diff --git a/app/services/extended_socio_demographic_authorization_handler.rb b/app/services/extended_socio_demographic_authorization_handler.rb
new file mode 100644
index 00000000..bdc86483
--- /dev/null
+++ b/app/services/extended_socio_demographic_authorization_handler.rb
@@ -0,0 +1,49 @@
+# frozen_string_literal: true
+
+# Allows to create a form for simple Socio Demographic authorization
+class ExtendedSocioDemographicAuthorizationHandler < Decidim::AuthorizationHandler
+  attribute :last_name, String
+  attribute :usual_last_name, String
+  attribute :first_name, String
+  attribute :usual_first_name, String
+  attribute :birth_date, Date
+  attribute :address, String
+  attribute :postal_code, String
+  attribute :city, String
+  attribute :certification, Boolean
+  attribute :news_cese, Boolean
+
+  validates :last_name, presence: true
+  validates :first_name, presence: true
+  validates :birth_date, presence: true
+  validates :address, presence: true
+  validates :postal_code, numericality: { only_integer: true }, presence: true, length: { is: 5 }
+  validates :city, presence: true
+  validates :certification, acceptance: true, presence: true
+
+  validate :over_16?
+
+  def metadata
+    super.merge(
+      last_name: last_name,
+      usual_last_name: usual_last_name,
+      first_name: first_name,
+      usual_first_name: usual_first_name,
+      address: address,
+      postal_code: postal_code,
+      city: city,
+      birth_date: birth_date,
+      certification: certification,
+      news_cese: news_cese
+    )
+  end
+
+  private
+
+  def over_16?
+    return if birth_date.blank?
+    return true if birth_date < 16.years.ago.to_date
+
+    errors.add :birth_date, I18n.t("extended_socio_demographic_authorization.errors.messages.over_16")
+  end
+end
diff --git a/app/views/extended_socio_demographic_authorization/_form.html.erb b/app/views/extended_socio_demographic_authorization/_form.html.erb
new file mode 100644
index 00000000..cd6bd848
--- /dev/null
+++ b/app/views/extended_socio_demographic_authorization/_form.html.erb
@@ -0,0 +1,74 @@
+<%= hidden_field :authorization_handler, :handler_name, value: "extended_socio_demographic_authorization_handler" %>
+
+<div class="card-section">
+  <div class="row">
+    <div class="columns medium-6">
+      <div class="field">
+        <%= form.text_field :first_name, minlength: 1, pattern: "[A-Za-z]+", autocomplete: "given-name", label: t(".name") %>
+      </div>
+    </div>
+    <div class="columns medium-6">
+      <div class="field">
+        <%= form.text_field :last_name, minlength: 1, pattern: "[A-Za-z]+", autocomplete: "given-name", label: t(".lastname") %>
+      </div>
+    </div>
+  </div>
+  <div class="row">
+    <div class="columns medium-6">
+      <div class="field">
+        <%= form.text_field :usual_first_name, pattern: "[A-Za-z]+", autocomplete: "family-name", label: t(".usual_firstname") %>
+      </div>
+    </div>
+    <div class="columns medium-6">
+      <div class="field">
+        <%= form.text_field :usual_last_name, pattern: "[A-Za-z]+", autocomplete: "family-name", label: t(".usual_lastname") %>
+      </div>
+    </div>
+  </div>
+
+  <div class="row">
+    <div class="columns medium-12">
+      <%= form.date_select :birth_date, {label: t(".birth_date"), start_year: Date.today.year - 120, end_year: Date.today.year }, { class: "columns medium-3" } %>
+    </div>
