{"id":991,"date":"2025-07-22T01:24:20","date_gmt":"2025-07-21T23:24:20","guid":{"rendered":"http:\/\/ccabourse.test\/?page_id=991"},"modified":"2025-11-10T13:32:57","modified_gmt":"2025-11-10T12:32:57","slug":"creation-compte-titre","status":"publish","type":"page","link":"https:\/\/cca-bourse.com\/index.php\/creation-compte-titre\/","title":{"rendered":"Creation compte titre"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"991\" class=\"elementor elementor-991\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a02e066 e-con-full e-flex e-con e-parent\" data-id=\"a02e066\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-9dd74bf e-con-full e-flex e-con e-child\" data-id=\"9dd74bf\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-45f2009 elementor-widget elementor-widget-hfe-breadcrumbs-widget\" data-id=\"45f2009\" data-element_type=\"widget\" data-widget_type=\"hfe-breadcrumbs-widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<nav aria-label=\"Breadcrumb\"><ul class=\"hfe-breadcrumbs hfe-breadcrumbs-show-home\"><li class=\"hfe-breadcrumbs-item hfe-breadcrumbs-first\"><span class=\"hfe-breadcrumbs-home-icon\"><\/span><a href=\"https:\/\/cca-bourse.com\"><span class=\"hfe-breadcrumbs-text\">Accueil<\/span><\/a><\/li><\/ul><\/nav>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1fc4dbf elementor-widget elementor-widget-shortcode\" data-id=\"1fc4dbf\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"bcca-form-container\">\n\t<div class=\"bcca-form-wrapper\">\n\t\t<!-- Header -->\n\t\t<div class=\"bcca-form-header\">\n\t\t\t<h2>Formulaire d&#039;ouverture de compte<\/h2>\n\t\t\t<p>Veuillez remplir ce formulaire pour ouvrir votre compte de titres financiers<\/p>\n\t\t<\/div>\n\n\t\t<!-- Progress Bar -->\n\t\t<div class=\"bcca-progress-bar\">\n\t\t\t<div class=\"bcca-steps\">\n\t\t\t\t<div class=\"bcca-step active\" data-step=\"1\">\n\t\t\t\t\t<div class=\"bcca-step-number\">1<\/div>\n\t\t\t\t\t<span class=\"bcca-step-label\">Identification<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"bcca-step\" data-step=\"2\">\n\t\t\t\t\t<div class=\"bcca-step-number\">2<\/div>\n\t\t\t\t\t<span class=\"bcca-step-label\">Restrictions<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"bcca-step\" data-step=\"3\">\n\t\t\t\t\t<div class=\"bcca-step-number\">3<\/div>\n\t\t\t\t\t<span class=\"bcca-step-label\">Compte<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"bcca-step\" data-step=\"4\">\n\t\t\t\t\t<div class=\"bcca-step-number\">4<\/div>\n\t\t\t\t\t<span class=\"bcca-step-label\">Origine fonds<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"bcca-step\" data-step=\"5\">\n\t\t\t\t\t<div class=\"bcca-step-number\">5<\/div>\n\t\t\t\t\t<span class=\"bcca-step-label\">Profil<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"bcca-step\" data-step=\"6\">\n\t\t\t\t\t<div class=\"bcca-step-number\">6<\/div>\n\t\t\t\t\t<span class=\"bcca-step-label\">Connaissance<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"bcca-step\" data-step=\"7\">\n\t\t\t\t\t<div class=\"bcca-step-number\">7<\/div>\n\t\t\t\t\t<span class=\"bcca-step-label\">V\u00e9rification<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"bcca-progress-line\">\n\t\t\t\t\t<div class=\"bcca-progress-line-fill\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<span class=\"bcca-autosave-indicator\"><\/span>\n\t\t<\/div>\n\n\t\t<!-- Form Content -->\n\t\t<div class=\"bcca-form-content\">\n\t\t\t<form id=\"bcca-main-form\" class=\"bcca-form\" method=\"post\">\n\t\t\t\t<input type=\"hidden\" id=\"bcca_nonce\" name=\"bcca_nonce\" value=\"19b5dba04a\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/991\" \/>\n\t\t\t\t<!-- \u00c9tape 1 : Identification -->\n\t\t\t\t\n<div id=\"bcca-step-1\" class=\"bcca-form-step active\">\n\t<h3>\u00c9tape 1 : Identification du titulaire<\/h3>\n\n\t<!-- Type de compte -->\n\t<div class=\"bcca-form-group\">\n\t\t<label for=\"type_titulaire\" class=\"bcca-form-label required\">Type de compte<\/label>\n\t\t<select id=\"type_titulaire\" name=\"type_titulaire\" class=\"bcca-form-control\" required>\n\t\t\t<option value=\"\">S\u00e9lectionner...<\/option>\n\t\t\t<option value=\"personne_physique\">Personne Physique<\/option>\n\t\t\t<option value=\"personne_morale\">Personne Morale<\/option>\n\t\t<\/select>\n\t<\/div>\n\n\t<!-- Num\u00e9ro de compte esp\u00e8ce (commun pour tous) -->\n\t<div class=\"bcca-form-group\">\n\t\t<label for=\"numero_compte_espece\" class=\"bcca-form-label required\">Num\u00e9ro de compte esp\u00e8ce \u00e0 associer<\/label>\n\t\t<input type=\"text\" id=\"numero_compte_espece\" name=\"numero_compte_espece\" class=\"bcca-form-control\" required>\n\t\t<span class=\"bcca-field-help\">Veuillez saisir le num\u00e9ro de compte esp\u00e8ce \u00e0 associer \u00e0 ce compte titres<\/span>\n\t<\/div>\n\n\t<!-- Section Personne Physique -->\n\t<div id=\"section-personne-physique\" class=\"type-compte-section\" style=\"display:none;\">\n\t\t<h4>Informations Personne Physique<\/h4>\n\n\t<div class=\"bcca-form-row three-cols\">\n\t\t<div class=\"bcca-form-group\">\n\t\t\t<label for=\"civilite\" class=\"bcca-form-label required\">Civilit\u00e9<\/label>\n\t\t\t<select id=\"civilite\" name=\"civilite\" class=\"bcca-form-control\" required>\n\t\t\t\t<option value=\"\">S\u00e9lectionner...<\/option>\n\t\t\t\t<option value=\"M\">Monsieur<\/option>\n\t\t\t\t<option value=\"Mme\">Madame<\/option>\n\t\t\t\t<option value=\"Mlle\">Mademoiselle<\/option>\n\t\t\t<\/select>\n\t\t<\/div>\n\n\t\t<div class=\"bcca-form-group\">\n\t\t\t<label for=\"nom\" class=\"bcca-form-label required\">Nom<\/label>\n\t\t\t<input type=\"text\" id=\"nom\" name=\"nom\" class=\"bcca-form-control\" required data-min-length=\"2\">\n\t\t<\/div>\n\n\t\t<div class=\"bcca-form-group\">\n\t\t\t<label for=\"nom_epouse\" class=\"bcca-form-label\">Nom d&#039;\u00e9pouse<\/label>\n\t\t\t<input type=\"text\" id=\"nom_epouse\" name=\"nom_epouse\" class=\"bcca-form-control\">\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"bcca-form-row\">\n\t\t<div class=\"bcca-form-group\">\n\t\t\t<label for=\"prenom\" class=\"bcca-form-label required\">Pr\u00e9nom<\/label>\n\t\t\t<input type=\"text\" id=\"prenom\" name=\"prenom\" class=\"bcca-form-control\" required data-min-length=\"2\">\n\t\t<\/div>\n\n\t\t<div class=\"bcca-form-group\">\n\t\t\t<label for=\"fonction\" class=\"bcca-form-label required\">Fonction<\/label>\n\t\t\t<input type=\"text\" id=\"fonction\" name=\"fonction\" class=\"bcca-form-control\" required>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"bcca-form-row\">\n\t\t<div class=\"bcca-form-group\">\n\t\t\t<label for=\"date_naissance\" class=\"bcca-form-label required\">Date de naissance<\/label>\n\t\t\t<input type=\"date\" id=\"date_naissance\" name=\"date_naissance\" class=\"bcca-form-control\" required>\n\t\t<\/div>\n\n\t\t<div class=\"bcca-form-group\">\n\t\t\t<label for=\"lieu_naissance\" class=\"bcca-form-label required\">Lieu de naissance<\/label>\n\t\t\t<input type=\"text\" id=\"lieu_naissance\" name=\"lieu_naissance\" class=\"bcca-form-control\" required>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"bcca-form-group\">\n\t\t<label for=\"nationalite\" class=\"bcca-form-label required\">Nationalit\u00e9<\/label>\n\t\t<select id=\"nationalite\" name=\"nationalite\" class=\"bcca-form-control\" required><option value=\"\">S\u00e9lectionner...<\/option><option value=\"Camerounaise\" selected>Camerounaise<\/option><option value=\"Gabonaise\" >Gabonaise<\/option><option value=\"Congolaise (RC)\" >Congolaise (RC)<\/option><option value=\"Centrafricaine\" >Centrafricaine<\/option><option value=\"Tchadienne\" >Tchadienne<\/option><option value=\"\u00c9quato-guin\u00e9enne\" >\u00c9quato-guin\u00e9enne<\/option><option value=\"Afghane\" >Afghane<\/option><option value=\"Sud-africaine\" >Sud-africaine<\/option><option value=\"Albanaise\" >Albanaise<\/option><option value=\"Alg\u00e9rienne\" >Alg\u00e9rienne<\/option><option value=\"Allemande\" >Allemande<\/option><option value=\"Andorrane\" >Andorrane<\/option><option value=\"Angolaise\" >Angolaise<\/option><option value=\"Antiguaise-et-barbudienne\" >Antiguaise-et-barbudienne<\/option><option value=\"Saoudienne\" >Saoudienne<\/option><option value=\"Argentine\" >Argentine<\/option><option value=\"Arm\u00e9nienne\" >Arm\u00e9nienne<\/option><option value=\"Australienne\" >Australienne<\/option><option value=\"Autrichienne\" >Autrichienne<\/option><option value=\"Azerba\u00efdjanaise\" >Azerba\u00efdjanaise<\/option><option value=\"Baham\u00e9enne\" >Baham\u00e9enne<\/option><option value=\"Bahre\u00efnienne\" >Bahre\u00efnienne<\/option><option value=\"Bangladaise\" >Bangladaise<\/option><option value=\"Barbadienne\" >Barbadienne<\/option><option value=\"Belge\" >Belge<\/option><option value=\"B\u00e9lizienne\" >B\u00e9lizienne<\/option><option value=\"B\u00e9ninoise\" >B\u00e9ninoise<\/option><option value=\"Bhoutanaise\" >Bhoutanaise<\/option><option value=\"Bi\u00e9lorusse\" >Bi\u00e9lorusse<\/option><option value=\"Birmane\" >Birmane<\/option><option value=\"Bolivienne\" >Bolivienne<\/option><option value=\"Bosnienne\" >Bosnienne<\/option><option value=\"Botswanaise\" >Botswanaise<\/option><option value=\"Br\u00e9silienne\" >Br\u00e9silienne<\/option><option value=\"Brun\u00e9ienne\" >Brun\u00e9ienne<\/option><option value=\"Bulgare\" >Bulgare<\/option><option value=\"Burkinab\u00e9\" >Burkinab\u00e9<\/option><option value=\"Burundaise\" >Burundaise<\/option><option value=\"Cambodgienne\" >Cambodgienne<\/option><option value=\"Canadienne\" >Canadienne<\/option><option value=\"Cap-verdienne\" >Cap-verdienne<\/option><option value=\"Chilienne\" >Chilienne<\/option><option value=\"Chinoise\" >Chinoise<\/option><option value=\"Chypriote\" >Chypriote<\/option><option value=\"Colombienne\" >Colombienne<\/option><option value=\"Comorienne\" >Comorienne<\/option><option value=\"Nord-cor\u00e9enne\" >Nord-cor\u00e9enne<\/option><option value=\"Sud-cor\u00e9enne\" >Sud-cor\u00e9enne<\/option><option value=\"Costaricaine\" >Costaricaine<\/option><option value=\"Ivoirienne\" >Ivoirienne<\/option><option value=\"Croate\" >Croate<\/option><option value=\"Cubaine\" >Cubaine<\/option><option value=\"Danoise\" >Danoise<\/option><option value=\"Djiboutienne\" >Djiboutienne<\/option><option value=\"Dominiquaise\" >Dominiquaise<\/option><option value=\"\u00c9gyptienne\" >\u00c9gyptienne<\/option><option value=\"\u00c9mirienne\" >\u00c9mirienne<\/option><option value=\"\u00c9quatorienne\" >\u00c9quatorienne<\/option><option value=\"\u00c9rythr\u00e9enne\" >\u00c9rythr\u00e9enne<\/option><option value=\"Espagnole\" >Espagnole<\/option><option value=\"Estonienne\" >Estonienne<\/option><option value=\"Eswatinienne\" >Eswatinienne<\/option><option value=\"Am\u00e9ricaine\" >Am\u00e9ricaine<\/option><option value=\"\u00c9thiopienne\" >\u00c9thiopienne<\/option><option value=\"Fidjienne\" >Fidjienne<\/option><option value=\"Finlandaise\" >Finlandaise<\/option><option value=\"Fran\u00e7aise\" >Fran\u00e7aise<\/option><option value=\"Gambienne\" >Gambienne<\/option><option value=\"G\u00e9orgienne\" >G\u00e9orgienne<\/option><option value=\"Ghan\u00e9enne\" >Ghan\u00e9enne<\/option><option value=\"Grecque\" >Grecque<\/option><option value=\"Grenadienne\" >Grenadienne<\/option><option value=\"Guat\u00e9malt\u00e8que\" >Guat\u00e9malt\u00e8que<\/option><option value=\"Guin\u00e9enne\" >Guin\u00e9enne<\/option><option value=\"Bissau-guin\u00e9enne\" >Bissau-guin\u00e9enne<\/option><option value=\"Guyanienne\" >Guyanienne<\/option><option value=\"Ha\u00eftienne\" >Ha\u00eftienne<\/option><option value=\"Hondurienne\" >Hondurienne<\/option><option value=\"Hongroise\" >Hongroise<\/option><option value=\"Marshallaise\" >Marshallaise<\/option><option value=\"Salomonaise\" >Salomonaise<\/option><option value=\"Indienne\" >Indienne<\/option><option value=\"Indon\u00e9sienne\" >Indon\u00e9sienne<\/option><option value=\"Irakienne\" >Irakienne<\/option><option value=\"Iranienne\" >Iranienne<\/option><option value=\"Irlandaise\" >Irlandaise<\/option><option value=\"Islandaise\" >Islandaise<\/option><option value=\"Isra\u00e9lienne\" >Isra\u00e9lienne<\/option><option value=\"Italienne\" >Italienne<\/option><option value=\"Jama\u00efcaine\" >Jama\u00efcaine<\/option><option value=\"Japonaise\" >Japonaise<\/option><option value=\"Jordanienne\" >Jordanienne<\/option><option value=\"Kazakhe\" >Kazakhe<\/option><option value=\"K\u00e9nyane\" >K\u00e9nyane<\/option><option value=\"Kirghize\" >Kirghize<\/option><option value=\"Kiribatienne\" >Kiribatienne<\/option><option value=\"Kowe\u00eftienne\" >Kowe\u00eftienne<\/option><option value=\"Laotienne\" >Laotienne<\/option><option value=\"Lesothane\" >Lesothane<\/option><option value=\"Lettone\" >Lettone<\/option><option value=\"Libanaise\" >Libanaise<\/option><option value=\"Lib\u00e9rienne\" >Lib\u00e9rienne<\/option><option value=\"Libyenne\" >Libyenne<\/option><option value=\"Liechtensteinoise\" >Liechtensteinoise<\/option><option value=\"Lituanienne\" >Lituanienne<\/option><option value=\"Luxembourgeoise\" >Luxembourgeoise<\/option><option value=\"Mac\u00e9donienne\" >Mac\u00e9donienne<\/option><option value=\"Malgache\" >Malgache<\/option><option value=\"Malaisienne\" >Malaisienne<\/option><option value=\"Malawienne\" >Malawienne<\/option><option value=\"Maldivienne\" >Maldivienne<\/option><option value=\"Malienne\" >Malienne<\/option><option value=\"Maltaise\" >Maltaise<\/option><option value=\"Marocaine\" >Marocaine<\/option><option value=\"Mauricienne\" >Mauricienne<\/option><option value=\"Mauritanienne\" >Mauritanienne<\/option><option value=\"Mexicaine\" >Mexicaine<\/option><option value=\"Micron\u00e9sienne\" >Micron\u00e9sienne<\/option><option value=\"Moldave\" >Moldave<\/option><option value=\"Mon\u00e9gasque\" >Mon\u00e9gasque<\/option><option value=\"Mongole\" >Mongole<\/option><option value=\"Mont\u00e9n\u00e9grine\" >Mont\u00e9n\u00e9grine<\/option><option value=\"Mozambicaine\" >Mozambicaine<\/option><option value=\"Namibienne\" >Namibienne<\/option><option value=\"Nauruane\" >Nauruane<\/option><option value=\"N\u00e9palaise\" >N\u00e9palaise<\/option><option value=\"Nicaraguayenne\" >Nicaraguayenne<\/option><option value=\"Nig\u00e9rienne\" >Nig\u00e9rienne<\/option><option value=\"Nig\u00e9riane\" >Nig\u00e9riane<\/option><option value=\"Norv\u00e9gienne\" >Norv\u00e9gienne<\/option><option value=\"N\u00e9o-z\u00e9landaise\" >N\u00e9o-z\u00e9landaise<\/option><option value=\"Omanaise\" >Omanaise<\/option><option value=\"Ougandaise\" >Ougandaise<\/option><option value=\"Ouzb\u00e8ke\" >Ouzb\u00e8ke<\/option><option value=\"Pakistanaise\" >Pakistanaise<\/option><option value=\"Palaosienne\" >Palaosienne<\/option><option value=\"Palestinienne\" >Palestinienne<\/option><option value=\"Panam\u00e9enne\" >Panam\u00e9enne<\/option><option value=\"Papouane-n\u00e9o-guin\u00e9enne\" >Papouane-n\u00e9o-guin\u00e9enne<\/option><option value=\"Paraguayenne\" >Paraguayenne<\/option><option value=\"N\u00e9erlandaise\" >N\u00e9erlandaise<\/option><option value=\"P\u00e9ruvienne\" >P\u00e9ruvienne<\/option><option value=\"Philippine\" >Philippine<\/option><option value=\"Polonaise\" >Polonaise<\/option><option value=\"Portugaise\" >Portugaise<\/option><option value=\"Qatarienne\" >Qatarienne<\/option><option value=\"Congolaise (RDC)\" >Congolaise (RDC)<\/option><option value=\"Dominicaine\" >Dominicaine<\/option><option value=\"Tch\u00e8que\" >Tch\u00e8que<\/option><option value=\"Roumaine\" >Roumaine<\/option><option value=\"Britannique\" >Britannique<\/option><option value=\"Russe\" >Russe<\/option><option value=\"Rwandaise\" >Rwandaise<\/option><option value=\"Kittitienne-et-nevicienne\" >Kittitienne-et-nevicienne<\/option><option value=\"Saint-lucienne\" >Saint-lucienne<\/option><option value=\"Saint-marinaise\" >Saint-marinaise<\/option><option value=\"Saint-vincentaise-et-grenadine\" >Saint-vincentaise-et-grenadine<\/option><option value=\"Salvadorienne\" >Salvadorienne<\/option><option value=\"Samoane\" >Samoane<\/option><option value=\"Santom\u00e9enne\" >Santom\u00e9enne<\/option><option value=\"S\u00e9n\u00e9galaise\" >S\u00e9n\u00e9galaise<\/option><option value=\"Serbe\" >Serbe<\/option><option value=\"Seychelloise\" >Seychelloise<\/option><option value=\"Sierra-l\u00e9onaise\" >Sierra-l\u00e9onaise<\/option><option value=\"Singapourienne\" >Singapourienne<\/option><option value=\"Slovaque\" >Slovaque<\/option><option value=\"Slov\u00e8ne\" >Slov\u00e8ne<\/option><option value=\"Somalienne\" >Somalienne<\/option><option value=\"Soudanaise\" >Soudanaise<\/option><option value=\"Sud-soudanaise\" >Sud-soudanaise<\/option><option value=\"Sri-lankaise\" >Sri-lankaise<\/option><option value=\"Su\u00e9doise\" >Su\u00e9doise<\/option><option value=\"Suisse\" >Suisse<\/option><option value=\"Surinamaise\" >Surinamaise<\/option><option value=\"Syrienne\" >Syrienne<\/option><option value=\"Tadjike\" >Tadjike<\/option><option value=\"Tanzanienne\" >Tanzanienne<\/option><option value=\"Tha\u00eflandaise\" >Tha\u00eflandaise<\/option><option value=\"Est-timoraise\" >Est-timoraise<\/option><option value=\"Togolaise\" >Togolaise<\/option><option value=\"Tonguienne\" >Tonguienne<\/option><option value=\"Trinidadienne\" >Trinidadienne<\/option><option value=\"Tunisienne\" >Tunisienne<\/option><option value=\"Turkm\u00e8ne\" >Turkm\u00e8ne<\/option><option value=\"Turque\" >Turque<\/option><option value=\"Tuvaluane\" >Tuvaluane<\/option><option value=\"Ukrainienne\" >Ukrainienne<\/option><option value=\"Uruguayenne\" >Uruguayenne<\/option><option value=\"Vanuatuane\" >Vanuatuane<\/option><option value=\"Vaticane\" >Vaticane<\/option><option value=\"V\u00e9n\u00e9zu\u00e9lienne\" >V\u00e9n\u00e9zu\u00e9lienne<\/option><option value=\"Vietnamienne\" >Vietnamienne<\/option><option value=\"Y\u00e9m\u00e9nite\" >Y\u00e9m\u00e9nite<\/option><option value=\"Zambienne\" >Zambienne<\/option><option value=\"Zimbabw\u00e9enne\" >Zimbabw\u00e9enne<\/option><\/select>\t<\/div>\n\n\t<div class=\"bcca-form-group\">\n\t\t<label for=\"adresse\" class=\"bcca-form-label required\">Adresse compl\u00e8te<\/label>\n\t\t<input type=\"text\" id=\"adresse\" name=\"adresse\" class=\"bcca-form-control\" required data-min-length=\"5\">\n\t<\/div>\n\n\t<div class=\"bcca-form-row\">\n\t\t<div class=\"bcca-form-group\">\n\t\t\t<label for=\"ville\" class=\"bcca-form-label required\">Ville<\/label>\n\t\t\t<input type=\"text\" id=\"ville\" name=\"ville\" class=\"bcca-form-control\" required>\n\t\t<\/div>\n\n\t\t<div class=\"bcca-form-group\">\n\t\t\t<label for=\"pays\" class=\"bcca-form-label required\">Pays<\/label>\n\t\t\t<select id=\"pays\" name=\"pays\" class=\"bcca-form-control\" required><option value=\"\">S\u00e9lectionner...