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	<h1 class="TitreSection_rose">Page d'authentification</h1>
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		<a href="#authentification">S'authentifier</a><br/>
		<a href="#info_compte">Se Cr&eacute;er un compte</a>
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				<legend class="title">Cr&eacute;ation d'un compte</legend>
				
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						<p>
						Informations relatives &agrave; la cr&eacute;ation de votre compte qui vous donnera acc&egrave;s &agrave; votre espace personnel sur handiQuesta.
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						<div id="info_comte" class="Categorie_rose">Vos informations personnelles</div>
						
						<div class="ligne">
							<div class="gauche"><label for="civilite">Civilit&eacute;</label></div>
							<div class="infos">&nbsp;
								<select id="civilite"  name="civilite">
								<optgroup label="civilite">
									<option value="2" selected="selected">Madame&nbsp;&nbsp;</option>
									<option value="3" >Mademoiselle&nbsp;&nbsp;</option>
									<option value="1" >Monsieur&nbsp;&nbsp;</option>
								</optgroup>
								</select>
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							<div class="gauche"><label for="nom">Nom</label></div>
							<div class="infos">&nbsp;&nbsp;<input  type="text" id="nom" name="nom" maxlength="50" value="" /></div>
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						<div class="ligne">
							<div class="gauche"><label for="prenom">Pr&eacute;nom</label></div>
							<div class="infos">&nbsp;&nbsp;<input  type="text" id="prenom" name="prenom" maxlength="30" value="" /></div>
						</div>
						
						<div class="ligne">
							<div class="gauche"><label for="jour">Naissance</label></div>
							<div class="infos">&nbsp;
								<select id="jour"  name="jour">
								<optgroup label="jour">
									
									<option value="1" >1</option>
									
									<option value="2" >2</option>
									
									<option value="3" >3</option>
									
									<option value="4" >4</option>
									
									<option value="5" >5</option>
									
									<option value="6" >6</option>
									
									<option value="7" >7</option>
									
									<option value="8" >8</option>
									
									<option value="9" >9</option>
									
									<option value="10" >10</option>
									
									<option value="11" >11</option>
									
									<option value="12" >12</option>
									
									<option value="13" >13</option>
									
									<option value="14" >14</option>
									
									<option value="15" >15</option>
									
									<option value="16" >16</option>
									
									<option value="17" >17</option>
									
									<option value="18" >18</option>
									
									<option value="19" >19</option>
									
									<option value="20" >20</option>
									
									<option value="21" >21</option>
									
									<option value="22" >22</option>
									
									<option value="23" >23</option>
									
									<option value="24" >24</option>
									
									<option value="25" >25</option>
									
									<option value="26" >26</option>
									
									<option value="27" >27</option>
									
									<option value="28" >28</option>
									
									<option value="29" >29</option>
									
									<option value="30" >30</option>
									
									<option value="31" >31</option>
									
								</optgroup>
								</select>
								
								<label for="mois" class="nodisplay">Mois</label>
								<select id="mois"  name="mois">
								<optgroup label="mois">	
									<option value="1" >janvier</option>
									<option value="2" >f&eacute;vrier</option>
									<option value="3" >mars</option>
									<option value="4" >avril</option>
									<option value="5" >mai</option>
									<option value="6" >juin</option>
									<option value="7" >juillet</option>
									<option value="8" >ao&ucirc;t</option>
									<option value="9" >septembre</option>
									<option value="10" >octobre</option>
									<option value="11" >novembre</option>
									<option value="12" >d&eacute;cembre</option>
								</optgroup>
								</select>
								
								<label for="ann" class="nodisplay">Ann&eacute;e</label>
								<select id="ann"  name="ann">
								<optgroup label="ann">
									
