<fieldset class="fr-fieldset" id="siret-963" aria-labelledby="siret-963-legend siret-963-messages">
    <legend class="fr-sr-only" id="siret-963-legend">
        SIRET de l'entreprise
    </legend>
    <div class="fr-fieldset__element">
        <div class="fr-input-group" id="input-group-965">
            <label class="fr-label" for="siret-964">
                Numéro de SIRET
            </label>
            <input class="fr-input" aria-describedby="siret-964-messages" name="siret" id="siret-964" type="text">
            <div class="fr-messages-group" id="siret-964-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-mt-n1v fr-fieldset__element">
        <a class="fr-link" title="Annuaire des entreprises - nouvelle fenêtre" target="_blank" rel="noopener" id="link-966" href="https://annuaire-entreprises.data.gouv.fr/">Annuaire des entreprises</a>
    </div>
    <div class="fr-messages-group" id="siret-963-messages" aria-live="polite">
    </div>
</fieldset>

<fieldset class="fr-fieldset" id="address-992" aria-labelledby="address-992-legend address-992-messages">
    <legend class="fr-sr-only" id="address-992-legend">
        Adresse postale
    </legend>
    <div class="fr-fieldset__element">
        <div class="fr-input-group" id="input-group-993">
            <label class="fr-label" for="name-984">
                Dénomination
            </label>
            <input class="fr-input" aria-describedby="name-984-messages" name="organization-name" autocomplete="organization" id="name-984" type="text">
            <div class="fr-messages-group" id="name-984-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-fieldset__element">
        <div class="fr-input-group" id="input-group-994">
            <label class="fr-label" for="address-985">
                Adresse
                <span class="fr-hint-text">Indication : numéro et voie</span>
            </label>
            <input class="fr-input" aria-describedby="address-985-messages" name="address-line1" autocomplete="address-line1" id="address-985" type="text">
            <div class="fr-messages-group" id="address-985-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-fieldset__element">
        <div class="fr-input-group" id="input-group-995">
            <label class="fr-label" for="complement-986">
                Complément d’adresse (optionnel)
                <span class="fr-hint-text">Indication : bâtiment, immeuble, escalier et numéro d’appartement</span>
            </label>
            <input class="fr-input" aria-describedby="complement-986-messages" name="address-line2" autocomplete="address-line2" id="complement-986" type="text">
            <div class="fr-messages-group" id="complement-986-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-fieldset__element">
        <div class="fr-input-group" id="input-group-996">
            <label class="fr-label" for="locality-987">
                Lieu-dit, commune déléguée ou boîte postale
            </label>
            <input class="fr-input" aria-describedby="locality-987-messages" name="address-level3" autocomplete="address-line3" id="locality-987" type="text">
            <div class="fr-messages-group" id="locality-987-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-fieldset__element fr-fieldset__element--inline fr-fieldset__element--postal">
        <div class="fr-input-group" id="input-group-997">
            <label class="fr-label" for="postal-988">
                Code postal
                <span class="fr-hint-text">Format attendu : 5 chiffres</span>
            </label>
            <input class="fr-input" aria-describedby="postal-988-messages" name="postal-code" autocomplete="postal-code" id="postal-988" type="text">
            <div class="fr-messages-group" id="postal-988-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-fieldset__element fr-fieldset__element--inline@md fr-fieldset__element--inline-grow">
        <div class="fr-input-group" id="input-group-998">
            <label class="fr-label" for="city-989">
                Ville ou commune
                <span class="fr-hint-text">Exemple : Montpellier</span>
            </label>
            <input class="fr-input" aria-describedby="city-989-messages" name="address-level2" autocomplete="address-level2" id="city-989" type="text">
            <div class="fr-messages-group" id="city-989-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-fieldset__element">
        <div class="fr-input-group" id="input-group-999">
            <label class="fr-label" for="cedex-990">
                Cedex
            </label>
            <input class="fr-input" aria-describedby="cedex-990-messages" name="business-postal-code" autocomplete="cedex" id="cedex-990" type="text">
            <div class="fr-messages-group" id="cedex-990-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-fieldset__element">
        <div class="fr-select-group">
            <label class="fr-label" for="country-991">
                Pays
            </label>
            <select class="fr-select" autocomplete="country" aria-describedby="country-991-messages" id="country-991" name="country">
                <option value="" selected disabled hidden>Sélectionner une option</option>
                <option value="FR">France</option>
                <option value="DE">Allemagne</option>
                <option value="IT">Italie</option>
                <option value="ES">Espagne</option>
                <option value="GB">Royaume-Uni</option>
            </select>
            <div class="fr-messages-group" id="country-991-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-messages-group" id="address-992-messages" aria-live="polite">
    </div>
</fieldset>

