{"id":27397,"date":"2021-01-27T17:49:47","date_gmt":"2021-01-27T21:49:47","guid":{"rendered":"https:\/\/jccmontreal.org\/?page_id=27397"},"modified":"2022-05-12T18:51:14","modified_gmt":"2022-05-12T22:51:14","slug":"application-pour-le-get","status":"publish","type":"page","link":"https:\/\/www.jccmontreal.org\/fr\/application-pour-le-get\/","title":{"rendered":"APPLICATION POUR LE GET"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_text_separator title_level=\u00a0\u00bbh4&Prime; title=\u00a0\u00bbAPPLICATION POUR LE GET (DIVORCE JUIF)\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb accent_color=\u00a0\u00bb#212331&Prime;][vc_empty_space height=\u00a0\u00bb30px\u00a0\u00bb]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f27396-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"27396\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/fr\/wp-json\/wp\/v2\/pages\/27397#wpcf7-f27396-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><legend class=\"screen-reader-text\">Hidden fields<\/legend><input type=\"hidden\" name=\"_wpcf7\" value=\"27396\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f27396-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:27396,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;if-nchildren&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;nchildren-marriage&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;&quot;}]},{&quot;then_field&quot;:&quot;if-civildivorce&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;civil-divorce-status&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;finalized&quot;}]},{&quot;then_field&quot;:&quot;if-civildivorce&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;civil-divorce-status&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Finalized&quot;}]},{&quot;then_field&quot;:&quot;if-civildivorce&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;civil-divorce-status&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Final&quot;}]},{&quot;then_field&quot;:&quot;if-civildivorce&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;civil-divorce-status&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;final&quot;}]},{&quot;then_field&quot;:&quot;born-jewish-converted&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;born-jewish&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Non&quot;}]},{&quot;then_field&quot;:&quot;if-converted-group&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;converted-select&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Oui&quot;}]},{&quot;then_field&quot;:&quot;born-jewish-converted-by&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;converted-select&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Oui&quot;}]},{&quot;then_field&quot;:&quot;born-jewish-converted-papers&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;converted-select&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Oui&quot;}]},{&quot;then_field&quot;:&quot;born-jewish-converted-2&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;born-jewish2&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Non&quot;}]},{&quot;then_field&quot;:&quot;born-jewish-converted-m&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;converted-select-2&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Oui&quot;}]},{&quot;then_field&quot;:&quot;born-jewish-converted-by-m&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;converted-select-2&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Oui&quot;}]},{&quot;then_field&quot;:&quot;born-jewish-converted-papers-m&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;converted-select-2&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Oui&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false}}\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"vc_column-inner text-size\">   \n\t<div class=\"vc_row\">\n\t\t<div class=\"vc_col-md-6 space-col\">           \n\t\t\t<div class=\"row\">             \n\t\t\t\t<div class=\"vc_col-md-3 text-col\">                    \n\t\t\t\t\t<label>NOM:<\/label>                \n\t\t\t\t<\/div>               \n\t\t\t\t<div class=\"vc_col-md-9\">                    \n\t\t\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>                \n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"vc_col-md-6 space-col\">\n\t\t\t<div class=\"row\">\n\t\t\t\t<div class=\"vc_col-md-3 text-col\">\n\t\t\t\t\t<label>NOM : HEBRA\u00cfQUE:<\/label>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"vc_col-md-9\">\n\t\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"given-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"given-name\" \/><\/span>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"space-box\"><\/div>\n<div class=\"vc_row\">\n\t<div class=\"vc_col-md-12 space-col\">\n\t\t<div class=\"row\">\n\t\t\t<div class=\"vc_col-md-3 text-col\">\n\t\t\t\t<label>AUTRES NOMS CONNUS OU APPELES:<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"vc_col-md-9\"> \n\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"given-surname-maiden\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"given-surname-maiden\" \/><\/span>            \n\t\t<\/div>          \n\t<\/div>        \n<\/div>  \n<\/div>\n<\/div>\n<div class=\"space-box\"><\/div>\n<div class=\"sec-2\">    \n\t<label>NOM DE FAMILLE ET NOM DE JEUNE FILLE<\/label>   \n\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"other-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text box-form\" aria-invalid=\"false\" placeholder=\"(optionnel)\" value=\"\" type=\"text\" name=\"other-name\" \/><\/span>\n\t<\/div>\n\t<div class=\"vc_column-inner\">    \n\t\t<div class=\"vc_row\">        \n\t\t\t<div class=\"vc_col-md-6 space-col\">            \n\t\t\t\t<div class=\"row\">                \n\t\t\t\t\t<div class=\"vc_col-md-3 text-col\">                    \n\t\t\t\t\t\t<label>ADRESSE:<\/label>               \n\t\t\t\t\t<\/div>                \n\t\t\t\t\t<div class=\"vc_col-md-9\">                    \n\t\t\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"your-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-address\" \/><\/span>                \n\t\t\t\t\t<\/div>           \n\t\t\t\t<\/div>        \n\t\t\t<\/div>        \n\t\t\t<div class=\"vc_col-md-6 