									<option value="1950" >1950</option>
									
									<option value="1951" >1951</option>
									
									<option value="1952" >1952</option>
									
									<option value="1953" >1953</option>
									
									<option value="1954" >1954</option>
									
									<option value="1955" >1955</option>
									
									<option value="1956" >1956</option>
									
									<option value="1957" >1957</option>
									
									<option value="1958" >1958</option>
									
									<option value="1959" >1959</option>
									
									<option value="1960" >1960</option>
									
									<option value="1961" >1961</option>
									
									<option value="1962" >1962</option>
									
									<option value="1963" >1963</option>
									
									<option value="1964" >1964</option>
									
									<option value="1965" >1965</option>
									
									<option value="1966" >1966</option>
									
									<option value="1967" >1967</option>
									
									<option value="1968" >1968</option>
									
									<option value="1969" >1969</option>
									
									<option value="1970" >1970</option>
									
									<option value="1971" >1971</option>
									
									<option value="1972" >1972</option>
									
									<option value="1973" >1973</option>
									
									<option value="1974" >1974</option>
									
									<option value="1975" >1975</option>
									
									<option value="1976" >1976</option>
									
									<option value="1977" >1977</option>
									
									<option value="1978" >1978</option>
									
									<option value="1979" >1979</option>
									
									<option value="1980" >1980</option>
									
									<option value="1981" >1981</option>
									
									<option value="1982" >1982</option>
									
									<option value="1983" >1983</option>
									
									<option value="1984" >1984</option>
									
									<option value="1985" >1985</option>
									
									<option value="1986" >1986</option>
									
									<option value="1987" >1987</option>
									
									<option value="1988" >1988</option>
									
									<option value="1989" >1989</option>
									
									<option value="1990" >1990</option>
									
									<option value="1991" >1991</option>
									
									<option value="1992" >1992</option>
									
									<option value="1993" >1993</option>
									
									<option value="1994" >1994</option>
									
									<option value="1995" >1995</option>
									
								</optgroup>
								</select>						
							</div>
						</div>
						
						<div class="ligne">
							<div class="gauche"><label for="adresse">Adresse</label></div>
							<div class="infos">&nbsp;&nbsp;<input  type="text" id="adresse" name="adresse" maxlength="100" value="" /></div>
						</div>
						
						<div class="ligne">
							<div class="gauche"><label for="postal">Code Postal</label></div>
							<div class="infos">&nbsp;&nbsp;<input  type="text" id="postal" name="postal" size="7" maxlength="50" value="" /></div>
						</div>
						
						<div class="ligne">
							<div class="gauche"><label for="ville">Ville</label></div>
							<div class="infos">&nbsp;&nbsp;<input  type="text" id="ville" name="ville" maxlength="30" value="" /></div>
						</div>
						
						<div class="ligne">
							<div class="gauche"><label for="pays">Pays</label></div>
							<div class="infos">&nbsp;
								<select  id="pays" name="pays">
									<optgroup label="pays">
									
