{"id":3135,"date":"2023-11-20T14:15:35","date_gmt":"2023-11-20T17:15:35","guid":{"rendered":"https:\/\/www.adnb-nbad.com\/?page_id=3135"},"modified":"2026-02-19T12:03:52","modified_gmt":"2026-02-19T15:03:52","slug":"registered-another-province","status":"publish","type":"page","link":"https:\/\/www.adnb-nbad.com\/fr\/register-nbad\/registered-another-province\/","title":{"rendered":"Candidates immatricul\u00e9es dans une autre province"},"content":{"rendered":"<p>Les candidates qui sont immatricul\u00e9es \u00e0 part enti\u00e8re aupr\u00e8s d\u2019un organisme canadien de r\u00e9glementation des di\u00e9t\u00e9tistes peuvent pr\u00e9senter une demande d\u2019immatriculation aupr\u00e8s de l\u2019ADNB.<\/p>\n<h2><strong>Processus de demande<\/strong><\/h2>\n<ol>\n<li><strong>Remplissez le <a href=\"#application\">formulaire de demande en ligne.<\/a>\u00a0 <\/strong><\/li>\n<li><strong>Veillez \u00e0 ce que les documents demand\u00e9s suivants soient envoy\u00e9s \u00e0 l\u2019ADNB\u00a0:\u00a0 <\/strong>\n<ol type=\"a\">\n<li><strong>Formulaire de v\u00e9rification relative \u00e0 la mobilit\u00e9 de la main-d\u2019\u0153uvre\u00a0:<\/strong> communiquez avec votre organisme actuel de r\u00e9glementation des di\u00e9t\u00e9tistes et demandez-lui de remplir et d\u2019envoyer un <strong>formulaire de v\u00e9rification relative \u00e0 la mobilit\u00e9 de la main-d\u2019\u0153uvre<\/strong> \u00e0 l\u2019ADNB. Votre organisme actuel de r\u00e9glementation nous enverra des copies de vos relev\u00e9s de notes officiels, une lettre attestant que vous avez termin\u00e9 le programme d\u2019internat ou de stage, une confirmation de votre immatriculation aupr\u00e8s de l\u2019organisme de r\u00e9glementation provincial, les r\u00e9sultats de l\u2019EAPDC (le cas \u00e9ch\u00e9ant) et le certificat de mariage (s\u2019il y a lieu).<\/li>\n<li><strong>Formulaire ou formulaires de v\u00e9rification provenant d\u2019autres provinces (le cas \u00e9ch\u00e9ant)\u00a0: <\/strong>si vous \u00eates inscrite ou que vous l\u2019\u00e9tiez aupr\u00e8s d\u2019autres organismes provinciaux de r\u00e9glementation des di\u00e9t\u00e9tistes, veuillez communiquer avec chaque organisme de r\u00e9glementation pour lui demander d\u2019envoyer un formulaire de v\u00e9rification d\u00fbment rempli \u00e0 l\u2019ADNB.<\/li>\n<li><strong>V\u00e9rification du casier judiciaire (r\u00e9alis\u00e9e au cours de la derni\u00e8re ann\u00e9e)\u00a0:<\/strong> soit au poste de police de la GRC ou au poste de la police municipale (l\u2019original doit \u00eatre envoy\u00e9 par la poste au bureau de l\u2019ADNB), aupr\u00e8s de <a href=\"https:\/\/csiscreening.com\/fr\/home-2-2\/canadian-criminal-record-checks\/\">CSI Background Screening<\/a> en activant l\u2019option de consentement \u00e9lectronique, ou \u00e0 <a href=\"https:\/\/www.mybackcheck.com\/Public\/Login.aspx\">com<\/a>.<\/li>\n<li><strong>Copie recto et verso de votre pi\u00e8ce d\u2019identit\u00e9 d\u00e9livr\u00e9e par le gouvernement\u00a0:<\/strong> la copie peut \u00eatre num\u00e9ris\u00e9e et incluse avec votre formulaire de demande en ligne.<\/li>\n<\/ol>\n<\/li>\n<li><strong>Payez tous les frais de demande applicables\u00a0: <\/strong>une fois que votre demande en ligne a \u00e9t\u00e9 transmise et que l\u2019ADNB aura re\u00e7u tous les documents requis, vous recevrez un courriel vous donnant acc\u00e8s \u00e0 notre plateforme en ligne. Vous y acc\u00e9derez en vous servant des identifiants fournis et paierez vos frais par carte de cr\u00e9dit sur cette plateforme en ligne.<\/li>\n<\/ol>\n<button class=\"btg-button btg-button-19\" data-url=\"http:\/\/www.adnb-nbad.com\/wp-content\/uploads\/2023\/12\/NBAD-Application-Checklist-\u2013-Candidate-immatriculee-dans-une-autre-province.pdf\" data-action=\"link\" onclick=\"btnaction(19)\">Liste de v\u00e9rification imprimable pour les demandes<\/button><style>.btg-button-19 { z-index: 999; width: 350px; height: 60px; position: relative; border-radius: 5px; border-style: none; border-color: #383838; border-width: 1px; color: #ffffff; background-color: #77bd49; box-shadow: none; font-family: inherit; font-size: 16px; font-weight: 700; font-style: normal; -ms-transform: rotate(0deg); -webkit-transform: rotate(0deg); transform: rotate(0deg); text-align: center; cursor: pointer; } .btg-button-19:hover { color: #ffffff; background: #53963a; }<\/style>\n<p>&nbsp;<\/p>\n<p><strong>Note\u00a0:<\/strong> Votre demande n\u2019est pas compl\u00e8te tant que tous ces \u00e9l\u00e9ments n\u2019ont pas \u00e9t\u00e9 fournis \u00e0 l\u2019ADNB et que le paiement des frais de demande n\u2019a pas \u00e9t\u00e9 re\u00e7u.<\/p>\n<h2><strong>D\u00e9lai de traitement des demandes et frais connexes<\/strong><\/h2>\n<p>Les demandes sont trait\u00e9es dans les<strong> 5 \u00e0 10<\/strong>\u00a0jours ouvrables.<\/p>\n<p><strong>Frais pour 2026-2027<\/strong><\/p>\n<ul>\n<li>Frais d\u2019administration\u00a0: 100\u00a0$<\/li>\n<li>Frais annuels d\u2019immatriculation active et provisoire, du 1<sup>er<\/sup>avril 2026 au 31 mars 2027 : 505 $<\/li>\n<li>Frais d\u2019immatriculation semestriels, du 1<sup>er<\/sup>octobre 2026 au 31 mars 2027 (immatriculation active et provisoire) : 252.50 $<\/li>\n<\/ul>\n<p><strong>Payez vos frais\u00a0: <\/strong>une fois que votre demande en ligne a \u00e9t\u00e9 transmise et que l\u2019ADNB aura re\u00e7u tous les documents requis, vous recevrez un courriel vous donnant acc\u00e8s \u00e0 notre plateforme en ligne. Vous y acc\u00e9derez en vous servant des identifiants fournis et paierez vos frais par carte de cr\u00e9dit sur cette plateforme en ligne.<\/p>\n<p><strong>Votre demande n\u2019est compl\u00e8te qu\u2019une fois le paiement re\u00e7u.<\/strong> Tous les frais vers\u00e9s \u00e0 l\u2019ADNB sont non remboursables.<\/p>\n<h2 id=\"application\"><strong>Demande d\u2019immatriculation\u00a0: candidate immatricul\u00e9e dans une autre province<\/strong><\/h2>\n<p>Veuillez remplir le formulaire suivant pour pr\u00e9senter votre demande d\u2019immatriculation en ligne comme candidate immatricul\u00e9e dans une autre province. Apr\u00e8s avoir rempli la demande en ligne, assurez-vous que les documents requis sont envoy\u00e9s \u00e0 l\u2019ADNB et payez tous les frais de demande applicables. <strong>Votre demande ne sera pas compl\u00e8te tant que tous les documents et le paiement correspondant n\u2019auront pas \u00e9t\u00e9 re\u00e7us.