space-col\">            \n\t\t\t\t<div class=\"row\">                \n\t\t\t\t\t<div class=\"vc_col-md-3 text-col\">                    \n\t\t\t\t\t\t<label>VILLE:<\/label>                \n\t\t\t\t\t<\/div>                \n\t\t\t\t\t<div class=\"vc_col-md-9\">                    \n\t\t\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"your-city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-city\" \/><\/span>                \n\t\t\t\t\t<\/div>            \n\t\t\t\t<\/div>        \n\t\t\t<\/div>    \n\t\t<\/div>    \n\t\t<div class=\"space-box\"><\/div>    \n\t\t<div class=\"vc_row\">        \n\t\t\t<div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>PROVINCE\/ETAT:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"state-province\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state-province\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>PROVINCE\/ETAT:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"post-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"post-code\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>TELEPHONE:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"phone-num\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"phone-num\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\"> \n                   <label>CELLULAIRE:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"cell-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"cell-phone\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>COURRIEL:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"e-mail\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"e-mail\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6\">\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>PROFESSION:<\/label> \n               <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-occupation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-occupation\" \/><\/span>\n                <\/div>\n            <\/div> \n       <\/div> \n       <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row row-dates\">\n                <div class=\"vc_col-md-3 text-col text-title-dates\">\n                    <label>DATE DE NAISSANCE:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-3\">\n                    <p class=\"text-dates\">Ann\u00e9e<\/p>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"YDate\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" name=\"YDate\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"2026\">2026<\/option><option value=\"2025\">2025<\/option><option value=\"2024\">2024<\/option><option value=\"2023\">2023<\/option><option value=\"2022\">2022<\/option><option value=\"2021\">2021<\/option><option value=\"2020\">2020<\/option><option value=\"2019\">2019<\/option><option value=\"2018\">2018<\/option><option value=\"2017\">2017<\/option><option value=\"2016\">2016<\/option><option value=\"2015\">2015<\/option><option value=\"2014\">2014<\/option><option value=\"2013\">2013<\/option><option value=\"2012\">2012<\/option><option value=\"2011\">2011<\/option><option value=\"2010\">2010<\/option><option value=\"2009\">2009<\/option><option value=\"2008\">2008<\/option><option value=\"2007\">2007<\/option><option value=\"2006\">2006<\/option><option value=\"2005\">2005<\/option><option value=\"2004\">2004<\/option><option value=\"2003\">2003<\/option><option value=\"2002\">2002<\/option><option value=\"2001\">2001<\/option><option value=\"2000\">2000<\/option><option value=\"1999\">1999<\/option><option value=\"1998\">1998<\/option><option value=\"1997\">1997<\/option><option value=\"1996\">1996<\/option><option value=\"1995\">1995<\/option><option value=\"1994\">1994<\/option><option value=\"1993\">1993<\/option><option value=\"1992\">1992<\/option><option value=\"1991\">1991<\/option><option value=\"1990\">1990<\/option><option value=\"1989\">1989<\/option><option value=\"1988\">1988<\/option><option value=\"1987\">1987<\/option><option value=\"1986\">1986<\/option><option value=\"1985\">1985<\/option><option value=\"1984\">1984<\/option><option value=\"1983\">1983<\/option><option value=\"1982\">1982<\/option><option value=\"1981\">1981<\/option><option value=\"1980\">1980<\/option><option value=\"1979\">1979<\/option><option value=\"1978\">1978<\/option><option value=\"1977\">1977<\/option><option value=\"1976\">1976<\/option><option value=\"1975\">1975<\/option><option value=\"1974\">1974<\/option><option value=\"1973\">1973<\/option><option value=\"1972\">1972<\/option><option value=\"1971\">1971<\/option><option value=\"1970\">1970<\/option><option value=\"1969\">1969<\/option><option value=\"1968\">1968<\/option><option value=\"1967\">1967<\/option><option value=\"1966\">1966<\/option><option value=\"1965\">1965<\/option><option value=\"1964\">1964<\/option><option value=\"1963\">1963<\/option><option value=\"1962\">1962<\/option><option value=\"1961\">1961<\/option><option value=\"1960\">1960<\/option><option value=\"1959\">1959<\/option><option value=\"1958\">1958<\/option><option value=\"1957\">1957<\/option><option value=\"1956\">1956<\/option><option value=\"1955\">1955<\/option><option value=\"1954\">1954<\/option><option value=\"1953\">1953<\/option><option value=\"1952\">1952<\/option><option value=\"1951\">1951<\/option><option value=\"1950\">1950<\/option><option value=\"1949\">1949<\/option><option value=\"1948\">1948<\/option><option value=\"1947\">1947<\/option><option value=\"1946\">1946<\/option><option value=\"1945\">1945<\/option><option value=\"1944\">1944<\/option><option value=\"1943\">1943<\/option><option value=\"1942\">1942<\/option><option value=\"1941\">1941<\/option><option value=\"1940\">1940<\/option><option value=\"1939\">1939<\/option><option value=\"1938\">1938<\/option><option value=\"1937\">1937<\/option><option value=\"1936\">1936<\/option><option value=\"1935\">1935<\/option><option value=\"1934\">1934<\/option><option value=\"1933\">1933<\/option><option value=\"1932\">1932<\/option><option value=\"1931\">1931<\/option><option value=\"1930\">1930<\/option><option value=\"1929\">1929<\/option><option value=\"1928\">1928<\/option><option value=\"1927\">1927<\/option><option value=\"1926\">1926<\/option><option value=\"1925\">1925<\/option><option value=\"1924\">1924<\/option><option