \">S\u00e9lectionnez<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"EI\">EI<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"SARL\">SARL<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"SARL-S\">SARL-S<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"SA\">SA<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"SCS\">SCS<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"SCA\">SCA<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"SNC\">SNC<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"SC\">SC<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"SE\">SE<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"ASBL\">ASBL<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Fondation\">Fondation<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Etablissement public\">Etablissement public<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Autre forme juridique\">Autre forme juridique<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_d0a00b0 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d0a00b0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSecteur d'activit\u00e9\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before\">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewbox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_d0a00b0]\" id=\"form-field-field_d0a00b0\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\" \">S\u00e9lectionnez<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Agriculture &amp; Environnement\">Agriculture &amp; Environnement<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Industrie &amp; Production\">Industrie &amp; Production<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Construction &amp; B\u00e2timent\">Construction &amp; B\u00e2timent<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Commerce &amp; Distribution\">Commerce &amp; Distribution<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Transports &amp; Logistique\">Transports &amp; Logistique<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Services &amp; Conseil\">Services &amp; Conseil<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\u00c9ducation &amp; Formation\">\u00c9ducation &amp; Formation<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sant\u00e9 &amp; Action sociale\">Sant\u00e9 &amp; Action sociale<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Administration &amp; Secteur public\">Administration &amp; Secteur public<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Associatif &amp; Solidaire\">Associatif &amp; Solidaire<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Autre secteur d\u2019activit\u00e9\">Autre secteur d\u2019activit\u00e9<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_1e1bab8 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1e1bab8\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNombre d'employ\u00e9\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_1e1bab8]\" id=\"form-field-field_1e1bab8\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_aa5a8e7 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_aa5a8e7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tD\u00e9crivez, en quelques lignes, votre activit\u00e9\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_aa5a8e7]\" id=\"form-field-field_aa5a8e7\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_9a44670 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9a44670\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAdresse\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_9a44670]\" id=\"form-field-field_9a44670\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-email elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCode Postale\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_415969f elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_415969f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tVille\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_415969f]\" id=\"form-field-field_415969f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_26e9762 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_26e9762\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPays\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before\">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewbox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_26e9762]\" id=\"form-field-field_26e9762\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\" \">S\u00e9lectionnez<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\u00c5land Islands\">\u00c5land Islands<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Albania\">Albania<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Algeria\">Algeria<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"American Samoa\">American Samoa<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Andorra\">Andorra<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Angola\">Angola<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Anguilla\">Anguilla<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Antarctica\">Antarctica<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Argentina\">Argentina<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Armenia\">Armenia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Aruba\">Aruba<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Australia\">Australia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Austria\">Austria<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Azerbaijan\">Azerbaijan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Bahamas\">Bahamas<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Bahrain\">Bahrain<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Bangladesh\">Bangladesh<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Barbados\">Barbados<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Belarus\">Belarus<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Belgium\">Belgium<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Belize\">Belize<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Benin\">Benin<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Bermuda\">Bermuda<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Bhutan\">Bhutan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Bolivia, Plurinational State of\">Bolivia, Plurinational State of<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Bonaire, Sint Eustatius and Saba\">Bonaire, Sint Eustatius and Saba<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Botswana\">Botswana<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Bouvet Island\">Bouvet Island<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Brazil\">Brazil<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"British Indian Ocean Territory\">British Indian Ocean Territory<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Brunei Darussalam\">Brunei Darussalam<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Bulgaria\">Bulgaria<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Burkina Faso\">Burkina Faso<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Burundi\">Burundi<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Cabo Verde\">Cabo Verde<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Cambodia\">Cambodia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Cameroon\">Cameroon<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Canada\">Canada<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Cayman