<\/option><option value=\"Cameroun\" selected>Cameroun<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"R\u00e9publique du Congo\" >R\u00e9publique du Congo<\/option><option value=\"R\u00e9publique Centrafricaine\" >R\u00e9publique Centrafricaine<\/option><option value=\"Tchad\" >Tchad<\/option><option value=\"Guin\u00e9e \u00c9quatoriale\" >Guin\u00e9e \u00c9quatoriale<\/option><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"Afrique du Sud\" >Afrique du Sud<\/option><option value=\"Albanie\" >Albanie<\/option><option value=\"Alg\u00e9rie\" >Alg\u00e9rie<\/option><option value=\"Allemagne\" >Allemagne<\/option><option value=\"Andorre\" >Andorre<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Antigua-et-Barbuda\" >Antigua-et-Barbuda<\/option><option value=\"Arabie Saoudite\" >Arabie Saoudite<\/option><option value=\"Argentine\" >Argentine<\/option><option value=\"Arm\u00e9nie\" >Arm\u00e9nie<\/option><option value=\"Australie\" >Australie<\/option><option value=\"Autriche\" >Autriche<\/option><option value=\"Azerba\u00efdjan\" >Azerba\u00efdjan<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Bahre\u00efn\" >Bahre\u00efn<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Barbade\" >Barbade<\/option><option value=\"Belgique\" >Belgique<\/option><option value=\"Belize\" >Belize<\/option><option value=\"B\u00e9nin\" >B\u00e9nin<\/option><option value=\"Bhoutan\" >Bhoutan<\/option><option value=\"Bi\u00e9lorussie\" >Bi\u00e9lorussie<\/option><option value=\"Birmanie\" >Birmanie<\/option><option value=\"Bolivie\" >Bolivie<\/option><option value=\"Bosnie-Herz\u00e9govine\" >Bosnie-Herz\u00e9govine<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Br\u00e9sil\" >Br\u00e9sil<\/option><option value=\"Brunei\" >Brunei<\/option><option value=\"Bulgarie\" >Bulgarie<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cambodge\" >Cambodge<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cap-Vert\" >Cap-Vert<\/option><option value=\"Chili\" >Chili<\/option><option value=\"Chine\" >Chine<\/option><option value=\"Chypre\" >Chypre<\/option><option value=\"Colombie\" >Colombie<\/option><option value=\"Comores\" >Comores<\/option><option value=\"Cor\u00e9e du Nord\" >Cor\u00e9e du Nord<\/option><option value=\"Cor\u00e9e du Sud\" >Cor\u00e9e du Sud<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"C\u00f4te d&#039;Ivoire\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"Croatie\" >Croatie<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Danemark\" >Danemark<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Dominique\" >Dominique<\/option><option value=\"\u00c9gypte\" >\u00c9gypte<\/option><option value=\"\u00c9mirats Arabes Unis\" >\u00c9mirats Arabes Unis<\/option><option value=\"\u00c9quateur\" >\u00c9quateur<\/option><option value=\"\u00c9rythr\u00e9e\" >\u00c9rythr\u00e9e<\/option><option value=\"Espagne\" >Espagne<\/option><option value=\"Estonie\" >Estonie<\/option><option value=\"Eswatini\" >Eswatini<\/option><option value=\"\u00c9tats-Unis\" >\u00c9tats-Unis<\/option><option value=\"\u00c9thiopie\" >\u00c9thiopie<\/option><option value=\"Fidji\" >Fidji<\/option><option value=\"Finlande\" >Finlande<\/option><option value=\"France\" >France<\/option><option value=\"Gambie\" >Gambie<\/option><option value=\"G\u00e9orgie\" >G\u00e9orgie<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gr\u00e8ce\" >Gr\u00e8ce<\/option><option value=\"Grenade\" >Grenade<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guin\u00e9e\" >Guin\u00e9e<\/option><option value=\"Guin\u00e9e-Bissau\" >Guin\u00e9e-Bissau<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Ha\u00efti\" >Ha\u00efti<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hongrie\" >Hongrie<\/option><option value=\"\u00celes Marshall\" >\u00celes Marshall<\/option><option value=\"\u00celes Salomon\" >\u00celes Salomon<\/option><option value=\"Inde\" >Inde<\/option><option value=\"Indon\u00e9sie\" >Indon\u00e9sie<\/option><option value=\"Irak\" >Irak<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Irlande\" >Irlande<\/option><option value=\"Islande\" >Islande<\/option><option value=\"Isra\u00ebl\" >Isra\u00ebl<\/option><option value=\"Italie\" >Italie<\/option><option value=\"Jama\u00efque\" >Jama\u00efque<\/option><option value=\"Japon\" >Japon<\/option><option value=\"Jordanie\" >Jordanie<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Kirghizistan\" >Kirghizistan<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Kowe\u00eft\" >Kowe\u00eft<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Lettonie\" >Lettonie<\/option><option value=\"Liban\" >Liban<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libye\" >Libye<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lituanie\" >Lituanie<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Mac\u00e9doine du Nord\" >Mac\u00e9doine du Nord<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malaisie\" >Malaisie<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Malte\" >Malte<\/option><option value=\"Maroc\" >Maroc<\/option><option value=\"Maurice\" >Maurice<\/option><option value=\"Mauritanie\" >Mauritanie<\/option><option value=\"Mexique\" >Mexique<\/option><option value=\"Micron\u00e9sie\" >Micron\u00e9sie<\/option><option value=\"Moldavie\" >Moldavie<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolie\" >Mongolie<\/option><option value=\"Mont\u00e9n\u00e9gro\" >Mont\u00e9n\u00e9gro<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Namibie\" >Namibie<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"N\u00e9pal\" >N\u00e9pal<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Norv\u00e8ge\" >Norv\u00e8ge<\/option><option value=\"Nouvelle-Z\u00e9lande\" >Nouvelle-Z\u00e9lande<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Ouganda\" >Ouganda<\/option><option value=\"Ouzb\u00e9kistan\" >Ouzb\u00e9kistan<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palaos\" >Palaos<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Panama\" >Panama<\/option><option value=\"Papouasie-Nouvelle-Guin\u00e9e\" >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Pays-Bas\" >Pays-Bas<\/option><option value=\"P\u00e9rou\" >P\u00e9rou<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Pologne\" >Pologne<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"R\u00e9publique D\u00e9mocratique du Congo\" >R\u00e9publique D\u00e9mocratique du Congo<\/option><option value=\"R\u00e9publique Dominicaine\" >R\u00e9publique Dominicaine<\/option><option value=\"R\u00e9publique Tch\u00e8que\" >R\u00e9publique Tch\u00e8que<\/option><option value=\"Roumanie\" >Roumanie<\/option><option value=\"Royaume-Uni\" >Royaume-Uni<\/option><option value=\"Russie\" >Russie<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Saint-Christophe-et-Ni\u00e9v\u00e8s\" >Saint-Christophe-et-Ni\u00e9v\u00e8s<\/option><option value=\"Sainte-Lucie\" >Sainte-Lucie<\/option><option value=\"Saint-Marin\" >Saint-Marin<\/option><option value=\"Saint-Vincent-et-les-Grenadines\" >Saint-Vincent-et-les-Grenadines<\/option><option value=\"Salvador\" >Salvador<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"S\u00e3o Tom\u00e9-et-Pr\u00edncipe\" >S\u00e3o Tom\u00e9-et-Pr\u00edncipe<\/option><option value=\"S\u00e9n\u00e9gal\" >S\u00e9n\u00e9gal<\/option><option value=\"Serbie\" >Serbie<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Singapour\" >Singapour<\/option><option value=\"Slovaquie\" >Slovaquie<\/option><option value=\"Slov\u00e9nie\" >Slov\u00e9nie<\/option><option value=\"Somalie\" >Somalie<\/option><option value=\"Soudan\" >Soudan<\/option><option value=\"Soudan du Sud\" >Soudan du Sud<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Su\u00e8de\" >Su\u00e8de<\/option><option value=\"Suisse\" >Suisse<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Syrie\" >Syrie<\/option><option value=\"Tadjikistan\" >Tadjikistan<\/option><option value=\"Tanzanie\" >Tanzanie<\/option><option value=\"Tha\u00eflande\" >Tha\u00eflande<\/option><option value=\"Timor oriental\" >Timor oriental<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Trinit\u00e9-et-Tobago\" >Trinit\u00e9-et-Tobago<\/option><option value=\"Tunisie\" >Tunisie<\/option><option value=\"Turkm\u00e9nistan\" >Turkm\u00e9nistan<\/option><option value=\"Turquie\" >Turquie<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Vatican\" >Vatican<\/option><option value=\"Venezuela\" >Venezuela<\/option><option value=\"Vi\u00eat Nam\" >Vi\u00eat Nam<\/option><option value=\"Y\u00e9men\" >Y\u00e9men<\/option><option value=\"Zambie\" >Zambie<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/select>\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"bcca-form-row three-cols\">\n\t\t<div class=\"bcca-form-group\">\n\t\t\t<label for=\"telephone\" class=\"bcca-form-label required\">T\u00e9l\u00e9phone mobile<\/label>\n\t\t\t<input type=\"tel\" id=\"telephone\" name=\"telephone\" class=\"bcca-form-control\" required placeholder=\"+237 6XX XXX XXX\">\n\t\t<\/div>\n\n\t\t<div class=\"bcca-form-group\">\n\t\t\t<label for=\"telephone_domicile\" class=\"bcca-form-label\">T\u00e9l\u00e9phone domicile<\/label>\n\t\t\t<input type=\"tel\" id=\"telephone_domicile\" name=\"telephone_domicile\" class=\"bcca-form-control\" placeholder=\"+237 2XX XXX XXX\">\n\t\t<\/div>\n\n\t\t<div class=\"bcca-form-group\">\n\t\t\t<label for=\"email\" class=\"bcca-form-label required\">Email<\/label>\n\t\t\t<input type=\"email\" id=\"email\" name=\"email\" class=\"bcca-form-control\" required>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"bcca-form-group\">\n\t\t<label for=\"type_identification\" class=\"bcca-form-label required\">Type d&#039;identification<\/label>\n\t\t<select id=\"type_identification\" name=\"type_identification\" class=\"bcca-form-control\" required>\n\t\t\t<option value=\"\">S\u00e9lectionner...<\/option>\n\t\t\t<option value=\"cni\">Carte Nationale d&#039;Identit\u00e9 (CNI)<\/option>\n\t\t\t<option value=\"passport\">Passeport<\/option>\n\t\t<\/select>\n\t<\/div>\n\n\t<div class=\"bcca-form-group\">\n\t\t<label for=\"numero_identification\" class=\"bcca-form-label required\">Num\u00e9ro d&#039;identification<\/label>\n\t\t<input type=\"text\" id=\"numero_identification\" name=\"numero_identification\" class=\"bcca-form-control\" required data-min-length=\"5\">\n\t\t<span class=\"bcca-field-help\">Entrez le num\u00e9ro de votre CNI ou Passeport<\/span>\n\t<\/div>\n\n\t<div class=\"bcca-form-row\">\n\t\t<div class=\"bcca-form-group\">\n\t\t\t<label for=\"date_creation_identification\" class=\"bcca-form-label required\">Date de cr\u00e9ation<\/label>\n\t\t\t<input type=\"date\" id=\"date_creation_identification\" name=\"date_creation_identification\" class=\"bcca-form-control\" required>\n\t\t<\/div>\n\n\t\t<div class=\"bcca-form-group\">\n\t\t\t<label for=\"date_expiration_identification\" class=\"bcca-form-label required\">Date d&#039;expiration<\/label>\n\t\t\t<input type=\"date\" id=\"date_expiration_identification\" name=\"date_expiration_identification\" class=\"bcca-form-control\" required>\n\t\t<\/div>\n\t<\/div>\n\n\t<\/div>\n\t<!-- Fin Section Personne Physique -->\n\n\t<!-- Section Personne Morale -->\n\t<div id=\"section-personne-morale\" class=\"type-compte-section\" style=\"display:none;\">\n\t\t<h4>Informations Personne Morale<\/h4>\n\n\t\t<div class=\"bcca-form-row\">\n\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t<label for=\"raison_sociale\" class=\"bcca-form-label required\">Raison sociale<\/label>\n\t\t\t\t<input type=\"text\" id=\"raison_sociale\" name=\"raison_sociale\" class=\"bcca-form-control\" data-min-length=\"2\">\n\t\t\t<\/div>\n\n\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t<label for=\"niu\" class=\"bcca-form-label required\">NIU<\/label>\n\t\t\t\t<input type=\"text\" id=\"niu\" name=\"niu\" class=\"bcca-form-control\" data-min-length=\"5\">\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<div class=\"bcca-form-row\">\n\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t<label for=\"rccm_numero\" class=\"bcca-form-label required\">Num\u00e9ro RCCM<\/label>\n\t\t\t\t<input type=\"text\" id=\"rccm_numero\" name=\"rccm_numero\" class=\"bcca-form-control\" data-min-length=\"5\">\n\t\t\t<\/div>\n\n\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t<label for=\"pm_telephone\" class=\"bcca-form-label required\">T\u00e9l\u00e9phone<\/label>\n\t\t\t\t<input type=\"tel\" id=\"pm_telephone\" name=\"pm_telephone\" class=\"bcca-form-control\" placeholder=\"+237 6XX XXX XXX\">\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<div class=\"bcca-form-row\">\n\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t<label for=\"pm_email\" class=\"bcca-form-label required\">Email<\/label>\n\t\t\t\t<input type=\"email\" id=\"pm_email\" name=\"pm_email\" class=\"bcca-form-control\">\n\t\t\t<\/div>\n\n\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t<label for=\"pm_bp\" class=\"bcca-form-label\">Bo\u00eete Postale<\/label>\n\t\t\t\t<input type=\"text\" id=\"pm_bp\" name=\"pm_bp\" class=\"bcca-form-control\">\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<!-- Adresse Fiscale du Titulaire -->\n\t\t<div class=\"bcca-section-header\">\n\t\t\t<h4>Adresse Fiscale du Titulaire<\/h4>\n\t\t<\/div>\n\n\t\t<div class=\"bcca-form-row\">\n\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t<label for=\"af_residence_batiment\" class=\"bcca-form-label required\">R\u00e9sidence\/B\u00e2timent<\/label>\n\t\t\t\t<input type=\"text\" id=\"af_residence_batiment\" name=\"af_residence_batiment\" class=\"bcca-form-control\">\n\t\t\t<\/div>\n\n\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t<label for=\"af_numero_rue\" class=\"bcca-form-label required\">Num\u00e9ro de rue<\/label>\n\t\t\t\t<input type=\"text\" id=\"af_numero_rue\" name=\"af_numero_rue\" class=\"bcca-form-control\">\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<div class=\"bcca-form-row\">\n\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t<label for=\"af_code_postal\" class=\"bcca-form-label\">Code postal<\/label>\n\t\t\t\t<input type=\"text\" id=\"af_code_postal\" name=\"af_code_postal\" class=\"bcca-form-control\">\n\t\t\t<\/div>\n\n\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t<label for=\"af_ville\" class=\"bcca-form-label required\">Ville<\/label>\n\t\t\t\t<input type=\"text\" id=\"af_ville\" name=\"af_ville\" class=\"bcca-form-control\">\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<div class=\"bcca-form-group\">\n\t\t\t<label for=\"af_pays\" class=\"bcca-form-label required\">Pays<\/label>\n\t\t\t<select id=\"af_pays\" name=\"af_pays\" class=\"bcca-form-control\" required><option value=\"\">S\u00e9lectionner...<\/option><option value=\"Cameroun\" selected>Cameroun<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"R\u00e9publique du Congo\" >R\u00e9publique du Congo<\/option><option value=\"R\u00e9publique Centrafricaine\" >R\u00e9publique Centrafricaine<\/option><option value=\"Tchad\" >Tchad<\/option><option value=\"Guin\u00e9e \u00c9quatoriale\" >Guin\u00e9e \u00c9quatoriale<\/option><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"Afrique du Sud\" >Afrique du Sud<\/option><option value=\"Albanie\" >Albanie<\/option><option value=\"Alg\u00e9rie\" >Alg\u00e9rie<\/option><option value=\"Allemagne\" >Allemagne<\/option><option value=\"Andorre\" >Andorre<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Antigua-et-Barbuda\" >Antigua-et-Barbuda<\/option><option value=\"Arabie Saoudite\" >Arabie Saoudite<\/option><option value=\"Argentine\" >Argentine<\/option><option value=\"Arm\u00e9nie\" >Arm\u00e9nie<\/option><option value=\"Australie\" >Australie<\/option><option value=\"Autriche\" >Autriche<\/option><option value=\"Azerba\u00efdjan\" >Azerba\u00efdjan<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Bahre\u00efn\" >Bahre\u00efn<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Barbade\" >Barbade<\/option><option value=\"Belgique\" >Belgique<\/option><option value=\"Belize\" >Belize<\/option><option value=\"B\u00e9nin\" >B\u00e9nin<\/option><option value=\"Bhoutan\" >Bhoutan<\/option><option value=\"Bi\u00e9lorussie\" >Bi\u00e9lorussie<\/option><option value=\"Birmanie\" >Birmanie<\/option><option value=\"Bolivie\" >Bolivie<\/option><option value=\"Bosnie-Herz\u00e9govine\" >Bosnie-Herz\u00e9govine<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Br\u00e9sil\" >Br\u00e9sil<\/option><option value=\"Brunei\" >Brunei<\/option><option value=\"Bulgarie\" >Bulgarie<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cambodge\" >Cambodge<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cap-Vert\" >Cap-Vert<\/option><option value=\"Chili\" >Chili<\/option><option value=\"Chine\" >Chine<\/option><option value=\"Chypre\" >Chypre<\/option><option value=\"Colombie\" >Colombie<\/option><option value=\"Comores\" >Comores<\/option><option value=\"Cor\u00e9e du Nord\" >Cor\u00e9e du Nord<\/option><option value=\"Cor\u00e9e du Sud\" >Cor\u00e9e du Sud<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"C\u00f4te d&#039;Ivoire\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"Croatie\" >Croatie<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Danemark\" >Danemark<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Dominique\" >Dominique<\/option><option value=\"\u00c9gypte\" >\u00c9gypte<\/option><option value=\"\u00c9mirats Arabes Unis\" >\u00c9mirats Arabes Unis<\/option><option value=\"\u00c9quateur\" >\u00c9quateur<\/option><option value=\"\u00c9rythr\u00e9e\" >\u00c9rythr\u00e9e<\/option><option value=\"Espagne\" >Espagne<\/option><option value=\"Estonie\" >Estonie<\/option><option value=\"Eswatini\" >Eswatini<\/option><option value=\"\u00c9tats-Unis\" >\u00c9tats-Unis<\/option><option value=\"\u00c9thiopie\" >\u00c9thiopie<\/option><option value=\"Fidji\" >Fidji<\/option><option value=\"Finlande\" >Finlande<\/option><option value=\"France\" >France<\/option><option value=\"Gambie\" >Gambie<\/option><option value=\"G\u00e9orgie\" >G\u00e9orgie<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gr\u00e8ce\" >Gr\u00e8ce<\/option><option value=\"Grenade\" >Grenade<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guin\u00e9e\" >Guin\u00e9e<\/option><option value=\"Guin\u00e9e-Bissau\" >Guin\u00e9e-Bissau<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Ha\u00efti\" >Ha\u00efti<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hongrie\" >Hongrie<\/option><option value=\"\u00celes Marshall\" >\u00celes Marshall<\/option><option value=\"\u00celes Salomon\" >\u00celes Salomon<\/option><option value=\"Inde\" >Inde<\/option><option value=\"Indon\u00e9sie\" >Indon\u00e9sie<\/option><option value=\"Irak\" >Irak<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Irlande\" >Irlande<\/option><option value=\"Islande\" >Islande<\/option><option value=\"Isra\u00ebl\" >Isra\u00ebl<\/option><option value=\"Italie\" >Italie<\/option><option value=\"Jama\u00efque\" >Jama\u00efque<\/option><option value=\"Japon\" >Japon<\/option><option value=\"Jordanie\" >Jordanie<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Kirghizistan\" >Kirghizistan<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Kowe\u00eft\" >Kowe\u00eft<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Lettonie\" >Lettonie<\/option><option value=\"Liban\" >Liban<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libye\" >Libye<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lituanie\" >Lituanie<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Mac\u00e9doine du Nord\" >Mac\u00e9doine du Nord<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malaisie\" >Malaisie<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Malte\" >Malte<\/option><option value=\"Maroc\" >Maroc<\/option><option value=\"Maurice\" >Maurice<\/option><option value=\"Mauritanie\" >Mauritanie<\/option><option value=\"Mexique\" >Mexique<\/option><option value=\"Micron\u00e9sie\" >Micron\u00e9sie<\/option><option value=\"Moldavie\" >Moldavie<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolie\" >Mongolie<\/option><option value=\"Mont\u00e9n\u00e9gro\" >Mont\u00e9n\u00e9gro<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Namibie\" >Namibie<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"N\u00e9pal\" >N\u00e9pal<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Norv\u00e8ge\" >Norv\u00e8ge<\/option><option