+    <div class="columns margin-bottom-1 postal_code_help">
+      <small><em><%= t(".birth_date_help") %></em></small>
+    </div>
+  </div>
+
+  <div class="field">
+    <%= form.text_field :address, autocomplete: "street-address", label: t(".address") %>
+  </div>
+
+  <div class="row">
+    <div class="columns medium-4">
+      <div class="field">
+        <%= form.text_field :postal_code, pattern: "^[0-9]+$", minlength: 5, maxlength: 5, autocomplete: "postal-code", label: t(".code") %>
+      </div>
+    </div>
+    <div class="columns medium-8">
+      <div class="field">
+        <%= form.text_field :city, label: t(".city") %>
+      </div>
+    </div>
+
+    <div class="columns margin-bottom-1 postal_code_help">
+      <small><em><%= t(".postal_code.help_message") %></em></small>
+    </div>
+  </div>
+
+  <div class="row">
+    <div class="columns">
+      <div class="field">
+        <%= form.check_box :certification, label: t(".certification") %>
+      </div>
+    </div>
+    <div class="columns">
+      <div class="field">
+        <%== form.check_box :news_cese, label: t(".news_cese") %>
+      </div>
+    </div>
+  </div>
+</div>
+
+<%= javascript_pack_tag "extended_socio_demographic_authorization_handler" %>
+<%= stylesheet_pack_tag "extended_socio_demographic_css" %>
diff --git a/config/locales/en.yml b/config/locales/en.yml
index 54f8c703..41a7d6c3 100644
--- a/config/locales/en.yml
+++ b/config/locales/en.yml
@@ -191,8 +191,8 @@ en:
     verifications:
       authorizations:
         create:
-          error: Error
-          success: Success
+          error: There was a problem creating the authorization.
+          success: You've been successfully authorized
         first_login:
           actions:
             osp_authorization_handler: Verify with the identity verification form
@@ -225,6 +225,24 @@ en:
     shared:
       links:
         forgot_your_password: Forgot your password
+  extended_socio_demographic_authorization:
+    errors:
+      messages:
+        over_16: You must be over 16 years old to access this service.
+    form:
+      address: Address
+      birth_date: Date of birth
+      birth_date_help: You must be over 16 years old to access this service.
+      certification: Certification CESE
+      city: City
+      code: Postal code
+      lastname: Last name
+      name: First name
+      news_cese: Do you want to receive news from CESE ?
+      postal_code:
+        help_message: Please fill the postal code field to be able to select your city
+      usual_firstname: Usual first name
+      usual_lastname: Usual last name
   faker:
     address:
       country_code:
diff --git a/config/locales/fr.yml b/config/locales/fr.yml
index 9a7b44db..1d940769 100644
--- a/config/locales/fr.yml
+++ b/config/locales/fr.yml
@@ -221,6 +221,24 @@ fr:
     shared:
       links:
         forgot_your_password: Mot de passe oublié ?
+  extended_socio_demographic_authorization:
+    errors:
+      messages:
+        over_16: Vous devez avoir plus de 16 ans pour accéder à ce service.
+    form:
+      address: Addresse
+      birth_date: Date de naissance
+      birth_date_help: Vous devez avoir plus de 16 ans pour avoir accès à ce service.
+      certification: Certification CESE
+      city: Ville
+      code: Code postal
+      lastname: Nom
+      name: Prénom
+      news_cese: Souhaitez-vous recevoir les actualités du CESE ?
