app.novagouv.fr
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95.128.47.132
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Submitted URL: https://app.novagouv.fr/s/zZuRuryFltGe3MyF1bQ-
Effective URL: https://app.novagouv.fr/form_dev/87d580995118375464f54ec52c67fe83/
Submission: On February 17 via api from BE — Scanned from FR
Effective URL: https://app.novagouv.fr/form_dev/87d580995118375464f54ec52c67fe83/
Submission: On February 17 via api from BE — Scanned from FR
Form analysis 2 forms found in the DOM
<form role="form" class="ng-pristine ng-valid">
<div id="SondageMakerId"><page-maker id="d1" dataform="dataForm" super-mode="public" pagesequence="aPage.content" label="" commentaire="" class="ng-scope ng-isolate-scope">
<div class="masthead">
<!-- ngIf: label!='' -->
</div>
<!-- ngIf: commentaire!='' -->
<div id="PageId" on-keyup-fn="fooInit()" ng-click="fooInit()">
<div class="ng-scope">
<div style="float:right;width:60px;" ng-show="gestionAjoutSuppressionChamp" class="ng-hide">
<!--<a class="pull-left" href="">-->
<!--<img icone-animate class="img-rounded" src="img/profil/poubelle.png"-->
<!--style="width:20px;height:20px;margin-right:10px"></img>-->
<!--</a>-->
<!--<a class="pull-left" href="">-->
<!--<img class="img-rounded" src="img/profil/ajouter.png"-->
<!--style="width:20px;height:20px;margin-right:10px"></img>-->
<!--</a>-->
<span class="label label-info ng-binding">11</span> <select-add-multiple liste="liste_brique.brique1" listev="liste_view" supprime-champ="supprimeChampValue(val)" class="ng-isolate-scope">
<div class="dropdown" style="display: inline">
<a class="dropdown-toggle" data-toggle="dropdown"><img icone-animate="" class="img-rounded" src="assets/profil/ajouter.png" style="width: 20px; height: 20px; margin-right: 10px; opacity: 0.9;"></a>
<ul class="dropdown-menu" role="menu" aria-labelledby="dLabel"> <!-- ngRepeat: sel in liste -->
<li ng-repeat="sel in liste" ng-class="{active:value==sel.data}" class="ng-scope">
<a tabindex="-1" href="" ng-click="setVal(sel.data)" ng-class="{prompt:!sel.visible}"><div class="checkbox inline ng-binding"><input type="checkbox" ng-model="sel.visible" class="ng-pristine ng-valid"> </div></a></li>
<!-- end ngRepeat: sel in liste -->
<li ng-repeat="sel in liste" ng-class="{active:value==sel.data}" class="ng-scope">
<a tabindex="-1" href="" ng-click="setVal(sel.data)" ng-class="{prompt:!sel.visible}"><div class="checkbox inline ng-binding"><input type="checkbox" ng-model="sel.visible" class="ng-pristine ng-valid">Civilité</div></a></li>
<!-- end ngRepeat: sel in liste -->
<li ng-repeat="sel in liste" ng-class="{active:value==sel.data}" class="ng-scope">
<a tabindex="-1" href="" ng-click="setVal(sel.data)" ng-class="{prompt:!sel.visible}"><div class="checkbox inline ng-binding"><input type="checkbox" ng-model="sel.visible" class="ng-pristine ng-valid">Nom</div></a></li>
<!-- end ngRepeat: sel in liste -->
<li ng-repeat="sel in liste" ng-class="{active:value==sel.data}" class="ng-scope">
<a tabindex="-1" href="" ng-click="setVal(sel.data)" ng-class="{prompt:!sel.visible}"><div class="checkbox inline ng-binding"><input type="checkbox" ng-model="sel.visible" class="ng-pristine ng-valid">Prénom</div></a></li>
<!-- end ngRepeat: sel in liste -->
<li ng-repeat="sel in liste" ng-class="{active:value==sel.data}" class="ng-scope">
<a tabindex="-1" href="" ng-click="setVal(sel.data)" ng-class="{prompt:!sel.visible}"><div class="checkbox inline ng-binding"><input type="checkbox" ng-model="sel.visible" class="ng-pristine ng-valid">Date de naissance</div></a>
</li><!-- end ngRepeat: sel in liste -->
<li ng-repeat="sel in liste" ng-class="{active:value==sel.data}" class="ng-scope">
<a tabindex="-1" href="" ng-click="setVal(sel.data)" ng-class="{prompt:!sel.visible}"><div class="checkbox inline ng-binding"><input type="checkbox" ng-model="sel.visible" class="ng-pristine ng-valid">Email</div></a></li>
<!-- end ngRepeat: sel in liste -->
<li ng-repeat="sel in liste" ng-class="{active:value==sel.data}" class="ng-scope">
<a tabindex="-1" href="" ng-click="setVal(sel.data)" ng-class="{prompt:!sel.visible}"><div class="checkbox inline ng-binding"><input type="checkbox" ng-model="sel.visible" class="ng-pristine ng-valid">Mobile</div></a></li>
<!-- end ngRepeat: sel in liste -->
<li ng-repeat="sel in liste" ng-class="{active:value==sel.data}" class="ng-scope">
<a tabindex="-1" href="" ng-click="setVal(sel.data)" ng-class="{prompt:!sel.visible}"><div class="checkbox inline ng-binding"><input type="checkbox" ng-model="sel.visible" class="ng-pristine ng-valid">Pays</div></a></li>
<!-- end ngRepeat: sel in liste -->
<li ng-repeat="sel in liste" ng-class="{active:value==sel.data}" class="ng-scope">
<a tabindex="-1" href="" ng-click="setVal(sel.data)" ng-class="{prompt:!sel.visible}"><div class="checkbox inline ng-binding"><input type="checkbox" ng-model="sel.visible" class="ng-pristine ng-valid">Code postal</div></a></li>
<!-- end ngRepeat: sel in liste -->
<li ng-repeat="sel in liste" ng-class="{active:value==sel.data}" class="ng-scope">
<a tabindex="-1" href="" ng-click="setVal(sel.data)" ng-class="{prompt:!sel.visible}"><div class="checkbox inline ng-binding"><input type="checkbox" ng-model="sel.visible" class="ng-pristine ng-valid">Localite</div></a></li>
<!-- end ngRepeat: sel in liste -->
<li ng-repeat="sel in liste" ng-class="{active:value==sel.data}" class="ng-scope">
<a tabindex="-1" href="" ng-click="setVal(sel.data)" ng-class="{prompt:!sel.visible}"><div class="checkbox inline ng-binding"><input type="checkbox" ng-model="sel.visible" class="ng-pristine ng-valid">reCaptcha</div></a></li>
<!-- end ngRepeat: sel in liste -->
</ul>
</div>
</select-add-multiple>
</div>
<div open-click="false" brique="brique1">
<!--<div ng-click="isCollapsed = !isCollapsed" class="btnColl">-->
<div class="btnColl">