value=\"Nouvelle-Z\u00e9lande\" >Nouvelle-Z\u00e9lande<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Ouganda\" >Ouganda<\/option><option value=\"Ouzb\u00e9kistan\" >Ouzb\u00e9kistan<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palaos\" >Palaos<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Panama\" >Panama<\/option><option value=\"Papouasie-Nouvelle-Guin\u00e9e\" >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Pays-Bas\" >Pays-Bas<\/option><option value=\"P\u00e9rou\" >P\u00e9rou<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Pologne\" >Pologne<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"R\u00e9publique D\u00e9mocratique du Congo\" >R\u00e9publique D\u00e9mocratique du Congo<\/option><option value=\"R\u00e9publique Dominicaine\" >R\u00e9publique Dominicaine<\/option><option value=\"R\u00e9publique Tch\u00e8que\" >R\u00e9publique Tch\u00e8que<\/option><option value=\"Roumanie\" >Roumanie<\/option><option value=\"Royaume-Uni\" >Royaume-Uni<\/option><option value=\"Russie\" >Russie<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Saint-Christophe-et-Ni\u00e9v\u00e8s\" >Saint-Christophe-et-Ni\u00e9v\u00e8s<\/option><option value=\"Sainte-Lucie\" >Sainte-Lucie<\/option><option value=\"Saint-Marin\" >Saint-Marin<\/option><option value=\"Saint-Vincent-et-les-Grenadines\" >Saint-Vincent-et-les-Grenadines<\/option><option value=\"Salvador\" >Salvador<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"S\u00e3o Tom\u00e9-et-Pr\u00edncipe\" >S\u00e3o Tom\u00e9-et-Pr\u00edncipe<\/option><option value=\"S\u00e9n\u00e9gal\" >S\u00e9n\u00e9gal<\/option><option value=\"Serbie\" >Serbie<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Singapour\" >Singapour<\/option><option value=\"Slovaquie\" >Slovaquie<\/option><option value=\"Slov\u00e9nie\" >Slov\u00e9nie<\/option><option value=\"Somalie\" >Somalie<\/option><option value=\"Soudan\" >Soudan<\/option><option value=\"Soudan du Sud\" >Soudan du Sud<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Su\u00e8de\" >Su\u00e8de<\/option><option value=\"Suisse\" >Suisse<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Syrie\" >Syrie<\/option><option value=\"Tadjikistan\" >Tadjikistan<\/option><option value=\"Tanzanie\" >Tanzanie<\/option><option value=\"Tha\u00eflande\" >Tha\u00eflande<\/option><option value=\"Timor oriental\" >Timor oriental<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Trinit\u00e9-et-Tobago\" >Trinit\u00e9-et-Tobago<\/option><option value=\"Tunisie\" >Tunisie<\/option><option value=\"Turkm\u00e9nistan\" >Turkm\u00e9nistan<\/option><option value=\"Turquie\" >Turquie<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Vatican\" >Vatican<\/option><option value=\"Venezuela\" >Venezuela<\/option><option value=\"Vi\u00eat Nam\" >Vi\u00eat Nam<\/option><option value=\"Y\u00e9men\" >Y\u00e9men<\/option><option value=\"Zambie\" >Zambie<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/select>\t\t<\/div>\n\n\t\t<!-- Repr\u00e9sentants -->\n\t\t<div class=\"bcca-section-header\">\n\t\t\t<h4>Repr\u00e9sentants (Maximum 2)<\/h4>\n\t\t<\/div>\n\n\t\t<div id=\"representants-container\">\n\t\t\t<!-- Repr\u00e9sentant 1 -->\n\t\t\t<div class=\"representant-section\" data-representant=\"1\">\n\t\t\t\t<h5>Repr\u00e9sentant 1<\/h5>\n\n\t\t\t\t<div class=\"bcca-form-row\">\n\t\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t\t<label for=\"rep1_nom\" class=\"bcca-form-label required\">Nom<\/label>\n\t\t\t\t\t\t<input type=\"text\" id=\"rep1_nom\" name=\"rep1_nom\" class=\"bcca-form-control\" data-min-length=\"2\">\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t\t<label for=\"rep1_prenom\" class=\"bcca-form-label required\">Pr\u00e9nom<\/label>\n\t\t\t\t\t\t<input type=\"text\" id=\"rep1_prenom\" name=\"rep1_prenom\" class=\"bcca-form-control\" data-min-length=\"2\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-row\">\n\t\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t\t<label for=\"rep1_date_naissance\" class=\"bcca-form-label required\">Date de naissance<\/label>\n\t\t\t\t\t\t<input type=\"date\" id=\"rep1_date_naissance\" name=\"rep1_date_naissance\" class=\"bcca-form-control\">\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t\t<label for=\"rep1_nationalite\" class=\"bcca-form-label required\">Nationalit\u00e9<\/label>\n\t\t\t\t\t\t<select id=\"rep1_nationalite\" name=\"rep1_nationalite\" class=\"bcca-form-control\" required><option value=\"\">S\u00e9lectionner...<\/option><option value=\"Camerounaise\" selected>Camerounaise<\/option><option value=\"Gabonaise\" >Gabonaise<\/option><option value=\"Congolaise (RC)\" >Congolaise (RC)<\/option><option value=\"Centrafricaine\" >Centrafricaine<\/option><option value=\"Tchadienne\" >Tchadienne<\/option><option value=\"\u00c9quato-guin\u00e9enne\" >\u00c9quato-guin\u00e9enne<\/option><option value=\"Afghane\" >Afghane<\/option><option value=\"Sud-africaine\" >Sud-africaine<\/option><option value=\"Albanaise\" >Albanaise<\/option><option value=\"Alg\u00e9rienne\" >Alg\u00e9rienne<\/option><option value=\"Allemande\" >Allemande<\/option><option value=\"Andorrane\" >Andorrane<\/option><option value=\"Angolaise\" >Angolaise<\/option><option value=\"Antiguaise-et-barbudienne\" >Antiguaise-et-barbudienne<\/option><option value=\"Saoudienne\" >Saoudienne<\/option><option value=\"Argentine\" >Argentine<\/option><option value=\"Arm\u00e9nienne\" >Arm\u00e9nienne<\/option><option value=\"Australienne\" >Australienne<\/option><option value=\"Autrichienne\" >Autrichienne<\/option><option value=\"Azerba\u00efdjanaise\" >Azerba\u00efdjanaise<\/option><option value=\"Baham\u00e9enne\" >Baham\u00e9enne<\/option><option value=\"Bahre\u00efnienne\" >Bahre\u00efnienne<\/option><option value=\"Bangladaise\" >Bangladaise<\/option><option value=\"Barbadienne\" >Barbadienne<\/option><option value=\"Belge\" >Belge<\/option><option value=\"B\u00e9lizienne\" >B\u00e9lizienne<\/option><option value=\"B\u00e9ninoise\" >B\u00e9ninoise<\/option><option value=\"Bhoutanaise\" >Bhoutanaise<\/option><option value=\"Bi\u00e9lorusse\" >Bi\u00e9lorusse<\/option><option value=\"Birmane\" >Birmane<\/option><option value=\"Bolivienne\" >Bolivienne<\/option><option value=\"Bosnienne\" >Bosnienne<\/option><option value=\"Botswanaise\" >Botswanaise<\/option><option value=\"Br\u00e9silienne\" >Br\u00e9silienne<\/option><option value=\"Brun\u00e9ienne\" >Brun\u00e9ienne<\/option><option value=\"Bulgare\" >Bulgare<\/option><option value=\"Burkinab\u00e9\" >Burkinab\u00e9<\/option><option value=\"Burundaise\" >Burundaise<\/option><option value=\"Cambodgienne\" >Cambodgienne<\/option><option value=\"Canadienne\" >Canadienne<\/option><option value=\"Cap-verdienne\" >Cap-verdienne<\/option><option value=\"Chilienne\" >Chilienne<\/option><option value=\"Chinoise\" >Chinoise<\/option><option value=\"Chypriote\" >Chypriote<\/option><option value=\"Colombienne\" >Colombienne<\/option><option value=\"Comorienne\" >Comorienne<\/option><option value=\"Nord-cor\u00e9enne\" >Nord-cor\u00e9enne<\/option><option value=\"Sud-cor\u00e9enne\" >Sud-cor\u00e9enne<\/option><option value=\"Costaricaine\" >Costaricaine<\/option><option value=\"Ivoirienne\" >Ivoirienne<\/option><option value=\"Croate\" >Croate<\/option><option value=\"Cubaine\" >Cubaine<\/option><option value=\"Danoise\" >Danoise<\/option><option value=\"Djiboutienne\" >Djiboutienne<\/option><option value=\"Dominiquaise\" >Dominiquaise<\/option><option value=\"\u00c9gyptienne\" >\u00c9gyptienne<\/option><option value=\"\u00c9mirienne\" >\u00c9mirienne<\/option><option value=\"\u00c9quatorienne\" >\u00c9quatorienne<\/option><option value=\"\u00c9rythr\u00e9enne\" >\u00c9rythr\u00e9enne<\/option><option value=\"Espagnole\" >Espagnole<\/option><option value=\"Estonienne\" >Estonienne<\/option><option value=\"Eswatinienne\" >Eswatinienne<\/option><option value=\"Am\u00e9ricaine\" >Am\u00e9ricaine<\/option><option value=\"\u00c9thiopienne\" >\u00c9thiopienne<\/option><option value=\"Fidjienne\" >Fidjienne<\/option><option value=\"Finlandaise\" >Finlandaise<\/option><option value=\"Fran\u00e7aise\" >Fran\u00e7aise<\/option><option value=\"Gambienne\" >Gambienne<\/option><option value=\"G\u00e9orgienne\" >G\u00e9orgienne<\/option><option value=\"Ghan\u00e9enne\" >Ghan\u00e9enne<\/option><option value=\"Grecque\" >Grecque<\/option><option value=\"Grenadienne\" >Grenadienne<\/option><option value=\"Guat\u00e9malt\u00e8que\" >Guat\u00e9malt\u00e8que<\/option><option value=\"Guin\u00e9enne\" >Guin\u00e9enne<\/option><option value=\"Bissau-guin\u00e9enne\" >Bissau-guin\u00e9enne<\/option><option value=\"Guyanienne\" >Guyanienne<\/option><option value=\"Ha\u00eftienne\" >Ha\u00eftienne<\/option><option value=\"Hondurienne\" >Hondurienne<\/option><option value=\"Hongroise\" >Hongroise<\/option><option value=\"Marshallaise\" >Marshallaise<\/option><option value=\"Salomonaise\" >Salomonaise<\/option><option value=\"Indienne\" >Indienne<\/option><option value=\"Indon\u00e9sienne\" >Indon\u00e9sienne<\/option><option value=\"Irakienne\" >Irakienne<\/option><option value=\"Iranienne\" >Iranienne<\/option><option value=\"Irlandaise\" >Irlandaise<\/option><option value=\"Islandaise\" >Islandaise<\/option><option value=\"Isra\u00e9lienne\" >Isra\u00e9lienne<\/option><option value=\"Italienne\" >Italienne<\/option><option value=\"Jama\u00efcaine\" >Jama\u00efcaine<\/option><option value=\"Japonaise\" >Japonaise<\/option><option value=\"Jordanienne\" >Jordanienne<\/option><option value=\"Kazakhe\" >Kazakhe<\/option><option value=\"K\u00e9nyane\" >K\u00e9nyane<\/option><option value=\"Kirghize\" >Kirghize<\/option><option value=\"Kiribatienne\" >Kiribatienne<\/option><option value=\"Kowe\u00eftienne\" >Kowe\u00eftienne<\/option><option value=\"Laotienne\" >Laotienne<\/option><option value=\"Lesothane\" >Lesothane<\/option><option value=\"Lettone\" >Lettone<\/option><option value=\"Libanaise\" >Libanaise<\/option><option value=\"Lib\u00e9rienne\" >Lib\u00e9rienne<\/option><option value=\"Libyenne\" >Libyenne<\/option><option value=\"Liechtensteinoise\" >Liechtensteinoise<\/option><option value=\"Lituanienne\" >Lituanienne<\/option><option value=\"Luxembourgeoise\" >Luxembourgeoise<\/option><option value=\"Mac\u00e9donienne\" >Mac\u00e9donienne<\/option><option value=\"Malgache\" >Malgache<\/option><option value=\"Malaisienne\" >Malaisienne<\/option><option value=\"Malawienne\" >Malawienne<\/option><option value=\"Maldivienne\" >Maldivienne<\/option><option value=\"Malienne\" >Malienne<\/option><option value=\"Maltaise\" >Maltaise<\/option><option value=\"Marocaine\" >Marocaine<\/option><option value=\"Mauricienne\" >Mauricienne<\/option><option value=\"Mauritanienne\" >Mauritanienne<\/option><option value=\"Mexicaine\" >Mexicaine<\/option><option value=\"Micron\u00e9sienne\" >Micron\u00e9sienne<\/option><option value=\"Moldave\" >Moldave<\/option><option value=\"Mon\u00e9gasque\" >Mon\u00e9gasque<\/option><option value=\"Mongole\" >Mongole<\/option><option value=\"Mont\u00e9n\u00e9grine\" >Mont\u00e9n\u00e9grine<\/option><option value=\"Mozambicaine\" >Mozambicaine<\/option><option value=\"Namibienne\" >Namibienne<\/option><option value=\"Nauruane\" >Nauruane<\/option><option value=\"N\u00e9palaise\" >N\u00e9palaise<\/option><option value=\"Nicaraguayenne\" >Nicaraguayenne<\/option><option value=\"Nig\u00e9rienne\" >Nig\u00e9rienne<\/option><option value=\"Nig\u00e9riane\" >Nig\u00e9riane<\/option><option value=\"Norv\u00e9gienne\" >Norv\u00e9gienne<\/option><option value=\"N\u00e9o-z\u00e9landaise\" >N\u00e9o-z\u00e9landaise<\/option><option value=\"Omanaise\" >Omanaise<\/option><option value=\"Ougandaise\" >Ougandaise<\/option><option value=\"Ouzb\u00e8ke\" >Ouzb\u00e8ke<\/option><option value=\"Pakistanaise\" >Pakistanaise<\/option><option value=\"Palaosienne\" >Palaosienne<\/option><option value=\"Palestinienne\" >Palestinienne<\/option><option value=\"Panam\u00e9enne\" >Panam\u00e9enne<\/option><option value=\"Papouane-n\u00e9o-guin\u00e9enne\" >Papouane-n\u00e9o-guin\u00e9enne<\/option><option value=\"Paraguayenne\" >Paraguayenne<\/option><option value=\"N\u00e9erlandaise\" >N\u00e9erlandaise<\/option><option value=\"P\u00e9ruvienne\" >P\u00e9ruvienne<\/option><option value=\"Philippine\" >Philippine<\/option><option value=\"Polonaise\" >Polonaise<\/option><option value=\"Portugaise\" >Portugaise<\/option><option value=\"Qatarienne\" >Qatarienne<\/option><option value=\"Congolaise (RDC)\" >Congolaise (RDC)<\/option><option value=\"Dominicaine\" >Dominicaine<\/option><option value=\"Tch\u00e8que\" >Tch\u00e8que<\/option><option value=\"Roumaine\" >Roumaine<\/option><option value=\"Britannique\" >Britannique<\/option><option value=\"Russe\" >Russe<\/option><option value=\"Rwandaise\" >Rwandaise<\/option><option value=\"Kittitienne-et-nevicienne\" >Kittitienne-et-nevicienne<\/option><option value=\"Saint-lucienne\" >Saint-lucienne<\/option><option value=\"Saint-marinaise\" >Saint-marinaise<\/option><option value=\"Saint-vincentaise-et-grenadine\" >Saint-vincentaise-et-grenadine<\/option><option value=\"Salvadorienne\" >Salvadorienne<\/option><option value=\"Samoane\" >Samoane<\/option><option value=\"Santom\u00e9enne\" >Santom\u00e9enne<\/option><option value=\"S\u00e9n\u00e9galaise\" >S\u00e9n\u00e9galaise<\/option><option value=\"Serbe\" >Serbe<\/option><option value=\"Seychelloise\" >Seychelloise<\/option><option value=\"Sierra-l\u00e9onaise\" >Sierra-l\u00e9onaise<\/option><option value=\"Singapourienne\" >Singapourienne<\/option><option value=\"Slovaque\" >Slovaque<\/option><option value=\"Slov\u00e8ne\" >Slov\u00e8ne<\/option><option value=\"Somalienne\" >Somalienne<\/option><option value=\"Soudanaise\" >Soudanaise<\/option><option value=\"Sud-soudanaise\" >Sud-soudanaise<\/option><option value=\"Sri-lankaise\" >Sri-lankaise<\/option><option value=\"Su\u00e9doise\" >Su\u00e9doise<\/option><option value=\"Suisse\" >Suisse<\/option><option value=\"Surinamaise\" >Surinamaise<\/option><option value=\"Syrienne\" >Syrienne<\/option><option value=\"Tadjike\" >Tadjike<\/option><option value=\"Tanzanienne\" >Tanzanienne<\/option><option value=\"Tha\u00eflandaise\" >Tha\u00eflandaise<\/option><option value=\"Est-timoraise\" >Est-timoraise<\/option><option value=\"Togolaise\" >Togolaise<\/option><option value=\"Tonguienne\" >Tonguienne<\/option><option value=\"Trinidadienne\" >Trinidadienne<\/option><option value=\"Tunisienne\" >Tunisienne<\/option><option value=\"Turkm\u00e8ne\" >Turkm\u00e8ne<\/option><option value=\"Turque\" >Turque<\/option><option value=\"Tuvaluane\" >Tuvaluane<\/option><option value=\"Ukrainienne\" >Ukrainienne<\/option><option value=\"Uruguayenne\" >Uruguayenne<\/option><option value=\"Vanuatuane\" >Vanuatuane<\/option><option value=\"Vaticane\" >Vaticane<\/option><option value=\"V\u00e9n\u00e9zu\u00e9lienne\" >V\u00e9n\u00e9zu\u00e9lienne<\/option><option value=\"Vietnamienne\" >Vietnamienne<\/option><option value=\"Y\u00e9m\u00e9nite\" >Y\u00e9m\u00e9nite<\/option><option value=\"Zambienne\" >Zambienne<\/option><option value=\"Zimbabw\u00e9enne\" >Zimbabw\u00e9enne<\/option><\/select>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"rep1_fonction\" class=\"bcca-form-label required\">Fonction<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"rep1_fonction\" name=\"rep1_fonction\" class=\"bcca-form-control\">\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"rep1_type_identification\" class=\"bcca-form-label required\">Pi\u00e8ce d&#039;identification<\/label>\n\t\t\t\t\t<select id=\"rep1_type_identification\" name=\"rep1_type_identification\" class=\"bcca-form-control\">\n\t\t\t\t\t\t<option value=\"\">S\u00e9lectionner...<\/option>\n\t\t\t\t\t\t<option value=\"cni\">Carte Nationale d&#039;Identit\u00e9 (CNI)<\/option>\n\t\t\t\t\t\t<option value=\"passport\">Passeport<\/option>\n\t\t\t\t\t<\/select>\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"rep1_numero_identification\" class=\"bcca-form-label required\">Num\u00e9ro d&#039;identification<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"rep1_numero_identification\" name=\"rep1_numero_identification\" class=\"bcca-form-control\" data-min-length=\"5\">\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-row\">\n\t\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t\t<label for=\"rep1_date_creation\" class=\"bcca-form-label required\">Date de cr\u00e9ation<\/label>\n\t\t\t\t\t\t<input type=\"date\" id=\"rep1_date_creation\" name=\"rep1_date_creation\" class=\"bcca-form-control\">\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t\t<label for=\"rep1_date_expiration\" class=\"bcca-form-label required\">Date d&#039;expiration<\/label>\n\t\t\t\t\t\t<input type=\"date\" id=\"rep1_date_expiration\" name=\"rep1_date_expiration\" class=\"bcca-form-control\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t\t\t<!-- Repr\u00e9sentant 2 (optionnel) -->\n\t\t\t<div class=\"representant-section\" data-representant=\"2\" style=\"display:none;\">\n\t\t\t\t<h5>Repr\u00e9sentant 2 <button type=\"button\" class=\"bcca-btn-remove-representant\" data-representant=\"2\">\u2715 Retirer<\/button><\/h5>\n\n\t\t\t\t<div class=\"bcca-form-row\">\n\t\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t\t<label for=\"rep2_nom\" class=\"bcca-form-label\">Nom<\/label>\n\t\t\t\t\t\t<input type=\"text\" id=\"rep2_nom\" name=\"rep2_nom\" class=\"bcca-form-control\" data-min-length=\"2\">\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t\t<label for=\"rep2_prenom\" class=\"bcca-form-label\">Pr\u00e9nom<\/label>\n\t\t\t\t\t\t<input type=\"text\" id=\"rep2_prenom\" name=\"rep2_prenom\" class=\"bcca-form-control\" data-min-length=\"2\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-row\">\n\t\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t\t<label for=\"rep2_date_naissance\" class=\"bcca-form-label\">Date de naissance<\/label>\n\t\t\t\t\t\t<input type=\"date\" id=\"rep2_date_naissance\" name=\"rep2_date_naissance\" class=\"bcca-form-control\">\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t\t<label for=\"rep2_nationalite\" class=\"bcca-form-label\">Nationalit\u00e9<\/label>\n\t\t\t\t\t\t<select id=\"rep2_nationalite\" name=\"rep2_nationalite\" class=\"bcca-form-control\" ><option value=\"\">S\u00e9lectionner...