agenceproadistance.labanquepostale.fr Open in urlscan Pro
145.239.37.144  Public Scan

URL: https://agenceproadistance.labanquepostale.fr/
Submission: On May 16 via automatic, source certstream-suspicious — Scanned from FR

Form analysis 1 forms found in the DOM

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    <div _ngcontent-rpy-c70="" class="form-label ng-tns-c70-0"><label _ngcontent-rpy-c70="" for="legalStatus" class="ng-tns-c70-0">Votre structure*</label></div>
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        class="mat-form-field ng-tns-c70-0 ng-tns-c53-1 mat-primary mat-form-field-type-mat-select mat-form-field-appearance-outline mat-form-field-can-float ng-untouched ng-pristine ng-invalid ng-star-inserted">
        <div class="mat-form-field-wrapper ng-tns-c53-1">
          <div class="mat-form-field-flex ng-tns-c53-1">
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              <div class="mat-form-field-outline-end ng-tns-c53-1"></div>
            </div>
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              <div class="mat-form-field-outline-gap ng-tns-c53-1"></div>
              <div class="mat-form-field-outline-end ng-tns-c53-1"></div>
            </div><!----><!----><!---->
            <div class="mat-form-field-infix ng-tns-c53-1"><mat-select _ngcontent-rpy-c70="" role="combobox" aria-autocomplete="none" aria-haspopup="true" formcontrolname="legalStatus" id="legalStatus"
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                <div cdk-overlay-origin="" class="mat-select-trigger ng-tns-c58-2">
                  <div class="mat-select-value ng-tns-c58-2" id="mat-select-value-1"><span class="mat-select-placeholder mat-select-min-line ng-tns-c58-2 ng-star-inserted"></span><!----><!----></div>
                  <div class="mat-select-arrow-wrapper ng-tns-c58-2">
                    <div class="mat-select-arrow ng-tns-c58-2"></div>
                  </div>
                </div><!---->
              </mat-select><span class="mat-form-field-label-wrapper ng-tns-c53-1"><!----></span></div><!---->
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          <div class="mat-form-field-subscript-wrapper ng-tns-c53-1"><!---->
            <div class="mat-form-field-hint-wrapper ng-tns-c53-1 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
              <div class="mat-form-field-hint-spacer ng-tns-c53-1"></div>
            </div><!---->
          </div>
        </div>
      </mat-form-field><!----></div>
  </div>
  <div _ngcontent-rpy-c70="" class="form-line ng-tns-c70-0">
    <div _ngcontent-rpy-c70="" class="form-label ng-tns-c70-0"><label _ngcontent-rpy-c70="" for="need" class="ng-tns-c70-0">Votre besoin*</label></div>
    <div _ngcontent-rpy-c70="" class="form-input ng-tns-c70-0"><mat-form-field _ngcontent-rpy-c70="" appearance="outline"
        class="mat-form-field ng-tns-c70-0 ng-tns-c53-3 mat-primary mat-form-field-type-mat-select mat-form-field-appearance-outline mat-form-field-can-float ng-untouched ng-pristine ng-invalid ng-star-inserted">
        <div class="mat-form-field-wrapper ng-tns-c53-3">
          <div class="mat-form-field-flex ng-tns-c53-3">
            <div class="mat-form-field-outline ng-tns-c53-3 ng-star-inserted">
              <div class="mat-form-field-outline-start ng-tns-c53-3"></div>
              <div class="mat-form-field-outline-gap ng-tns-c53-3"></div>
              <div class="mat-form-field-outline-end ng-tns-c53-3"></div>
            </div>
            <div class="mat-form-field-outline mat-form-field-outline-thick ng-tns-c53-3 ng-star-inserted">
              <div class="mat-form-field-outline-start ng-tns-c53-3"></div>
              <div class="mat-form-field-outline-gap ng-tns-c53-3"></div>
              <div class="mat-form-field-outline-end ng-tns-c53-3"></div>
            </div><!----><!----><!---->
            <div class="mat-form-field-infix ng-tns-c53-3"><mat-select _ngcontent-rpy-c70="" role="combobox" aria-autocomplete="none" aria-haspopup="true" formcontrolname="need" id="need"