<!-- <h5 style="margin-bottom:5px; heigth:5px" id="label" class="animated fadeInLeft"></h5> -->
<!-- <hr style="margin:0px 10px 10px 0px" /> -->
<h3 id="label" class="animated fadeInLeft">Demande de droit à l'oubli</h3>
</div>
<!--<div collapse="isCollapsed" class="divColl">-->
<div class="divColl">
<div id="interne" class="row grid">
<champ-type5-radio class="col-md-12 ng-isolate-scope" datap="dataPage" value="dataPage.gestion_droitoubli_demande" option="dataOption.gestion_droitoubli_demande" liste="liste_gestion_droitoubli_demande"
visible="liste_view.gestion_droitoubli_demande" prompt="Ajouter une valeur" label=" " ctype="5" key_name="gestion_droitoubli_demande">
<div id="type1" ng-show="visible" class="">
<div class="form-group"><label class="form-label ng-binding" ng-class="{error:errors.length>0}"></label>
<div class="controls"><!--<a class="pull" href="">--><!--<img class="img-rounded" src="img/profil/poubelle.png" style="width:18px;height:18px;margin-right:10px">--><!--</a>--><zone-error errors="errors" class="ng-isolate-scope">
<ul ng-show="errors.length>0" class="error-list ng-hide"> <!-- ngRepeat: er in errors --></ul>
</zone-error><!-- ngRepeat: sel in liste --><label class="checkbox-inline ng-binding ng-scope" ng-repeat="sel in liste"><input type="checkbox" ng-model="sel.checked" value="1" ng-click="clickCheckOn($event)"
class="ng-pristine ng-valid">Je demande la suppression des données personnelles me concernant dans vos fichiers</label><!-- end ngRepeat: sel in liste --></div>
</div>
</div>
</champ-type5-radio><champ-type5-radio class="col-md-12 ng-isolate-scope" datap="dataPage" value="dataPage.gestion_droitoubli_civilite" option="dataOption.gestion_droitoubli_civilite" liste="liste_gestion_droitoubli_civilite"
visible="liste_view.gestion_droitoubli_civilite" prompt="Ajouter une civilité" label="Civilité" ctype="5" key_name="gestion_droitoubli_civilite">
<div id="type1" ng-show="visible" class="">
<div class="form-group"><label class="form-label ng-binding" ng-class="{error:errors.length>0}">Civilité</label>
<div class="controls"><!--<a class="pull" href="">--><!--<img class="img-rounded" src="img/profil/poubelle.png" style="width:18px;height:18px;margin-right:10px">--><!--</a>--><zone-error errors="errors" class="ng-isolate-scope">
<ul ng-show="errors.length>0" class="error-list ng-hide"> <!-- ngRepeat: er in errors --></ul>
</zone-error><!-- ngRepeat: sel in liste --><label class="checkbox-inline ng-binding ng-scope" ng-repeat="sel in liste"><input type="checkbox" ng-model="sel.checked" value="3" ng-click="clickCheckOn($event)"
class="ng-pristine ng-valid">M.</label><!-- end ngRepeat: sel in liste --><label class="checkbox-inline ng-binding ng-scope" ng-repeat="sel in liste"><input type="checkbox" ng-model="sel.checked" value="1"
ng-click="clickCheckOn($event)" class="ng-pristine ng-valid">Mme</label><!-- end ngRepeat: sel in liste --></div>
</div>
</div>
</champ-type5-radio><champ-type1 class="col-md-12 ng-isolate-scope" datap="dataPage" value="dataPage.gestion_droitoubli_nom" option="dataOption.gestion_droitoubli_nom" visible="liste_view.gestion_droitoubli_nom"
prompt="Ajouter un nom" label="Nom" ctype="1" key_name="gestion_droitoubli_nom">
<div id="type1" ng-show="visible" class="">
<div class="form-group"><label ng-show="(option.show_label!='false') ? true : false" class="form-label ng-binding" ng-class="{error:(errors.length>0 && !isEditing)}">Nom
<i ng-show="!isEditing && isValid=='ok' && value!=''" class="fa fa-check-circle fa-2 ng-hide" style="color:limegreen"></i><i ng-show="!isEditing && isValid=='ko'" class="fa fa-exclamation-triangle fa-2 ng-hide" style="color:red"></i><i ng-show="isLoading" class="fa fa-refresh fa-2 ng-hide"></i></label>
<div ng-switch="" on="oType"><!-- ngSwitchWhen: telephone --><!-- ngSwitchWhen: mobile --><!-- ngSwitchWhen: password --><!-- ngSwitchWhen: email --><!-- ngSwitchWhen: text --><input ng-change="doEdit()" ng-switch-when="text"
type="text" ng-model="$parent.value" id="" class="form-control ng-scope ng-pristine ng-invalid ng-invalid-required" style="text-transform: uppercase;" ng-class="{error:errors.length>0}" autocomplete="on"
placeholder="Ajouter un nom" ng-required="required" required="required"><!-- ngSwitchWhen: adresse --><!-- ngSwitchWhen: twitter --><!-- ngSwitchWhen: url --></div><zone-error ng-show="!isEditing" errors="errors"
class="ng-isolate-scope">
<ul ng-show="errors.length>0" class="error-list ng-hide"> <!-- ngRepeat: er in errors --></ul>
</zone-error><!--<a class="pull" href="">--><!--<img class="img-rounded" src="img/profil/poubelle.png" style="width:18px;height:18px;margin-right:10px">--><!--</a>-->
</div>
</div>
</champ-type1><champ-type1 class="col-md-12 ng-isolate-scope" datap="dataPage" value="dataPage.gestion_droitoubli_prenom" option="dataOption.gestion_droitoubli_prenom" visible="liste_view.gestion_droitoubli_prenom"
prompt="Ajouter un prenom" label="Prénom" ctype="1" key_name="gestion_droitoubli_prenom">
<div id="type1" ng-show="visible" class="">
<div class="form-group"><label ng-show="(option.show_label!='false') ? true : false" class="form-label ng-binding" ng-class="{error:(errors.length>0 && !isEditing)}">Prénom
<i ng-show="!isEditing && isValid=='ok' && value!=''" class="fa fa-check-circle fa-2 ng-hide" style="color:limegreen"></i><i ng-show="!isEditing && isValid=='ko'" class="fa fa-exclamation-triangle fa-2 ng-hide" style="color:red"></i><i ng-show="isLoading" class="fa fa-refresh fa-2 ng-hide"></i></label>
<div ng-switch="" on="oType"><!-- ngSwitchWhen: telephone --><!-- ngSwitchWhen: mobile --><!-- ngSwitchWhen: password --><!-- ngSwitchWhen: email --><!-- ngSwitchWhen: text --><input ng-change="doEdit()" ng-switch-when="text"
type="text" ng-model="$parent.value" id="" class="form-control ng-scope ng-pristine ng-invalid ng-invalid-required" style="" ng-class="{error:errors.length>0}" autocomplete="on" placeholder="Ajouter un prenom"
