{"id":71,"date":"2018-10-05T14:24:54","date_gmt":"2018-10-05T13:24:54","guid":{"rendered":"http:\/\/www.gembloux.ulg.ac.be\/formulaire\/?page_id=71"},"modified":"2019-04-11T10:46:12","modified_gmt":"2019-04-11T09:46:12","slug":"inscription-workshop-7-mai-2019","status":"publish","type":"page","link":"https:\/\/www.gembloux.ulg.ac.be\/formulaire\/inscription-workshop-7-mai-2019\/","title":{"rendered":"Inscription au Workshop \u00ab\u00a0Biodiversit\u00e9, Business, Biophilie\u00a0\u00bb &#8211; 7 mai 2019"},"content":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_23_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_28sy625322222\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"23\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_23\" id=\"frm_hide_fields_23\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"28sy625322222\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_23\" name=\"frm_submit_entry_23\" value=\"0351c0929e\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/formulaire\/wp-json\/wp\/v2\/pages\/71\" \/><div id=\"frm_field_454_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\n    <label for=\"field_skzh605433\" class=\"frm_primary_label\">Nom\n        <span class=\"frm_required\">*<\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_skzh605433\" name=\"item_meta[454]\" value=\"\"  data-reqmsg=\"Nom cannot be blank.\" aria-required=\"true\" data-invmsg=\"Nom est non valide\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_455_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\n    <label for=\"field_gunq1w5433\" class=\"frm_primary_label\">Pr\u00e9nom\n        <span class=\"frm_required\">*<\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_gunq1w5433\" name=\"item_meta[455]\" value=\"\"  data-reqmsg=\"Pr\u00e9nom cannot be blank.\" aria-required=\"true\" data-invmsg=\"Pr\u00e9nom est non valide\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_458_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\n    <label for=\"field_5b9qow5433\" class=\"frm_primary_label\">Adresse e-mail\n        <span class=\"frm_required\">*<\/span>\n    <\/label>\n    <input type=\"email\" id=\"field_5b9qow5433\" name=\"item_meta[458]\" value=\"\"  data-reqmsg=\"Adresse e-mail cannot be blank.\" aria-required=\"true\" data-invmsg=\"Adresse e-mail est non valide\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_474_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\n    <label for=\"field_eokyr\" class=\"frm_primary_label\">Fonction\n        <span class=\"frm_required\">*<\/span>\n    <\/label>\n    \t\t<div class=\"frm_radio\" id=\"frm_radio_474-0\">\t\t\t<label  for=\"field_eokyr-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[474]\" id=\"field_eokyr-0\" value=\"Etudiant Gembloux Agro-Bio Tech\"\n\t\t   data-reqmsg=\"Ce champ ne peut pas \u00eatre vide. \/ Fonction cannot be empty.\" data-invmsg=\"Fonction est non valide\" aria-invalid=\"false\"  \/> Etudiant Gembloux Agro-Bio Tech<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_474-1\">\t\t\t<label  for=\"field_eokyr-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[474]\" id=\"field_eokyr-1\" value=\"Personnel Gembloux Agro-Bio Tech\"\n\t\t   data-reqmsg=\"Ce champ ne peut pas \u00eatre vide. \/ Fonction cannot be empty.\" data-invmsg=\"Fonction est non valide\" aria-invalid=\"false\"  \/> Personnel Gembloux Agro-Bio Tech<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_474-2\">\t\t\t<label  for=\"field_eokyr-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[474]\" id=\"field_eokyr-2\" value=\"Autre\"\n\t\t   data-reqmsg=\"Ce champ ne peut pas \u00eatre vide. \/ Fonction cannot be empty.