Islands\">Cayman Islands<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Central African Republic\">Central African Republic<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Chad\">Chad<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Chile\">Chile<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"China\">China<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Christmas Island\">Christmas Island<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Cocos (Keeling) Islands\">Cocos (Keeling) Islands<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Colombia\">Colombia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Comoros\">Comoros<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Congo\">Congo<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Congo, Democratic Republic of the\">Congo, Democratic Republic of the<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Cook Islands\">Cook Islands<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Costa Rica\">Costa Rica<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"C\u00f4te d&#039;Ivoire\">C\u00f4te d&#039;Ivoire<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Croatia\">Croatia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Cuba\">Cuba<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Cura\u00e7ao\">Cura\u00e7ao<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Cyprus\">Cyprus<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Czechia\">Czechia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Denmark\">Denmark<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Djibouti\">Djibouti<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Dominica\">Dominica<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Dominican Republic\">Dominican Republic<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Ecuador\">Ecuador<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Egypt\">Egypt<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"El Salvador\">El Salvador<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Equatorial Guinea\">Equatorial Guinea<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Eritrea\">Eritrea<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Estonia\">Estonia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Eswatini\">Eswatini<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Ethiopia\">Ethiopia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Falkland Islands (Malvinas)\">Falkland Islands (Malvinas)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Faroe Islands\">Faroe Islands<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Fiji\">Fiji<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Finland\">Finland<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"France\">France<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"French Guiana\">French Guiana<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"French Polynesia\">French Polynesia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"French Southern Territories\">French Southern Territories<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Gabon\">Gabon<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Gambia\">Gambia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Georgia\">Georgia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Germany\">Germany<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Ghana\">Ghana<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Gibraltar\">Gibraltar<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Greece\">Greece<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Greenland\">Greenland<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Grenada\">Grenada<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Guadeloupe\">Guadeloupe<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Guam\">Guam<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Guatemala\">Guatemala<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Guernsey\">Guernsey<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Guinea\">Guinea<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Guinea-Bissau\">Guinea-Bissau<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Guyana\">Guyana<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Haiti\">Haiti<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Heard Island and McDonald Islands\">Heard Island and McDonald Islands<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Holy See\">Holy See<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Honduras\">Honduras<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Hong Kong\">Hong Kong<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Hungary\">Hungary<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Iceland\">Iceland<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"India\">India<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Indonesia\">Indonesia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Iran, Islamic Republic of\">Iran, Islamic Republic of<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Iraq\">Iraq<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Ireland\">Ireland<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Isle of 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Republic\">Lao People&#039;s Democratic Republic<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Latvia\">Latvia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Lebanon\">Lebanon<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Lesotho\">Lesotho<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Liberia\">Liberia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Libya\">Libya<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Liechtenstein\">Liechtenstein<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Lithuania\">Lithuania<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Luxembourg\">Luxembourg<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Macao\">Macao<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Madagascar\">Madagascar<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Malawi\">Malawi<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Malaysia\">Malaysia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Maldives\">Maldives<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mali\">Mali<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Malta\">Malta<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Marshall Islands\">Marshall Islands<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Martinique\">Martinique<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mauritania\">Mauritania<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mauritius\">Mauritius<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mayotte\">Mayotte<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mexico\">Mexico<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Micronesia, Federated States of\">Micronesia, Federated States of<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Moldova, Republic of\">Moldova, Republic