ng-required="required" required="required"><!-- ngSwitchWhen: adresse --><!-- ngSwitchWhen: twitter --><!-- ngSwitchWhen: url --></div><zone-error ng-show="!isEditing" errors="errors" class="ng-isolate-scope">
<ul ng-show="errors.length>0" class="error-list ng-hide"> <!-- ngRepeat: er in errors --></ul>
</zone-error><!--<a class="pull" href="">--><!--<img class="img-rounded" src="img/profil/poubelle.png" style="width:18px;height:18px;margin-right:10px">--><!--</a>-->
</div>
</div>
</champ-type1><champ-type2 class="col-md-12 ng-isolate-scope" datap="dataPage" value="dataPage.gestion_droitoubli_date_naissance" option="dataOption.gestion_droitoubli_date_naissance"
visible="liste_view.gestion_droitoubli_date_naissance" prompt="Ajouter une date de naissance" label="Date de naissance" ctype="2" key_name="gestion_droitoubli_date_naissance">
<div id="type1" ng-show="visible" class="">
<div class="form-group"><label ng-show="(option.show_label!='false') ? true : false" class="form-label ng-binding" ng-class="{error:(errors.length>0 && !isEditing)}">Date de naissance
<i ng-show="!isEditing && isValid=='ok' && value!=''" class="fa fa-check-circle fa-2 ng-hide" style="color:limegreen"></i><i ng-show="!isEditing && isValid=='ko'" class="fa fa-exclamation-triangle fa-2 ng-hide" style="color:red"></i><i ng-show="isLoading" class="fa fa-refresh fa-2 ng-hide"></i></label><input
ng-change="doEdit()" type="text" data-mask="99/99/9999" ng-model="value" id="champ-gestion_droitoubli_date_naissance"
class="form-control ng-pristine ng-animate ng-valid-remove ng-invalid-add ng-valid-remove-active ng-invalid ng-invalid-add-active ng-invalid-required" style="" ng-class="{error:errors.length>0}" autocomplete="on"
placeholder="Ajouter une date de naissance" ng-required="required" required="required"><zone-error ng-show="!isEditing" errors="errors" class="ng-isolate-scope">
<ul ng-show="errors.length>0" class="error-list ng-hide"> <!-- ngRepeat: er in errors --></ul>
</zone-error><!--<a class="pull" href="">--><!--<img class="img-rounded" src="img/profil/poubelle.png" style="width:18px;height:18px;margin-right:10px">--><!--</a>--></div>
</div>
</champ-type2><champ-type1 class="col-md-12 ng-isolate-scope" datap="dataPage" value="dataPage.gestion_droitoubli_email" option="dataOption.gestion_droitoubli_email" visible="liste_view.gestion_droitoubli_email"
prompt="Ajouter un email" label="Email" ctype="1" key_name="gestion_droitoubli_email">
<div id="type1" ng-show="visible" class="">
<div class="form-group"><label ng-show="(option.show_label!='false') ? true : false" class="form-label ng-binding" ng-class="{error:(errors.length>0 && !isEditing)}">Email
<i ng-show="!isEditing && isValid=='ok' && value!=''" class="fa fa-check-circle fa-2 ng-hide" style="color:limegreen"></i><i ng-show="!isEditing && isValid=='ko'" class="fa fa-exclamation-triangle fa-2 ng-hide" style="color:red"></i><i ng-show="isLoading" class="fa fa-refresh fa-2 ng-hide"></i></label>
<div ng-switch="" on="oType"><!-- ngSwitchWhen: telephone --><!-- ngSwitchWhen: mobile --><!-- ngSwitchWhen: password --><!-- ngSwitchWhen: email --><input ng-change="doEdit()" ng-switch-when="email" ng-model="$parent.value"
id="" class="form-control ng-scope ng-pristine ng-invalid ng-invalid-required" style="" ng-class="{error:errors.length>0}" autocomplete="on" placeholder="Ajouter un email" ng-required="required"
required="required"><!-- ngSwitchWhen: text --><!-- ngSwitchWhen: adresse --><!-- ngSwitchWhen: twitter --><!-- ngSwitchWhen: url --></div><zone-error ng-show="!isEditing" errors="errors" class="ng-isolate-scope">
<ul ng-show="errors.length>0" class="error-list ng-hide"> <!-- ngRepeat: er in errors --></ul>
</zone-error><!--<a class="pull" href="">--><!--<img class="img-rounded" src="img/profil/poubelle.png" style="width:18px;height:18px;margin-right:10px">--><!--</a>-->
</div>
</div>
</champ-type1><champ-type1 class="col-md-12 ng-isolate-scope" datap="dataPage" value="dataPage.gestion_droitoubli_mobile" option="dataOption.gestion_droitoubli_mobile" visible="liste_view.gestion_droitoubli_mobile"
prompt="Ajouter un mobile" label="Mobile" ctype="1" key_name="gestion_droitoubli_mobile">
<div id="type1" ng-show="visible" class="">
<div class="form-group"><label ng-show="(option.show_label!='false') ? true : false" class="form-label ng-binding" ng-class="{error:(errors.length>0 && !isEditing)}">Mobile
<i ng-show="!isEditing && isValid=='ok' && value!=''" class="fa fa-check-circle fa-2 ng-hide" style="color:limegreen"></i><i ng-show="!isEditing && isValid=='ko'" class="fa fa-exclamation-triangle fa-2 ng-hide" style="color:red"></i><i ng-show="isLoading" class="fa fa-refresh fa-2 ng-hide"></i></label>
<div ng-switch="" on="oType"><!-- ngSwitchWhen: telephone --><!-- ngSwitchWhen: mobile --><input ng-change="doEdit()" ng-switch-when="mobile" type="tel" ng-model="$parent.value" id=""
class="form-control ng-scope ng-pristine ng-invalid ng-invalid-required" style="" ng-class="{error:errors.length>0}" autocomplete="on" placeholder="Ajouter un mobile" ng-required="required"
required="required"><!-- ngSwitchWhen: password --><!-- ngSwitchWhen: email --><!-- ngSwitchWhen: text --><!-- ngSwitchWhen: adresse --><!-- ngSwitchWhen: twitter --><!-- ngSwitchWhen: url --></div><zone-error
ng-show="!isEditing" errors="errors" class="ng-isolate-scope">
<ul ng-show="errors.length>0" class="error-list ng-hide"> <!-- ngRepeat: er in errors --></ul>
</zone-error><!--<a class="pull" href="">--><!--<img class="img-rounded" src="img/profil/poubelle.png" style="width:18px;height:18px;margin-right:10px">--><!--</a>-->
</div>
</div>
</champ-type1><champ-type5-select class="col-md-12 ng-isolate-scope" datap="dataPage" value="dataPage.pays" option="dataOption.pays" liste="liste_pays" visible="liste_view.pays" prompt="Ajouter un pays" label="Pays" ctype="5"
