76 lines
5.4 KiB
HTML
76 lines
5.4 KiB
HTML
{% extends "authentic2/base-page.html" %}
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{% load i18n %}
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{% block content %}
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<div id="registration_completion">
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<h2>Finalisation de votre inscription</h2>
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<form method="post">
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{% csrf_token %}
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{% if form.is_bound and not form.is_valid %}
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<ul class="errorlist nonfield">
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<li>Le formulaire comporte des erreurs qui sont indiquées ci-dessous.</li>
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</ul>
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{% endif %}
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{{ form.non_field_errors }}
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<h3>Informations obligatoires</h3>
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<p>Votre courriel <strong>{{ email }}</strong> a été validé.<br />
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Veuillez renseigner les informations suivantes.</p>
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<div>
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<div>{{ form.first_name.errors }}{{ form.first_name.label_tag }} {{ form.first_name }} <span class="helptext">{{ form.first_name.help_text|safe }}</span></div>
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<div>{{ form.last_name.errors }}{{ form.last_name.label_tag }} {{ form.last_name }} <span class="helptext">{{ form.last_name.help_text|safe }}</span></div>
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<div>{{ form.password1.errors }}{{ form.password1.label_tag }}{{ form.password1 }} <span class="helptext">{{ form.password1.help_text|safe }}</span></div>
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<div>{{ form.password2.errors }}{{ form.password2.label_tag }} {{ form.password2 }} <span class="helptext">{{ form.password2.help_text|safe }}</span></div>
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</div>
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<p class="center"><input type="submit" value="Valider" /></p>
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<!-- scroll down animation -->
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<div class="mouse_scroll">
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<div>
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<div class="mouse">
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<div class="wheel"></div>
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</div>
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<div>
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<span class="m_scroll_arrows one"></span>
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<span class="m_scroll_arrows two"></span>
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<span class="m_scroll_arrows three"></span>
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</div>
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</div>
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</div>
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<p class="center highlight">
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Gagnez du temps, <strong>enrichissez</strong> votre profil<br />
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pour <strong>ne plus saisir</strong> vos informations</p>
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<h3>Compléter mon profil</h3>
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<p>Les données suivantes ne sont pas obligatoires mais permettent de compléter votre profil pour faciliter vos démarches.<br />
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Les données renseignées dans votre compte ne seront plus demandées par nos services partenaires et vos formulaires seront pré-remplis.</p>
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<h3 class="section">Données d’Identité</h3>
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<div>
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<div>{{ form.title.errors }}{{ form.title.label_tag }} {{ form.title }} <span class="helptext">{{ form.title.help_text|safe }}</span></div>
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<div>{{ form.preferred_givenname.errors }}{{ form.preferred_givenname.label_tag }} {{ form.preferred_givenname }} <span class="helptext">{{ form.preferred_givenname.help_text|safe }}</span></div>
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<div>{{ form.preferred_username.errors }}{{ form.preferred_username.label_tag }} {{ form.preferred_username }} <span class="helptext">{{ form.preferred_username.help_text|safe }}</span></div>
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<div>{{ form.birthdate.errors }}{{ form.birthdate.label_tag }} {{ form.birthdate }} <span class="helptext">{{ form.birthdate.help_text|safe }}</span></div>
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<div>{{ form.birthplace.errors }}{{ form.birthplace.label_tag }} {{ form.birthplace }} <span class="helptext">{{ form.birthplace.help_text|safe }}</span></div>
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<div>{{ form.birthdepartment.errors }}{{ form.birthdepartment.label_tag }} {{ form.birthdepartment }} <span class="helptext">{{ form.birthdepartment.help_text|safe }}</span></div>
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<div>{{ form.birthcountry.errors }}{{ form.birthcountry.label_tag }} {{ form.birthcountry }} <span class="helptext">{{ form.birthcountry.help_text|safe }}</span></div>
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</div>
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<h3 class="section">Adresse</h3>
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<div>
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<div>{{ form.address_number.errors }}{{ form.address_number.label_tag }} {{ form.address_number }} <span class="helptext">{{ form.address_number.help_text|safe }}</span></div>
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<div>{{ form.address_street.errors }}{{ form.address_street.label_tag }} {{ form.address_street }} <span class="helptext">{{ form.address_street.help_text|safe }}</span></div>
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<div>{{ form.address_complement.errors }}{{ form.address_complement.label_tag }} {{ form.address_complement }} <span class="helptext">{{ form.address_complement.help_text|safe }}</span></div>
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<div>{{ form.address_zipcode.errors }}{{ form.address_zipcode.label_tag }} {{ form.address_zipcode }} <span class="helptext">{{ form.address_zipcode.help_text|safe }}</span></div>
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<div>{{ form.address_city.errors }}{{ form.address_city.label_tag }} {{ form.address_city }} <span class="helptext">{{ form.address_city.help_text|safe }}</span></div>
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<div>{{ form.address_country.errors }}{{ form.address_country.label_tag }} {{ form.address_country }} <span class="helptext">{{ form.address_country.help_text|safe }}</span></div>
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</div>
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<h3 class="section">Coordonnées</h3>
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<div>
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<div>{{ form.home_mobile_phone.errors }}{{ form.home_mobile_phone.label_tag }} {{ form.home_mobile_phone }} <span class="helptext">{{ form.home_mobile_phone.help_text|safe }}</span></div>
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<div>{{ form.home_phone.errors }}{{ form.home_phone.label_tag }} {{ form.home_phone }} <span class="helptext">{{ form.home_phone.help_text|safe }}</span></div>
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<div>{{ form.professional_mobile_phone.errors }}{{ form.professional_mobile_phone.label_tag }} {{ form.professional_mobile_phone }}<span class="helptext">{{ form.professional_mobile_phone.help_text|safe }}</span></div>
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<div>{{ form.professional_phone.errors }}{{ form.professional_phone.label_tag }} {{ form.professional_phone }} <span class="helptext">{{ form.professional_phone.help_text|safe }}</span></div>
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</div>
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<p class="center"><input type="submit" value="Enregistrer mes données" /></p>
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</form>
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</div>
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{% endblock %}
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