of<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Monaco\">Monaco<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mongolia\">Mongolia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Montenegro\">Montenegro<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Montserrat\">Montserrat<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Morocco\">Morocco<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mozambique\">Mozambique<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Myanmar\">Myanmar<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Namibia\">Namibia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Nauru\">Nauru<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Nepal\">Nepal<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Netherlands, Kingdom of the\">Netherlands, Kingdom of the<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"New Caledonia\">New Caledonia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"New Zealand\">New Zealand<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Nicaragua\">Nicaragua<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Niger\">Niger<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Nigeria\">Nigeria<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Niue\">Niue<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Norfolk Island\">Norfolk Island<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"North Macedonia\">North Macedonia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Northern Mariana Islands\">Northern Mariana Islands<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Norway\">Norway<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Oman\">Oman<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Pakistan\">Pakistan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Palau\">Palau<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Palestine, State of\">Palestine, State of<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Panama\">Panama<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Papua New Guinea\">Papua New Guinea<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Paraguay\">Paraguay<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Peru\">Peru<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Philippines\">Philippines<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Pitcairn\">Pitcairn<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Poland\">Poland<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Portugal\">Portugal<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Puerto Rico\">Puerto Rico<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Qatar\">Qatar<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"R\u00e9union\">R\u00e9union<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Romania\">Romania<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Russian Federation\">Russian Federation<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Rwanda\">Rwanda<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Saint Barth\u00e9lemy\">Saint Barth\u00e9lemy<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Saint Helena, Ascension and Tristan da Cunha\">Saint Helena, Ascension and Tristan da Cunha<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Saint Lucia\">Saint Lucia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Saint Martin (French part)\">Saint Martin (French part)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Saint Pierre and Miquelon\">Saint Pierre and Miquelon<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Saint Vincent and the Grenadines\">Saint Vincent and the Grenadines<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Samoa\">Samoa<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"San Marino\">San Marino<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sao Tome and Principe\">Sao Tome and Principe<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Saudi Arabia\">Saudi Arabia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Senegal\">Senegal<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Serbia\">Serbia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Seychelles\">Seychelles<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sierra Leone\">Sierra Leone<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Singapore\">Singapore<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sint Maarten (Dutch part)\">Sint Maarten (Dutch part)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Slovakia\">Slovakia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Slovenia\">Slovenia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Solomon Islands\">Solomon Islands<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Somalia\">Somalia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"South Africa\">South Africa<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"South Georgia and the South Sandwich Islands\">South Georgia and the South Sandwich Islands<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"South Sudan\">South Sudan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Spain\">Spain<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sri Lanka\">Sri Lanka<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sudan\">Sudan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Suriname\">Suriname<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Svalbard and Jan Mayen\">Svalbard and Jan Mayen<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sweden\">Sweden<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Switzerland\">Switzerland<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Syrian Arab Republic\">Syrian Arab Republic<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Taiwan, Province of China\">Taiwan, Province of China<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tajikistan\">Tajikistan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tanzania, United Republic of\">Tanzania, United Republic of<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Thailand\">Thailand<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Timor-Leste\">Timor-Leste<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Togo\">Togo<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tokelau\">Tokelau<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tonga\">Tonga<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Trinidad and Tobago\">Trinidad and Tobago<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tunisia\">Tunisia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"T\u00fcrkiye\">T\u00fcrkiye<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Turkmenistan\">Turkmenistan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Turks and Caicos Islands\">Turks and Caicos Islands<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Tuvalu\">Tuvalu<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Uganda\">Uganda<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Ukraine\">Ukraine<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"United Arab Emirates\">United Arab Emirates<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"United Kingdom of Great Britain and Northern Ireland\">United Kingdom of Great Britain and Northern Ireland<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"United States of America\">United States of America<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"United States Minor Outlying Islands\">United States Minor Outlying Islands<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Uruguay\">Uruguay<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Uzbekistan\">Uzbekistan<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Vanuatu\">Vanuatu<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Venezuela, Bolivarian Republic of\">Venezuela, Bolivarian Republic of<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Viet Nam\">Viet Nam<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Virgin Islands (British)\">Virgin Islands (British)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Virgin Islands (U.S.)