key_name="pays">
<div id="type1" ng-show="visible" class="">
<div class="form-group type5select" "=""><label class=" form-label ng-binding" ng-class="{error:errors.length>0}">Pays</label>
<div class="controls">
<div class="select2-container ng-pristine ng-valid ng-valid-required select2-allowclear" id="s2id_autogen1" style="width: 100%;">
<a href="javascript:void(0)" class="select2-choice" tabindex="-1"> <span class="select2-chosen" id="select2-chosen-2"> France</span><abbr class="select2-search-choice-close"></abbr> <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
for="s2id_autogen2" class="select2-offscreen"></label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-2" id="s2id_autogen2">
<div class="select2-drop select2-display-none select2-with-searchbox">
<div class="select2-search"> <label for="s2id_autogen2_search" class="select2-offscreen"></label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input"
role="combobox" aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-2" id="s2id_autogen2_search" placeholder=""> </div>
<ul class="select2-results" role="listbox" id="select2-results-2"> </ul>
</div>
</div><select ui-select2="{ allowClear: true, width:'100%'}" ng-model="value" data-placeholder="Ajouter un pays" ng-required="required" class="ng-pristine ng-valid ng-valid-required" required="required" tabindex="-1" title=""
style="display: none;">
<option value=""></option><!-- ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="64" class="ng-binding ng-scope"> France</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="197" class="ng-binding ng-scope">0 - Non renseigné</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="1" class="ng-binding ng-scope">Afghanistan</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="2" class="ng-binding ng-scope">Afrique du Sud</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="3" class="ng-binding ng-scope">Albanie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="4" class="ng-binding ng-scope">Algérie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="5" class="ng-binding ng-scope">Allemagne</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="6" class="ng-binding ng-scope">Angola</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="7" class="ng-binding ng-scope">Antigua-et-Barbuda</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="8" class="ng-binding ng-scope">Arabie saoudite</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="9" class="ng-binding ng-scope">Argentine</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="10" class="ng-binding ng-scope">Arménie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="11" class="ng-binding ng-scope">Australie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="12" class="ng-binding ng-scope">Autriche</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="13" class="ng-binding ng-scope">Azerbaïdjan</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="14" class="ng-binding ng-scope">Bahamas</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="15" class="ng-binding ng-scope">Bahreïn</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="16" class="ng-binding ng-scope">Bangladesh</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="17" class="ng-binding ng-scope">Barbade</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="18" class="ng-binding ng-scope">Belau</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="19" class="ng-binding ng-scope">Belgique</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="20" class="ng-binding ng-scope">Belize</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="21" class="ng-binding ng-scope">Bénin</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="22" class="ng-binding ng-scope">Bhoutan</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="23" class="ng-binding ng-scope">Biélorussie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="24" class="ng-binding ng-scope">Birmanie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="25" class="ng-binding ng-scope">Bolivie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="26" class="ng-binding ng-scope">Bosnie-Herzégovine</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="27" class="ng-binding ng-scope">Botswana</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="28" class="ng-binding ng-scope">Brésil</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="29" class="ng-binding ng-scope">Brunei</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="30" class="ng-binding ng-scope">Bulgarie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="31" class="ng-binding ng-scope">Burkina</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="32" class="ng-binding ng-scope">Burundi</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="33" class="ng-binding ng-scope">Cambodge</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="34" class="ng-binding ng-scope">Cameroun</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="35" class="ng-binding ng-scope">Canada</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="36" class="ng-binding ng-scope">Cap-Vert</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="199" class="ng-binding ng-scope">Caraïbes</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="37" class="ng-binding ng-scope">Chili</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="38" class="ng-binding ng-scope">Chine</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="39" class="ng-binding ng-scope">Chypre</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="40" class="ng-binding ng-scope">Colombie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="41" class="ng-binding ng-scope">Comores</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="43" class="ng-binding