<\/option><option value=\"Camerounaise\" selected>Camerounaise<\/option><option value=\"Gabonaise\" >Gabonaise<\/option><option value=\"Congolaise (RC)\" >Congolaise (RC)<\/option><option value=\"Centrafricaine\" >Centrafricaine<\/option><option value=\"Tchadienne\" >Tchadienne<\/option><option value=\"\u00c9quato-guin\u00e9enne\" >\u00c9quato-guin\u00e9enne<\/option><option value=\"Afghane\" >Afghane<\/option><option value=\"Sud-africaine\" >Sud-africaine<\/option><option value=\"Albanaise\" >Albanaise<\/option><option value=\"Alg\u00e9rienne\" >Alg\u00e9rienne<\/option><option value=\"Allemande\" >Allemande<\/option><option value=\"Andorrane\" >Andorrane<\/option><option value=\"Angolaise\" >Angolaise<\/option><option value=\"Antiguaise-et-barbudienne\" >Antiguaise-et-barbudienne<\/option><option value=\"Saoudienne\" >Saoudienne<\/option><option value=\"Argentine\" >Argentine<\/option><option value=\"Arm\u00e9nienne\" >Arm\u00e9nienne<\/option><option value=\"Australienne\" >Australienne<\/option><option value=\"Autrichienne\" >Autrichienne<\/option><option value=\"Azerba\u00efdjanaise\" >Azerba\u00efdjanaise<\/option><option value=\"Baham\u00e9enne\" >Baham\u00e9enne<\/option><option value=\"Bahre\u00efnienne\" >Bahre\u00efnienne<\/option><option value=\"Bangladaise\" >Bangladaise<\/option><option value=\"Barbadienne\" >Barbadienne<\/option><option value=\"Belge\" >Belge<\/option><option value=\"B\u00e9lizienne\" >B\u00e9lizienne<\/option><option value=\"B\u00e9ninoise\" >B\u00e9ninoise<\/option><option value=\"Bhoutanaise\" >Bhoutanaise<\/option><option value=\"Bi\u00e9lorusse\" >Bi\u00e9lorusse<\/option><option value=\"Birmane\" >Birmane<\/option><option value=\"Bolivienne\" >Bolivienne<\/option><option value=\"Bosnienne\" >Bosnienne<\/option><option value=\"Botswanaise\" >Botswanaise<\/option><option value=\"Br\u00e9silienne\" >Br\u00e9silienne<\/option><option value=\"Brun\u00e9ienne\" >Brun\u00e9ienne<\/option><option value=\"Bulgare\" >Bulgare<\/option><option value=\"Burkinab\u00e9\" >Burkinab\u00e9<\/option><option value=\"Burundaise\" >Burundaise<\/option><option value=\"Cambodgienne\" >Cambodgienne<\/option><option value=\"Canadienne\" >Canadienne<\/option><option value=\"Cap-verdienne\" >Cap-verdienne<\/option><option value=\"Chilienne\" >Chilienne<\/option><option value=\"Chinoise\" >Chinoise<\/option><option value=\"Chypriote\" >Chypriote<\/option><option value=\"Colombienne\" >Colombienne<\/option><option value=\"Comorienne\" >Comorienne<\/option><option value=\"Nord-cor\u00e9enne\" >Nord-cor\u00e9enne<\/option><option value=\"Sud-cor\u00e9enne\" >Sud-cor\u00e9enne<\/option><option value=\"Costaricaine\" >Costaricaine<\/option><option value=\"Ivoirienne\" >Ivoirienne<\/option><option value=\"Croate\" >Croate<\/option><option value=\"Cubaine\" >Cubaine<\/option><option value=\"Danoise\" >Danoise<\/option><option value=\"Djiboutienne\" >Djiboutienne<\/option><option value=\"Dominiquaise\" >Dominiquaise<\/option><option value=\"\u00c9gyptienne\" >\u00c9gyptienne<\/option><option value=\"\u00c9mirienne\" >\u00c9mirienne<\/option><option value=\"\u00c9quatorienne\" >\u00c9quatorienne<\/option><option value=\"\u00c9rythr\u00e9enne\" >\u00c9rythr\u00e9enne<\/option><option value=\"Espagnole\" >Espagnole<\/option><option value=\"Estonienne\" >Estonienne<\/option><option value=\"Eswatinienne\" >Eswatinienne<\/option><option value=\"Am\u00e9ricaine\" >Am\u00e9ricaine<\/option><option value=\"\u00c9thiopienne\" >\u00c9thiopienne<\/option><option value=\"Fidjienne\" >Fidjienne<\/option><option value=\"Finlandaise\" >Finlandaise<\/option><option value=\"Fran\u00e7aise\" >Fran\u00e7aise<\/option><option value=\"Gambienne\" >Gambienne<\/option><option value=\"G\u00e9orgienne\" >G\u00e9orgienne<\/option><option value=\"Ghan\u00e9enne\" >Ghan\u00e9enne<\/option><option value=\"Grecque\" >Grecque<\/option><option value=\"Grenadienne\" >Grenadienne<\/option><option value=\"Guat\u00e9malt\u00e8que\" >Guat\u00e9malt\u00e8que<\/option><option value=\"Guin\u00e9enne\" >Guin\u00e9enne<\/option><option value=\"Bissau-guin\u00e9enne\" >Bissau-guin\u00e9enne<\/option><option value=\"Guyanienne\" >Guyanienne<\/option><option value=\"Ha\u00eftienne\" >Ha\u00eftienne<\/option><option value=\"Hondurienne\" >Hondurienne<\/option><option value=\"Hongroise\" >Hongroise<\/option><option value=\"Marshallaise\" >Marshallaise<\/option><option value=\"Salomonaise\" >Salomonaise<\/option><option value=\"Indienne\" >Indienne<\/option><option value=\"Indon\u00e9sienne\" >Indon\u00e9sienne<\/option><option value=\"Irakienne\" >Irakienne<\/option><option value=\"Iranienne\" >Iranienne<\/option><option value=\"Irlandaise\" >Irlandaise<\/option><option value=\"Islandaise\" >Islandaise<\/option><option value=\"Isra\u00e9lienne\" >Isra\u00e9lienne<\/option><option value=\"Italienne\" >Italienne<\/option><option value=\"Jama\u00efcaine\" >Jama\u00efcaine<\/option><option value=\"Japonaise\" >Japonaise<\/option><option value=\"Jordanienne\" >Jordanienne<\/option><option value=\"Kazakhe\" >Kazakhe<\/option><option value=\"K\u00e9nyane\" >K\u00e9nyane<\/option><option value=\"Kirghize\" >Kirghize<\/option><option value=\"Kiribatienne\" >Kiribatienne<\/option><option value=\"Kowe\u00eftienne\" >Kowe\u00eftienne<\/option><option value=\"Laotienne\" >Laotienne<\/option><option value=\"Lesothane\" >Lesothane<\/option><option value=\"Lettone\" >Lettone<\/option><option value=\"Libanaise\" >Libanaise<\/option><option value=\"Lib\u00e9rienne\" >Lib\u00e9rienne<\/option><option value=\"Libyenne\" >Libyenne<\/option><option value=\"Liechtensteinoise\" >Liechtensteinoise<\/option><option value=\"Lituanienne\" >Lituanienne<\/option><option value=\"Luxembourgeoise\" >Luxembourgeoise<\/option><option value=\"Mac\u00e9donienne\" >Mac\u00e9donienne<\/option><option value=\"Malgache\" >Malgache<\/option><option value=\"Malaisienne\" >Malaisienne<\/option><option value=\"Malawienne\" >Malawienne<\/option><option value=\"Maldivienne\" >Maldivienne<\/option><option value=\"Malienne\" >Malienne<\/option><option value=\"Maltaise\" >Maltaise<\/option><option value=\"Marocaine\" >Marocaine<\/option><option value=\"Mauricienne\" >Mauricienne<\/option><option value=\"Mauritanienne\" >Mauritanienne<\/option><option value=\"Mexicaine\" >Mexicaine<\/option><option value=\"Micron\u00e9sienne\" >Micron\u00e9sienne<\/option><option value=\"Moldave\" >Moldave<\/option><option value=\"Mon\u00e9gasque\" >Mon\u00e9gasque<\/option><option value=\"Mongole\" >Mongole<\/option><option value=\"Mont\u00e9n\u00e9grine\" >Mont\u00e9n\u00e9grine<\/option><option value=\"Mozambicaine\" >Mozambicaine<\/option><option value=\"Namibienne\" >Namibienne<\/option><option value=\"Nauruane\" >Nauruane<\/option><option value=\"N\u00e9palaise\" >N\u00e9palaise<\/option><option value=\"Nicaraguayenne\" >Nicaraguayenne<\/option><option value=\"Nig\u00e9rienne\" >Nig\u00e9rienne<\/option><option value=\"Nig\u00e9riane\" >Nig\u00e9riane<\/option><option value=\"Norv\u00e9gienne\" >Norv\u00e9gienne<\/option><option value=\"N\u00e9o-z\u00e9landaise\" >N\u00e9o-z\u00e9landaise<\/option><option value=\"Omanaise\" >Omanaise<\/option><option value=\"Ougandaise\" >Ougandaise<\/option><option value=\"Ouzb\u00e8ke\" >Ouzb\u00e8ke<\/option><option value=\"Pakistanaise\" >Pakistanaise<\/option><option value=\"Palaosienne\" >Palaosienne<\/option><option value=\"Palestinienne\" >Palestinienne<\/option><option value=\"Panam\u00e9enne\" >Panam\u00e9enne<\/option><option value=\"Papouane-n\u00e9o-guin\u00e9enne\" >Papouane-n\u00e9o-guin\u00e9enne<\/option><option value=\"Paraguayenne\" >Paraguayenne<\/option><option value=\"N\u00e9erlandaise\" >N\u00e9erlandaise<\/option><option value=\"P\u00e9ruvienne\" >P\u00e9ruvienne<\/option><option value=\"Philippine\" >Philippine<\/option><option value=\"Polonaise\" >Polonaise<\/option><option value=\"Portugaise\" >Portugaise<\/option><option value=\"Qatarienne\" >Qatarienne<\/option><option value=\"Congolaise (RDC)\" >Congolaise (RDC)<\/option><option value=\"Dominicaine\" >Dominicaine<\/option><option value=\"Tch\u00e8que\" >Tch\u00e8que<\/option><option value=\"Roumaine\" >Roumaine<\/option><option value=\"Britannique\" >Britannique<\/option><option value=\"Russe\" >Russe<\/option><option value=\"Rwandaise\" >Rwandaise<\/option><option value=\"Kittitienne-et-nevicienne\" >Kittitienne-et-nevicienne<\/option><option value=\"Saint-lucienne\" >Saint-lucienne<\/option><option value=\"Saint-marinaise\" >Saint-marinaise<\/option><option value=\"Saint-vincentaise-et-grenadine\" >Saint-vincentaise-et-grenadine<\/option><option value=\"Salvadorienne\" >Salvadorienne<\/option><option value=\"Samoane\" >Samoane<\/option><option value=\"Santom\u00e9enne\" >Santom\u00e9enne<\/option><option value=\"S\u00e9n\u00e9galaise\" >S\u00e9n\u00e9galaise<\/option><option value=\"Serbe\" >Serbe<\/option><option value=\"Seychelloise\" >Seychelloise<\/option><option value=\"Sierra-l\u00e9onaise\" >Sierra-l\u00e9onaise<\/option><option value=\"Singapourienne\" >Singapourienne<\/option><option value=\"Slovaque\" >Slovaque<\/option><option value=\"Slov\u00e8ne\" >Slov\u00e8ne<\/option><option value=\"Somalienne\" >Somalienne<\/option><option value=\"Soudanaise\" >Soudanaise<\/option><option value=\"Sud-soudanaise\" >Sud-soudanaise<\/option><option value=\"Sri-lankaise\" >Sri-lankaise<\/option><option value=\"Su\u00e9doise\" >Su\u00e9doise<\/option><option value=\"Suisse\" >Suisse<\/option><option value=\"Surinamaise\" >Surinamaise<\/option><option value=\"Syrienne\" >Syrienne<\/option><option value=\"Tadjike\" >Tadjike<\/option><option value=\"Tanzanienne\" >Tanzanienne<\/option><option value=\"Tha\u00eflandaise\" >Tha\u00eflandaise<\/option><option value=\"Est-timoraise\" >Est-timoraise<\/option><option value=\"Togolaise\" >Togolaise<\/option><option value=\"Tonguienne\" >Tonguienne<\/option><option value=\"Trinidadienne\" >Trinidadienne<\/option><option value=\"Tunisienne\" >Tunisienne<\/option><option value=\"Turkm\u00e8ne\" >Turkm\u00e8ne<\/option><option value=\"Turque\" >Turque<\/option><option value=\"Tuvaluane\" >Tuvaluane<\/option><option value=\"Ukrainienne\" >Ukrainienne<\/option><option value=\"Uruguayenne\" >Uruguayenne<\/option><option value=\"Vanuatuane\" >Vanuatuane<\/option><option value=\"Vaticane\" >Vaticane<\/option><option value=\"V\u00e9n\u00e9zu\u00e9lienne\" >V\u00e9n\u00e9zu\u00e9lienne<\/option><option value=\"Vietnamienne\" >Vietnamienne<\/option><option value=\"Y\u00e9m\u00e9nite\" >Y\u00e9m\u00e9nite<\/option><option value=\"Zambienne\" >Zambienne<\/option><option value=\"Zimbabw\u00e9enne\" >Zimbabw\u00e9enne<\/option><\/select>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"rep2_fonction\" class=\"bcca-form-label\">Fonction<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"rep2_fonction\" name=\"rep2_fonction\" class=\"bcca-form-control\">\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"rep2_type_identification\" class=\"bcca-form-label\">Pi\u00e8ce d&#039;identification<\/label>\n\t\t\t\t\t<select id=\"rep2_type_identification\" name=\"rep2_type_identification\" class=\"bcca-form-control\">\n\t\t\t\t\t\t<option value=\"\">S\u00e9lectionner...<\/option>\n\t\t\t\t\t\t<option value=\"cni\">Carte Nationale d&#039;Identit\u00e9 (CNI)<\/option>\n\t\t\t\t\t\t<option value=\"passport\">Passeport<\/option>\n\t\t\t\t\t<\/select>\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"rep2_numero_identification\" class=\"bcca-form-label\">Num\u00e9ro d&#039;identification<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"rep2_numero_identification\" name=\"rep2_numero_identification\" class=\"bcca-form-control\" data-min-length=\"5\">\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-row\">\n\t\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t\t<label for=\"rep2_date_creation\" class=\"bcca-form-label\">Date de cr\u00e9ation<\/label>\n\t\t\t\t\t\t<input type=\"date\" id=\"rep2_date_creation\" name=\"rep2_date_creation\" class=\"bcca-form-control\">\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t\t<label for=\"rep2_date_expiration\" class=\"bcca-form-label\">Date d&#039;expiration<\/label>\n\t\t\t\t\t\t<input type=\"date\" id=\"rep2_date_expiration\" name=\"rep2_date_expiration\" class=\"bcca-form-control\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<button type=\"button\" id=\"bcca-btn-add-representant\" class=\"bcca-btn bcca-btn-secondary\" style=\"display:inline-block;\">\n\t\t\t+ Ajouter un second repr\u00e9sentant\t\t<\/button>\n\t<\/div>\n\t<!-- Fin Section Personne Morale -->\n\n\t<div class=\"bcca-form-actions\">\n\t\t<div><\/div>\n\t\t<button type=\"button\" class=\"bcca-btn bcca-btn-primary bcca-btn-next\">\n\t\t\tSuivant \u2192\n\t\t<\/button>\n\t<\/div>\n<\/div>\n\n\t\t\t\t<!-- \u00c9tape 2 : Restrictions -->\n\t\t\t\t\n<div id=\"bcca-step-2\" class=\"bcca-form-step\">\n\t<h3>\u00c9tape 2 : Restrictions et repr\u00e9sentants l\u00e9gaux<\/h3>\n\n\t<div class=\"bcca-form-group\">\n\t\t<label class=\"bcca-form-label required\">Statut du titulaire<\/label>\n\n\t\t<div class=\"bcca-radio-group\">\n\t\t\t<label class=\"bcca-radio\">\n\t\t\t\t<input type=\"radio\" id=\"statut_mineur\" name=\"statut_titulaire\" value=\"mineur\" class=\"bcca-form-control\" required>\n\t\t\t\tMineur\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t<div class=\"bcca-radio-group\">\n\t\t\t<label class=\"bcca-radio\">\n\t\t\t\t<input type=\"radio\" id=\"statut_tutelle\" name=\"statut_titulaire\" value=\"tutelle\" class=\"bcca-form-control\" required>\n\t\t\t\tTutelle\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t<div class=\"bcca-radio-group\">\n\t\t\t<label class=\"bcca-radio\">\n\t\t\t\t<input type=\"radio\" id=\"statut_majeur_protege\" name=\"statut_titulaire\" value=\"majeur_protege\" class=\"bcca-form-control\" required>\n\t\t\t\tMajeur prot\u00e9g\u00e9\t\t\t<\/label>\n\t\t<\/div>\n\t<\/div>\n\n\t<div id=\"representant-legal-section\" style=\"display: none;\">\n\t\t<div style=\"display: flex; justify-content: space-between; align-items: center; margin-bottom: 20px;\">\n\t\t\t<h4 style=\"margin: 0;\">Informations des repr\u00e9sentants l\u00e9gaux<\/h4>\n\t\t\t<button type=\"button\" id=\"add-representant-btn\" class=\"bcca-btn bcca-btn-secondary\" style=\"display: none; padding: 8px 16px; font-size: 13px;\">\n\t\t\t\t+ Ajouter un 2\u00e8me repr\u00e9sentant\t\t\t<\/button>\n\t\t<\/div>\n\n\t\t<!-- Repr\u00e9sentant 1 -->\n\t\t<div class=\"representant-block\" id=\"representant-1\">\n\t\t\t<h5>Repr\u00e9sentant 1<\/h5>\n\n\t\t\t<div class=\"bcca-form-row\">\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"representant_1_nom\" class=\"bcca-form-label\">Nom <span class=\"bcca-required\">*<\/span><\/label>\n\t\t\t\t\t<input type=\"text\" id=\"representant_1_nom\" name=\"representant_1_nom\" class=\"bcca-form-control representant-field\">\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"representant_1_prenom\" class=\"bcca-form-label\">Pr\u00e9nom <span class=\"bcca-required\">*<\/span><\/label>\n\t\t\t\t\t<input type=\"text\" id=\"representant_1_prenom\" name=\"representant_1_prenom\" class=\"bcca-form-control representant-field\">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t\t\t<div class=\"bcca-form-row\">\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"representant_1_date_naissance\" class=\"bcca-form-label\">Date de naissance <span class=\"bcca-required\">*<\/span><\/label>\n\t\t\t\t\t<input type=\"date\" id=\"representant_1_date_naissance\" name=\"representant_1_date_naissance\" class=\"bcca-form-control representant-field\">\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"representant_1_nationalite\" class=\"bcca-form-label\">Nationalit\u00e9 <span class=\"bcca-required\">*<\/span><\/label>\n\t\t\t\t\t<select id=\"representant_1_nationalite\" name=\"representant_1_nationalite\" class=\"bcca-form-control representant-field\" ><option value=\"\">S\u00e9lectionner...<\/option><option value=\"Camerounaise\" selected>Camerounaise<\/option><option value=\"Gabonaise\" >Gabonaise<\/option><option value=\"Congolaise (RC)\" >Congolaise (RC)<\/option><option value=\"Centrafricaine\" >Centrafricaine<\/option><option value=\"Tchadienne\" >Tchadienne<\/option><option value=\"\u00c9quato-guin\u00e9enne\" >\u00c9quato-guin\u00e9enne<\/option><option value=\"Afghane\" >Afghane<\/option><option value=\"Sud-africaine\" >Sud-africaine<\/option><option value=\"Albanaise\" >Albanaise<\/option><option value=\"Alg\u00e9rienne\" >Alg\u00e9rienne<\/option><option value=\"Allemande\" >Allemande<\/option><option value=\"Andorrane\" >Andorrane<\/option><option value=\"Angolaise\" >Angolaise<\/option><option value=\"Antiguaise-et-barbudienne\" >Antiguaise-et-barbudienne<\/option><option value=\"Saoudienne\" >Saoudienne<\/option><option value=\"Argentine\" >Argentine<\/option><option value=\"Arm\u00e9nienne\" >Arm\u00e9nienne<\/option><option value=\"Australienne\" >Australienne<\/option><option value=\"Autrichienne\" >Autrichienne<\/option><option value=\"Azerba\u00efdjanaise\" >Azerba\u00efdjanaise<\/option><option value=\"Baham\u00e9enne\" >Baham\u00e9enne<\/option><option value=\"Bahre\u00efnienne\" >Bahre\u00efnienne<\/option><option value=\"Bangladaise\" >Bangladaise<\/option><option value=\"Barbadienne\" >Barbadienne<\/option><option value=\"Belge\" >Belge<\/option><option value=\"B\u00e9lizienne\" >B\u00e9lizienne<\/option><option value=\"B\u00e9ninoise\" >B\u00e9ninoise<\/option><option value=\"Bhoutanaise\" >Bhoutanaise<\/option><option value=\"Bi\u00e9lorusse\" >Bi\u00e9lorusse<\/option><option value=\"Birmane\" >Birmane<\/option><option value=\"Bolivienne\" >Bolivienne<\/option><option value=\"Bosnienne\" >Bosnienne<\/option><option value=\"Botswanaise\" >Botswanaise<\/option><option value=\"Br\u00e9silienne\" >Br\u00e9silienne<\/option><option value=\"Brun\u00e9ienne\" >Brun\u00e9ienne<\/option><option value=\"Bulgare\" >Bulgare<\/option><option value=\"Burkinab\u00e9\" >Burkinab\u00e9<\/option><option value=\"Burundaise\" >Burundaise<\/option><option value=\"Cambodgienne\" >Cambodgienne<\/option><option value=\"Canadienne\" >Canadienne<\/option><option value=\"Cap-verdienne\" >Cap-verdienne<\/option><option value=\"Chilienne\" >Chilienne<\/option><option value=\"Chinoise\" >Chinoise<\/option><option value=\"Chypriote\" >Chypriote<\/option><option value=\"Colombienne\" >Colombienne<\/option><option value=\"Comorienne\" >Comorienne<\/option><option value=\"Nord-cor\u00e9enne\" >Nord-cor\u00e9enne<\/option><option value=\"Sud-cor\u00e9enne\" >Sud-cor\u00e9enne<\/option><option value=\"Costaricaine\" >Costaricaine<\/option><option value=\"Ivoirienne\" >Ivoirienne<\/option><option value=\"Croate\" >Croate<\/option><option value=\"Cubaine\" >Cubaine<\/option><option value=\"Danoise\" >Danoise<\/option><option value=\"Djiboutienne\" >Djiboutienne<\/option><option value=\"Dominiquaise\" >Dominiquaise<\/option><option value=\"\u00c9gyptienne\" >\u00c9gyptienne<\/option><option value=\"\u00c9mirienne\" >\u00c9mirienne<\/option><option value=\"\u00c9quatorienne\" >\u00c9quatorienne<\/option><option value=\"\u00c9rythr\u00e9enne\" >\u00c9rythr\u00e9enne<\/option><option value=\"Espagnole\" >Espagnole<\/option><option value=\"Estonienne\" >Estonienne<\/option><option value=\"Eswatinienne\" >Eswatinienne<\/option><option value=\"Am\u00e9ricaine\" >Am\u00e9ricaine<\/option><option value=\"\u00c9thiopienne\" >\u00c9thiopienne<\/option><option value=\"Fidjienne\" >Fidjienne<\/option><option value=\"Finlandaise\" >Finlandaise<\/option><option value=\"Fran\u00e7aise\" >Fran\u00e7aise<\/option><option value=\"Gambienne\" >Gambienne<\/option><option value=\"G\u00e9orgienne\" >G\u00e9orgienne<\/option><option value=\"Ghan\u00e9enne\" >Ghan\u00e9enne<\/option><option value=\"Grecque\" >Grecque<\/option><option value=\"Grenadienne\" >Grenadienne<\/option><option value=\"Guat\u00e9malt\u00e8que\" >Guat\u00e9malt\u00e8que<\/option><option value=\"Guin\u00e9enne\" >Guin\u00e9enne<\/option><option value=\"Bissau-guin\u00e9enne\" >Bissau-guin\u00e9enne<\/option><option value=\"Guyanienne\" >Guyanienne<\/option><option value=\"Ha\u00eftienne\" >Ha\u00eftienne<\/option><option value=\"Hondurienne\" >Hondurienne<\/option><option value=\"Hongroise\" >Hongroise<\/option><option value=\"Marshallaise\" >Marshallaise<\/option><option value=\"Salomonaise\" >Salomonaise<\/option><option value=\"Indienne\" >Indienne<\/option><option value=\"Indon\u00e9sienne\" >Indon\u00e9sienne<\/option><option value=\"Irakienne\" >Irakienne<\/option><option value=\"Iranienne\" >Iranienne<\/option><option value=\"Irlandaise\" >Irlandaise<\/option><option value=\"Islandaise\" >Islandaise<\/option><option value=\"Isra\u00e9lienne\" >Isra\u00e9lienne<\/option><option value=\"Italienne\" >Italienne<\/option><option value=\"Jama\u00efcaine\" >Jama\u00efcaine<\/option><option value=\"Japonaise\" >Japonaise<\/option><option