85 lines
4.0 KiB
PHP
Executable File
85 lines
4.0 KiB
PHP
Executable File
<section class="pcoded-content">
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<!-- Breadcrumb Start -->
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<!-- Breadcrumb End -->
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<!-- Main Content -->
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<div class="pcoded-inner-content">
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<div class="main-body page-wrapper">
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<!-- Search Filters -->
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<div class="card mb-4">
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<form action="#" method="GET" id="form_search" onsubmit="showOverlay()">
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<div class="row g-3 p-3">
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<!-- Garant -->
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<div class="col-md-6">
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<label for="nomGarant" class="form-label font-weight-bold"><?= _("Garant"); ?></label>
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<input
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type="text"
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class="form-control"
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id="nomGarant"
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name="nomGarant"
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value="<?= ($_SESSION['GcAssureur_C']); ?>"
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disabled>
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</div>
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<!-- Souscripteur -->
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<div class="col-md-6">
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<label for="idSouscripteur" class="form-label font-weight-bold"><?= _("Souscripteur"); ?></label>
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<select class="form-control js-select2" id="idSouscripteur" name="idSouscripteur">
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<?php liste_options_consultation($listesouscripteur, ""); ?>
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</select>
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</div>
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<!-- Recherche Police -->
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<div class="col-md-6">
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<label for="numeroPolice" class="form-label font-weight-bold"><?= _("Recherche Police"); ?></label>
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<input type="text" class="form-control" id="numeroPolice" name="numeroPolice" placeholder="Rechercher par numéro de police ou numéro de client...">
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</div>
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<!-- Etat Police -->
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<div class="col-md-6">
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<label for="codeEtatPolice" class="form-label font-weight-bold"><?= _("État Police"); ?></label>
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<select class="form-control js-select2" id="codeEtatPolice" name="codeEtatPolice">
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<?php liste_options_consultation($etat, ""); ?>
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</select>
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</div>
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<!-- Date d'effet -->
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<div class="col-md-6">
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<label for="dateEffet" class="form-label font-weight-bold"><?= _("Date d'effet"); ?></label>
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<input
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type="date"
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class="form-control"
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id="dateEffet"
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name="dateEffet">
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</div>
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<!-- Date d'échéance -->
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<div class="col-md-6">
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<label for="dateEcheance" class="form-label font-weight-bold"><?= _("Date d'échéance"); ?></label>
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<input
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type="date"
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class="form-control"
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id="dateEcheance"
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name="dateEcheance">
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</div>
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</div>
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<!-- Bouton de validation -->
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<div class="d-grid">
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<button
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type="submit"
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class="btn btn-primary"
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onclick="afficher_Police();">
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<?= _("Valider"); ?>
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</button>
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</div>
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</form>
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</div>
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<!-- Résultat -->
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<div id="div_Police"></div>
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</div>
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</div>
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</section>
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