value=\"1923\">1923<\/option><option value=\"1922\">1922<\/option><option value=\"1921\">1921<\/option><option value=\"1920\">1920<\/option><\/select><\/span>\n                <\/div>\n                <div class=\"vc_col-md-3\">\n                    <p class=\"text-dates\">Mois<\/p>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"MDate\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" name=\"MDate\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Janvier\">Janvier<\/option><option value=\"F\u00e9vrier\">F\u00e9vrier<\/option><option value=\"Mars\">Mars<\/option><option value=\"Avril\">Avril<\/option><option value=\"Mai\">Mai<\/option><option value=\"Juin\">Juin<\/option><option value=\"Juillet\">Juillet<\/option><option value=\"Ao\u00fbt\">Ao\u00fbt<\/option><option value=\"Septembre\">Septembre<\/option><option value=\"Octobre\">Octobre<\/option><option value=\"Novembre\">Novembre<\/option><option value=\"D\u00e9cembre\">D\u00e9cembre<\/option><\/select><\/span>\n                <\/div>\n                <div class=\"vc_col-md-3\">\n                    <p class=\"text-dates\">Jour<\/p>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"DDate\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" name=\"DDate\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><option value=\"13\">13<\/option><option value=\"14\">14<\/option><option value=\"15\">15<\/option><option value=\"16\">16<\/option><option value=\"17\">17<\/option><option value=\"18\">18<\/option><option value=\"19\">19<\/option><option value=\"20\">20<\/option><option value=\"21\">21<\/option><option value=\"22\">22<\/option><option value=\"23\">23<\/option><option value=\"24\">24<\/option><option value=\"25\">25<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><\/select><\/span>\n                <\/div> \n           <\/div> \n       <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\"> \n       <div class=\"vc_col-md-6 space-col\"> \n           <div class=\"row\"> \n               <div class=\"vc_col-md-3 text-col2\">\n                    <label>NE(E) JUIF(VE):<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"born-jewish\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" name=\"born-jewish\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n<div data-id=\"born-jewish-converted\" data-orig_data_id=\"born-jewish-converted\"  class=\"\" data-class=\"wpcf7cf_group\">\n<div class=\"vc_col-md-6 space-col\">            \n\t<div class=\"row\">                \n\t\t<div class=\"vc_col-md-3 text-col\">                    \n\t\t\t<label>CONVERTI(E):<\/label>                \n\t\t<\/div>                \n\t\t<div class=\"vc_col-md-9\">\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"converted-select\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" name=\"converted-select\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span>                                 \n\t       <\/div>            \n        <\/div>        \n<\/div>\n<\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n<div data-id=\"if-converted-group\" data-orig_data_id=\"if-converted-group\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t<div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>CONVERTI(E) LE:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"converted\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"converted\" \/><\/span>  \n                <\/div>\n            <\/div>\n        <\/div>\n<\/div>\n<div data-id=\"born-jewish-converted-by\" data-orig_data_id=\"born-jewish-converted-by\"  class=\"\" data-class=\"wpcf7cf_group\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\"> \n               <div class=\"vc_col-md-3 text-col2\"> \n                   <label>PAR:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"by\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"by\" \/><\/span> \n               <\/div>\n            <\/div> \n       <\/div>\n<\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n<div data-id=\"born-jewish-converted-papers\" data-orig_data_id=\"born-jewish-converted-papers\"  class=\"\" data-class=\"wpcf7cf_group\">\n<div class=\"vc_col-md-6 space-col\">\n          <div class=\"row\">                \n\t             <div class=\"vc_col-md-3 text-col2\">                    \n\t\t\t\t<label>Veuillez t\u00e9l\u00e9charger vos papiers de conversion juive\u00a0:<\/label>                \n\t\t      <\/div>                \n\t\t      <div class=\"vc_col-md-9\">                    \n                        <span class=\"wpcf7-form-control-wrap\" data-name=\"conversion-papers\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required box-form\" accept=\".jpg,.jpeg,.png,.pdf,.docx\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"conversion-papers\" \/><\/span>                \n\t\t      <\/div>            \n\t        <\/div>        \n           <\/div>    \n<\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>NOMS HEBRA\u00cfQUE DU PERE:<\/label>\n                <\/div>\n               <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"father-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"father-name\" \/><\/span> \n               <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6\"> \n       <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>KOHEN:<\/label>\n                <\/div> \n              <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"kohen\"><select class=\"wpcf7-form-control wpcf7-select box-form\" aria-invalid=\"false\" name=\"kohen\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"OUI\">OUI<\/option><option value=\"NON\">NON<\/option><\/select><\/span> \n               <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>LEVI:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"levi\"><select class=\"wpcf7-form-control wpcf7-select box-form\" aria-invalid=\"false\" name=\"levi\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"OUI\">OUI<\/option><option value=\"NON\">NON<\/option><\/select><\/span>\n                <\/div> \n           <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\"> \n               <div class=\"vc_col-md-3 text-col\"> \n                   <label>ISRAELITE:<\/label>  \n              <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"israelite\"><select