\">Virgin Islands (U.S.)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Wallis and Futuna\">Wallis and Futuna<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Western Sahara\">Western Sahara<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Yemen\">Yemen<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Zambia\">Zambia<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Zimbabwe\">Zimbabwe<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_a1dd143 elementor-col-100\">\n\t\t\t\t\t<h3 style=\"color:#51ADDA; margin-top:20px; font-size:20px;\">\nInformations relatives \u00e0 la s\u00e9curit\u00e9\n<\/h3>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_5b65ee0 elementor-col-100\">\n\t\t\t\t\t<h3 style=\"color:#51ADDA; margin-top:20px; font-size:16px;\">\nNombre de poste \u00e0 risque\n<\/h3>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_9532f4c elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Aucun poste \u00e0 risque identifi\u00e9\" id=\"form-field-field_9532f4c-0\" name=\"form_fields[field_9532f4c]\"> <label for=\"form-field-field_9532f4c-0\">Aucun poste \u00e0 risque identifi\u00e9<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_23741aa elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_23741aa\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTravail en hauteur\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_23741aa]\" id=\"form-field-field_23741aa\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" min=\"0\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_a5210a6 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a5210a6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tConduite d\u2019engins (chariots \u00e9l\u00e9vateurs, nacelles, grues\u2026)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_a5210a6]\" id=\"form-field-field_a5210a6\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" min=\"0\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_c67ae4b elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c67ae4b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTravaux \u00e9lectriques (BA4 \/ BA5)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_c67ae4b]\" id=\"form-field-field_c67ae4b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" min=\"0\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_4b37956 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4b37956\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tManutentions manuelles lourdes\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_4b37956]\" id=\"form-field-field_4b37956\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" min=\"0\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_f8fddc2 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f8fddc2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTravail sur machines dangereuses\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_f8fddc2]\" id=\"form-field-field_f8fddc2\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" min=\"0\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_95da007 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_95da007\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tExposition \u00e0 des produits chimiques\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_95da007]\" id=\"form-field-field_95da007\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" min=\"0\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_c9bd3af elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c9bd3af\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tExposition \u00e0 l\u2019amiante\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_c9bd3af]\" id=\"form-field-field_c9bd3af\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_4295fdf elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4295fdf\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTravail en espace confin\u00e9\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_4295fdf]\" id=\"form-field-field_4295fdf\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_4f44086 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4f44086\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tExposition au bruit\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_4f44086]\" id=\"form-field-field_4f44086\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_685bb23 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_685bb23\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tExposition aux vibrations\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_685bb23]\" id=\"form-field-field_685bb23\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_d0dbda7 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d0dbda7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTravail de nuit \/ travail post\u00e9\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_d0dbda7]\" id=\"form-field-field_d0dbda7\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_0712033 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0712033\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAutre poste \u00e0 risque (\u00e0 pr\u00e9ciser)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_0712033]\" id=\"form-field-field_0712033\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_c472f99 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c472f99\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPr\u00e9cisez si Autre\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_c472f99]\" id=\"form-field-field_c472f99\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_726fcf7 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_726fcf7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCertification(s)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before\">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewbox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_726fcf7]\" id=\"form-field-field_726fcf7\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\" \">S\u00e9lectionnez<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"ISO 9001 \u2013 Management de la qualit\u00e9\">ISO 9001 \u2013 Management de la qualit\u00e9<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"ISO 14001 \u2013 Management environnemental\">ISO 14001 \u2013 Management environnemental<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"ISO 45001 \u2013 Sant\u00e9 &amp; s\u00e9curit\u00e9 au travail\">ISO 45001 \u2013 Sant\u00e9 &amp; s\u00e9curit\u00e9 au travail<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"ISO 50001 \u2013 Management de l\u2019\u00e9nergie\">ISO 50001 \u2013 Management de l\u2019\u00e9nergie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"ISO 27001 \u2013 S\u00e9curit\u00e9 de l\u2019information\">ISO 27001 \u2013 S\u00e9curit\u00e9 de l\u2019information<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"ISO 22000 \u2013 S\u00e9curit\u00e9 des denr\u00e9es alimentaires\">ISO 22000 \u2013 S\u00e9curit\u00e9 des denr\u00e9es alimentaires<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"OHSAS 18001 (ancienne norme, remplac\u00e9e