ng-scope">Congo</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="42" class="ng-binding ng-scope">Congo / Zaire</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="44" class="ng-binding ng-scope">Cook</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="45" class="ng-binding ng-scope">Corée du Nord</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="46" class="ng-binding ng-scope">Corée du Sud</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="47" class="ng-binding ng-scope">Costa Rica</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="48" class="ng-binding ng-scope">Côte d'Ivoire</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="49" class="ng-binding ng-scope">Croatie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="50" class="ng-binding ng-scope">Cuba</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="51" class="ng-binding ng-scope">Danemark</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="52" class="ng-binding ng-scope">Djibouti</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="53" class="ng-binding ng-scope">Dominique</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="54" class="ng-binding ng-scope">Égypte</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="55" class="ng-binding ng-scope">Émirats arabes unis</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="56" class="ng-binding ng-scope">Équateur</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="57" class="ng-binding ng-scope">Érythrée</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="58" class="ng-binding ng-scope">Espagne</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="59" class="ng-binding ng-scope">Estonie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="60" class="ng-binding ng-scope">États-Unis</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="61" class="ng-binding ng-scope">Éthiopie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="62" class="ng-binding ng-scope">Fidji</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="63" class="ng-binding ng-scope">Finlande</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="65" class="ng-binding ng-scope">Gabon</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="66" class="ng-binding ng-scope">Gambie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="67" class="ng-binding ng-scope">Géorgie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="68" class="ng-binding ng-scope">Ghana</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="69" class="ng-binding ng-scope">Grèce</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="70" class="ng-binding ng-scope">Grenade</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="71" class="ng-binding ng-scope">Guatemala</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="72" class="ng-binding ng-scope">Guinée</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="74" class="ng-binding ng-scope">Guinée équatoriale</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="73" class="ng-binding ng-scope">Guinée-Bissao</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="75" class="ng-binding ng-scope">Guyana</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="76" class="ng-binding ng-scope">Haïti</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="77" class="ng-binding ng-scope">Honduras</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="78" class="ng-binding ng-scope">Hongrie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="79" class="ng-binding ng-scope">Inde</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="80" class="ng-binding ng-scope">Indonésie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="81" class="ng-binding ng-scope">Iran</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="82" class="ng-binding ng-scope">Iraq</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="83" class="ng-binding ng-scope">Irlande</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="84" class="ng-binding ng-scope">Islande</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="85" class="ng-binding ng-scope">Israël</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="86" class="ng-binding ng-scope">Italie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="87" class="ng-binding ng-scope">Jamaïque</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="88" class="ng-binding ng-scope">Japon</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="89" class="ng-binding ng-scope">Jordanie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="90" class="ng-binding ng-scope">Kazakhstan</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="91" class="ng-binding ng-scope">Kenya</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="92" class="ng-binding ng-scope">Kirghizistan</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="93" class="ng-binding ng-scope">Kiribati</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="94" class="ng-binding ng-scope">Kosovo</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="95" class="ng-binding ng-scope">Koweït</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="96" class="ng-binding ng-scope">Laos</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="97" class="ng-binding ng-scope">Lesotho</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="98" class="ng-binding ng-scope">Lettonie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="99" class="ng-binding ng-scope">Liban</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="100" class="ng-binding ng-scope">Liberia</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="101" class="ng-binding ng-scope">Libye</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="102" class="ng-binding ng-scope">Liechtenstein</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="103" class="ng-binding ng-scope">Lituanie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="104" class="ng-binding