class=\"wpcf7-form-control wpcf7-select box-form\" aria-invalid=\"false\" name=\"israelite\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"OUI\">OUI<\/option><option value=\"NON\">NON<\/option><\/select><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6\">\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3\">\n                    <label>LIEU DE NAISSANCE DU PERE:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"father-birth\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"father-birth\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6\">\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>NOM DE LA MERE:<\/label> \n               <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"mother-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mother-name\" \/><\/span> \n               <\/div>\n            <\/div> \n       <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>NOM DE JEUNE FILLE:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"maide-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"maide-name\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3\">\n                    <label>NOM DE FAMILLE A LA NAISSANCE:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"mother-birth\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mother-birth\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6\">\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>NEE JUIVE:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"born-jewish2\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" name=\"born-jewish2\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n<div data-id=\"born-jewish-converted-2\" data-orig_data_id=\"born-jewish-converted-2\"  class=\"\" data-class=\"wpcf7cf_group\">\n      <div class=\"vc_col-md-6 space-col\">            \n\t<div class=\"row\">                \n\t\t<div class=\"vc_col-md-3 text-col\">                    \n\t\t\t<label>CONVERTIE:<\/label>                \n\t\t<\/div>                \n\t\t<div class=\"vc_col-md-9\">\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"converted-select-2\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" name=\"converted-select-2\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span>                                 \n\t       <\/div>            \n        <\/div>        \n     <\/div>\n<\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n<div data-id=\"born-jewish-converted-m\" data-orig_data_id=\"born-jewish-converted-m\"  class=\"\" data-class=\"wpcf7cf_group\"> \n            <div class=\"row\">                \n\t\t<div class=\"vc_col-md-3 text-col\">                    \n\t\t\t<label>CONVERTIE LE:<\/label>                \n\t\t<\/div>                \n\t\t<div class=\"vc_col-md-9\">                    \n\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"converted2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"converted2\" \/><\/span>                \n\t<\/div>            \n<\/div>\n<\/div> \n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n<div data-id=\"born-jewish-converted-by-m\" data-orig_data_id=\"born-jewish-converted-by-m\"  class=\"\" data-class=\"wpcf7cf_group\"> \n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>PAR:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"by2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"by2\" \/><\/span>\n                <\/div>\n            <\/div>\n<\/div> \n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n          <div class=\"vc_col-md-6\">\n<div data-id=\"born-jewish-converted-papers-m\" data-orig_data_id=\"born-jewish-converted-papers-m\"  class=\"\" data-class=\"wpcf7cf_group\">\n          <div class=\"row\">                \n\t             <div class=\"vc_col-md-3 text-col2\">                    \n\t\t\t\t<label>Veuillez t\u00e9l\u00e9charger vos papiers de conversion juive :<\/label>                \n\t\t      <\/div>                \n\t\t      <div class=\"vc_col-md-9\">                    \n                        <span class=\"wpcf7-form-control-wrap\" data-name=\"conversion-papers-m\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required box-form\" accept=\".jpg,.jpeg,.png,.pdf,.docx\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"conversion-papers-m\" \/><\/span>                \n\t\t      <\/div>            \n\t        <\/div> \n<\/div> \n          <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\"> \n               <div class=\"vc_col-md-3\"> \n                   <label>CI-DESSUS SONT MES PARENTS NATURELS:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"natural-parents\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text box-form\" aria-invalid=\"false\" placeholder=\"(optionnel)\" value=\"\" type=\"text\" name=\"natural-parents\" \/><\/span>\n                <\/div>\n            <\/div> \n       <\/div> \n       <div class=\"vc_col-md-6 space-col\"> \n           <div class=\"row\"> \n               <div class=\"vc_col-md-3 text-col-new\"> \n                   <label>PARENTS ADOPTIFS:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                   <span class=\"wpcf7-form-control-wrap\" data-name=\"adoptive\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text box-form\" aria-invalid=\"false\" placeholder=\"(optionnel)\" value=\"\" type=\"text\" name=\"adoptive\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div> \n   <div class=\"space-box\"><\/div>\n<div class=\"vc_row\">\n\t<div class=\"vc_col-md-6 space-col\">\n\t\t<div class=\"row\">\n\t\t\t<div class=\"vc_col-md-3\">  \n\t\t\t\t<label>NOM DU CONJOINT DU DEMANDEUR<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"vc_col-md-9\">  \n\t\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"namespouse\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"namespouse\" \/><\/span>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-title-dates1\"> \n                   <label>DATE DE MARIAGE:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-3\">\n                    <p class=\"text-dates\">Year<\/p>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"YDate1\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" name=\"YDate1\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"2026\">2026<\/option><option value=\"2025\">2025<\/option><option