<\/strong><\/p>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_24' style='display:none'><div id='gf_24' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>\u00ab\u00a0<span class=\"gfield_required gfield_required_asterisk\">*<\/span>\u00a0\u00bb indique les champs n\u00e9cessaires<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_24'  action='\/fr\/wp-json\/wp\/v2\/pages\/3135#gf_24' data-formid='24' novalidate>\n        <div id='gf_progressbar_wrapper_24' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">\u00c9tape <span class='gf_step_current_page'>1<\/span> sur <span class='gf_step_page_count'>7<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_14' style='width:14%;'><span>14%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_24_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_24' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_24_90\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_90'>Comments<\/label><div class='ginput_container'><input name='input_90' id='input_24_90' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_24_90'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/div><div id=\"field_24_25\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Information Personnelles<\/h3><\/div><fieldset id=\"field_24_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Pr\u00e9nom et nom de famille l\u00e9gal<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_24_1'>\n                            \n                            <span id='input_24_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_24_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_24_1_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom l\u00e9gal<\/label>\n                                                <\/span>\n                            <span id='input_24_1_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.4' id='input_24_1_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_24_1_4' class='gform-field-label gform-field-label--type-sub '>Second(s) pr\u00e9nom(s) l\u00e9gal<\/label>\n                                                <\/span>\n                            <span id='input_24_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_24_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_24_1_6' class='gform-field-label gform-field-label--type-sub '>Nom de famille l\u00e9gal<\/label>\n                                                <\/span>\n                            \n                        <\/div><div class='gfield_description' id='gfield_description_24_1'>Nom inscrit sur vos documents officiels, par exemple certificat de naissance, passeport.<\/div><\/fieldset><div id=\"field_24_4\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_4'>Nom(s) pr\u00e9c\u00e9dent(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_24_4' type='text' value='' class='large'  aria-describedby=\"gfield_description_24_4\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_24_4'>Si cela s\u2019applique, sinon veuillez indiquer N\/A<\/div><\/div><fieldset id=\"field_24_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Utilisez-vous le nom l\u00e9gal donn\u00e9 ci-dessus lorsque vous pratiquez la di\u00e9t\u00e9tique?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_24_9'>\n\t\t\t<div class='gchoice gchoice_24_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Oui'  id='choice_24_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_9_0' id='label_24_9_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Non'  id='choice_24_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_9_1' id='label_24_9_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_24_6\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_6'>Sinon, veuillez indiquer le nom que vous utilisez<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_24_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_8\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_8'>Date de naissance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_8' id='input_24_8' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/jj\/aaaa' aria-describedby=\"input_24_8_date_format gfield_description_24_8\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_24_8_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_24_8' class='gform_hidden' value='https:\/\/www.adnb-nbad.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><div class='gfield_description' id='gfield_description_24_8'>mois, jour, ann\u00e9e<\/div><\/div><fieldset id=\"field_24_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Genre<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_24_12'>\n\t\t\t<div class='gchoice gchoice_24_12_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Homme'  id='choice_24_12_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_12_0' id='label_24_12_0' class='gform-field-label gform-field-label--type-inline'>Homme<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_12_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Femme'  id='choice_24_12_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_12_1' id='label_24_12_1' class='gform-field-label gform-field-label--type-inline'>Femme<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_12_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Non-binaire'  id='choice_24_12_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_12_2' id='label_24_12_2' class='gform-field-label gform-field-label--type-inline'>Non-binaire<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_12_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='gf_other_choice'  id='choice_24_12_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_12_3' id='label_24_12_3' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_24_12_other' class='gchoice_other_control' name='input_12_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_24_69\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_69'>Pronoms<\/label><div class='ginput_container ginput_container_text'><input name='input_69' id='input_24_69' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_14\" class=\"gfield gfield--type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_14'>T\u00e9l\u00e9phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_14' id='input_24_14' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_15\" class=\"gfield gfield--type-phone gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_15'>Autre t\u00e9l\u00e9phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_15' id='input_24_15' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_24_89\" class=\"gfield