ng-scope">Luxembourg</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="105" class="ng-binding ng-scope">Macédoine</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="106" class="ng-binding ng-scope">Madagascar</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="107" class="ng-binding ng-scope">Malaisie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="108" class="ng-binding ng-scope">Malawi</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="109" class="ng-binding ng-scope">Maldives</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="110" class="ng-binding ng-scope">Mali</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="111" class="ng-binding ng-scope">Malte</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="112" class="ng-binding ng-scope">Maroc</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="113" class="ng-binding ng-scope">Marshall</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="114" class="ng-binding ng-scope">Maurice</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="115" class="ng-binding ng-scope">Mauritanie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="116" class="ng-binding ng-scope">Mexique</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="117" class="ng-binding ng-scope">Micronésie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="118" class="ng-binding ng-scope">Moldavie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="119" class="ng-binding ng-scope">Monaco</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="120" class="ng-binding ng-scope">Mongolie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="121" class="ng-binding ng-scope">Mozambique</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="122" class="ng-binding ng-scope">Namibie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="123" class="ng-binding ng-scope">Nauru</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="124" class="ng-binding ng-scope">Népal</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="125" class="ng-binding ng-scope">Nicaragua</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="126" class="ng-binding ng-scope">Niger</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="127" class="ng-binding ng-scope">Nigeria</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="128" class="ng-binding ng-scope">Niue</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="129" class="ng-binding ng-scope">Norvège</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="130" class="ng-binding ng-scope">Nouvelle-Zélande</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="131" class="ng-binding ng-scope">Oman</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="132" class="ng-binding ng-scope">Ouganda</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="133" class="ng-binding ng-scope">Ouzbékistan</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="134" class="ng-binding ng-scope">Pakistan</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="198" class="ng-binding ng-scope">Palestine</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="135" class="ng-binding ng-scope">Panama</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="136" class="ng-binding ng-scope">Papouasie - Nouvelle Guinée</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="137" class="ng-binding ng-scope">Paraguay</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="138" class="ng-binding ng-scope">Pays-Bas</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="139" class="ng-binding ng-scope">Pérou</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="140" class="ng-binding ng-scope">Philippines</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="141" class="ng-binding ng-scope">Pologne</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="142" class="ng-binding ng-scope">Portugal</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="143" class="ng-binding ng-scope">Qatar</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="144" class="ng-binding ng-scope">République centrafricaine</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="145" class="ng-binding ng-scope">République dominicaine</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="146" class="ng-binding ng-scope">République tchèque</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="147" class="ng-binding ng-scope">Roumanie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="148" class="ng-binding ng-scope">Royaume-Uni</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="149" class="ng-binding ng-scope">Royaume-Uni / Ecosse</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="150" class="ng-binding ng-scope">Russie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="151" class="ng-binding ng-scope">Rwanda</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="152" class="ng-binding ng-scope">Saint-Christophe-et-Niévès</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="154" class="ng-binding ng-scope">Saint-Marin</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="155" class="ng-binding ng-scope">Saint-Siège, ou le Vatican</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="156" class="ng-binding ng-scope">Saint-Vincent-et-les Grenadines</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="153" class="ng-binding ng-scope">Sainte-Lucie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="157" class="ng-binding ng-scope">Salomon</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="158" class="ng-binding ng-scope">Salvador</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="159" class="ng-binding ng-scope">Samoa occidentales</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="160" class="ng-binding ng-scope">Sao Tomé-et-Principe</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="161" class="ng-binding