+      postal_code:
+        help_message: Veuillez renseigner votre code postal pour choisir la ville
+      usual_firstname: Prénom d'usage
+      usual_lastname: Nom d'usage
   faker:
     address:
       country_code:
diff --git a/spec/services/extended_socio_demographic_authorization_handler/extended_socio_demographic_authorization_handler_spec.rb b/spec/services/extended_socio_demographic_authorization_handler/extended_socio_demographic_authorization_handler_spec.rb
new file mode 100644
index 00000000..cf6f4741
--- /dev/null
+++ b/spec/services/extended_socio_demographic_authorization_handler/extended_socio_demographic_authorization_handler_spec.rb
@@ -0,0 +1,123 @@
+# frozen_string_literal: true
+
+require "spec_helper"
+
+describe ExtendedSocioDemographicAuthorizationHandler do
+  subject do
+    described_class.new(
+      last_name: last_name,
+      usual_last_name: usual_last_name,
+      first_name: first_name,
+      usual_first_name: usual_first_name,
+      address: address,
+      postal_code: postal_code,
+      city: city,
+      birth_date: birth_date,
+      certification: certification,
+      news_cese: news_cese
+    )
+  end
+
+  let(:user) { create(:user) }
+
+  let(:organization) { user.organization }
+
+  let(:last_name) { "Doe" }
+  let(:usual_last_name) { "Smith" }
+  let(:first_name) { "John" }
+  let(:usual_first_name) { "Jack" }
+  let(:address) { "21 Jump Street" }
+  let(:postal_code) { "75018" }
+  let(:city) { "Nowhere" }
+  let(:birth_date) { 20.years.ago.to_date }
+  let(:certification) { true }
+  let(:news_cese) { true }
+
+  context "when the information is valid" do
+    it "is valid" do
+      expect(subject).to be_valid
+    end
+  end
+
+  context "when name is nil" do
+    let(:last_name) { nil }
+
+    it "is invalid" do
+      expect(subject).to be_invalid
+    end
+  end
+
+  context "when first name is nil" do
+    let(:first_name) { nil }
+
+    it "is invalid" do
+      expect(subject).to be_invalid
+    end
+  end
+
+  context "with postal code" do
+    context "and nil" do
+      let(:postal_code) { nil }
+
+      it "is invalid" do
+        expect(subject).to be_invalid
+      end
+    end
+
+    context "and not a number" do
+      let(:postal_code) { "Some string" }
+
+      it "is invalid" do
+        expect(subject).to be_invalid
+      end
+    end
+
+    context "and length inferior than 5 chars" do
+      let(:postal_code) { "1234" }
+
+      it "is invalid" do
+        expect(subject).to be_invalid
+      end
+    end
+
+    context "and length greater than 5 chars" do
+      let(:postal_code) { "123456" }
+
+      it "is invalid" do
+        expect(subject).to be_invalid
+      end
+    end
+  end
+
+  context "when city is nil" do
+    let(:city) { nil }
+
+    it "is invalid" do
+      expect(subject).to be_invalid
+    end
+  end
+
+  context "when certification is unchecked" do
+    let(:certification) { "0" }
+
+    it "is invalid" do
+      expect(subject).to be_invalid
+    end
+  end
+
+  context "when birthdate is nil" do
+    let(:birth_date) { nil }
+
+    it "is invalid" do
+      expect(subject).to be_invalid
+    end
+  end
+
+  context "when the person is too young" do
+    let(:birth_date) { 14.years.ago.to_date }
+
+    it "is invalid" do
+      expect(subject).to be_invalid
+    end
+  end
+end
diff --git a/spec/system/user_manage_authorizations_spec.rb b/spec/system/user_manage_authorizations_spec.rb
new file mode 100644
index 00000000..6ab742f3
--- /dev/null
+++ b/spec/system/user_manage_authorizations_spec.rb
@@ -0,0 +1,117 @@
+# frozen_string_literal: true
+
+require "spec_helper"
+
+describe "User authorizations", type: :system do
+  include Decidim::TranslatableAttributes
+
+  let!(:organization) do
+    create(:organization,
+           available_authorizations: ["extended_socio_demographic_authorization_handler"])
+  end
+
+  let(:user) { create(:user, :confirmed) }
+
+  before do
+    stub_request(:get, /datanova.laposte.fr/)
+      .with(headers: { "Accept" => "application/json" })