                class="mat-select ng-tns-c58-4 ng-tns-c53-3 mat-select-empty ng-untouched ng-pristine ng-invalid ng-star-inserted" aria-labelledby="mat-select-value-3" tabindex="0" aria-expanded="false" aria-required="false" aria-disabled="false"
                aria-invalid="false">
                <div cdk-overlay-origin="" class="mat-select-trigger ng-tns-c58-4">
                  <div class="mat-select-value ng-tns-c58-4" id="mat-select-value-3"><span class="mat-select-placeholder mat-select-min-line ng-tns-c58-4 ng-star-inserted"></span><!----><!----></div>
                  <div class="mat-select-arrow-wrapper ng-tns-c58-4">
                    <div class="mat-select-arrow ng-tns-c58-4"></div>
                  </div>
                </div><!---->
              </mat-select><span class="mat-form-field-label-wrapper ng-tns-c53-3"><!----></span></div><!---->
          </div><!---->
          <div class="mat-form-field-subscript-wrapper ng-tns-c53-3"><!---->
            <div class="mat-form-field-hint-wrapper ng-tns-c53-3 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
              <div class="mat-form-field-hint-spacer ng-tns-c53-3"></div>
            </div><!---->
          </div>
        </div>
      </mat-form-field><!----></div>
  </div>
  <div _ngcontent-rpy-c70="" class="form-line ng-tns-c70-0">
    <div _ngcontent-rpy-c70="" class="form-label ng-tns-c70-0"><label _ngcontent-rpy-c70="" for="isCreationPending" class="ng-tns-c70-0">STRUCTURE EN COURS DE CRÉATION ?*</label></div>
    <div _ngcontent-rpy-c70="" class="form-input ng-tns-c70-0"><mat-radio-group _ngcontent-rpy-c70="" role="radiogroup" id="isCreationPending" formcontrolname="isCreationPending" aria-describedby="validation-messages-isCreationPending"
        class="mat-radio-group ng-tns-c70-0 ng-untouched ng-pristine ng-valid"><mat-radio-button _ngcontent-rpy-c70="" color="primary" class="mat-radio-button ng-tns-c70-0 mat-primary" id="mat-radio-2"><label class="mat-radio-label"
            for="mat-radio-2-input"><span class="mat-radio-container"><span class="mat-radio-outer-circle"></span><span class="mat-radio-inner-circle"></span><input type="radio" class="mat-radio-input cdk-visually-hidden" id="mat-radio-2-input"
                tabindex="0" name="mat-radio-group-0" value="true"><span mat-ripple="" class="mat-ripple mat-radio-ripple mat-focus-indicator"><span class="mat-ripple-element mat-radio-persistent-ripple"></span></span></span><span
              class="mat-radio-label-content"><span style="display: none;">&nbsp;</span>OUI</span></label></mat-radio-button><mat-radio-button _ngcontent-rpy-c70="" color="primary" class="mat-radio-button ng-tns-c70-0 mat-radio-checked mat-primary"
          id="mat-radio-3"><label class="mat-radio-label" for="mat-radio-3-input"><span class="mat-radio-container"><span class="mat-radio-outer-circle"></span><span class="mat-radio-inner-circle"></span><input type="radio"
                class="mat-radio-input cdk-visually-hidden" id="mat-radio-3-input" tabindex="0" name="mat-radio-group-0" value="false"><span mat-ripple="" class="mat-ripple mat-radio-ripple mat-focus-indicator"><span
                  class="mat-ripple-element mat-radio-persistent-ripple"></span></span></span><span class="mat-radio-label-content"><span style="display: none;">&nbsp;</span>NON</span></label></mat-radio-button></mat-radio-group><!----></div>
  </div>
  <div _ngcontent-rpy-c70="" class="form-line ng-tns-c70-0">
    <div _ngcontent-rpy-c70="" class="form-label ng-tns-c70-0"><label _ngcontent-rpy-c70="" for="siren" class="ng-tns-c70-0">NUMÉRO SIREN<span _ngcontent-rpy-c70="" class="ng-tns-c70-0 ng-star-inserted">*</span><!----></label></div>
    <div _ngcontent-rpy-c70="" class="form-input ng-tns-c70-0"><mat-form-field _ngcontent-rpy-c70="" appearance="outline"
        class="mat-form-field ng-tns-c70-0 ng-tns-c53-5 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-outline mat-form-field-can-float ng-untouched ng-pristine ng-invalid ng-star-inserted">