value=\"2024\">2024<\/option><option value=\"2023\">2023<\/option><option value=\"2022\">2022<\/option><option value=\"2021\">2021<\/option><option value=\"2020\">2020<\/option><option value=\"2019\">2019<\/option><option value=\"2018\">2018<\/option><option value=\"2017\">2017<\/option><option value=\"2016\">2016<\/option><option value=\"2015\">2015<\/option><option value=\"2014\">2014<\/option><option value=\"2013\">2013<\/option><option value=\"2012\">2012<\/option><option value=\"2011\">2011<\/option><option value=\"2010\">2010<\/option><option value=\"2009\">2009<\/option><option value=\"2008\">2008<\/option><option value=\"2007\">2007<\/option><option value=\"2006\">2006<\/option><option value=\"2005\">2005<\/option><option value=\"2004\">2004<\/option><option value=\"2003\">2003<\/option><option value=\"2002\">2002<\/option><option value=\"2001\">2001<\/option><option value=\"2000\">2000<\/option><option value=\"1999\">1999<\/option><option value=\"1998\">1998<\/option><option value=\"1997\">1997<\/option><option value=\"1996\">1996<\/option><option value=\"1995\">1995<\/option><option value=\"1994\">1994<\/option><option value=\"1993\">1993<\/option><option value=\"1992\">1992<\/option><option value=\"1991\">1991<\/option><option value=\"1990\">1990<\/option><option value=\"1989\">1989<\/option><option value=\"1988\">1988<\/option><option value=\"1987\">1987<\/option><option value=\"1986\">1986<\/option><option value=\"1985\">1985<\/option><option value=\"1984\">1984<\/option><option value=\"1983\">1983<\/option><option value=\"1982\">1982<\/option><option value=\"1981\">1981<\/option><option value=\"1980\">1980<\/option><option value=\"1979\">1979<\/option><option value=\"1978\">1978<\/option><option value=\"1977\">1977<\/option><option value=\"1976\">1976<\/option><option value=\"1975\">1975<\/option><option value=\"1974\">1974<\/option><option value=\"1973\">1973<\/option><option value=\"1972\">1972<\/option><option value=\"1971\">1971<\/option><option value=\"1970\">1970<\/option><option value=\"1969\">1969<\/option><option value=\"1968\">1968<\/option><option value=\"1967\">1967<\/option><option value=\"1966\">1966<\/option><option value=\"1965\">1965<\/option><option value=\"1964\">1964<\/option><option value=\"1963\">1963<\/option><option value=\"1962\">1962<\/option><option value=\"1961\">1961<\/option><option value=\"1960\">1960<\/option><option value=\"1959\">1959<\/option><option value=\"1958\">1958<\/option><option value=\"1957\">1957<\/option><option value=\"1956\">1956<\/option><option value=\"1955\">1955<\/option><option value=\"1954\">1954<\/option><option value=\"1953\">1953<\/option><option value=\"1952\">1952<\/option><option value=\"1951\">1951<\/option><option value=\"1950\">1950<\/option><option value=\"1949\">1949<\/option><option value=\"1948\">1948<\/option><option value=\"1947\">1947<\/option><option value=\"1946\">1946<\/option><option value=\"1945\">1945<\/option><option value=\"1944\">1944<\/option><option value=\"1943\">1943<\/option><option value=\"1942\">1942<\/option><option value=\"1941\">1941<\/option><option value=\"1940\">1940<\/option><option value=\"1939\">1939<\/option><option value=\"1938\">1938<\/option><option value=\"1937\">1937<\/option><option value=\"1936\">1936<\/option><option value=\"1935\">1935<\/option><option value=\"1934\">1934<\/option><option value=\"1933\">1933<\/option><option value=\"1932\">1932<\/option><option value=\"1931\">1931<\/option><option value=\"1930\">1930<\/option><option value=\"1929\">1929<\/option><option value=\"1928\">1928<\/option><option value=\"1927\">1927<\/option><option value=\"1926\">1926<\/option><option value=\"1925\">1925<\/option><option value=\"1924\">1924<\/option><option value=\"1923\">1923<\/option><option value=\"1922\">1922<\/option><option value=\"1921\">1921<\/option><option value=\"1920\">1920<\/option><\/select><\/span>\n                <\/div>\n                <div class=\"vc_col-md-3\">\n                    <p class=\"text-dates\">Month<\/p>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"MDate1\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" name=\"MDate1\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"January\">January<\/option><option value=\"February\">February<\/option><option value=\"March\">March<\/option><option value=\"April\">April<\/option><option value=\"May\">May<\/option><option value=\"June\">June<\/option><option value=\"July\">July<\/option><option value=\"August\">August<\/option><option value=\"September\">September<\/option><option value=\"October\">October<\/option><option value=\"November\">November<\/option><option value=\"December\">December<\/option><\/select><\/span>\n                <\/div>\n                <div class=\"vc_col-md-3\">\n                    <p class=\"text-dates\">Day<\/p>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"DDate1\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" name=\"DDate1\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><option value=\"13\">13<\/option><option value=\"14\">14<\/option><option value=\"15\">15<\/option><option value=\"16\">16<\/option><option value=\"17\">17<\/option><option value=\"18\">18<\/option><option value=\"19\">19<\/option><option value=\"20\">20<\/option><option value=\"21\">21<\/option><option value=\"22\">22<\/option><option value=\"23\">23<\/option><option value=\"24\">24<\/option><option value=\"25\">25<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><\/select><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row row-marri\">\n                <div class=\"vc_col-md-3 text-col-new\">\n                    <label>MARIE PAR LE RABBIN:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"married-rabbi\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"married-rabbi\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n<div class=\"vc_row\">\n     <div class=\"vc_col-md-6 space-col\">\n         <div class=\"row\">\n           <div class=\"vc_col-md-3 text-title-dates1\">\n               <label>Nombre d'enfants issus de ce mariage :<\/label>  \n           <\/div>\n           <div class=\"vc_col-md-9\">\n              <span class=\"wpcf7-form-control-wrap\" data-name=\"nchildren-marriage\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number