										<option value="24" >Afghanistan</option>
									
										<option value="25" >Afrique du Sud</option>
									
										<option value="26" >Albanie</option>
									
										<option value="27" >Algérie</option>
									
										<option value="4" >Allemagne</option>
									
										<option value="28" >Andorre</option>
									
										<option value="29" >Angola</option>
									
										<option value="30" >Anguilla</option>
									
										<option value="32" >Antigua-et-Barbuda</option>
									
										<option value="33" >Antilles néerlandaises</option>
									
										<option value="34" >Arabie Saoudite</option>
									
										<option value="35" >Argentine</option>
									
										<option value="36" >Arménie</option>
									
										<option value="37" >Aruba</option>
									
										<option value="38" >Australie</option>
									
										<option value="39" >Autorité Palestinienne</option>
									
										<option value="5" >Autriche</option>
									
										<option value="40" >Azerbaïdjan</option>
									
										<option value="41" >Bahamas</option>
									
										<option value="42" >Bahreïn</option>
									
										<option value="43" >Bangladesh</option>
									
										<option value="44" >Barbade</option>
									
										<option value="2" >Belgique</option>
									
										<option value="45" >Belize</option>
									
										<option value="46" >Bénin</option>
									
										<option value="47" >Bermudes</option>
									
										<option value="48" >Bhoutan</option>
									
										<option value="49" >Biélorussie</option>
									
										<option value="50" >Bolivie</option>
									
										<option value="51" >Bosnie-Herzégovine</option>
									
										<option value="52" >Botswana</option>
									
										<option value="54" >Brésil</option>
									
										<option value="55" >Brunei</option>
									
										<option value="56" >Bulgarie</option>
									
										<option value="57" >Burkina Faso</option>
									
										<option value="58" >Burundi</option>
									
										<option value="59" >Caïmans (îles)</option>
									
										<option value="60" >Cambodge</option>
									
										<option value="61" >Cameroun</option>
									
										<option value="62" >Canada</option>
									
										<option value="64" >Chili</option>
									
										<option value="65" >Chine</option>
									
										<option value="6" >Chypre</option>
									
										<option value="69" >Colombie</option>
									
										<option value="70" >Comores</option>
									
										<option value="71" >Congo</option>
									
										<option value="72" >Congo (RDC)</option>
									
										<option value="73" >Cook (îles)</option>
									
										<option value="74" >Corée</option>
									
										<option value="75" >Corée du Nord</option>
									
										<option value="76" >Costa Rica</option>
									
										<option value="77" >Côte D'Ivoire</option>
									
										<option value="78" >Croatie (Hrvatska)</option>
									
										<option value="79" >Cuba</option>
									
										<option value="7" >Danemark</option>
									
										<option value="81" >Djibouti</option>
									
										<option value="82" >Dominique</option>
									
										<option value="83" >Égypte</option>
									
										<option value="84" >Émirats arabes unis</option>
									
										<option value="85" >Équateur</option>
									
										<option value="86" >Érythrée</option>
									
										<option value="8" >Espagne</option>
									
										<option value="87" >Estonie</option>
									
										<option value="88" >États-Unis</option>
									
										<option value="89" >Éthiopie</option>
									
										<option value="91" >Féroé (îles)</option>
									
										<option value="92" >Fidji (îles)</option>
									
										<option value="9" >Finlande</option>
									
										<option value="1" selected="selected">France</option>
									
										<option value="93" >Gabon</option>
									
										<option value="94" >Gambie</option>
									
										<option value="95" >Géorgie</option>
									
										<option value="97" >Ghana</option>
									
										<option value="98" >Gibraltar</option>
									
										<option value="10" >Grèce</option>
									
										<option value="99" >Grenade</option>
									
										<option value="100" >Groenland</option>
									
										<option value="101" >Guadeloupe</option>
									
										<option value="102" >Guam</option>
									
										<option value="103" >Guatemala</option>
									
										<option value="104" >Guernsey</option>
									
										<option value="105" >Guinée</option>
									
										<option value="106" >Guinée équatoriale</option>
									
										<option value="107" >Guinée-Bissau</option>
									
										<option value="108" >Guyane</option>
									
										<option value="109" >Guyane française</option>
									
										<option value="110" >Haïti</option>
									
										<option value="112" >Honduras</option>
									
										<option value="183" >Hong Kong</option>
									
										<option value="113" >Hongrie</option>
									
										<option value="115" >Île de Man</option>
									
										<option value="116" >Inde</option>
									
										<option value="117" >Indonésie</option>
									
										<option value="118" >Irak</option>
									
										<option value="119" >Iran</option>
									
										<option value="11" >Irlande</option>
									
										<option value="120" >Islande</option>
									
										<option value="121" >Israël</option>
									
										<option value="12" >Italie</option>
									
										<option value="122" >Jamaïque</option>
									
										<option value="123" >Japon</option>
									
										<option value="124" >Jersey</option>
									
										<option value="125" >Jordanie</option>
									
										<option value="126" >Kazakhstan</option>
									
										<option value="127" >Kenya</option>
									
										<option value="128" >Kirghizistan</option>
									
										<option value="129" >Kiribati</option>
									
										<option value="130" >Koweït</option>
									
										<option value="131" >La Réunion</option>
									
										<option value="132" >Laos</option>
									