        <div class="mat-form-field-wrapper ng-tns-c53-5">
          <div class="mat-form-field-flex ng-tns-c53-5">
            <div class="mat-form-field-outline ng-tns-c53-5 ng-star-inserted">
              <div class="mat-form-field-outline-start ng-tns-c53-5"></div>
              <div class="mat-form-field-outline-gap ng-tns-c53-5"></div>
              <div class="mat-form-field-outline-end ng-tns-c53-5"></div>
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            <div class="mat-form-field-outline mat-form-field-outline-thick ng-tns-c53-5 ng-star-inserted">
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              <div class="mat-form-field-outline-gap ng-tns-c53-5"></div>
              <div class="mat-form-field-outline-end ng-tns-c53-5"></div>
            </div><!----><!----><!---->
            <div class="mat-form-field-infix ng-tns-c53-5"><input _ngcontent-rpy-c70="" id="siren" formcontrolname="siren" matinput="" maxlength="9" aria-describedby="validation-messages-siren"
                class="mat-input-element mat-form-field-autofill-control ng-tns-c53-5 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" data-placeholder="" aria-invalid="false" aria-required="false"><span
                class="mat-form-field-label-wrapper ng-tns-c53-5"><!----></span></div><!---->
          </div><!---->
          <div class="mat-form-field-subscript-wrapper ng-tns-c53-5"><!---->
            <div class="mat-form-field-hint-wrapper ng-tns-c53-5 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
              <div class="mat-form-field-hint-spacer ng-tns-c53-5"></div>
            </div><!---->
          </div>
        </div>
      </mat-form-field><!----></div>
  </div>
  <div _ngcontent-rpy-c70="" class="form-line ng-tns-c70-0">
    <div _ngcontent-rpy-c70="" class="form-label ng-tns-c70-0"><label _ngcontent-rpy-c70="" for="legalName" class="ng-tns-c70-0">RAISON SOCIALE*</label></div>
    <div _ngcontent-rpy-c70="" class="form-input ng-tns-c70-0"><mat-form-field _ngcontent-rpy-c70="" appearance="outline"
        class="mat-form-field ng-tns-c70-0 ng-tns-c53-6 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-outline mat-form-field-can-float ng-untouched ng-pristine ng-invalid ng-star-inserted">
        <div class="mat-form-field-wrapper ng-tns-c53-6">
          <div class="mat-form-field-flex ng-tns-c53-6">
            <div class="mat-form-field-outline ng-tns-c53-6 ng-star-inserted">
              <div class="mat-form-field-outline-start ng-tns-c53-6"></div>
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              <div class="mat-form-field-outline-end ng-tns-c53-6"></div>
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            <div class="mat-form-field-outline mat-form-field-outline-thick ng-tns-c53-6 ng-star-inserted">
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              <div class="mat-form-field-outline-gap ng-tns-c53-6"></div>
              <div class="mat-form-field-outline-end ng-tns-c53-6"></div>
            </div><!----><!----><!---->
            <div class="mat-form-field-infix ng-tns-c53-6"><input _ngcontent-rpy-c70="" id="legalName" formcontrolname="legalName" matinput="" maxlength="64" aria-describedby="validation-messages-legalName"
                class="mat-input-element mat-form-field-autofill-control ng-tns-c53-6 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" data-placeholder="" aria-invalid="false" aria-required="false"><span
                class="mat-form-field-label-wrapper ng-tns-c53-6"><!----></span></div><!---->
          </div><!---->
          <div class="mat-form-field-subscript-wrapper ng-tns-c53-6"><!---->
            <div class="mat-form-field-hint-wrapper ng-tns-c53-6 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
              <div class="mat-form-field-hint-spacer ng-tns-c53-6"></div>
            </div><!---->
          </div>
        </div>
      </mat-form-field><!----></div>
  </div>
  <div _ngcontent-rpy-c70="" class="form-line ng-tns-c70-0">
