{% extends "authentic2/base-page.html" %} {% load i18n %} {% block content %} {% include "registration/registration_steps.html" with active_step="completion" %}

Finalisation de votre inscription

{% csrf_token %} {% if form.is_bound and not form.is_valid %} {% endif %} {{ form.non_field_errors }}

Informations obligatoires

Votre courriel {{ email }} a été validé.
Veuillez renseigner les informations suivantes.

{{ form.first_name.errors }}{{ form.first_name.label_tag }} {{ form.first_name }} {{ form.first_name.help_text|safe }}
{{ form.last_name.errors }}{{ form.last_name.label_tag }} {{ form.last_name }} {{ form.last_name.help_text|safe }}
{{ form.password1.errors }}{{ form.password1.label_tag }}{{ form.password1 }} {{ form.password1.help_text|safe }}
{{ form.password2.errors }}{{ form.password2.label_tag }} {{ form.password2 }} {{ form.password2.help_text|safe }}

Gagnez du temps, enrichissez votre profil
pour ne plus saisir vos informations

Compléter mon profil

Les données suivantes ne sont pas obligatoires mais permettent de compléter votre profil pour faciliter vos démarches.
Les données renseignées dans votre compte ne seront plus demandées par nos services partenaires et vos formulaires seront pré-remplis.

Données d’Identité

{{ form.title.errors }}{{ form.title.label_tag }} {{ form.title }} {{ form.title.help_text|safe }}
{{ form.preferred_givenname.errors }}{{ form.preferred_givenname.label_tag }} {{ form.preferred_givenname }} {{ form.preferred_givenname.help_text|safe }}
{{ form.preferred_username.errors }}{{ form.preferred_username.label_tag }} {{ form.preferred_username }} {{ form.preferred_username.help_text|safe }}
{{ form.birthdate.errors }}{{ form.birthdate.label_tag }} {{ form.birthdate }} {{ form.birthdate.help_text|safe }}
{{ form.birthplace.errors }}{{ form.birthplace.label_tag }} {{ form.birthplace }} {{ form.birthplace.help_text|safe }}
{{ form.birthdepartment.errors }}{{ form.birthdepartment.label_tag }} {{ form.birthdepartment }} {{ form.birthdepartment.help_text|safe }}
{{ form.birthcountry.errors }}{{ form.birthcountry.label_tag }} {{ form.birthcountry }} {{ form.birthcountry.help_text|safe }}

Adresse

{{ form.address_number.errors }}{{ form.address_number.label_tag }} {{ form.address_number }} {{ form.address_number.help_text|safe }}
{{ form.address_street.errors }}{{ form.address_street.label_tag }} {{ form.address_street }} {{ form.address_street.help_text|safe }}
{{ form.address_complement.errors }}{{ form.address_complement.label_tag }} {{ form.address_complement }} {{ form.address_complement.help_text|safe }}
{{ form.address_zipcode.errors }}{{ form.address_zipcode.label_tag }} {{ form.address_zipcode }} {{ form.address_zipcode.help_text|safe }}
{{ form.address_city.errors }}{{ form.address_city.label_tag }} {{ form.address_city }} {{ form.address_city.help_text|safe }}
{{ form.address_country.errors }}{{ form.address_country.label_tag }} {{ form.address_country }} {{ form.address_country.help_text|safe }}

Coordonnées

{{ form.home_mobile_phone.errors }}{{ form.home_mobile_phone.label_tag }} {{ form.home_mobile_phone }} {{ form.home_mobile_phone.help_text|safe }}
{{ form.home_phone.errors }}{{ form.home_phone.label_tag }} {{ form.home_phone }} {{ form.home_phone.help_text|safe }}
{{ form.professional_mobile_phone.errors }}{{ form.professional_mobile_phone.label_tag }} {{ form.professional_mobile_phone }}{{ form.professional_mobile_phone.help_text|safe }}
{{ form.professional_phone.errors }}{{ form.professional_phone.label_tag }} {{ form.professional_phone }} {{ form.professional_phone.help_text|safe }}

{% endblock %}