<fieldset class="fr-fieldset" id="siret-863" aria-labelledby="siret-863-legend siret-863-messages">
    <legend class="fr-sr-only" id="siret-863-legend">
        SIRET de l'entreprise
    </legend>
    <div class="fr-fieldset__element">
        <div class="fr-input-group" id="input-group-865">
            <label class="fr-label" for="siret-864">
                Numéro de SIRET
            </label>
            <input class="fr-input" aria-describedby="siret-864-messages" name="siret" id="siret-864" type="text">
            <div class="fr-messages-group" id="siret-864-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-mt-n1v fr-fieldset__element">
        <a title="Annuaire des entreprises - nouvelle fenêtre" target="_blank" rel="noopener" id="link-866" href="https://annuaire-entreprises.data.gouv.fr/" class="fr-link">Annuaire des entreprises</a>
    </div>
    <div class="fr-messages-group" id="siret-863-messages" aria-live="polite">
    </div>
</fieldset>

<fieldset class="fr-fieldset" id="address-892" aria-labelledby="address-892-legend address-892-messages">
    <legend class="fr-sr-only" id="address-892-legend">
        Adresse postale
    </legend>
    <div class="fr-fieldset__element">
        <div class="fr-input-group" id="input-group-893">
            <label class="fr-label" for="name-884">
                Dénomination
            </label>
            <input class="fr-input" aria-describedby="name-884-messages" name="organization-name" autocomplete="organization" id="name-884" type="text">
            <div class="fr-messages-group" id="name-884-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-fieldset__element">
        <div class="fr-input-group" id="input-group-894">
            <label class="fr-label" for="address-885">
                Adresse
                <span class="fr-hint-text">Indication : numéro et voie</span>
            </label>
            <input class="fr-input" aria-describedby="address-885-messages" name="address-line1" autocomplete="address-line1" id="address-885" type="text">
            <div class="fr-messages-group" id="address-885-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-fieldset__element">
        <div class="fr-input-group" id="input-group-895">
            <label class="fr-label" for="complement-886">
                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-886-messages" name="address-line2" autocomplete="address-line2" id="complement-886" type="text">
            <div class="fr-messages-group" id="complement-886-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-fieldset__element">
        <div class="fr-input-group" id="input-group-896">
            <label class="fr-label" for="locality-887">
                Lieu-dit, commune déléguée ou boîte postale
            </label>
            <input class="fr-input" aria-describedby="locality-887-messages" name="address-level3" autocomplete="address-line3" id="locality-887" type="text">
            <div class="fr-messages-group" id="locality-887-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-897">
            <label class="fr-label" for="postal-888">
                Code postal
                <span class="fr-hint-text">Format attendu : 5 chiffres</span>
            </label>
            <input class="fr-input" aria-describedby="postal-888-messages" name="postal-code" autocomplete="postal-code" id="postal-888" type="text">
            <div class="fr-messages-group" id="postal-888-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-898">
            <label class="fr-label" for="city-889">
                Ville ou commune
                <span class="fr-hint-text">Exemple : Montpellier</span>
            </label>
            <input class="fr-input" aria-describedby="city-889-messages" name="address-level2" autocomplete="address-level2" id="city-889" type="text">
            <div class="fr-messages-group" id="city-889-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-fieldset__element">
        <div class="fr-input-group" id="input-group-899">
            <label class="fr-label" for="cedex-890">
                Cedex
            </label>
            <input class="fr-input" aria-describedby="cedex-890-messages" name="business-postal-code" autocomplete="cedex" id="cedex-890" type="text">
            <div class="fr-messages-group" id="cedex-890-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-fieldset__element">
        <div class="fr-select-group">
            <label class="fr-label" for="country-891">
                Pays
            </label>
            <select class="fr-select" autocomplete="country" aria-describedby="country-891-messages" id="country-891" 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-891-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-messages-group" id="address-892-messages" aria-live="polite">
    </div>
</fieldset>

<fieldset class="fr-fieldset" id="structure-903" aria-labelledby="structure-903-legend structure-903-messages">
    <legend class="fr-sr-only" id="structure-903-legend">
        Type de société
    </legend>
    <div class="fr-fieldset__element">
        <div class="fr-select-group">
            <label class="fr-label" for="structure-904">
                Type de société
            </label>
            <select class="fr-select" aria-describedby="structure-904-messages" id="structure-904" 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-904-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-messages-group" id="structure-903-messages" aria-live="polite">
    </div>
</fieldset>

<fieldset class="fr-fieldset" id="representative-919" aria-labelledby="representative-919-legend representative-919-messages">
    <legend class="fr-sr-only" id="representative-919-legend">
        Représentant moral de l'entreprise
    </legend>
    <div class="fr-fieldset__element">
        <div class="fr-input-group" id="input-group-928">
            <label class="fr-label" for="usual-922">
                Nom d'usage
            </label>
            <input class="fr-input" aria-describedby="usual-922-messages" name="usual-name" autocomplete="family-name" id="usual-922" spellcheck="false" type="text">
            <div class="fr-messages-group" id="usual-922-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-fieldset__element">
        <div class="fr-input-group" id="input-group-929">
            <label class="fr-label" for="birth-923">
                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-923-messages" name="birth-name" autocomplete="family-name" id="birth-923" spellcheck="false" type="text">
            <div class="fr-messages-group" id="birth-923-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-fieldset__element">
        <div class="fr-input-group" id="input-group-930">
            <label class="fr-label" for="givens-925">
                Prénom
            </label>
            <input class="fr-input" aria-describedby="givens-925-messages" name="given-names" autocomplete="given-name" id="givens-925" spellcheck="false" type="text">
            <div class="fr-messages-group" id="givens-925-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-fieldset__element">
        <div class="fr-input-group" id="input-group-931">
            <label class="fr-label" for="representative-927">
                Fonction dans la société
            </label>
            <input class="fr-input" aria-describedby="representative-927-messages" name="position" autocomplete="organization-title" id="representative-927" type="text">
            <div class="fr-messages-group" id="representative-927-messages" aria-live="polite">
            </div>
        </div>
    </div>
    <div class="fr-messages-group" id="representative-919-messages" aria-live="polite">
    </div>
</fieldset>