    <div _ngcontent-rpy-c70="" class="form-label ng-tns-c70-0"><label _ngcontent-rpy-c70="" for="nafid" class="ng-tns-c70-0">CODE NAF</label></div>
    <div _ngcontent-rpy-c70="" class="form-input ng-tns-c70-0"><mat-form-field _ngcontent-rpy-c70="" appearance="outline"
        class="mat-form-field ng-tns-c70-0 ng-tns-c53-7 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-outline mat-form-field-can-float ng-untouched ng-pristine ng-valid ng-star-inserted">
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          <div class="mat-form-field-flex ng-tns-c53-7">
            <div class="mat-form-field-outline ng-tns-c53-7 ng-star-inserted">
              <div class="mat-form-field-outline-start ng-tns-c53-7"></div>
              <div class="mat-form-field-outline-gap ng-tns-c53-7"></div>
              <div class="mat-form-field-outline-end ng-tns-c53-7"></div>
            </div>
            <div class="mat-form-field-outline mat-form-field-outline-thick ng-tns-c53-7 ng-star-inserted">
              <div class="mat-form-field-outline-start ng-tns-c53-7"></div>
              <div class="mat-form-field-outline-gap ng-tns-c53-7"></div>
              <div class="mat-form-field-outline-end ng-tns-c53-7"></div>
            </div><!----><!----><!---->
            <div class="mat-form-field-infix ng-tns-c53-7"><input _ngcontent-rpy-c70="" id="nafid" formcontrolname="naf" matinput="" maxlength="5" aria-describedby="validation-messages-nafid"
                class="mat-input-element mat-form-field-autofill-control ng-tns-c53-7 ng-untouched ng-pristine ng-valid cdk-text-field-autofill-monitored" data-placeholder="" aria-invalid="false" aria-required="false"><span
                class="mat-form-field-label-wrapper ng-tns-c53-7"><!----></span></div><!---->
          </div><!---->
          <div class="mat-form-field-subscript-wrapper ng-tns-c53-7"><!---->
            <div class="mat-form-field-hint-wrapper ng-tns-c53-7 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
              <div class="mat-form-field-hint-spacer ng-tns-c53-7"></div>
            </div><!---->
          </div>
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      </mat-form-field><!----></div>
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  <div _ngcontent-rpy-c70="" class="form-line ng-tns-c70-0 ng-star-inserted">
    <div _ngcontent-rpy-c70="" class="form-label ng-tns-c70-0"><label _ngcontent-rpy-c70="" for="turnover" class="ng-tns-c70-0">CHIFFRE D'AFFAIRES / BUDGET<span _ngcontent-rpy-c70="" class="ng-tns-c70-0 ng-star-inserted">*</span><!----></label></div>
    <div _ngcontent-rpy-c70="" class="form-input ng-tns-c70-0"><mat-form-field _ngcontent-rpy-c70="" appearance="outline"
        class="mat-form-field ng-tns-c70-0 ng-tns-c53-18 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-outline mat-form-field-can-float ng-untouched ng-pristine ng-invalid ng-star-inserted">
        <div class="mat-form-field-wrapper ng-tns-c53-18">
          <div class="mat-form-field-flex ng-tns-c53-18">
            <div class="mat-form-field-outline ng-tns-c53-18 ng-star-inserted">
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              <div class="mat-form-field-outline-gap ng-tns-c53-18"></div>
              <div class="mat-form-field-outline-end ng-tns-c53-18"></div>
            </div>
            <div class="mat-form-field-outline mat-form-field-outline-thick ng-tns-c53-18 ng-star-inserted">
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              <div class="mat-form-field-outline-end ng-tns-c53-18"></div>
            </div><!----><!----><!---->
            <div class="mat-form-field-infix ng-tns-c53-18"><input _ngcontent-rpy-c70="" id="turnover" formcontrolname="turnover" matinput="" maxlength="12" aria-describedby="validation-messages-turnover"
                class="mat-input-element mat-form-field-autofill-control ng-tns-c53-18 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" data-placeholder="" aria-invalid="false" aria-required="false"><span