ng-scope">Sénégal</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="162" class="ng-binding ng-scope">Serbie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="163" class="ng-binding ng-scope">Seychelles</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="164" class="ng-binding ng-scope">Sierra Leone</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="165" class="ng-binding ng-scope">Singapour</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="166" class="ng-binding ng-scope">Slovaquie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="167" class="ng-binding ng-scope">Slovénie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="168" class="ng-binding ng-scope">Somalie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="169" class="ng-binding ng-scope">Soudan</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="170" class="ng-binding ng-scope">Sri Lanka</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="171" class="ng-binding ng-scope">Suède</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="172" class="ng-binding ng-scope">Suisse</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="173" class="ng-binding ng-scope">Suriname</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="174" class="ng-binding ng-scope">Swaziland</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="175" class="ng-binding ng-scope">Syrie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="176" class="ng-binding ng-scope">Tadjikistan</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="177" class="ng-binding ng-scope">Tanzanie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="178" class="ng-binding ng-scope">Tchad</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="179" class="ng-binding ng-scope">Thaïlande</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="180" class="ng-binding ng-scope">Togo</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="181" class="ng-binding ng-scope">Tonga</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="182" class="ng-binding ng-scope">Trinité-et-Tobago</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="183" class="ng-binding ng-scope">Tunisie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="184" class="ng-binding ng-scope">Turkménistan</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="185" class="ng-binding ng-scope">Turquie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="186" class="ng-binding ng-scope">Tuvalu</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="187" class="ng-binding ng-scope">Ukraine</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="188" class="ng-binding ng-scope">Uruguay</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="189" class="ng-binding ng-scope">Vanuatu</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="190" class="ng-binding ng-scope">Venezuela</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="191" class="ng-binding ng-scope">Viêt Nam</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="192" class="ng-binding ng-scope">Yémen</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="195" class="ng-binding ng-scope">Zambie</option><!-- end ngRepeat: sel in liste -->
<option ng-repeat="sel in liste" value="196" class="ng-binding ng-scope">Zimbabwe</option><!-- end ngRepeat: sel in liste -->
</select><zone-error errors="errors" class="ng-isolate-scope">
<ul ng-show="errors.length>0" class="error-list ng-hide"> <!-- ngRepeat: er in errors --></ul>
</zone-error><!--<a class="pull" href="">--><!--<img class="img-rounded" src="img/profil/poubelle.png" style="width:18px;height:18px;margin-right:10px">--><!--</a>-->
</div>
</div>
</div>
</champ-type5-select><champ-type1 class="col-md-12 ng-isolate-scope" datap="dataPage" value="dataPage.gestion_droitoubli_code_postal" option="dataOption.gestion_droitoubli_code_postal"
visible="liste_view.gestion_droitoubli_code_postal" prompt="Ajouter un code postal" label="Code postal" ctype="1" key_name="gestion_droitoubli_code_postal">
<div id="type1" ng-show="visible" class="">
<div class="form-group"><label ng-show="(option.show_label!='false') ? true : false" class="form-label ng-binding" ng-class="{error:(errors.length>0 && !isEditing)}">Code postal
<i ng-show="!isEditing && isValid=='ok' && value!=''" class="fa fa-check-circle fa-2 ng-hide" style="color:limegreen"></i><i ng-show="!isEditing && isValid=='ko'" class="fa fa-exclamation-triangle fa-2 ng-hide" style="color:red"></i><i ng-show="isLoading" class="fa fa-refresh fa-2 ng-hide"></i></label>
<div ng-switch="" on="oType"><!-- ngSwitchWhen: telephone --><!-- ngSwitchWhen: mobile --><!-- ngSwitchWhen: password --><!-- ngSwitchWhen: email --><!-- ngSwitchWhen: text --><input ng-change="doEdit()" ng-switch-when="text"
type="text" ng-model="$parent.value" id="" class="form-control ng-scope ng-pristine ng-invalid ng-invalid-required" style="" ng-class="{error:errors.length>0}" autocomplete="on" placeholder="Ajouter un code postal"
ng-required="required" required="required"><!-- ngSwitchWhen: adresse --><!-- ngSwitchWhen: twitter --><!-- ngSwitchWhen: url --></div><zone-error ng-show="!isEditing" errors="errors" class="ng-isolate-scope">
<ul ng-show="errors.length>0" class="error-list ng-hide"> <!-- ngRepeat: er in errors --></ul>
</zone-error><!--<a class="pull" href="">--><!--<img class="img-rounded" src="img/profil/poubelle.png" style="width:18px;height:18px;margin-right:10px">--><!--</a>-->
</div>
</div>
</champ-type1><champ-type1 class="col-md-12 ng-isolate-scope" datap="dataPage" value="dataPage.gestion_droitoubli_localite" option="dataOption.gestion_droitoubli_localite" visible="liste_view.gestion_droitoubli_localite"
prompt="Sélectionner le nom de votre ville" label="Localite" ctype="1" key_name="gestion_droitoubli_localite">
<div id="type1" ng-show="visible" class="">