gfield--type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse \u00e0 domicile<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_24_89' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_24_89_1_container' >\n                                        <input type='text' name='input_89.1' id='input_24_89_1' value=''    aria-required='true'    \/>\n                                        <label for='input_24_89_1' id='input_24_89_1_label' class='gform-field-label gform-field-label--type-sub '>Rue<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_24_89_3_container' >\n                                    <input type='text' name='input_89.3' id='input_24_89_3' value=''    aria-required='true'    \/>\n                                    <label for='input_24_89_3' id='input_24_89_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_24_89_4_container' >\n                                        <input type='text' name='input_89.4' id='input_24_89_4' value=''      aria-required='true'    \/>\n                                        <label for='input_24_89_4' id='input_24_89_4_label' class='gform-field-label gform-field-label--type-sub '>Province \/ \u00c9tat \/ R\u00e9gion<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_24_89_5_container' >\n                                    <input type='text' name='input_89.5' id='input_24_89_5' value=''    aria-required='true'    \/>\n                                    <label for='input_24_89_5' id='input_24_89_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_24_89_6_container' >\n                                        <select name='input_89.6' id='input_24_89_6'   aria-required='true'    ><option value='' ><\/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='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctique<\/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='Aruba' >Aruba<\/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='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bonaire, Saint-Eustache et Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' selected='selected'>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='Congo' >Congo<\/option><option value='Cor\u00e9e (R\u00e9publique de)' >Cor\u00e9e (R\u00e9publique de)<\/option><option value='Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)' >Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='Espagne' >Espagne<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='F\u00e9d\u00e9ration Russe' >F\u00e9d\u00e9ration Russe<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenade' >Grenade<\/option><option value='Groenland' >Groenland<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Guyane' >Guyane<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='G\u00e9orgie du Sud et \u00celes Sandwich du Sud' >G\u00e9orgie du Sud et \u00celes Sandwich du Sud<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/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='Jersey' >Jersey<\/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='La Barbade' >La Barbade<\/option><option value='La R\u00e9union' >La R\u00e9union<\/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='Macao' >Macao<\/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='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='Mayotte' >Mayotte<\/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='Montserrat' >Montserrat<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niu\u00e9' >Niu\u00e9<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Nouvelle-Cal\u00e9donie' >Nouvelle-Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='N\u00e9pal' >N\u00e9pal<\/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='Palau' >Palau<\/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='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Portugal' >Portugal<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='R\u00e9publique Tch\u00e8que' >R\u00e9publique Tch\u00e8que<\/option><option value='R\u00e9publique arabe syrienne' >R\u00e9publique arabe syrienne<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique d\u00e9mocratique populaire du Laos' >R\u00e9publique d\u00e9mocratique populaire du Laos<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre et Miquelon' >Saint Pierre et Miquelon<\/option><option value='Saint-Christophe-et-Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Salvador' >Salvador<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/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='Sint Maarten' >Sint Maarten<\/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='Suisse' >Suisse<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie (R\u00e9publique-Unie de)' >Tanzanie (R\u00e9publique-Unie de)<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tchad' >Tchad<\/option><option value='Terres Australes Fran\u00e7aises' >Terres Australes Fran\u00e7aises<\/option><option value='Territoire britannique de l\u2019oc\u00e9an Indien' >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/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='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/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='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00cele Bouvet' >\u00cele Bouvet<\/option><option value='\u00cele Christmas' >\u00cele Christmas<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='\u00cele Norfolk' >\u00cele Norfolk<\/option><option value='\u00cele de Man' >\u00cele de Man<\/option><option value='\u00celes Cayman' >\u00celes Cayman<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='\u00celes Falkland' >\u00celes Falkland<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='\u00celes Heard et McDonald' >\u00celes Heard et McDonald<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='\u00celes Pitcairn' >\u00celes Pitcairn<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='\u00celes Turques et Ca\u00efques' >\u00celes Turques et Ca\u00efques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes de Svalbard et Jan Mayen' >\u00celes de Svalbard et Jan Mayen<\/option><option value='\u00celes mineures am\u00e9ricaines' >\u00celes mineures am\u00e9ricaines<\/option><option value='\u00celes \u00c5land' >\u00celes \u00c5land<\/option><\/select>\n                                        <label for='input_24_89_6' id='input_24_89_6_label' class='gform-field-label gform-field-label--type-sub '>Pays<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_24_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Langage de