{"id":6705,"date":"2018-06-23T08:03:49","date_gmt":"2018-06-23T08:03:49","guid":{"rendered":"http:\/\/laureysverzekeringen.be\/?page_id=6705"},"modified":"2018-06-23T08:03:49","modified_gmt":"2018-06-23T08:03:49","slug":"offerte-poz-boekhoudgegevens","status":"publish","type":"page","link":"https:\/\/laureysverzekeringen.be\/fr\/offerte-poz-boekhoudgegevens\/","title":{"rendered":"Offerte &#8211; POZ \u2013 Boekhoudgegevens"},"content":{"rendered":"<p>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_38' ><div id='gf_38' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_38'  action='\/fr\/wp-json\/wp\/v2\/pages\/6705#gf_38' data-formid='38' novalidate>\n        <div id='gf_progressbar_wrapper_38' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">\u00c9tape <span class='gf_step_current_page'>1<\/span> sur <span class='gf_step_page_count'>3<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_33' style='width:33%;'><span>33%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_38_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_38' class='gform_fields left_label form_sublabel_above description_below validation_below'><li id=\"field_38_30\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_30'><span class='gform-field-label__text'>Company<\/span><\/label><div class='ginput_container'><input name='input_30' id='input_38_30' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_38_30'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/li><li id=\"field_38_2\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Donn\u00e9es personnelles<\/h2><\/li><li id=\"field_38_3\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Nom<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_38_3'>\n                            \n                            <span id='input_38_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_38_3_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                    <input type='text' name='input_3.3' id='input_38_3_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_38_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_38_3_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                            <input type='text' name='input_3.6' id='input_38_3_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id=\"field_38_4\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_4'><span class='gform-field-label__text'>Date de naissance<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='jj\/mm\/aaaa'\n\t\t\t\t\tid='input_38_4'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_4'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\taria-required=\"true\"\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_38_4' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_38_4' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_38_4' aria-label='Date de naissance: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_38_5\" class=\"gfield gfield--type-select field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_5'><span class='gform-field-label__text'>Etat-civil<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_5' id='input_38_5' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Mari\u00e9' >Mari\u00e9<\/option><option value='Vie maritale l\u00e9gale' >Vie maritale l\u00e9gale<\/option><option value='Vie maritale de fait' >Vie maritale de fait<\/option><option value='C\u00e9libataire' >C\u00e9libataire<\/option><\/select><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer left_label'>\n                         <button type='button' id='gform_next_button_38_1' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Volgende<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_38_2' class='gform_page' data-js='page-field-id-1' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_38_2' class='gform_fields left_label form_sublabel_above description_below validation_below'><li id=\"field_38_6\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Carri\u00e8re<\/h2><\/li><li id=\"field_38_7\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_7'><span class='gform-field-label__text'>D\u00e9but de carri\u00e8re<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='jj\/mm\/aaaa'\n\t\t\t\t\tid='input_38_7'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_7'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_38_7' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_38_7' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_38_7' aria-label='D\u00e9but de carri\u00e8re: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_38_8\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_8'><span class='gform-field-label__text'>D\u00e9but activit\u00e9 ind\u00e9pendante<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='jj\/mm\/aaaa'\n\t\t\t\t\tid='input_38_8'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_8'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_38_8' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_38_8' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_38_8' aria-label='D\u00e9but activit\u00e9 ind\u00e9pendante: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_38_9\" class=\"gfield gfield--type-select field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_9'><span class='gform-field-label__text'>Ind\u00e9pendant<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_38_9' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Activit\u00e9 principale' >Activit\u00e9 principale<\/option><option value='Activit\u00e9 compl\u00e9mentaire' >Activit\u00e9 compl\u00e9mentaire<\/option><option value='Conjoints aidants' >Conjoints aidants<\/option><\/select><\/div><\/li><li id=\"field_38_10\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_10'><span class='gform-field-label__text'>Revenu de r\u00e9f\u00e9rence d&#039;il y a 3 ans (\u20ac)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_10' id='input_38_10' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_38_11\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_11'><span class='gform-field-label__text'>Revenu de r\u00e9f\u00e9rence d&#039;il y a 2 ans (\u20ac)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_11' id='input_38_11' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_38_12\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_12'><span class='gform-field-label__text'>Revenu de r\u00e9f\u00e9rence de l&#039;ann\u00e9e derni\u00e8re (\u20ac)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_12' id='input_38_12' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_38_13\" class=\"gfield gfield--type-number field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_13'><span class='gform-field-label__text'>Le cas \u00e9ch\u00e9ant: r\u00e9mun\u00e9ration du conjoint aidant (\u20ac)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_13' id='input_38_13' type='text' step='any'   value='' class='medium'      aria-invalid=\"false\" aria-describedby=\"gfield_description_38_13\" \/><\/div><div class='gfield_description' id='gfield_description_38_13'>* Het referentie-inkomen zoals bedoeld is in de artikelen 23, $ 1, 1\u00b0 en 2\u00b0 en 30, 3\u00b0, met uitzondering van de meerwaarden, na aftrek van de ander dan de in artikel 52, 7\u00b0 en 7\u00b0bis bedoelde beroepskosten.