										<option value="133" >Lesotho</option>
									
										<option value="13" >Lettonie</option>
									
										<option value="134" >Liban</option>
									
										<option value="135" >Libéria</option>
									
										<option value="136" >Libye</option>
									
										<option value="137" >Liechtenstein</option>
									
										<option value="14" >Lituanie</option>
									
										<option value="3" >Luxembourg</option>
									
										<option value="184" >Macao</option>
									
										<option value="138" >Madagascar</option>
									
										<option value="139" >Malaisie</option>
									
										<option value="140" >Malawi</option>
									
										<option value="141" >Maldives</option>
									
										<option value="142" >Mali</option>
									
										<option value="143" >Malouines (îles)</option>
									
										<option value="15" >Malte</option>
									
										<option value="145" >Maroc</option>
									
										<option value="146" >Marshall (îles)</option>
									
										<option value="147" >Martinique</option>
									
										<option value="148" >Maurice</option>
									
										<option value="149" >Mauritanie</option>
									
										<option value="150" >Mayotte</option>
									
										<option value="151" >Mexique</option>
									
										<option value="152" >Micronésie</option>
									
										<option value="153" >Moldavie</option>
									
										<option value="154" >Monaco</option>
									
										<option value="155" >Mongolie</option>
									
										<option value="156" >Montserrat</option>
									
										<option value="157" >Mozambique</option>
									
										<option value="158" >Myanmar</option>
									
										<option value="159" >Namibie</option>
									
										<option value="160" >Nauru</option>
									
										<option value="161" >Népal</option>
									
										<option value="162" >Nicaragua</option>
									
										<option value="163" >Niger</option>
									
										<option value="164" >Nigéria</option>
									
										<option value="165" >Niue</option>
									
										<option value="16" >Norvège</option>
									
										<option value="167" >Nouvelle-Calédonie</option>
									
										<option value="168" >Nouvelle-Zélande</option>
									
										<option value="169" >Oman</option>
									
										<option value="170" >Ouganda</option>
									
										<option value="171" >Ouzbékistan</option>
									
										<option value="172" >Pakistan</option>
									
										<option value="173" >Palau</option>
									
										<option value="174" >Panama</option>
									
										<option value="175" >Papouasie-Nouvelle-Guinée</option>
									
										<option value="176" >Paraguay</option>
									
										<option value="17" >Pays-Bas</option>
									
										<option value="177" >Pérou</option>
									
										<option value="178" >Philippines</option>
									
										<option value="18" >Pologne</option>
									
										<option value="180" >Polynésie française</option>
									
										<option value="181" >Porto Rico</option>
									
										<option value="19" >Portugal</option>
									
										<option value="182" >Qatar</option>
									
										<option value="185" >République centrafricaine</option>
									
										<option value="186" >République dominicaine</option>
									
										<option value="20" >République Tchèque</option>
									
										<option value="187" >Roumanie</option>
									
										<option value="21" >Royaume-Uni</option>
									
										<option value="188" >Russie</option>
									
										<option value="189" >Rwanda</option>
									
										<option value="193" >Saint-Marin</option>
									
										<option value="196" >Salomon (îles)</option>
									
										<option value="197" >Salvador</option>
									
										<option value="198" >Samoa</option>
									
										<option value="201" >Sénégal</option>
									
										<option value="202" >Seychelles</option>
									
										<option value="203" >Sierra Leone</option>
									
										<option value="204" >Singapour</option>
									
										<option value="22" >Slovaquie</option>
									
										<option value="23" >Slovénie</option>
									
										<option value="205" >Somalie</option>
									
										<option value="206" >Soudan</option>
									
										<option value="207" >Sri Lanka</option>
									
										<option value="208" >Suède</option>
									
										<option value="209" >Suisse</option>
									
										<option value="210" >Surinam</option>
									
										<option value="212" >Swaziland</option>
									
										<option value="213" >Syrie</option>
									
										<option value="214" >Tadjikistan</option>
									
										<option value="215" >Taïwan</option>
									
										<option value="216" >Tanzanie</option>
									
										<option value="217" >Tchad</option>
									
										<option value="219" >Territoires britanniques de l'Océan Indien</option>
									
										<option value="220" >Thaïlande</option>
									
										<option value="222" >Togo</option>
									
										<option value="223" >Tokelau</option>
									
										<option value="224" >Tonga</option>
									
										<option value="227" >Tunisie</option>
									
										<option value="228" >Turkménistan</option>
									
										<option value="230" >Turquie</option>
									
										<option value="231" >Tuvalu</option>
									
										<option value="232" >Ukraine</option>
									
										<option value="233" >Uruguay</option>
									
										<option value="234" >Vanuatu</option>
									
										<option value="235" >Venezuela</option>
									
										<option value="238" >Vietnam</option>
									
										<option value="240" >Yémen</option>
									
										<option value="241" >Yougoslavie</option>
									
										<option value="242" >Zambie</option>
									
										<option value="243" >Zimbabwe</option>
									
									</optgroup>
								</select>
							</div>
						</div>
						
						<div class="ligne">
							<div class="gauche"><label for="telephone_fixe">T&eacute;l&eacute;phone fixe</label></div>
							<div class="infos">&nbsp;&nbsp;<input  type="text" id="telephone_fixe" name="telephone_fixe" maxlength="50" value="" /></div>
						</div>
						