pr\u00e9f\u00e9rence pour la correspondance de l&#039;ADNB<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_24_18'>\n\t\t\t<div class='gchoice gchoice_24_18_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Fran\u00e7ais'  id='choice_24_18_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_18_0' id='label_24_18_0' class='gform-field-label gform-field-label--type-inline'>Fran\u00e7ais<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_18_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Anglais'  id='choice_24_18_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_18_1' id='label_24_18_1' class='gform-field-label gform-field-label--type-inline'>Anglais<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_24_88\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_88'>Adresse \u00e9lectronique de pr\u00e9f\u00e9rence pour la correspondance de l\u2019ADNB<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_24_88' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_24_19' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_24_2' class='gform_page' data-js='page-field-id-19' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_24_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_24_11\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Examen d\u2019Admission \u00e0 la Profession de Di\u00e9t\u00e9tiste au Canada (EAPDC)<\/h3><\/div><fieldset id=\"field_24_21\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Veuillez s\u00e9lectionner l\u2019une des options suivantes :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_24_21'>\n\t\t\t<div class='gchoice gchoice_24_21_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='J\u2019ai r\u00e9ussi avec succ\u00e8s l\u2019EADPC.*'  id='choice_24_21_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_24_21\"   \/>\n\t\t\t\t\t<label for='choice_24_21_0' id='label_24_21_0' class='gform-field-label gform-field-label--type-inline'>J\u2019ai r\u00e9ussi avec succ\u00e8s l\u2019EADPC.*<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_21_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='Je n\u2019ai pas d\u00e9j\u00e0 \u00e9crit l\u2019EAPDC.'  id='choice_24_21_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_21_1' id='label_24_21_1' class='gform-field-label gform-field-label--type-inline'>Je n\u2019ai pas d\u00e9j\u00e0 \u00e9crit l\u2019EAPDC.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_21_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='J\u2019ai pr\u00e9c\u00e9demment \u00e9crit l\u2019EAPDC, mais je n\u2019ai pas r\u00e9ussi.'  id='choice_24_21_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_21_2' id='label_24_21_2' class='gform-field-label gform-field-label--type-inline'>J\u2019ai pr\u00e9c\u00e9demment \u00e9crit l\u2019EAPDC, mais je n\u2019ai pas r\u00e9ussi.<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_24_21'>* La copie originale ou une copie notari\u00e9e du rapport de l\u2019EAPDC sera demand\u00e9e si elle n\u2019est pas fournie par un organisme de r\u00e9glementation provincial de la di\u00e9t\u00e9tique. <\/div><\/fieldset><div id=\"field_24_22\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_22'>Veuillez indiquer les dates et le nombre de tentatives<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_24_22' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_24_23' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_24_23' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_24_3' class='gform_page' data-js='page-field-id-23' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_24_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_24_24\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u00c9ducation - Qualifications acad\u00e9miques et exp\u00e9rience pratique di\u00e9t\u00e9tique<\/h3><\/div><fieldset id=\"field_24_33\" class=\"gfield gfield--type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Programme d\u2019internat \/ de stage<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom du dipl\u00f4me<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom de l\u2019institution<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date de d\u00e9but (jour, mois, ann\u00e9e)<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date (ou date anticip\u00e9e) de diplomation<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">En progr\u00e8s? (Oui ou non)<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_33_cell1 gform-grid-col' data-label='Nom du dipl\u00f4me'><input aria-invalid='false' aria-required=\"true\"  aria-label='Nom du dipl\u00f4me, Ligne 1' data-aria-label-template='Nom du dipl\u00f4me, Ligne {0}' type='text' name='input_33[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_33_cell2 gform-grid-col' data-label='Nom de l\u2019institution'><input aria-invalid='false' aria-required=\"true\"  aria-label='Nom de l\u2019institution, Ligne 1' data-aria-label-template='Nom de l\u2019institution, Ligne {0}' type='text' name='input_33[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_33_cell3 gform-grid-col' data-label='Date de d\u00e9but (jour, mois, ann\u00e9e)'><input aria-invalid='false' aria-required=\"true\"  aria-label='Date de d\u00e9but (jour, mois, ann\u00e9e), Ligne 1' data-aria-label-template='Date de d\u00e9but (jour, mois, ann\u00e9e), Ligne {0}' type='text' name='input_33[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_33_cell4 gform-grid-col' data-label='Date (ou date anticip\u00e9e) de diplomation'><input aria-invalid='false' aria-required=\"true\"  aria-label='Date (ou date anticip\u00e9e) de diplomation, Ligne 1' data-aria-label-template='Date (ou date anticip\u00e9e) de diplomation, Ligne {0}' type='text' name='input_33[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_33_cell5 gform-grid-col' data-label='En progr\u00e8s? (Oui ou non)'><input aria-invalid='false' aria-required=\"true\"  aria-label='En progr\u00e8s? (Oui ou non), Ligne 1' data-aria-label-template='En progr\u00e8s? (Oui ou non), Ligne {0}' type='text' name='input_33[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)'>Ajouter<\/button>   <button type='button'  class='delete_list_item' aria-label='Supprimer la ligne 1' data-aria-label-template='Supprimer la ligne {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Retirer<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_24_82\" class=\"gfield gfield--type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Dipl\u00f4me premier cycle<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom du dipl\u00f4me<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom de l\u2019institution<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date de d\u00e9but (jour, mois, ann\u00e9e)<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date (ou date anticip\u00e9e) de diplomation<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">En progr\u00e8s? (Oui ou non)<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_82_cell1 gform-grid-col' data-label='Nom du dipl\u00f4me'><input aria-invalid='false' aria-required=\"true\"  aria-label='Nom du dipl\u00f4me, Ligne 1' data-aria-label-template='Nom du dipl\u00f4me, Ligne {0}' type='text' name='input_82[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_82_cell2 gform-grid-col' data-label='Nom de l\u2019institution'><input aria-invalid='false' aria-required=\"true\"  aria-label='Nom de l\u2019institution, Ligne 1' data-aria-label-template='Nom de l\u2019institution, Ligne {0}' type='text' name='input_82[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_82_cell3 gform-grid-col' data-label='Date de d\u00e9but (jour, mois, ann\u00e9e)'><input aria-invalid='false' aria-required=\"true\"  aria-label='Date de d\u00e9but (jour, mois, ann\u00e9e), Ligne 1' data-aria-label-template='Date de d\u00e9but (jour, mois, ann\u00e9e), Ligne {0}' type='text' name='input_82[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_82_cell4 gform-grid-col' data-label='Date (ou date anticip\u00e9e) de diplomation'><input aria-invalid='false' aria-required=\"true\"  aria-label='Date (ou date anticip\u00e9e) de diplomation, Ligne 1' data-aria-label-template='Date (ou date anticip\u00e9e) de diplomation, Ligne {0}' type='text' name='input_82[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_82_cell5 gform-grid-col' data-label='En progr\u00e8s? (Oui ou non)'><input aria-invalid='false' aria-required=\"true\"  aria-label='En progr\u00e8s? (Oui ou non), Ligne 1' data-aria-label-template='En progr\u00e8s? (Oui ou non), Ligne {0}' type='text' name='input_82[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)'>Ajouter<\/button>   <button type='button'  class='delete_list_item' aria-label='Supprimer la ligne 1' data-aria-label-template='Supprimer la ligne {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Retirer<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_24_83\" class=\"gfield gfield--type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Autre (certification sp\u00e9ciale)<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom du dipl\u00f4me<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom de l\u2019institution<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date de d\u00e9but (jour, mois, ann\u00e9e)<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date (ou date anticip\u00e9e) de diplomation<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">En progr\u00e8s? (Oui ou non)<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_83_cell1 gform-grid-col' data-label='Nom du dipl\u00f4me'><input aria-invalid='false'   aria-label='Nom du dipl\u00f4me, Ligne 1' data-aria-label-template='Nom du dipl\u00f4me, Ligne {0}' type='text' name='input_83[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_83_cell2 gform-grid-col' data-label='Nom de l\u2019institution'><input aria-invalid='false'   aria-label='Nom de l\u2019institution, Ligne 1' data-aria-label-template='Nom de l\u2019institution, Ligne {0}' type='text' name='input_83[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_83_cell3 gform-grid-col' data-label='Date de d\u00e9but (jour, mois, ann\u00e9e)'><input aria-invalid='false'   aria-label='Date de d\u00e9but (jour, mois, ann\u00e9e), Ligne 1' data-aria-label-template='Date de d\u00e9but (jour, mois, ann\u00e9e), Ligne {0}' type='text' name='input_83[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_83_cell4 gform-grid-col' data-label='Date (ou date anticip\u00e9e) de diplomation'><input aria-invalid='false'   aria-label='Date (ou date anticip\u00e9e) de diplomation, Ligne 1' data-aria-label-template='Date (ou date anticip\u00e9e) de diplomation, Ligne {0}' type='text' name='input_83[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_83_cell5 gform-grid-col' data-label='En progr\u00e8s? (Oui ou non)'><input aria-invalid='false'   aria-label='En progr\u00e8s? (Oui ou non), Ligne 1' data-aria-label-template='En progr\u00e8s? (Oui ou non), Ligne {0}' type='text' name='input_83[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)'>Ajouter<\/button>   <button type='button'  class='delete_list_item' aria-label='Supprimer la ligne 1' data-aria-label-template='Supprimer la ligne {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Retirer<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_24_84\" class=\"gfield gfield--type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Dipl\u00f4me d\u2019\u00e9tudes sup\u00e9rieures<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom du dipl\u00f4me<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom de l\u2019institution<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date de d\u00e9but (jour, mois, ann\u00e9e)<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date (ou date anticip\u00e9e) de diplomation<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">En progr\u00e8s? (Oui ou non)<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_84_cell1 gform-grid-col' data-label='Nom du dipl\u00f4me'><input aria-invalid='false'   aria-label='Nom du dipl\u00f4me, Ligne 1' data-aria-label-template='Nom du dipl\u00f4me, Ligne {0}' type='text' name='input_84[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_84_cell2 gform-grid-col' data-label='Nom de l\u2019institution'><input aria-invalid='false'   aria-label='Nom de l\u2019institution, Ligne 1' data-aria-label-template='Nom de l\u2019institution, Ligne {0}' type='text' name='input_84[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_84_cell3 gform-grid-col' data-label='Date de d\u00e9but (jour, mois, ann\u00e9e)'><input aria-invalid='false'   aria-label='Date de d\u00e9but (jour, mois, ann\u00e9e), Ligne 1' data-aria-label-template='Date de d\u00e9but (jour, mois, ann\u00e9e), Ligne {0}' type='text' name='input_84[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_84_cell4 gform-grid-col' data-label='Date (ou date anticip\u00e9e) de diplomation'><input aria-invalid='false'   aria-label='Date (ou date anticip\u00e9e) de diplomation, Ligne 1' data-aria-label-template='Date (ou date anticip\u00e9e) de