box-form\" min=\"0\" max=\"25\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"nchildren-marriage\" \/><\/span>\n           <\/div> \n         <\/div>\n     <\/div>\n     <div class=\"vc_col-md-6 \"space-col>\n     <div data-id=\"if-nchildren\" data-orig_data_id=\"if-nchildren\"  class=\"\" data-class=\"wpcf7cf_group\">\n          <div class=\"row\">\n             <div class=\"vc_col-md-3 text-title-dates1\">\n               <label>\u00c2ge du plus jeune enfant issu de ce mariage :<\/label>  \n            <\/div>\n            <div class=\"vc_col-md-9\">\n              <span class=\"wpcf7-form-control-wrap\" data-name=\"age-youngest-child\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"age-youngest-child\" \/><\/span>\n           <\/div> \n         <\/div>\n      <\/div>\n     <\/div>\n<\/div>\n<div class=\"space-box\"><\/div>\n<div class=\"vc_row\">\n   <div class=\"vc_col-md-6 space-col\">\n      <div class=\"row\">\n         <div class=\"vc_col-md-3\">\n            <label>Depuis combien de temps environ \u00eates-vous s\u00e9par\u00e9s ?<\/label>\n         <\/div>\n         <div class=\"vc_col-md-9\">\n             <span class=\"wpcf7-form-control-wrap\" data-name=\"aprox-separation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"aprox-separation\" \/><\/span>\n             <p>(Si vous vivez toujours dans la m\u00eame r\u00e9sidence, veuillez indiquer que vous vivez toujours ensemble. Veuillez noter qu'un Get ne peut \u00eatre organis\u00e9 si le couple vit toujours sous le m\u00eame toit.)<\/p>\n         <\/div>\n      <\/div>\n   <\/div>\n<\/div>\n<div class=\"space-box\"><\/div>\n<div class=\"vc_row\">\n    <div class=\"vc_col-md-6 space-col\">\n       <div class=\"row\">\n           <div class=\"vc_col-md-3\">\n              <label>\u00c9tat civil du divorce<\/label>\n           <\/div>\n           <div class=\"vc_col-md-9\">\n               <span class=\"wpcf7-form-control-wrap\" data-name=\"civil-divorce-status\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"civil-divorce-status\" \/><\/span>\n           <\/div>\n       <\/div>\n    <\/div>\n  <div class=\"vc_col-md-6 space-col\">\n     <div data-id=\"if-civildivorce\" data-orig_data_id=\"if-civildivorce\"  class=\"\" data-class=\"wpcf7cf_group\">\n     <div class=\"row\">\n         <div class=\"vc_col-md-3 text-title-dates1\">                    \n\t     <label>DATE DU DIVORCE CIVIL :<\/label>                \n\t<\/div>\n        <div class=\"vc_col-md-3\">                    \n\t\t\t\t<p class=\"text-dates\">Year<\/p>                    \n\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"YDate-div\"><select class=\"wpcf7-form-control wpcf7-select box-form\" aria-invalid=\"false\" name=\"YDate-div\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"2026\">2026<\/option><option value=\"2025\">2025<\/option><option value=\"2024\">2024<\/option><option value=\"2023\">2023<\/option><option value=\"2022\">2022<\/option><option value=\"2021\">2021<\/option><option value=\"2020\">2020<\/option><option value=\"2019\">2019<\/option><option value=\"2018\">2018<\/option><option value=\"2017\">2017<\/option><option value=\"2016\">2016<\/option><option value=\"2015\">2015<\/option><option value=\"2014\">2014<\/option><option value=\"2013\">2013<\/option><option value=\"2012\">2012<\/option><option value=\"2011\">2011<\/option><option value=\"2010\">2010<\/option><option value=\"2009\">2009<\/option><option value=\"2008\">2008<\/option><option value=\"2007\">2007<\/option><option value=\"2006\">2006<\/option><option value=\"2005\">2005<\/option><option value=\"2004\">2004<\/option><option value=\"2003\">2003<\/option><option value=\"2002\">2002<\/option><option value=\"2001\">2001<\/option><option value=\"2000\">2000<\/option><option value=\"1999\">1999<\/option><option value=\"1998\">1998<\/option><option value=\"1997\">1997<\/option><option value=\"1996\">1996<\/option><option value=\"1995\">1995<\/option><option value=\"1994\">1994<\/option><option value=\"1993\">1993<\/option><option value=\"1992\">1992<\/option><option value=\"1991\">1991<\/option><option value=\"1990\">1990<\/option><option value=\"1989\">1989<\/option><option value=\"1988\">1988<\/option><option value=\"1987\">1987<\/option><option value=\"1986\">1986<\/option><option value=\"1985\">1985<\/option><option value=\"1984\">1984<\/option><option value=\"1983\">1983<\/option><option value=\"1982\">1982<\/option><option value=\"1981\">1981<\/option><option value=\"1980\">1980<\/option><option value=\"1979\">1979<\/option><option value=\"1978\">1978<\/option><option value=\"1977\">1977<\/option><option value=\"1976\">1976<\/option><option value=\"1975\">1975<\/option><option value=\"1974\">1974<\/option><option value=\"1973\">1973<\/option><option value=\"1972\">1972<\/option><option value=\"1971\">1971<\/option><option value=\"1970\">1970<\/option><option value=\"1969\">1969<\/option><option value=\"1968\">1968<\/option><option value=\"1967\">1967<\/option><option value=\"1966\">1966<\/option><option value=\"1965\">1965<\/option><option value=\"1964\">1964<\/option><option value=\"1963\">1963<\/option><option value=\"1962\">1962<\/option><option value=\"1961\">1961<\/option><option value=\"1960\">1960<\/option><option value=\"1959\">1959<\/option><option value=\"1958\">1958<\/option><option value=\"1957\">1957<\/option><option value=\"1956\">1956<\/option><option value=\"1955\">1955<\/option><option value=\"1954\">1954<\/option><option value=\"1953\">1953<\/option><option value=\"1952\">1952<\/option><option value=\"1951\">1951<\/option><option value=\"1950\">1950<\/option><option value=\"1949\">1949<\/option><option value=\"1948\">1948<\/option><option value=\"1947\">1947<\/option><option value=\"1946\">1946<\/option><option value=\"1945\">1945<\/option><option value=\"1944\">1944<\/option><option value=\"1943\">1943<\/option><option value=\"1942\">1942<\/option><option value=\"1941\">1941<\/option><option value=\"1940\">1940<\/option><option value=\"1939\">1939<\/option><option value=\"1938\">1938<\/option><option value=\"1937\">1937<\/option><option value=\"1936\">1936<\/option><option value=\"1935\">1935<\/option><option value=\"1934\">1934<\/option><option value=\"1933\">1933<\/option><option