						<div class="ligne">
							<div class="gauche"><label for="telephone_pro">T&eacute;l&eacute;phone pro.</label></div>
							<div class="infos">&nbsp;&nbsp;<input  type="text" id="telephone_pro" name="telephone_pro" maxlength="50" value="" /></div>
						</div>
						
						<div class="ligne">
							<div class="gauche"><label for="niveau">Niveau &eacute;tudes</label></div>
							<div class="infos">&nbsp;
								<select  id="niveau" name="niveau">
								<optgroup label="niveau">
									
									<option value="12" >Sans qualification</option>
									
									<option value="11" >Niveau 5 (BEP/CAP)</option>
									
									<option value="0" >Niveau 4 (BAC/BAC PRO)</option>
									
									<option value="2" >Niveau 3 (BAC+2/BTS)</option>
									
									<option value="4" >Niveau 2 (BAC+3/BAC+4)</option>
									
									<option value="5" >Niveau 1 (BAC+5)</option>
									
								</optgroup>
								</select>
							</div>
						</div>
						
						<div class="ligne">
							<div class="gauche"><label for="email">E-mail*</label></div>
							<div class="infos">&nbsp;&nbsp;<input  type="text" id="email" name="email" size="30" maxlength="50" value="" /></div>
						</div>
						
						<div class="ligne">
							<div class="gauche"><label for="mdp_user">Mot de passe</label></div>
							<div class="infos">&nbsp;&nbsp;<input  type="password" id="mdp_user" name="mdp_user" maxlength="10" /></div>
						</div>
						
						<div class="ligne">
							<div class="gauche"><label for="mdp_user2">R&eacute;p&eacute;tez votre mot de passe</label></div>
							<div class="infos">&nbsp;&nbsp;<input  type="password" id="mdp_user2" name="mdp_user2" maxlength="10" /></div>
						</div>
						
						<div id="info_cv" class="Categorie_rose"><br/>Votre CV</div>
						
						<div class="ligne">
							<div class="gauche"><label for="titrecv">Titre du CV</label></div>
							<div>
								&nbsp;&nbsp;<input id="titrecv"  type="text" id="titrecv" name="titrecv" value="" maxlength="150" />&nbsp;<em>(ex: Assistant chef de produit)</em>
							</div>
						</div>
						
						<div class="ligne">
							<div class="gauche"><label for="fichiercv">Votre CV en pi&egrave;ce jointe</label></div>
							<div>&nbsp;&nbsp;<input  type="file" id="fichiercv" name="fichiercv" onchange="javascript:return verif_extension2(this.value);" />&nbsp;<a name="supp_pj" class="normal" onclick="javascript:document.getElementById('form_new_compte').fichiercv.value='';" title="Je veux annuler la s&eacute;lection de ce fichier" class="normal">Annuler cette pi&egrave;ce jointe</a></div>
						</div>
						
						<p>
							<input id="autorise"  type="checkbox" name="autorise" value="1"  /><label for="autorise">Je souhaite que mon CV soit anonyme.</label>
							<br/><br/>
							<input id="pushpro"  type="checkbox" name="pushpro" value="1" checked="checked" /><label for="pushpro">J'accepte de recevoir des propositions de recrutement par e-mail.</label>
							<br/>
							<input id="partenaires"  type="checkbox" name="partenaires" value="1"  /><label for="partenaires">J'accepte de recevoir des informations des partenaires commerciaux d'handiQuesta.</label>
						</p>
						
						
							<a href="#info_compte" onclick="javascript:document.getElementById('form_new_compte').reset();" onkeypress="javascript:document.getElementById('form_new_compte').reset();" class="nostyle" title="Annuler les modifications"><img alt="Annuler les modifications" class="nostyle" src="images/boutons/annuler/basic_normal_rose.png"/></a>
							<input type="image" src="images/boutons/valider/basic_normal_rose.png" name="new_compte_envoyer" id="new_compte_envoyer" alt="Valider les modifications" />
						
				
				</div>
			</fieldset>
		</div>
	</form>
	
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