diplomation, Ligne {0}' type='text' name='input_84[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_84_cell5 gform-grid-col' data-label='En progr\u00e8s? (Oui ou non)'><input aria-invalid='false'   aria-label='En progr\u00e8s? (Oui ou non), Ligne 1' data-aria-label-template='En progr\u00e8s? (Oui ou non), Ligne {0}' type='text' name='input_84[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)'>Ajouter<\/button>   <button type='button'  class='delete_list_item' aria-label='Supprimer la ligne 1' data-aria-label-template='Supprimer la ligne {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Retirer<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_24_40' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_24_40' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_24_4' class='gform_page' data-js='page-field-id-40' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_24_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_24_41\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Immatriculation(s) avec d\u2019autre(s) organisme(s) de r\u00e9glementation de la di\u00e9t\u00e9tique<\/h3><\/div><fieldset id=\"field_24_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Avez-vous d\u00e9j\u00e0 \u00e9t\u00e9 immatricul\u00e9e avec l\u2019ADNB ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_24_42'>\n\t\t\t<div class='gchoice gchoice_24_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Oui'  id='choice_24_42_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_42_0' id='label_24_42_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Non'  id='choice_24_42_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_42_1' id='label_24_42_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_24_43\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_43'>Veuillez fournir votre num\u00e9ro d\u2019immatriculation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_24_43' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_24_44\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Avez-vous une immatriculation en tant de di\u00e9t\u00e9tiste dans une autre province, territoire, \u00e9tat ou pays ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_24_44'>\n\t\t\t<div class='gchoice gchoice_24_44_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='Oui'  id='choice_24_44_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_44_0' id='label_24_44_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_44_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='Non'  id='choice_24_44_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_44_1' id='label_24_44_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_24_48\" class=\"gfield gfield--type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Veuillez compl\u00e9ter le tableau ci-dessous<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom de l\u2019organisme<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date d\u2019entr\u00e9e en vigueur<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date d\u2019expiration (ne pas remplir s\u2019il s\u2019agit d\u2019une immatriculation actuelle)<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Conditions ou limites de l\u2019immatriculation (le cas \u00e9ch\u00e9ant)<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_48_cell1 gform-grid-col' data-label='Nom de l\u2019organisme'><input aria-invalid='false'   aria-label='Nom de l\u2019organisme, Ligne 1' data-aria-label-template='Nom de l\u2019organisme, Ligne {0}' type='text' name='input_48[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_48_cell2 gform-grid-col' data-label='Date d\u2019entr\u00e9e en vigueur'><input aria-invalid='false'   aria-label='Date d\u2019entr\u00e9e en vigueur, Ligne 1' data-aria-label-template='Date d\u2019entr\u00e9e en vigueur, Ligne {0}' type='text' name='input_48[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_48_cell3 gform-grid-col' data-label='Date d\u2019expiration (ne pas remplir s\u2019il s\u2019agit d\u2019une immatriculation actuelle)'><input aria-invalid='false'   aria-label='Date d\u2019expiration (ne pas remplir s\u2019il s\u2019agit d\u2019une immatriculation actuelle), Ligne 1' data-aria-label-template='Date d\u2019expiration (ne pas remplir s\u2019il s\u2019agit d\u2019une immatriculation actuelle), Ligne {0}' type='text' name='input_48[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_48_cell4 gform-grid-col' data-label='Conditions ou limites de l\u2019immatriculation (le cas \u00e9ch\u00e9ant)'><input aria-invalid='false'   aria-label='Conditions ou limites de l\u2019immatriculation (le cas \u00e9ch\u00e9ant), Ligne 1' data-aria-label-template='Conditions ou limites de l\u2019immatriculation (le cas \u00e9ch\u00e9ant), Ligne {0}' type='text' name='input_48[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)'>Ajouter<\/button>   <button type='button'  class='delete_list_item' aria-label='Supprimer la ligne 1' data-aria-label-template='Supprimer la ligne {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Retirer<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_24_47\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Avez-vous d\u00e9j\u00e0 \u00e9t\u00e9 immatricul\u00e9e en tant que di\u00e9t\u00e9tiste dans une autre province, territoire, \u00e9tat ou pays ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_24_47'>\n\t\t\t<div class='gchoice gchoice_24_47_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Oui'  id='choice_24_47_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_47_0' id='label_24_47_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_47_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Non'  id='choice_24_47_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_47_1' id='label_24_47_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_24_45\" class=\"gfield gfield--type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Veuillez compl\u00e9ter le tableau ci-dessous<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom de la juridiction<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Ann\u00e9e(s) d\u2019immatriculation<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_45_cell1 gform-grid-col' data-label='Nom de la juridiction'><input aria-invalid='false' aria-required=\"true\"  aria-label='Nom de la juridiction, Ligne 1' data-aria-label-template='Nom de la juridiction, Ligne {0}' type='text' name='input_45[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_45_cell2 gform-grid-col' data-label='Ann\u00e9e(s) d\u2019immatriculation'><input