value=\"1932\">1932<\/option><option value=\"1931\">1931<\/option><option value=\"1930\">1930<\/option><option value=\"1929\">1929<\/option><option value=\"1928\">1928<\/option><option value=\"1927\">1927<\/option><option value=\"1926\">1926<\/option><option value=\"1925\">1925<\/option><option value=\"1924\">1924<\/option><option value=\"1923\">1923<\/option><option value=\"1922\">1922<\/option><option value=\"1921\">1921<\/option><option value=\"1920\">1920<\/option><\/select><\/span>                \n\t\t<\/div>                \n\t\t<div class=\"vc_col-md-3\">                    \n\t\t\t<p class=\"text-dates\">Month<\/p>                    \n\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"MDate-div\"><select class=\"wpcf7-form-control wpcf7-select box-form\" aria-invalid=\"false\" name=\"MDate-div\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Janvier\">Janvier<\/option><option value=\"F\u00e9vrier\">F\u00e9vrier<\/option><option value=\"Mars\">Mars<\/option><option value=\"Avril\">Avril<\/option><option value=\"Mai\">Mai<\/option><option value=\"Juin\">Juin<\/option><option value=\"Juillet\">Juillet<\/option><option value=\"Ao\u00fbt\">Ao\u00fbt<\/option><option value=\"Septembre\">Septembre<\/option><option value=\"Octobre\">Octobre<\/option><option value=\"Novembre\">Novembre<\/option><option value=\"D\u00e9cembre\">D\u00e9cembre<\/option><\/select><\/span>                \n\t<\/div>                \n\t<div class=\"vc_col-md-3\">                    \n\t\t<p class=\"text-dates\">Day<\/p>                    \n\t<span class=\"wpcf7-form-control-wrap\" data-name=\"DDate-div\"><select class=\"wpcf7-form-control wpcf7-select box-form\" aria-invalid=\"false\" name=\"DDate-div\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><option value=\"13\">13<\/option><option value=\"14\">14<\/option><option value=\"15\">15<\/option><option value=\"16\">16<\/option><option value=\"17\">17<\/option><option value=\"18\">18<\/option><option value=\"19\">19<\/option><option value=\"20\">20<\/option><option value=\"21\">21<\/option><option value=\"22\">22<\/option><option value=\"23\">23<\/option><option value=\"24\">24<\/option><option value=\"25\">25<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><\/select><\/span>                \n<\/div>             \n     <\/div>\n     <\/div>\n  <\/div>\n<\/div>    \n<div class=\"space-box\"><\/div>  \n<div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3\">\n                    <label>DIVORCE(S) PRECEDENT:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"previous-divorce\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"previous-divorce\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row row-dates\">\n                <div class=\"vc_col-md-3 text-col text-title-dates\">\n                    <label>DELIVRE LE:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-3\"> \n                   <p class=\"text-dates\">Ann\u00e9e<\/p>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"YDate2\"><select class=\"wpcf7-form-control wpcf7-select box-form\" aria-invalid=\"false\" name=\"YDate2\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"2026\">2026<\/option><option value=\"2025\">2025<\/option><option value=\"2024\">2024<\/option><option value=\"2023\">2023<\/option><option value=\"2022\">2022<\/option><option value=\"2021\">2021<\/option><option value=\"2020\">2020<\/option><option value=\"2019\">2019<\/option><option value=\"2018\">2018<\/option><option value=\"2017\">2017<\/option><option value=\"2016\">2016<\/option><option value=\"2015\">2015<\/option><option value=\"2014\">2014<\/option><option value=\"2013\">2013<\/option><option value=\"2012\">2012<\/option><option value=\"2011\">2011<\/option><option value=\"2010\">2010<\/option><option value=\"2009\">2009<\/option><option value=\"2008\">2008<\/option><option value=\"2007\">2007<\/option><option value=\"2006\">2006<\/option><option value=\"2005\">2005<\/option><option value=\"2004\">2004<\/option><option value=\"2003\">2003<\/option><option value=\"2002\">2002<\/option><option value=\"2001\">2001<\/option><option value=\"2000\">2000<\/option><option value=\"1999\">1999<\/option><option value=\"1998\">1998<\/option><option value=\"1997\">1997<\/option><option value=\"1996\">1996<\/option><option value=\"1995\">1995<\/option><option value=\"1994\">1994<\/option><option value=\"1993\">1993<\/option><option value=\"1992\">1992<\/option><option value=\"1991\">1991<\/option><option value=\"1990\">1990<\/option><option value=\"1989\">1989<\/option><option value=\"1988\">1988<\/option><option value=\"1987\">1987<\/option><option value=\"1986\">1986<\/option><option value=\"1985\">1985<\/option><option value=\"1984\">1984<\/option><option value=\"1983\">1983<\/option><option value=\"1982\">1982<\/option><option value=\"1981\">1981<\/option><option value=\"1980\">1980<\/option><option value=\"1979\">1979<\/option><option value=\"1978\">1978<\/option><option value=\"1977\">1977<\/option><option value=\"1976\">1976<\/option><option value=\"1975\">1975<\/option><option value=\"1974\">1974<\/option><option value=\"1973\">1973<\/option><option value=\"1972\">1972<\/option><option value=\"1971\">1971<\/option><option value=\"1970\">1970<\/option><option value=\"1969\">1969<\/option><option value=\"1968\">1968<\/option><option value=\"1967\">1967<\/option><option value=\"1966\">1966<\/option><option value=\"1965\">1965<\/option><option value=\"1964\">1964<\/option><option value=\"1963\">1963<\/option><option value=\"1962\">1962<\/option><option value=\"1961\">1961<\/option><option value=\"1960\">1960<\/option><option value=\"1959\">1959<\/option><option value=\"1958\">1958<\/option><option value=\"1957\">1957<\/option><option value=\"1956\">1956<\/option><option value=\"1955\">1955<\/option><option value=\"1954\">1954<\/option><option value=\"1953\">1953<\/option><option value=\"1952\">1952<\/option><option value=\"1951\">1951<\/option><option value=\"1950\">1950<\/option><option value=\"1949\">1949<\/option><option value=\"1948\">1948<\/option><option value=\"1947\">1947<\/option><option value=\"1946\">1946<\/option><option value=\"1945\">1945<\/option><option value=\"1944\">1944<\/option><option value=\"1943\">1943<\/option><option