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?>
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<span class="login100-form-title" style="font-family: Play-Bold; color:#e5e5e5; margin-top: 5px; margin-bottom:10px;">
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Insured Portal
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RADIANT : Insured Portal
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</span>
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<div class="wrap-input100" >
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</div>
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</div>
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<div class="wrap-input100">
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<div class="wrap-input100 validate-input" data-validate="Enter Entity">
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<label for="codeSociete">Entité</label>
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<input class="input100" type="text" name="codeSociete" id="codeSociete" value="<?= $codeSociete ?>"
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placeholder="Entité" style="text-align:center;" required AUTOCOMPLETE="off"
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onChange="javascript:changer_entite_portail();" >
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</div>
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</div>
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<div id="div_login_portail" class="wrap-input100">
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<div class="wrap-input100 validate-input" data-validate="Enter username">
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<label for="login">Identifiant</label>
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