aria-invalid='false' aria-required=\"true\"  aria-label='Ann\u00e9e(s) d\u2019immatriculation, Ligne 1' data-aria-label-template='Ann\u00e9e(s) d\u2019immatriculation, Ligne {0}' type='text' name='input_45[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)'>Ajouter<\/button>   <button type='button'  class='delete_list_item' aria-label='Supprimer la ligne 1' data-aria-label-template='Supprimer la ligne {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Retirer<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_24_49\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Avez-vous d\u00e9j\u00e0 \u00e9t\u00e9 refus\u00e9 pour l\u2019immatriculation aupr\u00e8s d\u2019un organisme de r\u00e9glementation d\u2019une profession au Canada ou dans un autre pays ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_24_49'>\n\t\t\t<div class='gchoice gchoice_24_49_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Oui'  id='choice_24_49_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_49_0' id='label_24_49_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_49_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Non'  id='choice_24_49_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_49_1' id='label_24_49_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_24_50\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_50'>Veuillez expliquer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_50' id='input_24_50' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_24_51' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_24_51' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_24_5' class='gform_page' data-js='page-field-id-51' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_24_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_24_52\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">R\u00e9pertoire des membres<\/h3><\/div><div id=\"field_24_55\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>L\u2019ADNB pr\u00e9pare un r\u00e9pertoire des membres pour les di\u00e9t\u00e9tistes, les di\u00e9t\u00e9tistes (candidates) et les internes en di\u00e9t\u00e9tique qui souhaitent y participer. Ce r\u00e9pertoire facilitera la communication et l\u2019\u00e9change de ressources entre les membres. Ces renseignements NE SERONT PAS mis \u00e0 la disposition du public.<\/p><\/div><fieldset id=\"field_24_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >J\u2019autorise l\u2019ADNB \u00e0 communiquer mon adresse \u00e9lectronique aux membres de l\u2019ADNB seulement.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_24_54'>\n\t\t\t<div class='gchoice gchoice_24_54_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Oui'  id='choice_24_54_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_54_0' id='label_24_54_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_54_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Non'  id='choice_24_54_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_54_1' id='label_24_54_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_24_56\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Please confirm the following<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_56.1' id='input_24_56_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_24_56_1' >Je m\u2019engage \u00e0 ne pas vendre, \u00e9changer ou partager avec une tierce partie les coordonn\u00e9es des membres inclus dans le r\u00e9pertoire priv\u00e9.<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_56.2' value='Je m\u2019engage \u00e0 ne pas vendre, \u00e9changer ou partager avec une tierce partie les coordonn\u00e9es des membres inclus dans le r\u00e9pertoire priv\u00e9.' class='gform_hidden' \/><input type='hidden' name='input_56.3' value='14' class='gform_hidden' \/><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_24_57' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_24_57' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_24_6' class='gform_page' data-js='page-field-id-57' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_24_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_24_58\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Auto-d\u00e9claration obligatoire des infractions<\/h3><\/div><fieldset id=\"field_24_59\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Avez-vous \u00e9t\u00e9 accus\u00e9e ou d\u00e9clar\u00e9e coupable d\u2019une infraction au Code criminel (Canada), \u00e0 la Loi sur les aliments et drogues (Canada), \u00e0 la Loi r\u00e9glementant certaines drogues et autres substances (Canada) ou l\u2019\u00e9quivalent dans une autre juridiction (soit \u00e0 l\u2019int\u00e9rieur ou \u00e0 l\u2019ext\u00e9rieur du Canada) ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_24_59'>\n\t\t\t<div class='gchoice gchoice_24_59_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='Oui'  id='choice_24_59_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_59_0' id='label_24_59_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_59_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='Non'  id='choice_24_59_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_59_1' id='label_24_59_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_24_70\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_70'>Veuillez expliquer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_70' id='input_24_70' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_24_60\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Avez-vous fait l\u2019objet d\u2019un verdict de n\u00e9gligence professionnelle dans le cadre d\u2019une proc\u00e9dure civile ou p\u00e9nale au Nouveau-Brunswick ou dans toute autre province, territoire, \u00e9tat ou pays en relation \u00e0 la pratique de la di\u00e9t\u00e9tique ou d\u2019une autre profession ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_24_60'>\n\t\t\t<div class='gchoice gchoice_24_60_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='Oui'  id='choice_24_60_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_60_0' id='label_24_60_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_60_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='Non'  id='choice_24_60_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_60_1' id='label_24_60_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_24_71\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_71'>Veuillez