<div class="form-group"><label ng-show="(option.show_label!='false') ? true : false" class="form-label ng-binding" ng-class="{error:(errors.length>0 && !isEditing)}">Localite
<i ng-show="!isEditing && isValid=='ok' && value!=''" class="fa fa-check-circle fa-2 ng-hide" style="color:limegreen"></i><i ng-show="!isEditing && isValid=='ko'" class="fa fa-exclamation-triangle fa-2 ng-hide" style="color:red"></i><i ng-show="isLoading" class="fa fa-refresh fa-2 ng-hide"></i></label>
<div ng-switch="" on="oType"><!-- ngSwitchWhen: telephone --><!-- ngSwitchWhen: mobile --><!-- ngSwitchWhen: password --><!-- ngSwitchWhen: email --><!-- ngSwitchWhen: text --><!-- ngSwitchWhen: adresse --><input
ng-change="doEdit()" ng-switch-when="adresse" type="text" ng-model="$parent.value" id="" class="form-control ng-scope ng-pristine ng-invalid ng-invalid-required" style="text-transform: uppercase;"
ng-class="{error:errors.length>0}" autocomplete="on" placeholder="Sélectionner le nom de votre ville" ng-required="required" required="required"><!-- ngSwitchWhen: twitter --><!-- ngSwitchWhen: url --></div><zone-error
ng-show="!isEditing" errors="errors" class="ng-isolate-scope">
<ul ng-show="errors.length>0" class="error-list ng-hide"> <!-- ngRepeat: er in errors --></ul>
</zone-error><!--<a class="pull" href="">--><!--<img class="img-rounded" src="img/profil/poubelle.png" style="width:18px;height:18px;margin-right:10px">--><!--</a>-->
</div>
</div>
</champ-type1><compo-recaptcha class="col-md-12 ng-isolate-scope" datap="dataPage" value="dataPage.recaptcha" option="dataOption.recaptcha" visible="liste_view.recaptcha" prompt="Ajouter une valeur" label="reCaptcha" ctype="11"
updateval="updateval(k, v)" key_name="recaptcha">
<div id="type11" ng-show="visible" class="">
<div class="form-group"><label ng-show="(option.show_label!='false') ? true : false" class="form-label ng-binding ng-hide" ng-class="{error:errors.length>0}"></label><no-captcha g-recaptcha-response="chCode"
expired-callback="expiredCallback" theme="light" control="noCaptchaControl" site-key="6LcXAgkTAAAAACN_pOICOJ1ksUDX6RLSTWnw4qMA" class="ng-isolate-scope">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LcXAgkTAAAAACN_pOICOJ1ksUDX6RLSTWnw4qMA&co=aHR0cHM6Ly9hcHAubm92YWdvdXYuZnI6NDQz&hl=fr&v=O4xzMiFqEvA4YhWjk5t8Xuas&theme=light&size=normal&cb=e8nqmu7mpdpn"
width="304" height="78" role="presentation" name="a-w5mw4ineabqw" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</no-captcha><zone-error errors="errors" class="ng-isolate-scope">
<ul ng-show="errors.length>0" class="error-list ng-hide"> <!-- ngRepeat: er in errors --></ul>
</zone-error>
<p class="help-block">Par un simple clic confirmer que vous n’êtes pas un robot</p>
</div>
<div class="alert alert-error ng-binding ng-hide" ng-show="identError!=''" style="color: #ff0000"></div>
</div>
</compo-recaptcha>
</div>
</div>
</div>
</div>
</div>
<hr>
<!-- <table class="table table-striped">
<thead>
<tr>
<th>Key</th>
<th>Val</th>
</tr>
</thead>
<tbody>
<tr ng-repeat="(key, value) in dataPage">
<td>{{key}}</td>
<td>{{value}}</td>
</tr>
</tbody>
</table> -->
</page-maker></div>
</form><form role="form" class="ng-pristine ng-valid">
<div open-click="">
<!--<div ng-click="isCollapsed = !isCollapsed" class="btnColl">-->
<div class="btnColl">
<!-- <h5 style="margin-bottom:5px; heigth:5px" id="label" class="animated fadeInLeft"></h5> -->
<!-- <hr style="margin:0px 10px 10px 0px" /> -->
<h3 id="label" class="animated fadeInLeft"></h3>
</div>
<!--<div collapse="isCollapsed" class="divColl">-->
<div class="divColl">
<div id="interne" class="row grid">
</div>
</div>
</div>
</form>Text Content
FORMULAIRE DROIT À L'OUBLI 11 * * Civilité * Nom * Prénom * Date de naissance * Email * Mobile * Pays * Code postal * Localite * reCaptcha DEMANDE DE DROIT À L'OUBLI Je demande la suppression des données personnelles me concernant dans vos fichiers Civilité M.Mme Nom Prénom Date de naissance Email Mobile Pays France France0 - Non renseignéAfghanistanAfrique du SudAlbanieAlgérieAllemagneAngolaAntigua-et-BarbudaArabie saouditeArgentineArménieAustralieAutricheAzerbaïdjanBahamasBahreïnBangladeshBarbadeBelauBelgiqueBelizeBéninBhoutanBiélorussieBirmanieBolivieBosnie-HerzégovineBotswanaBrésilBruneiBulgarieBurkinaBurundiCambodgeCamerounCanadaCap-VertCaraïbesChiliChineChypreColombieComoresCongoCongo / ZaireCookCorée du NordCorée du SudCosta RicaCôte d'IvoireCroatieCubaDanemarkDjiboutiDominiqueÉgypteÉmirats arabes unisÉquateurÉrythréeEspagneEstonieÉtats-UnisÉthiopieFidjiFinlandeGabonGambieGéorgieGhanaGrèceGrenadeGuatemalaGuinéeGuinée équatorialeGuinée-BissaoGuyanaHaïtiHondurasHongrieIndeIndonésieIranIraqIrlandeIslandeIsraëlItalieJamaïqueJaponJordanieKazakhstanKenyaKirghizistanKiribatiKosovoKoweïtLaosLesothoLettonieLibanLiberiaLibyeLiechtensteinLituanieLuxembourgMacédoineMadagascarMalaisieMalawiMaldivesMaliMalteMarocMarshallMauriceMauritanieMexiqueMicronésieMoldavieMonacoMongolieMozambiqueNamibieNauruNépalNicaraguaNigerNigeriaNiueNorvègeNouvelle-ZélandeOmanOugandaOuzbékistanPakistanPalestinePanamaPapouasie - Nouvelle GuinéeParaguayPays-BasPérouPhilippinesPolognePortugalQatarRépublique centrafricaineRépublique dominicaineRépublique tchèqueRoumanieRoyaume-UniRoyaume-Uni / EcosseRussieRwandaSaint-Christophe-et-NiévèsSaint-MarinSaint-Siège, ou le VaticanSaint-Vincent-et-les GrenadinesSainte-LucieSalomonSalvadorSamoa occidentalesSao Tomé-et-PrincipeSénégalSerbieSeychellesSierra LeoneSingapourSlovaquieSlovénieSomalieSoudanSri LankaSuèdeSuisseSurinameSwazilandSyrieTadjikistanTanzanieTchadThaïlandeTogoTongaTrinité-et-TobagoTunisieTurkménistanTurquieTuvaluUkraineUruguayVanuatuVenezuelaViêt NamYémenZambieZimbabwe Code postal Localite Par un simple clic confirmer que vous n’êtes pas un robot -------------------------------------------------------------------------------- Effacer cette page Etape précédente 1 / 1 Etape suivante Enregistrer