+      .to_return(status: 200, body: { nhits: 1, parameters: { dataset: "laposte_hexasmal", q: "75018", rows: 10, start: 0, facet: %w(code_postal ligne_10), format: "json", timezone: "UTC" }, records: [{ datasetid: "laposte_hexasmal", recordid: "29faec4345bff1b24c52cc6e6bc9ddfa899eb862", fields: { nom_de_la_commune: "PARIS 18", libelle_d_acheminement: "PARIS 18", code_postal: "75018", coordonnees_gps: [48.892570317, 2.3481765980000002], code_commune_insee: "75118" }, geometry: { type: "Point", coordinates: [2.3481765980000002, 48.892570317] }, record_timestamp: "2022-03-20T23:35:00Z" }], facet_groups: [{ name: "code_postal", facets: [{ name: "75018", count: 1, state: "displayed", path: "75018" }] }] }.to_json, headers: {})
+
+    switch_to_host(organization.host)
+    login_as user, scope: :user
+    visit decidim.root_path
+    click_link user.name
+    click_link "My account"
+    click_link "Authorizations"
+  end
+
+  it "displays the authorization item" do
+    within ".tabs-content.vertical" do
+      expect(page).to have_content("Additional informations")
+    end
+  end
+
+  context "when accessing authorization" do
+    before do
+      visit "/authorizations"
+
+      click_link "Additional informations"
+    end
+
+    it "displays authorization form" do
+      expect(page).to have_content "Additional informations"
+
+      within ".new_authorization_handler" do
+        expect(page).to have_content("Last name")
+        expect(page).to have_content("Usual last name")
+        expect(page).to have_field("First name")
+        expect(page).to have_field("Usual first name")
+        expect(page).to have_field("Address")
+        expect(page).to have_field("Postal code")
+        expect(page).to have_content("City")
+        expect(page).to have_content("Date of birth")
+        expect(page).to have_field("Certification")
+        expect(page).to have_content("Do you want to receive news from CESE ?")
+      end
+    end
+
+    context "verifies the removal of email field" do
+      it "does not display email field" do
+        expect(page).to_not have_field("Email")
+      end
+    end
+
+    it "allows user to fill form" do
+      fill_in :authorization_handler_last_name, with: "Doe"
+      fill_in :authorization_handler_usual_last_name, with: "Smith"
+      fill_in :authorization_handler_first_name, with: "John"
+      fill_in :authorization_handler_usual_first_name, with: "Jack"
+      fill_in :authorization_handler_address, with: "21 Jump Street"
+      fill_in :authorization_handler_postal_code, with: "75018"
+      fill_in :authorization_handler_city, with: "PARIS 18"
+
+      select "January", from: "authorization_handler_birth_date_2i"
+      select 1980, from: "authorization_handler_birth_date_1i"
+      select 22, from: "authorization_handler_birth_date_3i"
+      check :authorization_handler_certification
+      check :authorization_handler_news_cese
+      click_button "Send"
+
+      expect(page).to have_content("You've been successfully authorized")
+    end
+
+    it "allows to select a city when multiple cities are enabled" do
+      fill_in :authorization_handler_last_name, with: "Doe"
+      fill_in :authorization_handler_first_name, with: "John"
+      fill_in :authorization_handler_address, with: "21 Jump Street"
+      fill_in :authorization_handler_postal_code, with: "75018"
+      fill_in :authorization_handler_city, with: "PARIS 18"
+
+      select "January", from: "authorization_handler_birth_date_2i"
+      select 1980, from: "authorization_handler_birth_date_1i"
+      select 22, from: "authorization_handler_birth_date_3i"
+      check :authorization_handler_certification
+      check :authorization_handler_news_cese
+      click_button "Send"
+
+      expect(page).to have_content("You've been successfully authorized")
+    end
+
+    it "refuses to authorize when younger than 16" do
+      fill_in :authorization_handler_last_name, with: "Doe"
+      fill_in :authorization_handler_first_name, with: "John"
+      fill_in :authorization_handler_address, with: "21 Jump Street"
+      fill_in :authorization_handler_postal_code, with: "75018"
+      fill_in :authorization_handler_city, with: "PARIS 18"
+
+      select "January", from: "authorization_handler_birth_date_2i"
+      select 2010, from: "authorization_handler_birth_date_1i"
+      select 22, from: "authorization_handler_birth_date_3i"
+      check :authorization_handler_certification
+      check :authorization_handler_news_cese
+      click_button "Send"
+
+      expect(page).to have_content("You must be over 16 years old to access this service").twice
+    end
+  end
+end