                class="mat-form-field-label-wrapper ng-tns-c53-18"><!----></span></div>
            <div class="mat-form-field-suffix ng-tns-c53-18 ng-star-inserted"><mat-icon _ngcontent-rpy-c70="" role="img" matsuffix="" class="mat-icon notranslate material-icons mat-icon-no-color ng-tns-c53-18" aria-hidden="true"
                data-mat-icon-type="font">euro</mat-icon></div><!---->
          </div><!---->
          <div class="mat-form-field-subscript-wrapper ng-tns-c53-18"><!---->
            <div class="mat-form-field-hint-wrapper ng-tns-c53-18 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
              <div class="mat-form-field-hint-spacer ng-tns-c53-18"></div>
            </div><!---->
          </div>
        </div>
      </mat-form-field><!----></div>
  </div><!---->
  <div _ngcontent-rpy-c70="" class="form-line ng-tns-c70-0">
    <div _ngcontent-rpy-c70="" class="form-label ng-tns-c70-0"><label _ngcontent-rpy-c70="" for="companyPostalCode" class="ng-tns-c70-0">CODE POSTAL*</label></div>
    <div _ngcontent-rpy-c70="" class="form-input ng-tns-c70-0"><mat-form-field _ngcontent-rpy-c70="" appearance="outline"
        class="mat-form-field ng-tns-c70-0 ng-tns-c53-8 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-outline mat-form-field-can-float ng-untouched ng-pristine ng-invalid ng-star-inserted">
        <div class="mat-form-field-wrapper ng-tns-c53-8">
          <div class="mat-form-field-flex ng-tns-c53-8">
            <div class="mat-form-field-outline ng-tns-c53-8 ng-star-inserted">
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              <div class="mat-form-field-outline-gap ng-tns-c53-8"></div>
              <div class="mat-form-field-outline-end ng-tns-c53-8"></div>
            </div>
            <div class="mat-form-field-outline mat-form-field-outline-thick ng-tns-c53-8 ng-star-inserted">
              <div class="mat-form-field-outline-start ng-tns-c53-8"></div>
              <div class="mat-form-field-outline-gap ng-tns-c53-8"></div>
              <div class="mat-form-field-outline-end ng-tns-c53-8"></div>
            </div><!----><!----><!---->
            <div class="mat-form-field-infix ng-tns-c53-8"><input _ngcontent-rpy-c70="" id="companyPostalCode" formcontrolname="companyPostalCode" matinput="" minlength="5" maxlength="5" aria-describedby="validation-messages-companyPostalCode"
                class="mat-input-element mat-form-field-autofill-control ng-tns-c53-8 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" data-placeholder="" aria-invalid="false" aria-required="false"><span
                class="mat-form-field-label-wrapper ng-tns-c53-8"><!----></span></div><!---->
          </div><!---->
          <div class="mat-form-field-subscript-wrapper ng-tns-c53-8"><!---->
            <div class="mat-form-field-hint-wrapper ng-tns-c53-8 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
              <div class="mat-form-field-hint-spacer ng-tns-c53-8"></div>
            </div><!---->
          </div>
        </div>
      </mat-form-field><!----></div>
  </div>
  <div _ngcontent-rpy-c70="" fxlayout="row" fxlayoutalign="end center" fxlayoutgap="10px" class="stepper-navigation ng-tns-c70-0"
    style="flex-direction: row; box-sizing: border-box; display: flex; place-content: center flex-end; align-items: center;"><button _ngcontent-rpy-c70="" fxflex="50%" fxflex.gt-xs="none" color="primary" mat-button="" mat-flat-button=""
      class="mat-focus-indicator ng-tns-c70-0 mat-button mat-flat-button mat-button-base mat-primary" style="flex: 0 0 auto; box-sizing: border-box;"><span class="mat-button-wrapper">SUIVANT</span><span matripple=""
        class="mat-ripple mat-button-ripple"></span><span class="mat-button-focus-overlay"></span></button></div>
</form>

Text Content

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Votre besoin*

STRUCTURE EN COURS DE CRÉATION ?*
 OUI NON
NUMÉRO SIREN*

RAISON SOCIALE*

CODE NAF

CHIFFRE D'AFFAIRES / BUDGET*
euro

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