par ISO 45001)\">OHSAS 18001 (ancienne norme, remplac\u00e9e par ISO 45001)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"MASE \u2013 Management SSE (s\u00e9curit\u00e9, sant\u00e9, environnement)\">MASE \u2013 Management SSE (s\u00e9curit\u00e9, sant\u00e9, environnement)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"VCA (SCC) \u2013 S\u00e9curit\u00e9, sant\u00e9 et environnement pour les entrepreneurs\">VCA (SCC) \u2013 S\u00e9curit\u00e9, sant\u00e9 et environnement pour les entrepreneurs<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"ECOVADIS \u2013 \u00c9valuation RSE\">ECOVADIS \u2013 \u00c9valuation RSE<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Label ESR (Entreprise Socialement Responsable \u2013 Luxembourg)\">Label ESR (Entreprise Socialement Responsable \u2013 Luxembourg)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"OSH (Occupational Safety &amp; Health) sp\u00e9cifique secteur\">OSH (Occupational Safety &amp; Health) sp\u00e9cifique secteur<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Aucune certification \u00e0 ce jour\">Aucune certification \u00e0 ce jour<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Autre certification\">Autre certification<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_9193af7 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9193af7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPr\u00e9cisez si Autre\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_9193af7]\" id=\"form-field-field_9193af7\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_9f23b20 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9f23b20\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tQuels documents de s\u00e9curit\u00e9 sont d\u00e9j\u00e0 en place dans votre organisation ?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before\">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewbox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_9f23b20]\" id=\"form-field-field_9f23b20\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\">S\u00e9lectionnez<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Registre de s\u00e9curit\u00e9\">Registre de s\u00e9curit\u00e9<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\u00c9valuation des risques (DUERP)\">\u00c9valuation des risques (DUERP)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Fiches de donn\u00e9es de s\u00e9curit\u00e9 (FDS)\">Fiches de donn\u00e9es de s\u00e9curit\u00e9 (FDS)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Plan de pr\u00e9vention \/ Plan de s\u00e9curit\u00e9\">Plan de pr\u00e9vention \/ Plan de s\u00e9curit\u00e9<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Proc\u00e9dures d\u2019urgence (incendie, \u00e9vacuation\u2026)\">Proc\u00e9dures d\u2019urgence (incendie, \u00e9vacuation\u2026)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Consignes de s\u00e9curit\u00e9 affich\u00e9es\">Consignes de s\u00e9curit\u00e9 affich\u00e9es<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Registre des accidents du travail\">Registre des accidents du travail<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Plan de formation s\u00e9curit\u00e9\">Plan de formation s\u00e9curit\u00e9<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Registre incendie\">Registre incendie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Aucun document en place\">Aucun document en place<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Autre (\u00e0 pr\u00e9ciser)\">Autre (\u00e0 pr\u00e9ciser)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_3103e23 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3103e23\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPr\u00e9cisez si Autre\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_3103e23]\" id=\"form-field-field_3103e23\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_8829adb elementor-col-100\">\n\t\t\t\t\t<h3 style=\"color:#51ADDA; margin-top:20px; font-size:20px;\">\nOrganisation de la prestation\n<\/h3>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_025b237 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_025b237\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDur\u00e9e d\u2019externalisation souhait\u00e9e\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before\">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewbox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_025b237]\" id=\"form-field-field_025b237\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"\">S\u00e9lectionnez<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"6 mois\">6 mois<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"1 an\">1 an<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 ans\">2 ans<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3 ans\">3 ans<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4 ans \">4 ans <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5 ans\">5 ans<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"+ 5 ans\">+ 5 ans<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Autre dur\u00e9e  (\u00e0 pr\u00e9ciser)\">Autre dur\u00e9e  (\u00e0 pr\u00e9ciser)<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_22e18f0 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_22e18f0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPr\u00e9cisez si Autre\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_22e18f0]\" id=\"form-field-field_22e18f0\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_f9e46ca elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f9e46ca\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate ou mois de de d\u00e9marrage souhait\u00e9\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_f9e46ca]\" id=\"form-field-field_f9e46ca\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-md\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Submit<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Merci de compl\u00e9ter ce formulaire : vos r\u00e9ponses nous permettront de comprendre vos besoins sp\u00e9cifiques et de vous proposer une offre Travailleur D\u00e9sign\u00e9 adapt\u00e9e \u00e0 votre organisation et \u00e0 vos activit\u00e9s<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2832","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Fiche de recueil d\u2019informations \u2013 Travailleur D\u00e9sign\u00e9 - OFSIP<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ofsip.lu\/en\/form-travailleur-designe\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fiche de recueil d\u2019informations \u2013 Travailleur D\u00e9sign\u00e9 - OFSIP\" \/>\n<meta property=\"og:description\" content=\"Merci de compl\u00e9ter ce formulaire : vos r\u00e9ponses nous permettront de comprendre vos besoins sp\u00e9cifiques et de vous proposer une offre Travailleur D\u00e9sign\u00e9 adapt\u00e9e \u00e0 votre organisation et \u00e0 vos activit\u00e9s\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ofsip.lu\/en\/form-travailleur-designe\/\" \/>\n<meta property=\"og:site_name\" content=\"OFSIP\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-24T06:13:13+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/ofsip.lu\/form-travailleur-designe\/\",\"url\":\"https:\/\/ofsip.lu\/form-travailleur-designe\/\",\"name\":\"Fiche de recueil d\u2019informations \u2013 Travailleur D\u00e9sign\u00e9 - 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