<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer left_label'>\n                        <button type='button' id='gform_previous_button_38_14' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Vorige<\/button> <button type='button' id='gform_next_button_38_14' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Volgende<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_38_3' class='gform_page' data-js='page-field-id-14' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_38_3' class='gform_fields left_label form_sublabel_above description_below validation_below'><li id=\"field_38_15\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Andere extra-legale pensioenen (eindprognose)<\/h2><\/li><li id=\"field_38_16\" class=\"gfield gfield--type-html gfield_html gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3><u>En tant qu'ind\u00e9pendant<\/u><\/h3><\/li><li id=\"field_38_17\" class=\"gfield gfield--type-number field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_17'><span class='gform-field-label__text'>PCLI (\u20ac)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_17' id='input_38_17' type='text' step='any'   value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_38_18\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_18'><span class='gform-field-label__text'>D\u00e9but de l&#039;assurance<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='jj\/mm\/aaaa'\n\t\t\t\t\tid='input_38_18'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_18'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_38_18' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_38_18' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_38_18' aria-label='D\u00e9but de l'assurance: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_38_19\" class=\"gfield gfield--type-number field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_19'><span class='gform-field-label__text'>INAMI (fournisseurs de soins de sant\u00e9) (\u20ac)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_19' id='input_38_19' type='text' step='any'   value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_38_20\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_20'><span class='gform-field-label__text'>D\u00e9but de l&#039;assurance<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='jj\/mm\/aaaa'\n\t\t\t\t\tid='input_38_20'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_20'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_38_20' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_38_20' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_38_20' aria-label='D\u00e9but de l'assurance: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_38_21\" class=\"gfield gfield--type-number field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_21'><span class='gform-field-label__text'>EIP \/ assurance groupe (\u20ac)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_21' id='input_38_21' type='text' step='any'   value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_38_22\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_22'><span class='gform-field-label__text'>D\u00e9but de l&#039;assurance<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='jj\/mm\/aaaa'\n\t\t\t\t\tid='input_38_22'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_22'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_38_22' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_38_22' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_38_22' aria-label='D\u00e9but de l'assurance: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_38_23\" class=\"gfield gfield--type-html gfield_html gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3><u>En tant qu'employ\u00e9<\/u><\/h3><\/li><li id=\"field_38_24\" class=\"gfield gfield--type-number field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_24'><span class='gform-field-label__text'>Assurance groupe (\u20ac)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_24' id='input_38_24' type='text' step='any'   value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_38_25\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_25'><span class='gform-field-label__text'>D\u00e9but de l&#039;assurance<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='jj\/mm\/aaaa'\n\t\t\t\t\tid='input_38_25'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_25'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_38_25' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_38_25' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_38_25' aria-label='D\u00e9but de l'assurance: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_38_26\" class=\"gfield gfield--type-number field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_26'><span class='gform-field-label__text'>EIP salari\u00e9 (\u20ac)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_26' id='input_38_26' type='text' step='any'   value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_38_27\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_27'><span class='gform-field-label__text'>D\u00e9but de l&#039;assurance<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='jj\/mm\/aaaa'\n\t\t\t\t\tid='input_38_27'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_27'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_38_27' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_38_27' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_38_27' aria-label='D\u00e9but de l'assurance: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_38_28\" class=\"gfield gfield--type-select field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_28'><span class='gform-field-label__text'>Faites-vous d\u00e9j\u00e0 des epargne retraite?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_28' id='input_38_28' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Non' >Non<\/option><option value='Oui' >Oui<\/option><\/select><\/div><\/li><li id=\"field_38_29\" class=\"gfield gfield--type-select field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_38_29'><span class='gform-field-label__text'>Faites-vous d\u00e9j\u00e0 des \u00e9conomies \u00e0 long terme?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_29' id='input_38_29' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Non' >Non<\/option><option value='Oui' >Oui<\/option><\/select><\/div><\/li><\/ul><\/div>\n        <div class='gform-page-footer gform_page_footer left_label'><button type='submit' id='gform_previous_button_38' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Vorige<\/button> <button type='submit' id='gform_submit_button_38' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Envoyer<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_38' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_38' id='gform_theme_38' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_38' id='gform_style_settings_38' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_38' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='38' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='a8qVnTa6+X2kTi4kNmkkDQT9xwwVjI9kQ7V7oxIEpnEuV1Cl\/n1+8usmS2NhlmyRQfqvd13bNPXCYYVCZO9P2k\/bTcS7YDGr1h3jF6M+bnFoO1A=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_38' value='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' \/>\n            <input type='hidden' autocomplete='off' 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d&#039;il y a 3 ans (\u20ac)*Revenu de r\u00e9f\u00e9rence d&#039;il y a 2 ans (\u20ac)*Revenu de r\u00e9f\u00e9rence de...","protected":false},"author":11,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-6705","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/laureysverzekeringen.be\/fr\/wp-json\/wp\/v2\/pages\/6705","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/laureysverzekeringen.be\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/laureysverzekeringen.be\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/laureysverzekeringen.be\/fr\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/laureysverzekeringen.be\/fr\/wp-json\/wp\/v2\/comments?post=6705"}],"version-history":[{"count":1,"href":"https:\/\/laureysverzekeringen.be\/fr\/wp-json\/wp\/v2\/pages\/6705\/revisions"}],"predecessor-version":[{"id":6706,"href":"https:\/\/laureysverzekeringen.be\/fr\/wp-json\/wp\/v2\/pages\/6705\/revisions\/6706"}],"wp:attachment":[{"href":"https:\/\/laureysverzekeringen.be\/fr\/wp-json\/wp\/v2\/media?parent=6705"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}