value=\"1942\">1942<\/option><option value=\"1941\">1941<\/option><option value=\"1940\">1940<\/option><option value=\"1939\">1939<\/option><option value=\"1938\">1938<\/option><option value=\"1937\">1937<\/option><option value=\"1936\">1936<\/option><option value=\"1935\">1935<\/option><option value=\"1934\">1934<\/option><option value=\"1933\">1933<\/option><option value=\"1932\">1932<\/option><option value=\"1931\">1931<\/option><option value=\"1930\">1930<\/option><option value=\"1929\">1929<\/option><option value=\"1928\">1928<\/option><option value=\"1927\">1927<\/option><option value=\"1926\">1926<\/option><option value=\"1925\">1925<\/option><option value=\"1924\">1924<\/option><option value=\"1923\">1923<\/option><option value=\"1922\">1922<\/option><option value=\"1921\">1921<\/option><option value=\"1920\">1920<\/option><\/select><\/span>\n                <\/div>\n                <div class=\"vc_col-md-3\">\n                    <p class=\"text-dates\">Mois<\/p>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"MDate2\"><select class=\"wpcf7-form-control wpcf7-select box-form\" aria-invalid=\"false\" name=\"MDate2\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Janvier\">Janvier<\/option><option value=\"F\u00e9vrier\">F\u00e9vrier<\/option><option value=\"Mars\">Mars<\/option><option value=\"Avril\">Avril<\/option><option value=\"Mai\">Mai<\/option><option value=\"Juin\">Juin<\/option><option value=\"Juillet\">Juillet<\/option><option value=\"Ao\u00fbt\">Ao\u00fbt<\/option><option value=\"Septembre\">Septembre<\/option><option value=\"Octobre\">Octobre<\/option><option value=\"Novembre\">Novembre<\/option><option value=\"D\u00e9cembre\">D\u00e9cembre<\/option><\/select><\/span>\n                <\/div>\n                <div class=\"vc_col-md-3\">\n                    <p class=\"text-dates\">Jour<\/p>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"DDate2\"><select class=\"wpcf7-form-control wpcf7-select box-form\" aria-invalid=\"false\" name=\"DDate2\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><option value=\"13\">13<\/option><option value=\"14\">14<\/option><option value=\"15\">15<\/option><option value=\"16\">16<\/option><option value=\"17\">17<\/option><option value=\"18\">18<\/option><option value=\"19\">19<\/option><option value=\"20\">20<\/option><option value=\"21\">21<\/option><option value=\"22\">22<\/option><option value=\"23\">23<\/option><option value=\"24\">24<\/option><option value=\"25\">25<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><\/select><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>PAR:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"by3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text box-form\" aria-invalid=\"false\" placeholder=\"(optionnel)\" value=\"\" type=\"text\" name=\"by3\" \/><\/span>\n                <\/div>\n           <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n        <\/div>\n    <\/div><\/div><div class=\"sec-3\">\n    <label class=\"title-above\">LES INFORMATIONS CI-DESSUS SONT EXACTES AU MEILLEUR DE MA CONNAISSANCE<\/label><\/div><div class=\"vc_column-inner\">\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col text-title-dates\">\n                    <label>DATE:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-3\">\n                    <p class=\"text-dates\">Ann\u00e9e<\/p>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"YDate3\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" name=\"YDate3\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"2026\">2026<\/option><option value=\"2025\">2025<\/option><option value=\"2024\">2024<\/option><option value=\"2023\">2023<\/option><\/select><\/span>\n                <\/div>\n                <div class=\"vc_col-md-3\">\n                    <p class=\"text-dates\">Mois<\/p>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"MDate3\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" name=\"MDate3\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Janvier\">Janvier<\/option><option value=\"F\u00e9vrier\">F\u00e9vrier<\/option><option value=\"Mars\">Mars<\/option><option value=\"Avril\">Avril<\/option><option value=\"Mai\">Mai<\/option><option value=\"Juin\">Juin<\/option><option value=\"Juillet\">Juillet<\/option><option value=\"Ao\u00fbt\">Ao\u00fbt<\/option><option value=\"Septembre\">Septembre<\/option><option value=\"Octobre\">Octobre<\/option><option value=\"Novembre\">Novembre<\/option><option value=\"D\u00e9cembre\">D\u00e9cembre<\/option><\/select><\/span>\n                <\/div>\n                <div class=\"vc_col-md-3\">\n                    <p class=\"text-dates\">Jour<\/p>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"DDate3\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" name=\"DDate3\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><option value=\"13\">13<\/option><option value=\"14\">14<\/option><option value=\"15\">15<\/option><option value=\"16\">16<\/option><option value=\"17\">17<\/option><option value=\"18\">18<\/option><option value=\"19\">19<\/option><option value=\"20\">20<\/option><option value=\"21\">21<\/option><option value=\"22\">22<\/option><option value=\"23\">23<\/option><option value=\"24\">24<\/option><option value=\"25\">25<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><\/select><\/span>\n                <\/div>\n            <\/div>\n         <\/div>\n         <div class=\"vc_col-md-6 space-col\">\n    <div class=\"vc_col-md-3\">\n       <label>Qui paiera pour le get :<\/label>  \n    <\/div>\n    <div class=\"vc_col-md-9\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"paying-divorce\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"paying-divorce\" \/><\/span>\n    <\/div>  \n<\/div>\n<\/div>\n<\/div>\n<div>\n<div class=\"vc_row\">\n     <p class=\"new-text1\">Veuillez t\u00e9l\u00e9charger une photo du candidat <br> <span class=\"wpcf7-form-control-wrap\" data-name=\"photo-applicant\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required box-form\" accept=\".jpg,.jpeg,.png\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"photo-applicant\" \/><\/span><\/p>\n     <p class=\"new-text1\"><b>LA KETUBA ET UNE PI\u00c8CE D'IDENTIT\u00c9 AVEC PHOTO DOIVENT 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