value=\"Jordanienne\" >Jordanienne<\/option><option value=\"Kazakhe\" >Kazakhe<\/option><option value=\"K\u00e9nyane\" >K\u00e9nyane<\/option><option value=\"Kirghize\" >Kirghize<\/option><option value=\"Kiribatienne\" >Kiribatienne<\/option><option value=\"Kowe\u00eftienne\" >Kowe\u00eftienne<\/option><option value=\"Laotienne\" >Laotienne<\/option><option value=\"Lesothane\" >Lesothane<\/option><option value=\"Lettone\" >Lettone<\/option><option value=\"Libanaise\" >Libanaise<\/option><option value=\"Lib\u00e9rienne\" >Lib\u00e9rienne<\/option><option value=\"Libyenne\" >Libyenne<\/option><option value=\"Liechtensteinoise\" >Liechtensteinoise<\/option><option value=\"Lituanienne\" >Lituanienne<\/option><option value=\"Luxembourgeoise\" >Luxembourgeoise<\/option><option value=\"Mac\u00e9donienne\" >Mac\u00e9donienne<\/option><option value=\"Malgache\" >Malgache<\/option><option value=\"Malaisienne\" >Malaisienne<\/option><option value=\"Malawienne\" >Malawienne<\/option><option value=\"Maldivienne\" >Maldivienne<\/option><option value=\"Malienne\" >Malienne<\/option><option value=\"Maltaise\" >Maltaise<\/option><option value=\"Marocaine\" >Marocaine<\/option><option value=\"Mauricienne\" >Mauricienne<\/option><option value=\"Mauritanienne\" >Mauritanienne<\/option><option value=\"Mexicaine\" >Mexicaine<\/option><option value=\"Micron\u00e9sienne\" >Micron\u00e9sienne<\/option><option value=\"Moldave\" >Moldave<\/option><option value=\"Mon\u00e9gasque\" >Mon\u00e9gasque<\/option><option value=\"Mongole\" >Mongole<\/option><option value=\"Mont\u00e9n\u00e9grine\" >Mont\u00e9n\u00e9grine<\/option><option value=\"Mozambicaine\" >Mozambicaine<\/option><option value=\"Namibienne\" >Namibienne<\/option><option value=\"Nauruane\" >Nauruane<\/option><option value=\"N\u00e9palaise\" >N\u00e9palaise<\/option><option value=\"Nicaraguayenne\" >Nicaraguayenne<\/option><option value=\"Nig\u00e9rienne\" >Nig\u00e9rienne<\/option><option value=\"Nig\u00e9riane\" >Nig\u00e9riane<\/option><option value=\"Norv\u00e9gienne\" >Norv\u00e9gienne<\/option><option value=\"N\u00e9o-z\u00e9landaise\" >N\u00e9o-z\u00e9landaise<\/option><option value=\"Omanaise\" >Omanaise<\/option><option value=\"Ougandaise\" >Ougandaise<\/option><option value=\"Ouzb\u00e8ke\" >Ouzb\u00e8ke<\/option><option value=\"Pakistanaise\" >Pakistanaise<\/option><option value=\"Palaosienne\" >Palaosienne<\/option><option value=\"Palestinienne\" >Palestinienne<\/option><option value=\"Panam\u00e9enne\" >Panam\u00e9enne<\/option><option value=\"Papouane-n\u00e9o-guin\u00e9enne\" >Papouane-n\u00e9o-guin\u00e9enne<\/option><option value=\"Paraguayenne\" >Paraguayenne<\/option><option value=\"N\u00e9erlandaise\" >N\u00e9erlandaise<\/option><option value=\"P\u00e9ruvienne\" >P\u00e9ruvienne<\/option><option value=\"Philippine\" >Philippine<\/option><option value=\"Polonaise\" >Polonaise<\/option><option value=\"Portugaise\" >Portugaise<\/option><option value=\"Qatarienne\" >Qatarienne<\/option><option value=\"Congolaise (RDC)\" >Congolaise (RDC)<\/option><option value=\"Dominicaine\" >Dominicaine<\/option><option value=\"Tch\u00e8que\" >Tch\u00e8que<\/option><option value=\"Roumaine\" >Roumaine<\/option><option value=\"Britannique\" >Britannique<\/option><option value=\"Russe\" >Russe<\/option><option value=\"Rwandaise\" >Rwandaise<\/option><option value=\"Kittitienne-et-nevicienne\" >Kittitienne-et-nevicienne<\/option><option value=\"Saint-lucienne\" >Saint-lucienne<\/option><option value=\"Saint-marinaise\" >Saint-marinaise<\/option><option value=\"Saint-vincentaise-et-grenadine\" >Saint-vincentaise-et-grenadine<\/option><option value=\"Salvadorienne\" >Salvadorienne<\/option><option value=\"Samoane\" >Samoane<\/option><option value=\"Santom\u00e9enne\" >Santom\u00e9enne<\/option><option value=\"S\u00e9n\u00e9galaise\" >S\u00e9n\u00e9galaise<\/option><option value=\"Serbe\" >Serbe<\/option><option value=\"Seychelloise\" >Seychelloise<\/option><option value=\"Sierra-l\u00e9onaise\" >Sierra-l\u00e9onaise<\/option><option value=\"Singapourienne\" >Singapourienne<\/option><option value=\"Slovaque\" >Slovaque<\/option><option value=\"Slov\u00e8ne\" >Slov\u00e8ne<\/option><option value=\"Somalienne\" >Somalienne<\/option><option value=\"Soudanaise\" >Soudanaise<\/option><option value=\"Sud-soudanaise\" >Sud-soudanaise<\/option><option value=\"Sri-lankaise\" >Sri-lankaise<\/option><option value=\"Su\u00e9doise\" >Su\u00e9doise<\/option><option value=\"Suisse\" >Suisse<\/option><option value=\"Surinamaise\" >Surinamaise<\/option><option value=\"Syrienne\" >Syrienne<\/option><option value=\"Tadjike\" >Tadjike<\/option><option value=\"Tanzanienne\" >Tanzanienne<\/option><option value=\"Tha\u00eflandaise\" >Tha\u00eflandaise<\/option><option value=\"Est-timoraise\" >Est-timoraise<\/option><option value=\"Togolaise\" >Togolaise<\/option><option value=\"Tonguienne\" >Tonguienne<\/option><option value=\"Trinidadienne\" >Trinidadienne<\/option><option value=\"Tunisienne\" >Tunisienne<\/option><option value=\"Turkm\u00e8ne\" >Turkm\u00e8ne<\/option><option value=\"Turque\" >Turque<\/option><option value=\"Tuvaluane\" >Tuvaluane<\/option><option value=\"Ukrainienne\" >Ukrainienne<\/option><option value=\"Uruguayenne\" >Uruguayenne<\/option><option value=\"Vanuatuane\" >Vanuatuane<\/option><option value=\"Vaticane\" >Vaticane<\/option><option value=\"V\u00e9n\u00e9zu\u00e9lienne\" >V\u00e9n\u00e9zu\u00e9lienne<\/option><option value=\"Vietnamienne\" >Vietnamienne<\/option><option value=\"Y\u00e9m\u00e9nite\" >Y\u00e9m\u00e9nite<\/option><option value=\"Zambienne\" >Zambienne<\/option><option value=\"Zimbabw\u00e9enne\" >Zimbabw\u00e9enne<\/option><\/select>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t<label for=\"representant_1_adresse\" class=\"bcca-form-label\">Adresse <span class=\"bcca-required\">*<\/span><\/label>\n\t\t\t\t<input type=\"text\" id=\"representant_1_adresse\" name=\"representant_1_adresse\" class=\"bcca-form-control representant-field\">\n\t\t\t<\/div>\n\n\t\t\t<div class=\"bcca-form-row\">\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"representant_1_ville\" class=\"bcca-form-label\">Ville <span class=\"bcca-required\">*<\/span><\/label>\n\t\t\t\t\t<input type=\"text\" id=\"representant_1_ville\" name=\"representant_1_ville\" class=\"bcca-form-control representant-field\">\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"representant_1_pays\" class=\"bcca-form-label\">Pays <span class=\"bcca-required\">*<\/span><\/label>\n\t\t\t\t\t<select id=\"representant_1_pays\" name=\"representant_1_pays\" class=\"bcca-form-control representant-field\" ><option value=\"\">S\u00e9lectionner...<\/option><option value=\"Cameroun\" selected>Cameroun<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"R\u00e9publique du Congo\" >R\u00e9publique du Congo<\/option><option value=\"R\u00e9publique Centrafricaine\" >R\u00e9publique Centrafricaine<\/option><option value=\"Tchad\" >Tchad<\/option><option value=\"Guin\u00e9e \u00c9quatoriale\" >Guin\u00e9e \u00c9quatoriale<\/option><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"Afrique du Sud\" >Afrique du Sud<\/option><option value=\"Albanie\" >Albanie<\/option><option value=\"Alg\u00e9rie\" >Alg\u00e9rie<\/option><option value=\"Allemagne\" >Allemagne<\/option><option value=\"Andorre\" >Andorre<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Antigua-et-Barbuda\" >Antigua-et-Barbuda<\/option><option value=\"Arabie Saoudite\" >Arabie Saoudite<\/option><option value=\"Argentine\" >Argentine<\/option><option value=\"Arm\u00e9nie\" >Arm\u00e9nie<\/option><option value=\"Australie\" >Australie<\/option><option value=\"Autriche\" >Autriche<\/option><option value=\"Azerba\u00efdjan\" >Azerba\u00efdjan<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Bahre\u00efn\" >Bahre\u00efn<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Barbade\" >Barbade<\/option><option value=\"Belgique\" >Belgique<\/option><option value=\"Belize\" >Belize<\/option><option value=\"B\u00e9nin\" >B\u00e9nin<\/option><option value=\"Bhoutan\" >Bhoutan<\/option><option value=\"Bi\u00e9lorussie\" >Bi\u00e9lorussie<\/option><option value=\"Birmanie\" >Birmanie<\/option><option value=\"Bolivie\" >Bolivie<\/option><option value=\"Bosnie-Herz\u00e9govine\" >Bosnie-Herz\u00e9govine<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Br\u00e9sil\" >Br\u00e9sil<\/option><option value=\"Brunei\" >Brunei<\/option><option value=\"Bulgarie\" >Bulgarie<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cambodge\" >Cambodge<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cap-Vert\" >Cap-Vert<\/option><option value=\"Chili\" >Chili<\/option><option value=\"Chine\" >Chine<\/option><option value=\"Chypre\" >Chypre<\/option><option value=\"Colombie\" >Colombie<\/option><option value=\"Comores\" >Comores<\/option><option value=\"Cor\u00e9e du Nord\" >Cor\u00e9e du Nord<\/option><option value=\"Cor\u00e9e du Sud\" >Cor\u00e9e du Sud<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"C\u00f4te d&#039;Ivoire\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"Croatie\" >Croatie<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Danemark\" >Danemark<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Dominique\" >Dominique<\/option><option value=\"\u00c9gypte\" >\u00c9gypte<\/option><option value=\"\u00c9mirats Arabes Unis\" >\u00c9mirats Arabes Unis<\/option><option value=\"\u00c9quateur\" >\u00c9quateur<\/option><option value=\"\u00c9rythr\u00e9e\" >\u00c9rythr\u00e9e<\/option><option value=\"Espagne\" >Espagne<\/option><option value=\"Estonie\" >Estonie<\/option><option value=\"Eswatini\" >Eswatini<\/option><option value=\"\u00c9tats-Unis\" >\u00c9tats-Unis<\/option><option value=\"\u00c9thiopie\" >\u00c9thiopie<\/option><option value=\"Fidji\" >Fidji<\/option><option value=\"Finlande\" >Finlande<\/option><option value=\"France\" >France<\/option><option value=\"Gambie\" >Gambie<\/option><option value=\"G\u00e9orgie\" >G\u00e9orgie<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gr\u00e8ce\" >Gr\u00e8ce<\/option><option value=\"Grenade\" >Grenade<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guin\u00e9e\" >Guin\u00e9e<\/option><option value=\"Guin\u00e9e-Bissau\" >Guin\u00e9e-Bissau<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Ha\u00efti\" >Ha\u00efti<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hongrie\" >Hongrie<\/option><option value=\"\u00celes Marshall\" >\u00celes Marshall<\/option><option value=\"\u00celes Salomon\" >\u00celes Salomon<\/option><option value=\"Inde\" >Inde<\/option><option value=\"Indon\u00e9sie\" >Indon\u00e9sie<\/option><option value=\"Irak\" >Irak<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Irlande\" >Irlande<\/option><option value=\"Islande\" >Islande<\/option><option value=\"Isra\u00ebl\" >Isra\u00ebl<\/option><option value=\"Italie\" >Italie<\/option><option value=\"Jama\u00efque\" >Jama\u00efque<\/option><option value=\"Japon\" >Japon<\/option><option value=\"Jordanie\" >Jordanie<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Kirghizistan\" >Kirghizistan<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Kowe\u00eft\" >Kowe\u00eft<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Lettonie\" >Lettonie<\/option><option value=\"Liban\" >Liban<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libye\" >Libye<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lituanie\" >Lituanie<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Mac\u00e9doine du Nord\" >Mac\u00e9doine du Nord<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malaisie\" >Malaisie<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Malte\" >Malte<\/option><option value=\"Maroc\" >Maroc<\/option><option value=\"Maurice\" >Maurice<\/option><option value=\"Mauritanie\" >Mauritanie<\/option><option value=\"Mexique\" >Mexique<\/option><option value=\"Micron\u00e9sie\" >Micron\u00e9sie<\/option><option value=\"Moldavie\" >Moldavie<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolie\" >Mongolie<\/option><option value=\"Mont\u00e9n\u00e9gro\" >Mont\u00e9n\u00e9gro<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Namibie\" >Namibie<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"N\u00e9pal\" >N\u00e9pal<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Norv\u00e8ge\" >Norv\u00e8ge<\/option><option value=\"Nouvelle-Z\u00e9lande\" >Nouvelle-Z\u00e9lande<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Ouganda\" >Ouganda<\/option><option value=\"Ouzb\u00e9kistan\" >Ouzb\u00e9kistan<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palaos\" >Palaos<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Panama\" >Panama<\/option><option value=\"Papouasie-Nouvelle-Guin\u00e9e\" >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Pays-Bas\" >Pays-Bas<\/option><option value=\"P\u00e9rou\" >P\u00e9rou<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Pologne\" >Pologne<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"R\u00e9publique D\u00e9mocratique du Congo\" >R\u00e9publique D\u00e9mocratique du Congo<\/option><option value=\"R\u00e9publique Dominicaine\" >R\u00e9publique Dominicaine<\/option><option value=\"R\u00e9publique Tch\u00e8que\" >R\u00e9publique Tch\u00e8que<\/option><option value=\"Roumanie\" >Roumanie<\/option><option value=\"Royaume-Uni\" >Royaume-Uni<\/option><option value=\"Russie\" >Russie<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Saint-Christophe-et-Ni\u00e9v\u00e8s\" >Saint-Christophe-et-Ni\u00e9v\u00e8s<\/option><option value=\"Sainte-Lucie\" >Sainte-Lucie<\/option><option value=\"Saint-Marin\" >Saint-Marin<\/option><option value=\"Saint-Vincent-et-les-Grenadines\" >Saint-Vincent-et-les-Grenadines<\/option><option value=\"Salvador\" >Salvador<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"S\u00e3o Tom\u00e9-et-Pr\u00edncipe\" >S\u00e3o Tom\u00e9-et-Pr\u00edncipe<\/option><option value=\"S\u00e9n\u00e9gal\" >S\u00e9n\u00e9gal<\/option><option value=\"Serbie\" >Serbie<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Singapour\" >Singapour<\/option><option value=\"Slovaquie\" >Slovaquie<\/option><option value=\"Slov\u00e9nie\" >Slov\u00e9nie<\/option><option value=\"Somalie\" >Somalie<\/option><option value=\"Soudan\" >Soudan<\/option><option value=\"Soudan du Sud\" >Soudan du Sud<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Su\u00e8de\" >Su\u00e8de<\/option><option value=\"Suisse\" >Suisse<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Syrie\" >Syrie<\/option><option value=\"Tadjikistan\" >Tadjikistan<\/option><option value=\"Tanzanie\" >Tanzanie<\/option><option value=\"Tha\u00eflande\" >Tha\u00eflande<\/option><option value=\"Timor oriental\" >Timor oriental<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Trinit\u00e9-et-Tobago\" >Trinit\u00e9-et-Tobago<\/option><option value=\"Tunisie\" >Tunisie<\/option><option value=\"Turkm\u00e9nistan\" >Turkm\u00e9nistan<\/option><option value=\"Turquie\" >Turquie<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Vatican\" >Vatican<\/option><option value=\"Venezuela\" >Venezuela<\/option><option value=\"Vi\u00eat Nam\" >Vi\u00eat Nam<\/option><option value=\"Y\u00e9men\" >Y\u00e9men<\/option><option value=\"Zambie\" >Zambie<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/select>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<!-- Repr\u00e9sentant 2 -->\n\t\t<div class=\"representant-block\" id=\"representant-2\" style=\"display: none; margin-top: 30px; padding-top: 20px; border-top: 1px solid #ddd;\">\n\t\t\t<div style=\"display: flex; justify-content: space-between; align-items: center; margin-bottom: 15px;\">\n\t\t\t\t<h5 style=\"margin: 0;\">Repr\u00e9sentant 2<\/h5>\n\t\t\t\t<button type=\"button\" id=\"remove-representant-btn\" class=\"bcca-btn bcca-btn-secondary\" style=\"padding: 6px 12px; font-size: 12px; background: #e74c3c;\">\n\t\t\t\t\t\u00d7 Retirer\t\t\t\t<\/button>\n\t\t\t<\/div>\n\n\t\t\t<div class=\"bcca-form-row\">\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"representant_2_nom\" class=\"bcca-form-label\">Nom<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"representant_2_nom\" name=\"representant_2_nom\" class=\"bcca-form-control\">\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"representant_2_prenom\" class=\"bcca-form-label\">Pr\u00e9nom<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"representant_2_prenom\" name=\"representant_2_prenom\" class=\"bcca-form-control\">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t\t\t<div class=\"bcca-form-row\">\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"representant_2_date_naissance\" class=\"bcca-form-label\">Date de naissance<\/label>\n\t\t\t\t\t<input type=\"date\" id=\"representant_2_date_naissance\" name=\"representant_2_date_naissance\" class=\"bcca-form-control\">\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"representant_2_nationalite\" class=\"bcca-form-label\">Nationalit\u00e9<\/label>\n\t\t\t\t\t<select id=\"representant_2_nationalite\" name=\"representant_2_nationalite\" class=\"bcca-form-control\" ><option value=\"\">S\u00e9lectionner...