\" data-invmsg=\"Fonction est non valide\" aria-invalid=\"false\"  \/> Autre<\/label><\/div>\n\n    \n    \n<\/div>\n<div id=\"frm_field_473_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\n    <label for=\"field_4sv1qq\" class=\"frm_primary_label\">Ann\u00e9e\n        <span class=\"frm_required\">*<\/span>\n    <\/label>\n    \t\t<div class=\"frm_radio\" id=\"frm_radio_473-0\">\t\t\t<label  for=\"field_4sv1qq-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[473]\" id=\"field_4sv1qq-0\" value=\"Bloc 1\"\n\t\t   data-reqmsg=\"Ce champ ne peut pas \u00eatre vide. \/ Ann\u00e9e cannot be empty.\" data-invmsg=\"Ann\u00e9e est non valide\" aria-invalid=\"false\"  \/> Bloc 1<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_473-5\">\t\t\t<label  for=\"field_4sv1qq-5\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[473]\" id=\"field_4sv1qq-5\" value=\"Bloc 2\"\n\t\t   data-reqmsg=\"Ce champ ne peut pas \u00eatre vide. \/ Ann\u00e9e cannot be empty.\" data-invmsg=\"Ann\u00e9e est non valide\" aria-invalid=\"false\"  \/> Bloc 2<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_473-6\">\t\t\t<label  for=\"field_4sv1qq-6\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[473]\" id=\"field_4sv1qq-6\" value=\"Bloc 3\"\n\t\t   data-reqmsg=\"Ce champ ne peut pas \u00eatre vide. \/ Ann\u00e9e cannot be empty.\" data-invmsg=\"Ann\u00e9e est non valide\" aria-invalid=\"false\"  \/> Bloc 3<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_473-7\">\t\t\t<label  for=\"field_4sv1qq-7\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[473]\" id=\"field_4sv1qq-7\" value=\"Autre\"\n\t\t   data-reqmsg=\"Ce champ ne peut pas \u00eatre vide. \/ Ann\u00e9e cannot be empty.\" data-invmsg=\"Ann\u00e9e est non valide\" aria-invalid=\"false\"  \/> Autre<\/label><\/div>\n\n    \n    \n<\/div>\n<div id=\"frm_field_456_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_uiyjc54433\" class=\"frm_primary_label\">Intitul\u00e9 de fonction\n        <span class=\"frm_required\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_uiyjc54433\" name=\"item_meta[456]\" value=\"\"  data-invmsg=\"Intitul\u00e9 de fonction est non valide\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_457_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_uyhjjk4433\" class=\"frm_primary_label\">Institution \/ organisme\n        <span class=\"frm_required\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_uyhjjk4433\" name=\"item_meta[457]\" value=\"\"  data-invmsg=\"Institution \/ organisme est non valide\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_470_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_2ibna6\" class=\"frm_primary_label\">Rue\n        <span class=\"frm_required\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_2ibna6\" name=\"item_meta[470]\" value=\"\"  data-invmsg=\"Rue est non valide\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_471_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_8i3nsg\" class=\"frm_primary_label\">Num\u00e9ro\/Bo\u00eete\n        <span class=\"frm_required\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_8i3nsg\" name=\"item_meta[471]\" value=\"\"  data-invmsg=\"Num\u00e9ro\/Bo\u00eete est non valide\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_461_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_esyfu5433\" class=\"frm_primary_label\">Code postal\n        <span class=\"frm_required\"><\/span>\n    <\/label>\n    <input type=\"number\" id=\"field_esyfu5433\" name=\"item_meta[461]\" value=\"\"  data-invmsg=\"Code postal est non valide\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\n    \n    \n<\/div>\n<div id=\"frm_field_462_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_8r92nc433\" class=\"frm_primary_label\">Localit\u00e9\n        <span class=\"frm_required\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_8r92nc433\" name=\"item_meta[462]\" value=\"\"  data-invmsg=\"Localit\u00e9 est non valide\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_469_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\n    <label for=\"field_w7rez7\" class=\"frm_primary_label\">participera au Workshop du 7 mai 2019\n        <span class=\"frm_required\">*<\/span>\n    <\/label>\n    \t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_469-0\">\t\t\t<label  for=\"field_w7rez7-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[469][]\" id=\"field_w7rez7-0\" value=\"Oui\" checked=\"checked\"  data-frmval=\"Oui\" data-reqmsg=\"Ce champ ne peut pas \u00eatre vide. \/ participera au Workshop du 7 mai 2019 cannot be empty.