<fieldset class="fr-fieldset" id="structure-1003" aria-labelledby="structure-1003-legend structure-1003-messages">
    <legend class="fr-sr-only" id="structure-1003-legend">
        Type de société
    </legend>
    <div class="fr-fieldset__element">
        <div class="fr-select-group">
            <label class="fr-label" for="structure-1004">
                Type de société
            </label>
            <select class="fr-select" aria-describedby="structure-1004-messages" id="structure-1004" name="structure">
                <option value="" selected disabled hidden>Sélectionner une option</option>
                <option value="EI">Entrepreneur individuel (EI)</option>
                <option value="EURL">Entreprise unipersonnelle à responsabilité limitée (EURL)</option>
                <option value="SARL">Société à responsabilité limitée (SARL)</option>
                <option value="SASU">Société par actions simplifiée unipersonnelle (SASU)</option>
                <option value="SAS">Société par actions simplifiée (SAS)</option>
                <option value="SA">Société anonyme (SA)</option>
                <option value="SNC">Société en nom collectif (SNC)</option>
                <option value="SCS">Société en commandite simple (SCS)</option>
                <option value="SCA">Société en commandite par actions (SCA)</option>
            </select>
            <div class="fr-messages-group" id="structure-1004-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-messages-group" id="structure-1003-messages" aria-live="polite">
    </div>
</fieldset>

<fieldset class="fr-fieldset" id="representative-1019" aria-labelledby="representative-1019-legend representative-1019-messages">
    <legend class="fr-sr-only" id="representative-1019-legend">
        Représentant moral de l'entreprise
    </legend>
    <div class="fr-fieldset__element">
        <div class="fr-input-group" id="input-group-1028">
            <label class="fr-label" for="usual-1022">
                Nom d'usage
            </label>
            <input class="fr-input" aria-describedby="usual-1022-messages" name="usual-name" autocomplete="family-name" id="usual-1022" spellcheck="false" type="text">
            <div class="fr-messages-group" id="usual-1022-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-fieldset__element">
        <div class="fr-input-group" id="input-group-1029">
            <label class="fr-label" for="birth-1023">
                Nom de naissance
                <span class="fr-hint-text">Indication : nom de famille non rectifié après décision du tribunal.</span>
            </label>
            <input class="fr-input" aria-describedby="birth-1023-messages" name="birth-name" autocomplete="family-name" id="birth-1023" spellcheck="false" type="text">
            <div class="fr-messages-group" id="birth-1023-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-fieldset__element">
        <div class="fr-input-group" id="input-group-1030">
            <label class="fr-label" for="givens-1025">
                Prénom
            </label>
            <input class="fr-input" aria-describedby="givens-1025-messages" name="given-names" autocomplete="given-name" id="givens-1025" spellcheck="false" type="text">
            <div class="fr-messages-group" id="givens-1025-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-fieldset__element">
        <div class="fr-input-group" id="input-group-1031">
            <label class="fr-label" for="representative-1027">
                Fonction dans la société
            </label>
            <input class="fr-input" aria-describedby="representative-1027-messages" name="position" autocomplete="organization-title" id="representative-1027" type="text">
            <div class="fr-messages-group" id="representative-1027-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-messages-group" id="representative-1019-messages" aria-live="polite">
    </div>
</fieldset>