<\/option><option value=\"Camerounaise\" selected>Camerounaise<\/option><option value=\"Gabonaise\" >Gabonaise<\/option><option value=\"Congolaise (RC)\" >Congolaise (RC)<\/option><option value=\"Centrafricaine\" >Centrafricaine<\/option><option value=\"Tchadienne\" >Tchadienne<\/option><option value=\"\u00c9quato-guin\u00e9enne\" >\u00c9quato-guin\u00e9enne<\/option><option value=\"Afghane\" >Afghane<\/option><option value=\"Sud-africaine\" >Sud-africaine<\/option><option value=\"Albanaise\" >Albanaise<\/option><option value=\"Alg\u00e9rienne\" >Alg\u00e9rienne<\/option><option value=\"Allemande\" >Allemande<\/option><option value=\"Andorrane\" >Andorrane<\/option><option value=\"Angolaise\" >Angolaise<\/option><option value=\"Antiguaise-et-barbudienne\" >Antiguaise-et-barbudienne<\/option><option value=\"Saoudienne\" >Saoudienne<\/option><option value=\"Argentine\" >Argentine<\/option><option value=\"Arm\u00e9nienne\" >Arm\u00e9nienne<\/option><option value=\"Australienne\" >Australienne<\/option><option value=\"Autrichienne\" >Autrichienne<\/option><option value=\"Azerba\u00efdjanaise\" >Azerba\u00efdjanaise<\/option><option value=\"Baham\u00e9enne\" >Baham\u00e9enne<\/option><option value=\"Bahre\u00efnienne\" >Bahre\u00efnienne<\/option><option value=\"Bangladaise\" >Bangladaise<\/option><option value=\"Barbadienne\" >Barbadienne<\/option><option value=\"Belge\" >Belge<\/option><option value=\"B\u00e9lizienne\" >B\u00e9lizienne<\/option><option value=\"B\u00e9ninoise\" >B\u00e9ninoise<\/option><option value=\"Bhoutanaise\" >Bhoutanaise<\/option><option value=\"Bi\u00e9lorusse\" >Bi\u00e9lorusse<\/option><option value=\"Birmane\" >Birmane<\/option><option value=\"Bolivienne\" >Bolivienne<\/option><option value=\"Bosnienne\" >Bosnienne<\/option><option value=\"Botswanaise\" >Botswanaise<\/option><option value=\"Br\u00e9silienne\" >Br\u00e9silienne<\/option><option value=\"Brun\u00e9ienne\" >Brun\u00e9ienne<\/option><option value=\"Bulgare\" >Bulgare<\/option><option value=\"Burkinab\u00e9\" >Burkinab\u00e9<\/option><option value=\"Burundaise\" >Burundaise<\/option><option value=\"Cambodgienne\" >Cambodgienne<\/option><option value=\"Canadienne\" >Canadienne<\/option><option value=\"Cap-verdienne\" >Cap-verdienne<\/option><option value=\"Chilienne\" >Chilienne<\/option><option value=\"Chinoise\" >Chinoise<\/option><option value=\"Chypriote\" >Chypriote<\/option><option value=\"Colombienne\" >Colombienne<\/option><option value=\"Comorienne\" >Comorienne<\/option><option value=\"Nord-cor\u00e9enne\" >Nord-cor\u00e9enne<\/option><option value=\"Sud-cor\u00e9enne\" >Sud-cor\u00e9enne<\/option><option value=\"Costaricaine\" >Costaricaine<\/option><option value=\"Ivoirienne\" >Ivoirienne<\/option><option value=\"Croate\" >Croate<\/option><option value=\"Cubaine\" >Cubaine<\/option><option value=\"Danoise\" >Danoise<\/option><option value=\"Djiboutienne\" >Djiboutienne<\/option><option value=\"Dominiquaise\" >Dominiquaise<\/option><option value=\"\u00c9gyptienne\" >\u00c9gyptienne<\/option><option value=\"\u00c9mirienne\" >\u00c9mirienne<\/option><option value=\"\u00c9quatorienne\" >\u00c9quatorienne<\/option><option value=\"\u00c9rythr\u00e9enne\" >\u00c9rythr\u00e9enne<\/option><option value=\"Espagnole\" >Espagnole<\/option><option value=\"Estonienne\" >Estonienne<\/option><option value=\"Eswatinienne\" >Eswatinienne<\/option><option value=\"Am\u00e9ricaine\" >Am\u00e9ricaine<\/option><option value=\"\u00c9thiopienne\" >\u00c9thiopienne<\/option><option value=\"Fidjienne\" >Fidjienne<\/option><option value=\"Finlandaise\" >Finlandaise<\/option><option value=\"Fran\u00e7aise\" >Fran\u00e7aise<\/option><option value=\"Gambienne\" >Gambienne<\/option><option value=\"G\u00e9orgienne\" >G\u00e9orgienne<\/option><option value=\"Ghan\u00e9enne\" >Ghan\u00e9enne<\/option><option value=\"Grecque\" >Grecque<\/option><option value=\"Grenadienne\" >Grenadienne<\/option><option value=\"Guat\u00e9malt\u00e8que\" >Guat\u00e9malt\u00e8que<\/option><option value=\"Guin\u00e9enne\" >Guin\u00e9enne<\/option><option value=\"Bissau-guin\u00e9enne\" >Bissau-guin\u00e9enne<\/option><option value=\"Guyanienne\" >Guyanienne<\/option><option value=\"Ha\u00eftienne\" >Ha\u00eftienne<\/option><option value=\"Hondurienne\" >Hondurienne<\/option><option value=\"Hongroise\" >Hongroise<\/option><option value=\"Marshallaise\" >Marshallaise<\/option><option value=\"Salomonaise\" >Salomonaise<\/option><option value=\"Indienne\" >Indienne<\/option><option value=\"Indon\u00e9sienne\" >Indon\u00e9sienne<\/option><option value=\"Irakienne\" >Irakienne<\/option><option value=\"Iranienne\" >Iranienne<\/option><option value=\"Irlandaise\" >Irlandaise<\/option><option value=\"Islandaise\" >Islandaise<\/option><option value=\"Isra\u00e9lienne\" >Isra\u00e9lienne<\/option><option value=\"Italienne\" >Italienne<\/option><option value=\"Jama\u00efcaine\" >Jama\u00efcaine<\/option><option value=\"Japonaise\" >Japonaise<\/option><option value=\"Jordanienne\" >Jordanienne<\/option><option value=\"Kazakhe\" >Kazakhe<\/option><option value=\"K\u00e9nyane\" >K\u00e9nyane<\/option><option value=\"Kirghize\" >Kirghize<\/option><option value=\"Kiribatienne\" >Kiribatienne<\/option><option value=\"Kowe\u00eftienne\" >Kowe\u00eftienne<\/option><option value=\"Laotienne\" >Laotienne<\/option><option value=\"Lesothane\" >Lesothane<\/option><option value=\"Lettone\" >Lettone<\/option><option value=\"Libanaise\" >Libanaise<\/option><option value=\"Lib\u00e9rienne\" >Lib\u00e9rienne<\/option><option value=\"Libyenne\" >Libyenne<\/option><option value=\"Liechtensteinoise\" >Liechtensteinoise<\/option><option value=\"Lituanienne\" >Lituanienne<\/option><option value=\"Luxembourgeoise\" >Luxembourgeoise<\/option><option value=\"Mac\u00e9donienne\" >Mac\u00e9donienne<\/option><option value=\"Malgache\" >Malgache<\/option><option value=\"Malaisienne\" >Malaisienne<\/option><option value=\"Malawienne\" >Malawienne<\/option><option value=\"Maldivienne\" >Maldivienne<\/option><option value=\"Malienne\" >Malienne<\/option><option value=\"Maltaise\" >Maltaise<\/option><option value=\"Marocaine\" >Marocaine<\/option><option value=\"Mauricienne\" >Mauricienne<\/option><option value=\"Mauritanienne\" >Mauritanienne<\/option><option value=\"Mexicaine\" >Mexicaine<\/option><option value=\"Micron\u00e9sienne\" >Micron\u00e9sienne<\/option><option value=\"Moldave\" >Moldave<\/option><option value=\"Mon\u00e9gasque\" >Mon\u00e9gasque<\/option><option value=\"Mongole\" >Mongole<\/option><option value=\"Mont\u00e9n\u00e9grine\" >Mont\u00e9n\u00e9grine<\/option><option value=\"Mozambicaine\" >Mozambicaine<\/option><option value=\"Namibienne\" >Namibienne<\/option><option value=\"Nauruane\" >Nauruane<\/option><option value=\"N\u00e9palaise\" >N\u00e9palaise<\/option><option value=\"Nicaraguayenne\" >Nicaraguayenne<\/option><option value=\"Nig\u00e9rienne\" >Nig\u00e9rienne<\/option><option value=\"Nig\u00e9riane\" >Nig\u00e9riane<\/option><option value=\"Norv\u00e9gienne\" >Norv\u00e9gienne<\/option><option value=\"N\u00e9o-z\u00e9landaise\" >N\u00e9o-z\u00e9landaise<\/option><option value=\"Omanaise\" >Omanaise<\/option><option value=\"Ougandaise\" >Ougandaise<\/option><option value=\"Ouzb\u00e8ke\" >Ouzb\u00e8ke<\/option><option value=\"Pakistanaise\" >Pakistanaise<\/option><option value=\"Palaosienne\" >Palaosienne<\/option><option value=\"Palestinienne\" >Palestinienne<\/option><option value=\"Panam\u00e9enne\" >Panam\u00e9enne<\/option><option value=\"Papouane-n\u00e9o-guin\u00e9enne\" >Papouane-n\u00e9o-guin\u00e9enne<\/option><option value=\"Paraguayenne\" >Paraguayenne<\/option><option value=\"N\u00e9erlandaise\" >N\u00e9erlandaise<\/option><option value=\"P\u00e9ruvienne\" >P\u00e9ruvienne<\/option><option value=\"Philippine\" >Philippine<\/option><option value=\"Polonaise\" >Polonaise<\/option><option value=\"Portugaise\" >Portugaise<\/option><option value=\"Qatarienne\" >Qatarienne<\/option><option value=\"Congolaise (RDC)\" >Congolaise (RDC)<\/option><option value=\"Dominicaine\" >Dominicaine<\/option><option value=\"Tch\u00e8que\" >Tch\u00e8que<\/option><option value=\"Roumaine\" >Roumaine<\/option><option value=\"Britannique\" >Britannique<\/option><option value=\"Russe\" >Russe<\/option><option value=\"Rwandaise\" >Rwandaise<\/option><option value=\"Kittitienne-et-nevicienne\" >Kittitienne-et-nevicienne<\/option><option value=\"Saint-lucienne\" >Saint-lucienne<\/option><option value=\"Saint-marinaise\" >Saint-marinaise<\/option><option value=\"Saint-vincentaise-et-grenadine\" >Saint-vincentaise-et-grenadine<\/option><option value=\"Salvadorienne\" >Salvadorienne<\/option><option value=\"Samoane\" >Samoane<\/option><option value=\"Santom\u00e9enne\" >Santom\u00e9enne<\/option><option value=\"S\u00e9n\u00e9galaise\" >S\u00e9n\u00e9galaise<\/option><option value=\"Serbe\" >Serbe<\/option><option value=\"Seychelloise\" >Seychelloise<\/option><option value=\"Sierra-l\u00e9onaise\" >Sierra-l\u00e9onaise<\/option><option value=\"Singapourienne\" >Singapourienne<\/option><option value=\"Slovaque\" >Slovaque<\/option><option value=\"Slov\u00e8ne\" >Slov\u00e8ne<\/option><option value=\"Somalienne\" >Somalienne<\/option><option value=\"Soudanaise\" >Soudanaise<\/option><option value=\"Sud-soudanaise\" >Sud-soudanaise<\/option><option value=\"Sri-lankaise\" >Sri-lankaise<\/option><option value=\"Su\u00e9doise\" >Su\u00e9doise<\/option><option value=\"Suisse\" >Suisse<\/option><option value=\"Surinamaise\" >Surinamaise<\/option><option value=\"Syrienne\" >Syrienne<\/option><option value=\"Tadjike\" >Tadjike<\/option><option value=\"Tanzanienne\" >Tanzanienne<\/option><option value=\"Tha\u00eflandaise\" >Tha\u00eflandaise<\/option><option value=\"Est-timoraise\" >Est-timoraise<\/option><option value=\"Togolaise\" >Togolaise<\/option><option value=\"Tonguienne\" >Tonguienne<\/option><option value=\"Trinidadienne\" >Trinidadienne<\/option><option value=\"Tunisienne\" >Tunisienne<\/option><option value=\"Turkm\u00e8ne\" >Turkm\u00e8ne<\/option><option value=\"Turque\" >Turque<\/option><option value=\"Tuvaluane\" >Tuvaluane<\/option><option value=\"Ukrainienne\" >Ukrainienne<\/option><option value=\"Uruguayenne\" >Uruguayenne<\/option><option value=\"Vanuatuane\" >Vanuatuane<\/option><option value=\"Vaticane\" >Vaticane<\/option><option value=\"V\u00e9n\u00e9zu\u00e9lienne\" >V\u00e9n\u00e9zu\u00e9lienne<\/option><option value=\"Vietnamienne\" >Vietnamienne<\/option><option value=\"Y\u00e9m\u00e9nite\" >Y\u00e9m\u00e9nite<\/option><option value=\"Zambienne\" >Zambienne<\/option><option value=\"Zimbabw\u00e9enne\" >Zimbabw\u00e9enne<\/option><\/select>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t<label for=\"representant_2_adresse\" class=\"bcca-form-label\">Adresse<\/label>\n\t\t\t\t<input type=\"text\" id=\"representant_2_adresse\" name=\"representant_2_adresse\" class=\"bcca-form-control\">\n\t\t\t<\/div>\n\n\t\t\t<div class=\"bcca-form-row\">\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"representant_2_ville\" class=\"bcca-form-label\">Ville<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"representant_2_ville\" name=\"representant_2_ville\" class=\"bcca-form-control\">\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"representant_2_pays\" class=\"bcca-form-label\">Pays<\/label>\n\t\t\t\t\t<select id=\"representant_2_pays\" name=\"representant_2_pays\" class=\"bcca-form-control\" ><option value=\"\">S\u00e9lectionner...<\/option><option value=\"Cameroun\" selected>Cameroun<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"R\u00e9publique du Congo\" >R\u00e9publique du Congo<\/option><option value=\"R\u00e9publique Centrafricaine\" >R\u00e9publique Centrafricaine<\/option><option value=\"Tchad\" >Tchad<\/option><option value=\"Guin\u00e9e \u00c9quatoriale\" >Guin\u00e9e \u00c9quatoriale<\/option><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"Afrique du Sud\" >Afrique du Sud<\/option><option value=\"Albanie\" >Albanie<\/option><option value=\"Alg\u00e9rie\" >Alg\u00e9rie<\/option><option value=\"Allemagne\" >Allemagne<\/option><option value=\"Andorre\" >Andorre<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Antigua-et-Barbuda\" >Antigua-et-Barbuda<\/option><option value=\"Arabie Saoudite\" >Arabie Saoudite<\/option><option value=\"Argentine\" >Argentine<\/option><option value=\"Arm\u00e9nie\" >Arm\u00e9nie<\/option><option value=\"Australie\" >Australie<\/option><option value=\"Autriche\" >Autriche<\/option><option value=\"Azerba\u00efdjan\" >Azerba\u00efdjan<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Bahre\u00efn\" >Bahre\u00efn<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Barbade\" >Barbade<\/option><option value=\"Belgique\" >Belgique<\/option><option value=\"Belize\" >Belize<\/option><option value=\"B\u00e9nin\" >B\u00e9nin<\/option><option value=\"Bhoutan\" >Bhoutan<\/option><option value=\"Bi\u00e9lorussie\" >Bi\u00e9lorussie<\/option><option value=\"Birmanie\" >Birmanie<\/option><option value=\"Bolivie\" >Bolivie<\/option><option value=\"Bosnie-Herz\u00e9govine\" >Bosnie-Herz\u00e9govine<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Br\u00e9sil\" >Br\u00e9sil<\/option><option value=\"Brunei\" >Brunei<\/option><option value=\"Bulgarie\" >Bulgarie<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cambodge\" >Cambodge<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cap-Vert\" >Cap-Vert<\/option><option value=\"Chili\" >Chili<\/option><option value=\"Chine\" >Chine<\/option><option value=\"Chypre\" >Chypre<\/option><option value=\"Colombie\" >Colombie<\/option><option value=\"Comores\" >Comores<\/option><option value=\"Cor\u00e9e du Nord\" >Cor\u00e9e du Nord<\/option><option value=\"Cor\u00e9e du Sud\" >Cor\u00e9e du Sud<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"C\u00f4te d&#039;Ivoire\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"Croatie\" >Croatie<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Danemark\" >Danemark<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Dominique\" >Dominique<\/option><option value=\"\u00c9gypte\" >\u00c9gypte<\/option><option value=\"\u00c9mirats Arabes Unis\" >\u00c9mirats Arabes Unis<\/option><option value=\"\u00c9quateur\" >\u00c9quateur<\/option><option value=\"\u00c9rythr\u00e9e\" >\u00c9rythr\u00e9e<\/option><option value=\"Espagne\" >Espagne<\/option><option value=\"Estonie\" >Estonie<\/option><option value=\"Eswatini\" >Eswatini<\/option><option value=\"\u00c9tats-Unis\" >\u00c9tats-Unis<\/option><option value=\"\u00c9thiopie\" >\u00c9thiopie<\/option><option value=\"Fidji\" >Fidji<\/option><option value=\"Finlande\" >Finlande<\/option><option value=\"France\" >France<\/option><option value=\"Gambie\" >Gambie<\/option><option value=\"G\u00e9orgie\" >G\u00e9orgie<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gr\u00e8ce\" >Gr\u00e8ce<\/option><option value=\"Grenade\" >Grenade<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guin\u00e9e\" >Guin\u00e9e<\/option><option value=\"Guin\u00e9e-Bissau\" >Guin\u00e9e-Bissau<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Ha\u00efti\" >Ha\u00efti<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hongrie\" >Hongrie<\/option><option value=\"\u00celes Marshall\" >\u00celes Marshall<\/option><option value=\"\u00celes Salomon\" >\u00celes Salomon<\/option><option value=\"Inde\" >Inde<\/option><option value=\"Indon\u00e9sie\" >Indon\u00e9sie<\/option><option value=\"Irak\" >Irak<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Irlande\" >Irlande<\/option><option value=\"Islande\" >Islande<\/option><option value=\"Isra\u00ebl\" >Isra\u00ebl<\/option><option value=\"Italie\" >Italie<\/option><option value=\"Jama\u00efque\" >Jama\u00efque<\/option><option value=\"Japon\" >Japon<\/option><option value=\"Jordanie\" >Jordanie<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Kirghizistan\" >Kirghizistan<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Kowe\u00eft\" >Kowe\u00eft<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Lettonie\" >Lettonie<\/option><option value=\"Liban\" >Liban<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libye\" >Libye<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lituanie\" >Lituanie<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Mac\u00e9doine du Nord\" >Mac\u00e9doine du Nord<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malaisie\" >Malaisie<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Malte\" >Malte<\/option><option value=\"Maroc\" >Maroc<\/option><option value=\"Maurice\" >Maurice<\/option><option value=\"Mauritanie\" >Mauritanie<\/option><option value=\"Mexique\" >Mexique<\/option><option value=\"Micron\u00e9sie\" >Micron\u00e9sie<\/option><option value=\"Moldavie\" >Moldavie<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolie\" >Mongolie<\/option><option value=\"Mont\u00e9n\u00e9gro\" >Mont\u00e9n\u00e9gro<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Namibie\" >Namibie<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"N\u00e9pal\" >N\u00e9pal<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Norv\u00e8ge\" >Norv\u00e8ge<\/option><option value=\"Nouvelle-Z\u00e9lande\" >Nouvelle-Z\u00e9lande<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Ouganda\" >Ouganda<\/option><option value=\"Ouzb\u00e9kistan\" >Ouzb\u00e9kistan<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palaos\" >Palaos<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Panama\" >Panama<\/option><option value=\"Papouasie-Nouvelle-Guin\u00e9e\" >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Pays-Bas\" >Pays-Bas<\/option><option value=\"P\u00e9rou\" >P\u00e9rou<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Pologne\" >Pologne<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"R\u00e9publique D\u00e9mocratique du Congo\" >R\u00e9publique D\u00e9mocratique du Congo<\/option><option value=\"R\u00e9publique Dominicaine\" >R\u00e9publique Dominicaine<\/option><option value=\"R\u00e9publique Tch\u00e8que\" >R\u00e9publique Tch\u00e8que<\/option><option value=\"Roumanie\" >Roumanie<\/option><option value=\"Royaume-Uni\" >Royaume-Uni<\/option><option value=\"Russie\" >Russie<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Saint-Christophe-et-Ni\u00e9v\u00e8s\" >Saint-Christophe-et-Ni\u00e9v\u00e8s<\/option><option value=\"Sainte-Lucie\" >Sainte-Lucie<\/option><option value=\"Saint-Marin\" >Saint-Marin<\/option><option value=\"Saint-Vincent-et-les-Grenadines\" >Saint-Vincent-et-les-Grenadines<\/option><option value=\"Salvador\" >Salvador<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"S\u00e3o Tom\u00e9-et-Pr\u00edncipe\" >S\u00e3o Tom\u00e9-et-Pr\u00edncipe<\/option><option value=\"S\u00e9n\u00e9gal\" >S\u00e9n\u00e9gal<\/option><option value=\"Serbie\" >Serbie<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Singapour\" >Singapour<\/option><option value=\"Slovaquie\" >Slovaquie<\/option><option value=\"Slov\u00e9nie\" >Slov\u00e9nie<\/option><option value=\"Somalie\" >Somalie<\/option><option value=\"Soudan\" >Soudan<\/option><option value=\"Soudan du Sud\" >Soudan du Sud<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Su\u00e8de\" >Su\u00e8de<\/option><option value=\"Suisse\" >Suisse<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Syrie\" >Syrie<\/option><option value=\"Tadjikistan\" >Tadjikistan<\/option><option value=\"Tanzanie\" >Tanzanie<\/option><option value=\"Tha\u00eflande\" >Tha\u00eflande<\/option><option value=\"Timor oriental\" >Timor oriental<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Trinit\u00e9-et-Tobago\" >Trinit\u00e9-et-Tobago<\/option><option value=\"Tunisie\" >Tunisie<\/option><option value=\"Turkm\u00e9nistan\" >Turkm\u00e9nistan<\/option><option value=\"Turquie\" >Turquie<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Vatican\" >Vatican<\/option><option value=\"Venezuela\" >Venezuela<\/option><option value=\"Vi\u00eat Nam\" >Vi\u00eat Nam<\/option><option value=\"Y\u00e9men\" >Y\u00e9men<\/option><option value=\"Zambie\" >Zambie<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/select>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"bcca-form-actions\">\n\t\t<button type=\"button\" class=\"bcca-btn bcca-btn-secondary bcca-btn-prev\">\n\t\t\t\u2190 Pr\u00e9c\u00e9dent\t\t<\/button>\n\t\t<button type=\"button\" class=\"bcca-btn bcca-btn-primary bcca-btn-next\">\n\t\t\tSuivant \u2192\n\t\t<\/button>\n\t<\/div>\n<\/div>\n\n<script>\njQuery(document).ready(function($) {\n\tfunction toggleRepresentantFields() {\n\t\tvar statutTitulaire = $('input[name=\"statut_titulaire\"]:checked').val();\n\t\tvar needsRepresentant = (statutTitulaire === 'mineur' || statutTitulaire === 'majeur_protege');\n\n\t\tif (needsRepresentant) {\n\t\t\t$('#representant-legal-section').slideDown();\n\t\t\t$('#add-representant-btn').show();\n\n\t\t\t\/\/ Rendre les champs du repr\u00e9sentant 1 obligatoires\n\t\t\t$('.representant-field').prop('required', true);\n\t\t} else {\n\t\t\t$('#representant-legal-section').slideUp();\n\t\t\t\/\/ Retirer l'obligation des champs\n\t\t\t$('.representant-field').prop('required', false);\n\t\t\t\/\/ Effacer les erreurs \u00e9ventuelles\n\t\t\t$('.representant-field').removeClass('error').next('.bcca-field-error').remove();\n\t\t\t\/\/ R\u00e9initialiser les deux repr\u00e9sentants\n\t\t\t$('#representant-2').hide();\n\t\t\tclearRepresentant1();\n\t\t\tclearRepresentant2();\n\t\t}\n\t}\n\n\tfunction clearRepresentant1() {\n\t\t$('#representant_1_nom, #representant_1_prenom, #representant_1_date_naissance, #representant_1_nationalite, #representant_1_adresse, #representant_1_ville').val('');\n\t\t$('#representant_1_pays').val('Cameroun');\n\t}\n\n\tfunction clearRepresentant2() {\n\t\t$('#representant_2_nom, #representant_2_prenom, #representant_2_date_naissance, #representant_2_nationalite, #representant_2_adresse, #representant_2_ville').val('');\n\t\t$('#representant_2_pays').val('Cameroun');\n\t}\n\n\t\/\/ Bouton pour ajouter le 2\u00e8me repr\u00e9sentant\n\t$('#add-representant-btn').on('click', function() {\n\t\t$('#representant-2').slideDown();\n\t\t$(this).hide();\n\t});\n\n\t\/\/ Bouton pour retirer le 2\u00e8me repr\u00e9sentant\n\t$('#remove-representant-btn').on('click', function() {\n\t\t$('#representant-2').slideUp();\n\t\t$('#add-representant-btn').show();\n\t\tclearRepresentant2();\n\t});\n\n\t$('input[name=\"statut_titulaire\"]').on('change', toggleRepresentantFields);\n\n\t\/\/ V\u00e9rifier l'\u00e9tat initial au chargement\n\ttoggleRepresentantFields();\n});\n<\/script>\n\n\t\t\t\t<!