expliquer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_71' id='input_24_71' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_24_61\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Avez-vous fait l\u2019objet d\u2019une enqu\u00eate, \u00e9t\u00e9 d\u00e9clar\u00e9e coupable ou \u00e9t\u00e9 refus\u00e9e l\u2019immatriculation en raison d\u2019une faute, incomp\u00e9tence, n\u00e9gligence ou incapacit\u00e9 professionnelles au Nouveau-Brunswick ou dans toute autre province, territoire, \u00c9tat ou pays en relation \u00e0 la pratique de la di\u00e9t\u00e9tique ou d\u2019une autre profession ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_24_61'>\n\t\t\t<div class='gchoice gchoice_24_61_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='Oui'  id='choice_24_61_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_61_0' id='label_24_61_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_61_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='Non'  id='choice_24_61_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_61_1' id='label_24_61_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_24_72\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_72'>Veuillez expliquer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_72' id='input_24_72' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_24_62\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00c0 votre connaissance, faites-vous actuellement l\u2019objet d\u2019une enqu\u00eate pour faute, incomp\u00e9tence, n\u00e9gligence ou incapacit\u00e9 professionnelles au Nouveau-Brunswick ou dans tout autre territoire, province, \u00c9tat ou pays en relation \u00e0 la pratique de la di\u00e9t\u00e9tique ou d\u2019une autre profession ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_24_62'>\n\t\t\t<div class='gchoice gchoice_24_62_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='Oui'  id='choice_24_62_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_62_0' id='label_24_62_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_62_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='Non'  id='choice_24_62_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_62_1' id='label_24_62_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_24_73\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_73'>Veuillez expliquer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_73' id='input_24_73' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_24_63\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Vous \u00eates-vous refuser l&#039;immatriculation ou avez-vous actuellement des conditions ou des limites impos\u00e9es \u00e0 une immatriculation au Nouveau-Brunswick ou dans tout autre territoire, province, \u00c9tat ou pays en relation \u00e0 la pratique de la di\u00e9t\u00e9tique ou d&#039;une autre profession ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_24_63'>\n\t\t\t<div class='gchoice gchoice_24_63_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='Oui'  id='choice_24_63_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_63_0' id='label_24_63_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_63_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='Non'  id='choice_24_63_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_63_1' id='label_24_63_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_24_74\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_74'>Veuillez expliquer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_74' id='input_24_74' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_24_64' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_24_64' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_24_7' class='gform_page' data-js='page-field-id-64' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_24_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_24_68\" class=\"gfield gfield--type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_24_68'>Veuillez t\u00e9l\u00e9charger tous les fichiers qui s\u2019appliquent \u00e0 votre demande d\u2019immatriculation<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_24_68' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_24_68&quot;,&quot;container&quot;:&quot;gform_multifile_upload_24_68&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_24_68&quot;,&quot;filelist&quot;:&quot;gform_preview_24_68&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.adnb-nbad.com\\\/?gf_page=fbc8e39dbb8d3ba&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.adnb-nbad.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.adnb-nbad.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers 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id='gform_drag_drop_area_24_68' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_24_68' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_24_68 gfield_description_24_68\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_24_68'>Types de fichiers accept\u00e9s\u00a0: pdf, doc, docx, png, jpg, Taille max. des fichiers\u00a0: 50 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_24_68'><\/ul> <div id='gform_preview_24_68' class='ginput_preview_list'><\/div><\/div><div class='gfield_description' id='gfield_description_24_68'>Types de fichiers accept\u00e9s : pdf, 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Taille max. d\u2019un fichier : 50 MB<\/div><\/div><fieldset id=\"field_24_65\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >D\u00e9claration<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_65.1' id='input_24_65_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_24_65_1' >J\u2019affirme que toutes les informations indiqu\u00e9es sur ce formulaire sont vraies et exactes. Les d\u00e9clarations fausses ou trompeuses et les omissions ou les fausses repr\u00e9sentations sont la cause de disqualification.<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_65.2' value='J\u2019affirme que toutes les informations indiqu\u00e9es sur ce formulaire sont vraies et exactes. Les d\u00e9clarations fausses ou trompeuses et les omissions ou les fausses repr\u00e9sentations sont la cause de disqualification.' class='gform_hidden' \/><input type='hidden' name='input_65.3' value='14' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_24_66\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_24_66'>Signature \u00e9lectronique<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_66' id='input_24_66' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_87\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon 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