\" data-invmsg=\"participera au Workshop du 7 mai 2019 est non valide\" aria-invalid=\"false\"   aria-required=\"true\"  \/> Oui<\/label><\/div>\n\n    \n    \n<\/div>\n<div id=\"frm_field_464_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_mb643n433\" class=\"frm_primary_label\">Remarque\n        <span class=\"frm_required\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_mb643n433\" name=\"item_meta[464]\" value=\"\"  data-invmsg=\"Remarque est non valide\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_465_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top\">Protection des donn\u00e9es<\/h3>\r\n<div id=\"frm_desc_field_a3166n3\" class=\"frm_description frm_section_spacing\">Les donn\u00e9es recueillies dans ce formulaire sont enregistr\u00e9es dans un fichier informatis\u00e9 par le Service Relations ext\u00e9rieures de la Facult\u00e9 de Gembloux Agro-Bio Tech (ULi\u00e8ge) afin de vous inscrire \u00e0 l\u2019\u00e9v\u00e8nement d\u00e9crit ci-dessus. Ces donn\u00e9es seront conserv\u00e9es uniquement le temps n\u00e9cessaire \u00e0 leur utilisation.<\/div>\r\n\r\n<div id=\"frm_field_466_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\n    <label for=\"field_tpippa3\" class=\"frm_primary_label\">Votre consentement\n        <span class=\"frm_required\"><\/span>\n    <\/label>\n    \t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_466-465-0\">\t\t\t<label  for=\"field_tpippa3-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[466][]\" id=\"field_tpippa3-0\" value=\"Oui\" checked=\"checked\"  data-sectionid=\"465\"  data-frmval=\"Oui\" data-invmsg=\"Votre consentement est non valide\" aria-invalid=\"false\"   \/> Oui<\/label><\/div>\n\n    <div id=\"frm_desc_field_tpippa3\" class=\"frm_description\">Par la case coch\u00e9e ci-dessus, vous consentez \u00e0 ce que vos coordonn\u00e9es soient enregistr\u00e9es dans un fichier informatis\u00e9 par le Service Relations ext\u00e9rieures de la Facult\u00e9 de Gembloux Agro-Bio Tech (ULi\u00e8ge) \u00e0 la seule fin de vous faire parvenir des invitations aux autres \u00e9v\u00e8nements que nous organisons. Ces informations seront conserv\u00e9es aussi longtemps que vous l\u2019autorisez. Conform\u00e9ment aux dispositions du R\u00e8glement g\u00e9n\u00e9ral pour la protection des donn\u00e9es, vous pouvez exercer votre droit d'acc\u00e8s aux donn\u00e9es vous concernant et les faire rectifier ou supprimer en contactant l'adresse g\u00e9n\u00e9rique gembloux@uliege.be ou, \u00e0 d\u00e9faut, le D\u00e9l\u00e9gu\u00e9 \u00e0 la protection des donn\u00e9es de l\u2019ULi\u00e8ge via dpo@uliege.be.<\/div>\n    \n<\/div>\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_2783_container\">\n\t\t\t<label for=\"field_va47c\" >\n\t\t\t\tSi vous \u00eates un humain, ne remplissez pas ce champ.\t\t\t<\/label>\n\t\t\t<input  id=\"field_va47c\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[2783]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"5eHGczGeXQKzQ8kwvcLzVXWUCX9RJqsvjb4WK6mnzYNdfrBzMsqYmdlinoN23gtA\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":8,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-71","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Inscription au Workshop &quot;Biodiversit\u00e9, Business, Biophilie&quot; 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