-- \u00c9tape 3 : Caract\u00e9ristiques du compte -->\n\t\t\t\t\n<div id=\"bcca-step-3\" class=\"bcca-form-step\">\n\t<h3>\u00c9tape 3 : Caract\u00e9ristiques du compte<\/h3>\n\n\t<div class=\"bcca-form-group\">\n\t\t<label class=\"bcca-form-label required\">Type de compte<\/label>\n\n\t\t<div class=\"bcca-radio-group\">\n\t\t\t<label class=\"bcca-radio\">\n\t\t\t\t<input type=\"radio\" id=\"type_compte_individuel\" name=\"type_compte\" value=\"individuel\" class=\"bcca-form-control\" required>\n\t\t\t\tCompte individuel pleine propri\u00e9t\u00e9 (cas g\u00e9n\u00e9ral)\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t<div class=\"bcca-radio-group\">\n\t\t\t<label class=\"bcca-radio\">\n\t\t\t\t<input type=\"radio\" id=\"type_compte_joint\" name=\"type_compte\" value=\"joint\" class=\"bcca-form-control\" required>\n\t\t\t\tCompte joint de titres\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t<div class=\"bcca-radio-group\">\n\t\t\t<label class=\"bcca-radio\">\n\t\t\t\t<input type=\"radio\" id=\"type_compte_indivision\" name=\"type_compte\" value=\"indivision\" class=\"bcca-form-control\" required>\n\t\t\t\tCompte en indivision\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t<div class=\"bcca-radio-group\">\n\t\t\t<label class=\"bcca-radio\">\n\t\t\t\t<input type=\"radio\" id=\"type_compte_demembre\" name=\"type_compte\" value=\"demembre\" class=\"bcca-form-control\" required>\n\t\t\t\tCompte d\u00e9membr\u00e9 (usufruit\/nue-propri\u00e9t\u00e9)\t\t\t<\/label>\n\t\t<\/div>\n\t<\/div>\n\n\t<!-- Section Compte Joint -->\n\t<div id=\"compte-joint-section\" style=\"display: none;\">\n\t\t<h4>Informations du co-titulaire<\/h4>\n\n\t\t<div class=\"bcca-form-row\">\n\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t<label for=\"cotitulaire_nom\" class=\"bcca-form-label required\">Nom du co-titulaire<\/label>\n\t\t\t\t<input type=\"text\" id=\"cotitulaire_nom\" name=\"cotitulaire_nom\" class=\"bcca-form-control cotitulaire-field\">\n\t\t\t<\/div>\n\n\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t<label for=\"cotitulaire_prenom\" class=\"bcca-form-label required\">Pr\u00e9nom du co-titulaire<\/label>\n\t\t\t\t<input type=\"text\" id=\"cotitulaire_prenom\" name=\"cotitulaire_prenom\" class=\"bcca-form-control cotitulaire-field\">\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\n\t<!-- Section Compte en Indivision -->\n\t<div id=\"compte-indivision-section\" style=\"display: none;\">\n\t\t<div style=\"display: flex; justify-content: space-between; align-items: center; margin-bottom: 20px;\">\n\t\t\t<h4 style=\"margin: 0;\">Titulaires en indivision<\/h4>\n\t\t\t<button type=\"button\" id=\"add-indivision-btn\" class=\"bcca-btn bcca-btn-secondary\" style=\"padding: 8px 16px; font-size: 13px;\">\n\t\t\t\t+ Ajouter un titulaire\t\t\t<\/button>\n\t\t<\/div>\n\n\t\t<!-- Titulaires 1 \u00e0 4 -->\n\t\t\t\t<div class=\"titulaire-indivision-block\" id=\"titulaire-indivision-1\" style=\" margin-bottom: 20px; padding: 15px; border: 1px solid #ddd; border-radius: 4px;\">\n\t\t\t<div style=\"display: flex; justify-content: space-between; align-items: center; margin-bottom: 15px;\">\n\t\t\t\t<h5 style=\"margin: 0;\">Titulaire 1<\/h5>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t<div class=\"bcca-form-row\">\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"indivision_1_nom\" class=\"bcca-form-label required\">Nom<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"indivision_1_nom\" name=\"indivision_1_nom\" class=\"bcca-form-control indivision-required\">\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"indivision_1_prenom\" class=\"bcca-form-label required\">Pr\u00e9nom<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"indivision_1_prenom\" name=\"indivision_1_prenom\" class=\"bcca-form-control indivision-required\">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"titulaire-indivision-block\" id=\"titulaire-indivision-2\" style=\"display: none; margin-bottom: 20px; padding: 15px; border: 1px solid #ddd; border-radius: 4px;\">\n\t\t\t<div style=\"display: flex; justify-content: space-between; align-items: center; margin-bottom: 15px;\">\n\t\t\t\t<h5 style=\"margin: 0;\">Titulaire 2<\/h5>\n\t\t\t\t\t\t\t\t<button type=\"button\" class=\"remove-indivision-btn bcca-btn bcca-btn-secondary\" data-index=\"2\" style=\"padding: 6px 12px; font-size: 12px; background: #e74c3c;\">\n\t\t\t\t\t\u00d7 Retirer\t\t\t\t<\/button>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t<div class=\"bcca-form-row\">\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"indivision_2_nom\" class=\"bcca-form-label\">Nom<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"indivision_2_nom\" name=\"indivision_2_nom\" class=\"bcca-form-control \">\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"indivision_2_prenom\" class=\"bcca-form-label\">Pr\u00e9nom<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"indivision_2_prenom\" name=\"indivision_2_prenom\" class=\"bcca-form-control \">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"titulaire-indivision-block\" id=\"titulaire-indivision-3\" style=\"display: none; margin-bottom: 20px; padding: 15px; border: 1px solid #ddd; border-radius: 4px;\">\n\t\t\t<div style=\"display: flex; justify-content: space-between; align-items: center; margin-bottom: 15px;\">\n\t\t\t\t<h5 style=\"margin: 0;\">Titulaire 3<\/h5>\n\t\t\t\t\t\t\t\t<button type=\"button\" class=\"remove-indivision-btn bcca-btn bcca-btn-secondary\" data-index=\"3\" style=\"padding: 6px 12px; font-size: 12px; background: #e74c3c;\">\n\t\t\t\t\t\u00d7 Retirer\t\t\t\t<\/button>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t<div class=\"bcca-form-row\">\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"indivision_3_nom\" class=\"bcca-form-label\">Nom<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"indivision_3_nom\" name=\"indivision_3_nom\" class=\"bcca-form-control \">\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"indivision_3_prenom\" class=\"bcca-form-label\">Pr\u00e9nom<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"indivision_3_prenom\" name=\"indivision_3_prenom\" class=\"bcca-form-control \">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"titulaire-indivision-block\" id=\"titulaire-indivision-4\" style=\"display: none; margin-bottom: 20px; padding: 15px; border: 1px solid #ddd; border-radius: 4px;\">\n\t\t\t<div style=\"display: flex; justify-content: space-between; align-items: center; margin-bottom: 15px;\">\n\t\t\t\t<h5 style=\"margin: 0;\">Titulaire 4<\/h5>\n\t\t\t\t\t\t\t\t<button type=\"button\" class=\"remove-indivision-btn bcca-btn bcca-btn-secondary\" data-index=\"4\" style=\"padding: 6px 12px; font-size: 12px; background: #e74c3c;\">\n\t\t\t\t\t\u00d7 Retirer\t\t\t\t<\/button>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t<div class=\"bcca-form-row\">\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"indivision_4_nom\" class=\"bcca-form-label\">Nom<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"indivision_4_nom\" name=\"indivision_4_nom\" class=\"bcca-form-control \">\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"indivision_4_prenom\" class=\"bcca-form-label\">Pr\u00e9nom<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"indivision_4_prenom\" name=\"indivision_4_prenom\" class=\"bcca-form-control \">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<\/div>\n\n\t<!-- Section Compte D\u00e9membr\u00e9 -->\n\t<div id=\"compte-demembre-section\" style=\"display: none;\">\n\t\t<div style=\"display: flex; justify-content: space-between; align-items: center; margin-bottom: 20px;\">\n\t\t\t<h4 style=\"margin: 0;\">Titulaires du compte d\u00e9membr\u00e9<\/h4>\n\t\t\t<button type=\"button\" id=\"add-demembre-btn\" class=\"bcca-btn bcca-btn-secondary\" style=\"padding: 8px 16px; font-size: 13px;\">\n\t\t\t\t+ Ajouter un usufruitier\t\t\t<\/button>\n\t\t<\/div>\n\n\t\t<!-- Titulaire 1 : Nue-propri\u00e9t\u00e9 -->\n\t\t<div class=\"titulaire-demembre-block\" id=\"titulaire-demembre-1\" style=\"margin-bottom: 20px; padding: 15px; border: 1px solid #ddd; border-radius: 4px; background: #f9f9f9;\">\n\t\t\t<h5>Titulaire 1 - Nue-propri\u00e9t\u00e9<\/h5>\n\n\t\t\t<div class=\"bcca-form-row\">\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"demembre_1_nom\" class=\"bcca-form-label required\">Nom<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"demembre_1_nom\" name=\"demembre_1_nom\" class=\"bcca-form-control demembre-required\">\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"demembre_1_prenom\" class=\"bcca-form-label required\">Pr\u00e9nom<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"demembre_1_prenom\" name=\"demembre_1_prenom\" class=\"bcca-form-control demembre-required\">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<input type=\"hidden\" name=\"demembre_1_type\" value=\"nue_propriete\">\n\t\t<\/div>\n\n\t\t<!-- Titulaires 2 \u00e0 4 : Usufruit -->\n\t\t\t\t<div class=\"titulaire-demembre-block\" id=\"titulaire-demembre-2\" style=\" margin-bottom: 20px; padding: 15px; border: 1px solid #ddd; border-radius: 4px;\">\n\t\t\t<div style=\"display: flex; justify-content: space-between; align-items: center; margin-bottom: 15px;\">\n\t\t\t\t<h5 style=\"margin: 0;\">Titulaire 2 - Usufruit<\/h5>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t<div class=\"bcca-form-row\">\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"demembre_2_nom\" class=\"bcca-form-label required\">Nom<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"demembre_2_nom\" name=\"demembre_2_nom\" class=\"bcca-form-control demembre-usufruit-required\">\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"demembre_2_prenom\" class=\"bcca-form-label required\">Pr\u00e9nom<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"demembre_2_prenom\" name=\"demembre_2_prenom\" class=\"bcca-form-control demembre-usufruit-required\">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<input type=\"hidden\" name=\"demembre_2_type\" value=\"usufruit\">\n\t\t<\/div>\n\t\t\t\t<div class=\"titulaire-demembre-block\" id=\"titulaire-demembre-3\" style=\"display: none; margin-bottom: 20px; padding: 15px; border: 1px solid #ddd; border-radius: 4px;\">\n\t\t\t<div style=\"display: flex; justify-content: space-between; align-items: center; margin-bottom: 15px;\">\n\t\t\t\t<h5 style=\"margin: 0;\">Titulaire 3 - Usufruit<\/h5>\n\t\t\t\t\t\t\t\t<button type=\"button\" class=\"remove-demembre-btn bcca-btn bcca-btn-secondary\" data-index=\"3\" style=\"padding: 6px 12px; font-size: 12px; background: #e74c3c;\">\n\t\t\t\t\t\u00d7 Retirer\t\t\t\t<\/button>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t<div class=\"bcca-form-row\">\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"demembre_3_nom\" class=\"bcca-form-label\">Nom<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"demembre_3_nom\" name=\"demembre_3_nom\" class=\"bcca-form-control \">\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"demembre_3_prenom\" class=\"bcca-form-label\">Pr\u00e9nom<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"demembre_3_prenom\" name=\"demembre_3_prenom\" class=\"bcca-form-control \">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<input type=\"hidden\" name=\"demembre_3_type\" value=\"usufruit\">\n\t\t<\/div>\n\t\t\t\t<div class=\"titulaire-demembre-block\" id=\"titulaire-demembre-4\" style=\"display: none; margin-bottom: 20px; padding: 15px; border: 1px solid #ddd; border-radius: 4px;\">\n\t\t\t<div style=\"display: flex; justify-content: space-between; align-items: center; margin-bottom: 15px;\">\n\t\t\t\t<h5 style=\"margin: 0;\">Titulaire 4 - Usufruit<\/h5>\n\t\t\t\t\t\t\t\t<button type=\"button\" class=\"remove-demembre-btn bcca-btn bcca-btn-secondary\" data-index=\"4\" style=\"padding: 6px 12px; font-size: 12px; background: #e74c3c;\">\n\t\t\t\t\t\u00d7 Retirer\t\t\t\t<\/button>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t<div class=\"bcca-form-row\">\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"demembre_4_nom\" class=\"bcca-form-label\">Nom<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"demembre_4_nom\" name=\"demembre_4_nom\" class=\"bcca-form-control \">\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bcca-form-group\">\n\t\t\t\t\t<label for=\"demembre_4_prenom\" class=\"bcca-form-label\">Pr\u00e9nom<\/label>\n\t\t\t\t\t<input type=\"text\" id=\"demembre_4_prenom\" name=\"demembre_4_prenom\" class=\"bcca-form-control \">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<input type=\"hidden\" name=\"demembre_4_type\" value=\"usufruit\">\n\t\t<\/div>\n\t\t\t<\/div>\n\n\t<div class=\"bcca-form-actions\">\n\t\t<button type=\"button\" class=\"bcca-btn bcca-btn-secondary bcca-btn-prev\">\n\t\t\t\u2190 Pr\u00e9c\u00e9dent\t\t<\/button>\n\t\t<button type=\"button\" class=\"bcca-btn bcca-btn-primary bcca-btn-next\">\n\t\t\tSuivant \u2192\n\t\t<\/button>\n\t<\/div>\n<\/div>\n\n<script>\njQuery(document).ready(function($) {\n\tvar currentIndivisionCount = 1;\n\tvar currentDemembreCount = 2; \/\/ On commence \u00e0 2 car le titulaire 1 (nue-propri\u00e9t\u00e9) est toujours affich\u00e9\n\n\tfunction toggleCompteFields() {\n\t\tvar typeCompte = $('input[name=\"type_compte\"]:checked').val();\n\n\t\t\/\/ Cacher toutes les sections\n\t\t$('#compte-joint-section, #compte-indivision-section, #compte-demembre-section').hide();\n\n\t\t\/\/ Retirer l'obligation des champs\n\t\t$('.cotitulaire-field, .indivision-required, .demembre-required, .demembre-usufruit-required').prop('required', false);\n\n\t\t\/\/ Effacer les erreurs\n\t\t$('.cotitulaire-field, .indivision-required, .demembre-required, .demembre-usufruit-required').removeClass('error').next('.bcca-field-error').remove();\n\n\t\t\/\/ Afficher la section appropri\u00e9e\n\t\tif (typeCompte === 'joint') {\n\t\t\t$('#compte-joint-section').slideDown();\n\t\t\t$('.cotitulaire-field').prop('required', true);\n\t\t} else if (typeCompte === 'indivision') {\n\t\t\t$('#compte-indivision-section').slideDown();\n\t\t\t$('.indivision-required').prop('required', true);\n\t\t} else if (typeCompte === 'demembre') {\n\t\t\t$('#compte-demembre-section').slideDown();\n\t\t\t$('.demembre-required').prop('required', true);\n\t\t\t$('.demembre-usufruit-required').prop('required', true);\n\t\t}\n\t}\n\n\t\/\/ Gestion du compte en indivision\n\t$('#add-indivision-btn').on('click', function() {\n\t\tif (currentIndivisionCount < 4) {\n\t\t\tcurrentIndivisionCount++;\n\t\t\t$('#titulaire-indivision-' + currentIndivisionCount).slideDown();\n\n\t\t\tif (currentIndivisionCount === 4) {\n\t\t\t\t$(this).hide();\n\t\t\t}\n\t\t}\n\t});\n\n\t$('.remove-indivision-btn').on('click', function() {\n\t\tvar index = $(this).data('index');\n\t\t$('#titulaire-indivision-' + index).slideUp();\n\t\t$('#indivision_' + index + '_nom, #indivision_' + index + '_prenom').val('');\n\t\tcurrentIndivisionCount--;\n\t\t$('#add-indivision-btn').show();\n\t});\n\n\t\/\/ Gestion du compte d\u00e9membr\u00e9\n\t$('#add-demembre-btn').on('click', function() {\n\t\tif (currentDemembreCount < 4) {\n\t\t\tcurrentDemembreCount++;\n\t\t\t$('#titulaire-demembre-' + currentDemembreCount).slideDown();\n\n\t\t\tif (currentDemembreCount === 4) {\n\t\t\t\t$(this).hide();\n\t\t\t}\n\t\t}\n\t});\n\n\t$('.remove-demembre-btn').on('click', function() {\n\t\tvar index = $(this).data('index');\n\t\t$('#titulaire-demembre-' + index).slideUp();\n\t\t$('#demembre_' + index + '_nom, #demembre_' + index + '_prenom').val('');\n\t\tcurrentDemembreCount--;\n\t\t$('#add-demembre-btn').show();\n\t});\n\n\t$('input[name=\"type_compte\"]').on('change', toggleCompteFields);\n\n\t\/\/ V\u00e9rifier l'\u00e9tat initial au chargement\n\ttoggleCompteFields();\n});\n<\/script>\n\n\t\t\t\t<!-- \u00c9tape 4 : Origine des fonds -->\n\t\t\t\t\n<div id=\"bcca-step-4\" class=\"bcca-form-step\">\n\t<h3>\u00c9tape 4 : D\u00e9claration de l&#039;origine des fonds<\/h3>\n\n\t<div class=\"bcca-form-group\">\n\t\t<label class=\"bcca-form-label required\">Veuillez indiquer ci-dessous la provenance des fonds de l&#039;op\u00e9ration<\/label>\n\n\t\t<div class=\"bcca-radio-group\">\n\t\t\t<label class=\"bcca-radio\">\n\t\t\t\t<input type=\"radio\" id=\"origine_activite\" name=\"origine_fonds\" value=\"activite\" class=\"bcca-form-control\" required>\n\t\t\t\tDe votre activit\u00e9\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t<div class=\"bcca-radio-group\">\n\t\t\t<label class=\"bcca-radio\">\n\t\t\t\t<input type=\"radio\" id=\"origine_cession\" name=\"origine_fonds\" value=\"cession\" class=\"bcca-form-control\" required>\n\t\t\t\tDe la cession d&#039;un bien\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t<div class=\"bcca-radio-group\">\n\t\t\t<label class=\"bcca-radio\">\n\t\t\t\t<input type=\"radio\" id=\"origine_autres\" name=\"origine_fonds\" value=\"autres\" class=\"bcca-form-control\" required>\n\t\t\t\tAutres\t\t\t<\/label>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"bcca-form-group\">\n\t\t<label class=\"bcca-form-label required\">Les fonds propres utilis\u00e9s dans l&#039;ouverture de compte titres proviennent-ils d&#039;un pays CEMAC ?<\/label>\n\n\t\t<div class=\"bcca-radio-group\">\n\t\t\t<label class=\"bcca-radio\">\n\t\t\t\t<input type=\"radio\" id=\"pays_cemac_oui\" name=\"pays_cemac\" value=\"oui\" class=\"bcca-form-control\" required>\n\t\t\t\tOui\t\t\t<\/label>\n\t\t<\/div>\n\n\t\t<div class=\"bcca-radio-group\">\n\t\t\t<label class=\"bcca-radio\">\n\t\t\t\t<input type=\"radio\" id=\"pays_cemac_non\" name=\"pays_cemac\" value=\"non\" class=\"bcca-form-control\" required>\n\t\t\t\tNon\t\t\t<\/label>\n\t\t<\/div>\n\t<\/div>\n\n\t<!-- Section pays de provenance (si Non) -->\n\t<div id=\"pays-provenance-section\" style=\"display: none;\">\n\t\t<div class=\"bcca-form-group\">\n\t\t\t<label for=\"pays_provenance\" class=\"bcca-form-label required\">Veuillez pr\u00e9ciser le pays de provenance<\/label>\n\t\t\t<select id=\"pays_provenance\" name=\"pays_provenance\" class=\"bcca-form-control pays-provenance-field\" ><option value=\"\">S\u00e9lectionner...