{"id":778,"date":"2025-08-30T19:56:53","date_gmt":"2025-08-30T17:56:53","guid":{"rendered":"https:\/\/ifselyana.com\/?page_id=778"},"modified":"2025-10-02T19:37:15","modified_gmt":"2025-10-02T17:37:15","slug":"formulaire-dinscription-2024-2025","status":"publish","type":"page","link":"https:\/\/ifselyana.com\/?page_id=778","title":{"rendered":"FORMULAIRE D&rsquo;INSCRIPTION 2024 &#8211; 2025"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f777-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"777\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F778#wpcf7-f777-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"777\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f777-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p>Noms :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"noms\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"noms\" \/><\/span>\n<\/p>\n<p>Pr\u00e9noms :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"prenoms\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"prenoms\" \/><\/span>\n<\/p>\n<p>Nom de jeune fille :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nom_jeune_fille\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom_jeune_fille\" \/><\/span>\n<\/p>\n<p>Sexe :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sexe\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"sexe\" value=\"F\u00e9minin\" \/><span class=\"wpcf7-list-item-label\">F\u00e9minin<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"sexe\" value=\"Masculin\" \/><span class=\"wpcf7-list-item-label\">Masculin<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p>Date de Naissance :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date_naissance\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date_naissance\" \/><\/span>\n<\/p>\n<p>Lieu de Naissance :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lieu_naissance\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"lieu_naissance\" \/><\/span>\n<\/p>\n<p>Nationalit\u00e9 :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nationalite\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nationalite\" \/><\/span>\n<\/p>\n<p>Situation Matrimoniale :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"situation_matrimoniale\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"situation_matrimoniale\" value=\"Mari\u00e9(e)\" \/><span class=\"wpcf7-list-item-label\">Mari\u00e9(e)<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"situation_matrimoniale\" value=\"C\u00e9libataire\" \/><span class=\"wpcf7-list-item-label\">C\u00e9libataire<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p>Adresse Compl\u00e8te :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"adresse\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"adresse\"><\/textarea><\/span>\n<\/p>\n<p>Code Postal :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"code_postal\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"code_postal\" \/><\/span>\n<\/p>\n<p>Ville :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ville\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ville\" \/><\/span>\n<\/p>\n<p>T\u00e9l\u00e9phone mobile :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telephone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telephone\" \/><\/span>\n<\/p>\n<p>E-mail :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n<\/p>\n<p>Nom du tuteur :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nom_tuteur\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom_tuteur\" \/><\/span>\n<\/p>\n<p>T\u00e9l\u00e9phone du tuteur :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel_tuteur\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel_tuteur\" \/><\/span>\n<\/p>\n<h4>CHOIX DE LA FILI\u00c8RE\n<\/h4>\n<p>Option souhait\u00e9e :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"filiere\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"filiere\"><option value=\"Infirmier(e) Dipl\u00f4m\u00e9 d\u2019Etat\">Infirmier(e) Dipl\u00f4m\u00e9 d\u2019Etat<\/option><option value=\"Sage-Femme\">Sage-Femme<\/option><option value=\"Biologie M\u00e9dicale\">Biologie M\u00e9dicale<\/option><\/select><\/span>\n<\/p>\n<p>Ann\u00e9e d\u2019\u00e9tude :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"annee_etude\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"annee_etude\" value=\"1\u00e8re Ann\u00e9e\" \/><span class=\"wpcf7-list-item-label\">1\u00e8re Ann\u00e9e<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"annee_etude\" value=\"2\u00e8me Ann\u00e9e\" \/><span class=\"wpcf7-list-item-label\">2\u00e8me Ann\u00e9e<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"annee_etude\" value=\"3\u00e8me Ann\u00e9e\" \/><span class=\"wpcf7-list-item-label\">3\u00e8me Ann\u00e9e<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p>Cours :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cours\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"cours\" value=\"Jour\" \/><span class=\"wpcf7-list-item-label\">Jour<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"cours\" value=\"Soir\" \/><span class=\"wpcf7-list-item-label\">Soir<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"cours\" value=\"Weekend\" \/><span class=\"wpcf7-list-item-label\">Weekend<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<h4>CURSUS ACAD\u00c9MIQUE\n<\/h4>\n<p>Etablissement d\u2019origine :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"etablissement\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"etablissement\" \/><\/span>\n<\/p>\n<p>Intitul\u00e9 du Dipl\u00f4me obtenu :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"diplome\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"diplome\" \/><\/span>\n<\/p>\n<p>S\u00e9rie :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"serie\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"serie\" \/><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"S\u2019inscrire\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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