<\/option><option value=\"Cameroun\" >Cameroun<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"R\u00e9publique du Congo\" >R\u00e9publique du Congo<\/option><option value=\"R\u00e9publique Centrafricaine\" >R\u00e9publique Centrafricaine<\/option><option value=\"Tchad\" >Tchad<\/option><option value=\"Guin\u00e9e \u00c9quatoriale\" >Guin\u00e9e \u00c9quatoriale<\/option><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"Afrique du Sud\" >Afrique du Sud<\/option><option value=\"Albanie\" >Albanie<\/option><option value=\"Alg\u00e9rie\" >Alg\u00e9rie<\/option><option value=\"Allemagne\" >Allemagne<\/option><option value=\"Andorre\" >Andorre<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Antigua-et-Barbuda\" >Antigua-et-Barbuda<\/option><option value=\"Arabie Saoudite\" >Arabie Saoudite<\/option><option value=\"Argentine\" >Argentine<\/option><option value=\"Arm\u00e9nie\" >Arm\u00e9nie<\/option><option value=\"Australie\" >Australie<\/option><option value=\"Autriche\" >Autriche<\/option><option value=\"Azerba\u00efdjan\" >Azerba\u00efdjan<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Bahre\u00efn\" >Bahre\u00efn<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Barbade\" >Barbade<\/option><option value=\"Belgique\" >Belgique<\/option><option value=\"Belize\" >Belize<\/option><option value=\"B\u00e9nin\" >B\u00e9nin<\/option><option value=\"Bhoutan\" >Bhoutan<\/option><option value=\"Bi\u00e9lorussie\" >Bi\u00e9lorussie<\/option><option value=\"Birmanie\" >Birmanie<\/option><option value=\"Bolivie\" >Bolivie<\/option><option value=\"Bosnie-Herz\u00e9govine\" >Bosnie-Herz\u00e9govine<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Br\u00e9sil\" >Br\u00e9sil<\/option><option value=\"Brunei\" >Brunei<\/option><option value=\"Bulgarie\" >Bulgarie<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cambodge\" >Cambodge<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cap-Vert\" >Cap-Vert<\/option><option value=\"Chili\" >Chili<\/option><option value=\"Chine\" >Chine<\/option><option value=\"Chypre\" >Chypre<\/option><option value=\"Colombie\" >Colombie<\/option><option value=\"Comores\" >Comores<\/option><option value=\"Cor\u00e9e du Nord\" >Cor\u00e9e du Nord<\/option><option value=\"Cor\u00e9e du Sud\" >Cor\u00e9e du Sud<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"C\u00f4te d&#039;Ivoire\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"Croatie\" >Croatie<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Danemark\" >Danemark<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Dominique\" >Dominique<\/option><option value=\"\u00c9gypte\" >\u00c9gypte<\/option><option value=\"\u00c9mirats Arabes Unis\" >\u00c9mirats Arabes Unis<\/option><option value=\"\u00c9quateur\" >\u00c9quateur<\/option><option value=\"\u00c9rythr\u00e9e\" >\u00c9rythr\u00e9e<\/option><option value=\"Espagne\" >Espagne<\/option><option value=\"Estonie\" >Estonie<\/option><option value=\"Eswatini\" >Eswatini<\/option><option value=\"\u00c9tats-Unis\" >\u00c9tats-Unis<\/option><option value=\"\u00c9thiopie\" >\u00c9thiopie<\/option><option value=\"Fidji\" >Fidji<\/option><option value=\"Finlande\" >Finlande<\/option><option value=\"France\" >France<\/option><option value=\"Gambie\" >Gambie<\/option><option value=\"G\u00e9orgie\" >G\u00e9orgie<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gr\u00e8ce\" >Gr\u00e8ce<\/option><option value=\"Grenade\" >Grenade<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guin\u00e9e\" >Guin\u00e9e<\/option><option value=\"Guin\u00e9e-Bissau\" >Guin\u00e9e-Bissau<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Ha\u00efti\" >Ha\u00efti<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hongrie\" >Hongrie<\/option><option value=\"\u00celes Marshall\" >\u00celes Marshall<\/option><option value=\"\u00celes Salomon\" >\u00celes Salomon<\/option><option value=\"Inde\" >Inde<\/option><option value=\"Indon\u00e9sie\" >Indon\u00e9sie<\/option><option value=\"Irak\" >Irak<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Irlande\" >Irlande<\/option><option value=\"Islande\" >Islande<\/option><option value=\"Isra\u00ebl\" >Isra\u00ebl<\/option><option value=\"Italie\" >Italie<\/option><option value=\"Jama\u00efque\" >Jama\u00efque<\/option><option value=\"Japon\" >Japon<\/option><option value=\"Jordanie\" >Jordanie<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Kirghizistan\" >Kirghizistan<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Kowe\u00eft\" >Kowe\u00eft<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Lettonie\" >Lettonie<\/option><option value=\"Liban\" >Liban<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libye\" >Libye<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lituanie\" >Lituanie<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Mac\u00e9doine du Nord\" >Mac\u00e9doine du Nord<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malaisie\" >Malaisie<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Malte\" >Malte<\/option><option value=\"Maroc\" >Maroc<\/option><option value=\"Maurice\" >Maurice<\/option><option value=\"Mauritanie\" >Mauritanie<\/option><option value=\"Mexique\" >Mexique<\/option><option value=\"Micron\u00e9sie\" >Micron\u00e9sie<\/option><option value=\"Moldavie\" >Moldavie<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolie\" >Mongolie<\/option><option value=\"Mont\u00e9n\u00e9gro\" >Mont\u00e9n\u00e9gro<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Namibie\" >Namibie<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"N\u00e9pal\" >N\u00e9pal<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Norv\u00e8ge\" >Norv\u00e8ge<\/option><option value=\"Nouvelle-Z\u00e9lande\" >Nouvelle-Z\u00e9lande<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Ouganda\" >Ouganda<\/option><option value=\"Ouzb\u00e9kistan\" >Ouzb\u00e9kistan<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palaos\" >Palaos<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Panama\" >Panama<\/option><option value=\"Papouasie-Nouvelle-Guin\u00e9e\" >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Pays-Bas\" >Pays-Bas<\/option><option value=\"P\u00e9rou\" >P\u00e9rou<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Pologne\" >Pologne<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"R\u00e9publique D\u00e9mocratique du Congo\" >R\u00e9publique D\u00e9mocratique du Congo<\/option><option value=\"R\u00e9publique Dominicaine\" >R\u00e9publique Dominicaine<\/option><option value=\"R\u00e9publique Tch\u00e8que\" >R\u00e9publique Tch\u00e8que<\/option><option value=\"Roumanie\" >Roumanie<\/option><option value=\"Royaume-Uni\" >Royaume-Uni<\/option><option value=\"Russie\" >Russie<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Saint-Christophe-et-Ni\u00e9v\u00e8s\" >Saint-Christophe-et-Ni\u00e9v\u00e8s<\/option><option value=\"Sainte-Lucie\" >Sainte-Lucie<\/option><option value=\"Saint-Marin\" >Saint-Marin<\/option><option value=\"Saint-Vincent-et-les-Grenadines\" >Saint-Vincent-et-les-Grenadines<\/option><option value=\"Salvador\" >Salvador<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"S\u00e3o Tom\u00e9-et-Pr\u00edncipe\" >S\u00e3o Tom\u00e9-et-Pr\u00edncipe<\/option><option value=\"S\u00e9n\u00e9gal\" >S\u00e9n\u00e9gal<\/option><option value=\"Serbie\" >Serbie<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Singapour\" >Singapour<\/option><option value=\"Slovaquie\" >Slovaquie<\/option><option value=\"Slov\u00e9nie\" >Slov\u00e9nie<\/option><option value=\"Somalie\" >Somalie<\/option><option value=\"Soudan\" >Soudan<\/option><option value=\"Soudan du Sud\" >Soudan du Sud<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Su\u00e8de\" >Su\u00e8de<\/option><option value=\"Suisse\" >Suisse<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Syrie\" >Syrie<\/option><option value=\"Tadjikistan\" >Tadjikistan<\/option><option value=\"Tanzanie\" >Tanzanie<\/option><option value=\"Tha\u00eflande\" >Tha\u00eflande<\/option><option value=\"Timor oriental\" >Timor oriental<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Trinit\u00e9-et-Tobago\" >Trinit\u00e9-et-Tobago<\/option><option value=\"Tunisie\" >Tunisie<\/option><option value=\"Turkm\u00e9nistan\" >Turkm\u00e9nistan<\/option><option value=\"Turquie\" >Turquie<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Vatican\" >Vatican<\/option><option value=\"Venezuela\" >Venezuela<\/option><option value=\"Vi\u00eat Nam\" >Vi\u00eat Nam<\/option><option value=\"Y\u00e9men\" >Y\u00e9men<\/option><option value=\"Zambie\" >Zambie<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/select>\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"bcca-form-actions\">\n\t\t<button type=\"button\" class=\"bcca-btn bcca-btn-secondary bcca-btn-prev\">\n\t\t\t\u2190 Pr\u00e9c\u00e9dent\t\t<\/button>\n\t\t<button type=\"button\" class=\"bcca-btn bcca-btn-primary bcca-btn-next\">\n\t\t\tSuivant \u2192\n\t\t<\/button>\n\t<\/div>\n<\/div>\n\n<script>\njQuery(document).ready(function($) {\n\tfunction togglePaysProvenanceField() {\n\t\tvar paysCemac = $('input[name=\"pays_cemac\"]:checked').val();\n\n\t\tif (paysCemac === 'non') {\n\t\t\t$('#pays-provenance-section').slideDown();\n\t\t\t$('.pays-provenance-field').prop('required', true);\n\t\t} else {\n\t\t\t$('#pays-provenance-section').slideUp();\n\t\t\t$('.pays-provenance-field').prop('required', false);\n\t\t\t$('.pays-provenance-field').removeClass('error').next('.bcca-field-error').remove();\n\t\t\t$('#pays_provenance').val('');\n\t\t}\n\t}\n\n\t$('input[name=\"pays_cemac\"]').on('change', togglePaysProvenanceField);\n\n\t\/\/ V\u00e9rifier l'\u00e9tat initial au chargement\n\ttogglePaysProvenanceField();\n});\n<\/script>\n\n\t\t\t\t<!-- \u00c9tape 5 : Profil investisseur -->\n\t\t\t\t\n<div id=\"bcca-step-5\" class=\"bcca-form-step\">\n\t<h3>\u00c9tape 5 : Profil investisseur<\/h3>\n\n\t<div class=\"bcca-form-group\">\n\t\t<label for=\"horizon_invest\" class=\"bcca-form-label required\">Horizon de placement<\/label>\n\t\t<select id=\"horizon_invest\" name=\"horizon_invest\" class=\"bcca-form-control\" required>\n\t\t\t<option value=\"\">S\u00e9lectionner...<\/option>\n\t\t\t<option value=\"3mois\">3 mois<\/option>\n\t\t\t<option value=\"6mois\">6 mois<\/option>\n\t\t\t<option value=\"1an\">1 an<\/option>\n\t\t\t<option value=\"2ans\">2 ans<\/option>\n\t\t\t<option value=\"3ans\">3 ans<\/option>\n\t\t\t<option value=\"4ans\">4 ans<\/option>\n\t\t\t<option value=\"5ans\">5 ans<\/option>\n\t\t\t<option value=\"5ans_plus\">5 ans et plus<\/option>\n\t\t<\/select>\n\t<\/div>\n\n\t<div class=\"bcca-form-group\">\n\t\t<label for=\"objectif_invest\" class=\"bcca-form-label required\">Objectif du placement<\/label>\n\t\t<select id=\"objectif_invest\" name=\"objectif_invest\" class=\"bcca-form-control\" required>\n\t\t\t<option value=\"\">S\u00e9lectionner...<\/option>\n\t\t\t<option value=\"revenus_financiers\">Produire des revenus financiers<\/option>\n\t\t\t<option value=\"faire_face_engagement\">Faire face \u00e0 un engagement<\/option>\n\t\t\t<option value=\"financer_immobilisation\">Financer une immobilisation<\/option>\n\t\t\t<option value=\"optimiser_fiscalite\">Optimiser la fiscalit\u00e9<\/option>\n\t\t\t<option value=\"disposer_garanties\">Disposer de garanties<\/option>\n\t\t\t<option value=\"diversifier_portefeuille\">Diversifier le portefeuille d&#039;actifs<\/option>\n\t\t\t<option value=\"autres\">Autres \u00e0 pr\u00e9ciser<\/option>\n\t\t<\/select>\n\t<\/div>\n\n\t<div class=\"bcca-form-group\" id=\"objectif_autres_group\" style=\"display: none;\">\n\t\t<label for=\"objectif_autres\" class=\"bcca-form-label\">Veuillez pr\u00e9ciser votre objectif<\/label>\n\t\t<textarea id=\"objectif_autres\" name=\"objectif_autres\" class=\"bcca-form-control\" rows=\"3\"><\/textarea>\n\t<\/div>\n\n\t<div class=\"bcca-form-group\">\n\t\t<label for=\"tresorerie_nette\" class=\"bcca-form-label required\">Tr\u00e9sorerie nette mensuelle<\/label>\n\t\t<select id=\"tresorerie_nette\" name=\"tresorerie_nette\" class=\"bcca-form-control\" required>\n\t\t\t<option value=\"\">S\u00e9lectionner...<\/option>\n\t\t\t<option value=\"moins_1m\">Moins de 1 million FCFA<\/option>\n\t\t\t<option value=\"1_20m\">De 1 \u00e0 20 millions de FCFA<\/option>\n\t\t\t<option value=\"20_50m\">De 20 \u00e0 50 millions de FCFA<\/option>\n\t\t\t<option value=\"50_100m\">De 50 \u00e0 100 millions de FCFA<\/option>\n\t\t\t<option value=\"100_500m\">De 100 \u00e0 500 millions de FCFA<\/option>\n\t\t\t<option value=\"plus_500m\">Plus de 500 millions de FCFA<\/option>\n\t\t<\/select>\n\t<\/div>\n\n\t<div class=\"bcca-form-actions\">\n\t\t<button type=\"button\" class=\"bcca-btn bcca-btn-secondary bcca-btn-prev\">\n\t\t\t\u2190 Pr\u00e9c\u00e9dent\t\t<\/button>\n\t\t<button type=\"button\" class=\"bcca-btn bcca-btn-primary bcca-btn-next\">\n\t\t\tSuivant \u2192\n\t\t<\/button>\n\t<\/div>\n<\/div>\n\n\t\t\t\t<!-- \u00c9tape 6 : Connaissance produits -->\n\t\t\t\t\n<div id=\"bcca-step-6\" class=\"bcca-form-step\">\n\t<h3>\u00c9tape 6 : Connaissance des produits financiers<\/h3>\n\n\t<div class=\"bcca-form-group\">\n\t\t<label class=\"bcca-form-label required\">Instruments financiers que vous connaissez<\/label>\n\t\t<div class=\"bcca-checkbox-group\" data-required=\"true\" data-field-name=\"instruments_connus\">\n\t\t\t<label class=\"bcca-checkbox\">\n\t\t\t\t<input type=\"checkbox\" name=\"instruments_connus[]\" value=\"bta_opcvm_monetaires\">\n\t\t\t\tBTA et OPCVM mon\u00e9taires\t\t\t<\/label>\n\t\t\t<label class=\"bcca-checkbox\">\n\t\t\t\t<input type=\"checkbox\" name=\"instruments_connus[]\" value=\"ota_opcvm_obligataires\">\n\t\t\t\tOTA, OPCVM obligataires et titres de cr\u00e9ances\t\t\t<\/label>\n\t\t\t<label class=\"bcca-checkbox\">\n\t\t\t\t<input type=\"checkbox\" name=\"instruments_connus[]\" value=\"actions_fonds_opc\">\n\t\t\t\tActions, Fonds en actions, OPC en actions\t\t\t<\/label>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"bcca-form-group\">\n\t\t<label class=\"bcca-form-label required\">Parmi les produits suivants, cochez ceux que vous d\u00e9tenez ou avez d\u00e9tenus au cours des 12 derniers mois<\/label>\n\t\t<div class=\"bcca-checkbox-group\" data-required=\"true\" data-field-name=\"produits_detenus\">\n\t\t\t<label class=\"bcca-checkbox\">\n\t\t\t\t<input type=\"checkbox\" name=\"produits_detenus[]\" value=\"compte_epargne\">\n\t\t\t\tCompte et livret d&#039;\u00e9pargne\t\t\t<\/label>\n\t\t\t<label class=\"bcca-checkbox\">\n\t\t\t\t<input type=\"checkbox\" name=\"produits_detenus[]\" value=\"assurance_vie\">\n\t\t\t\tUn ou plusieurs contrats d&#039;assurance vie ou de capitalisation\t\t\t<\/label>\n\t\t\t<label class=\"bcca-checkbox\">\n\t\t\t\t<input type=\"checkbox\" name=\"produits_detenus[]\" value=\"comptes_titres\">\n\t\t\t\tUn ou plusieurs comptes titres\t\t\t<\/label>\n\t\t\t<label class=\"bcca-checkbox\">\n\t\t\t\t<input type=\"checkbox\" name=\"produits_detenus[]\" value=\"autres\" id=\"produits_detenus_autres\">\n\t\t\t\tAutres \u00e0 pr\u00e9ciser\t\t\t<\/label>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"bcca-form-group\" id=\"produits_detenus_autres_group\" style=\"display: none;\">\n\t\t<label for=\"produits_detenus_autres_precision\" class=\"bcca-form-label\">Veuillez pr\u00e9ciser les autres produits<\/label>\n\t\t<textarea id=\"produits_detenus_autres_precision\" name=\"produits_detenus_autres_precision\" class=\"bcca-form-control\" rows=\"3\"><\/textarea>\n\t<\/div>\n\n\t<div class=\"bcca-form-group\">\n\t\t<label class=\"bcca-form-label required\">Sur quels types d&#039;instruments souhaitez-vous investir vos fonds<\/label>\n\t\t<div class=\"bcca-checkbox-group\" data-required=\"true\" data-field-name=\"types_instruments\">\n\t\t\t<label class=\"bcca-checkbox\">\n\t\t\t\t<input type=\"checkbox\" name=\"types_instruments[]\" value=\"instruments_surs\">\n\t\t\t\tSur des instruments s\u00fbrs\t\t\t<\/label>\n\t\t\t<label class=\"bcca-checkbox\">\n\t\t\t\t<input type=\"checkbox\" name=\"types_instruments[]\" value=\"instruments_haut_rendement\">\n\t\t\t\tSur des instruments \u00e0 haut rendement\t\t\t<\/label>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"bcca-form-group\">\n\t\t<label class=\"bcca-form-label required\">Dans quels pays souhaitez-vous investir<\/label>\n\t\t<div class=\"bcca-checkbox-group\" data-required=\"true\" data-field-name=\"pays_investissement\">\n\t\t\t<label class=\"bcca-checkbox\">\n\t\t\t\t<input type=\"checkbox\" name=\"pays_investissement[]\" value=\"cameroun\">\n\t\t\t\tCameroun\t\t\t<\/label>\n\t\t\t<label class=\"bcca-checkbox\">\n\t\t\t\t<input type=\"checkbox\" name=\"pays_investissement[]\" value=\"centrafrique\">\n\t\t\t\tCentrafrique\t\t\t<\/label>\n\t\t\t<label class=\"bcca-checkbox\">\n\t\t\t\t<input type=\"checkbox\" name=\"pays_investissement[]\" value=\"congo\">\n\t\t\t\tCongo\t\t\t<\/label>\n\t\t\t<label class=\"bcca-checkbox\">\n\t\t\t\t<input type=\"checkbox\" name=\"pays_investissement[]\" value=\"gabon\">\n\t\t\t\tGabon\t\t\t<\/label>\n\t\t\t<label class=\"bcca-checkbox\">\n\t\t\t\t<input type=\"checkbox\" name=\"pays_investissement[]\" value=\"guinee_equatoriale\">\n\t\t\t\tGuin\u00e9e \u00c9quatoriale\t\t\t<\/label>\n\t\t\t<label class=\"bcca-checkbox\">\n\t\t\t\t<input type=\"checkbox\" name=\"pays_investissement[]\" value=\"tchad\">\n\t\t\t\tTchad\t\t\t<\/label>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"bcca-form-actions\">\n\t\t<button type=\"button\" class=\"bcca-btn bcca-btn-secondary bcca-btn-prev\">\n\t\t\t\u2190 Pr\u00e9c\u00e9dent\t\t<\/button>\n\t\t<button type=\"button\" class=\"bcca-btn bcca-btn-primary bcca-btn-next\">\n\t\t\tSuivant \u2192\n\t\t<\/button>\n\t<\/div>\n<\/div>\n\n\t\t\t\t<!-- \u00c9tape 7 : V\u00e9rification -->\n\t\t\t\t\n<div id=\"bcca-step-7\" class=\"bcca-form-step\">\n\t<h3>\u00c9tape 7 : V\u00e9rification et soumission<\/h3>\n\n\t<div class=\"bcca-alert bcca-alert-info\">\n\t\t<strong>Veuillez v\u00e9rifier vos informations<\/strong><br>\n\t\tAssurez-vous que toutes les informations fournies sont exactes avant de soumettre votre demande.\t<\/div>\n\n\t<div class=\"bcca-verification-summary\">\n\t\t<h4>R\u00e9capitulatif de votre demande<\/h4>\n\t\t<p>Vous pouvez revenir aux \u00e9tapes pr\u00e9c\u00e9dentes pour modifier vos informations.<\/p>\n\t<\/div>\n\n\t<div class=\"bcca-form-group\" style=\"margin-top: 30px;\">\n\t\t<div class=\"bcca-checkbox-group\">\n\t\t\t<label class=\"bcca-checkbox\">\n\t\t\t\t<input type=\"checkbox\" id=\"acceptation_cgv\" name=\"acceptation_cgv\" value=\"1\" required>\n\t\t\t\tJ&#039;accepte les conditions g\u00e9n\u00e9rales de vente et d&#039;utilisation *\n\t\t\t<\/label>\n\t\t\t<!--<span class=\"bcca-field-help\">-->\n\t\t\t<!--\t<a href=\"#\" target=\"_blank\">Lire les CGV<\/a>-->\n\t\t\t<!--<\/span>-->\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"bcca-form-group\">\n\t\t<div class=\"bcca-checkbox-group\">\n\t\t\t<label class=\"bcca-checkbox\">\n\t\t\t\t<input type=\"checkbox\" id=\"certif_exactitude\" name=\"certif_exactitude\" value=\"1\" required>\n\t\t\t\tJe certifie sur l&#039;honneur l&#039;exactitude des informations fournies *\n\t\t\t<\/label>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"bcca-form-group\">\n\t\t<div class=\"bcca-checkbox-group\">\n\t\t\t<label class=\"bcca-checkbox\">\n\t\t\t\t<input type=\"checkbox\" id=\"consentement_donnees\" name=\"consentement_donnees\" value=\"1\">\n\t\t\t\tJ&#039;accepte le traitement de mes donn\u00e9es personnelles conform\u00e9ment \u00e0 la politique de confidentialit\u00e9\t\t\t<\/label>\n\t\t\t<!--<span class=\"bcca-field-help\">-->\n\t\t\t<!--\t<a href=\"#\" target=\"_blank\">Politique de confidentialit\u00e9<\/a>-->\n\t\t\t<!--<\/span>-->\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"bcca-form-group\">\n\t\t<div class=\"bcca-checkbox-group\">\n\t\t\t<label class=\"bcca-checkbox\">\n\t\t\t\t<input type=\"checkbox\" id=\"newsletter\" name=\"newsletter\" value=\"1\">\n\t\t\t\tJe souhaite recevoir les actualit\u00e9s et offres de la Bourse CCA\t\t\t<\/label>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"bcca-form-actions\">\n\t\t<button type=\"button\" class=\"bcca-btn bcca-btn-secondary bcca-btn-prev\">\n\t\t\t\u2190 Pr\u00e9c\u00e9dent\t\t<\/button>\n\t\t<button type=\"button\" class=\"bcca-btn bcca-btn-primary bcca-btn-submit\">\n\t\t\tSoumettre la demande \u2713\n\t\t<\/button>\n\t<\/div>\n<\/div>\n\n\t\t\t\t<!-- Success Page (hidden initially) -->\n\t\t\t\t<div class=\"bcca-form-step 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