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KONE SOREL 2026-04-04 12:29:29 +00:00
parent cfa85d1868
commit 162a9bd51b

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@ -49,49 +49,49 @@
<div class="card border-0 shadow-sm p-4">
<div class="row g-3">
<div class="col-md-3">
<label class="form-label small fw-bold text-muted text-uppercase"><?= _("Code Garant") ?></label>
<label class="form-label small fw-bold text-muted"><?= _("Code Garant") ?></label>
<input class="form-control bg-light border-2 fw-bold" type="text" id="codeGcAssureur" name="codeGcAssureur" value="<?= $this->nettoyer($gc['codeGcAssureur']) ?>" readonly>
</div>
<div class="col-md-6">
<label class="form-label small fw-bold text-muted text-uppercase"><?= _("Nom du Garant") ?> <span class="text-danger">*</span></label>
<label class="form-label small fw-bold text-muted"><?= _("Nom du Garant") ?> <span class="text-danger">*</span></label>
<input class="form-control majuscule shadow-none border-2" type="text" id="libelle" name="libelle" value="<?= $this->nettoyer($gc['libelle']) ?>" required>
</div>
<div class="col-md-3">
<label class="form-label small fw-bold text-muted text-uppercase"><?= _("Type Garant") ?> <span class="text-danger">*</span></label>
<label class="form-label small fw-bold text-muted"><?= _("Type Garant") ?> <span class="text-danger">*</span></label>
<select name="typeGarant" id="typeGarant" class="form-control selectpicker border-2" data-live-search="true">
<?= liste_options($gctypegarant, $this->nettoyer($gc['typeGarant']), true) ?>
</select>
</div>
<div class="col-md-6">
<label class="form-label small fw-bold text-muted text-uppercase"><?= _("Représentant") ?></label>
<label class="form-label small fw-bold text-muted"><?= _("Représentant") ?></label>
<input class="form-control majuscule shadow-none border-2" type="text" id="representant" name="representant" value="<?= $this->nettoyer($gc['representant']) ?>">
</div>
<div class="col-md-3">
<label class="form-label small fw-bold text-muted text-uppercase"><?= _("Sigle") ?></label>
<label class="form-label small fw-bold text-muted"><?= _("Sigle") ?></label>
<input class="form-control majuscule shadow-none border-2" type="text" id="siglerepresentant" name="siglerepresentant" value="<?= $this->nettoyer($gc['siglerepresentant']) ?>">
</div>
<div class="col-md-3">
<label class="form-label small fw-bold text-muted text-uppercase"><?= _("Service") ?></label>
<label class="form-label small fw-bold text-muted"><?= _("Service") ?></label>
<input class="form-control majuscule shadow-none border-2" type="text" id="servicerepresentant" name="servicerepresentant" value="<?= $this->nettoyer($gc['siglerepresentant']) ?>">
</div>
<div class="col-md-4">
<label class="form-label small fw-bold text-muted text-uppercase"><?= _("Téléphone Garant") ?></label>
<label class="form-label small fw-bold text-muted"><?= _("Téléphone Garant") ?></label>
<input class="form-control shadow-none border-2" type="tel" id="telephoneGarant" name="telephoneGarant" value="<?= $this->nettoyer($gc['telephoneGarant']) ?>">
</div>
<div class="col-md-4">
<label class="form-label small fw-bold text-muted text-uppercase"><?= _("E-mail") ?></label>
<label class="form-label small fw-bold text-muted"><?= _("E-mail") ?></label>
<input class="form-control shadow-none border-2" type="email" id="emailGcAssureur" name="emailGcAssureur" value="<?= $this->nettoyer($gc['email']) ?>">
</div>
<div class="col-md-4">
<label class="form-label small fw-bold text-muted text-uppercase"><?= _("Téléphone Représentant") ?></label>
<label class="form-label small fw-bold text-muted"><?= _("Téléphone Représentant") ?></label>
<input class="form-control shadow-none border-2" type="text" id="telephonerepresentant" name="telephonerepresentant" value="<?= $this->nettoyer($gc['telephonerepresentant']) ?>">
</div>
<div class="col-md-6">
<label class="form-label small fw-bold text-muted text-uppercase"><?= _("Adresse Postale") ?></label>
<label class="form-label small fw-bold text-muted"><?= _("Adresse Postale") ?></label>
<input class="form-control majuscule shadow-none border-2" type="text" id="adressePostale" name="adressePostale" value="<?= $this->nettoyer($gc['adressePostale']) ?>">
</div>
<div class="col-md-6">
<label class="form-label small fw-bold text-muted text-uppercase"><?= _("Adresse Géographique") ?></label>
<label class="form-label small fw-bold text-muted"><?= _("Adresse Géographique") ?></label>
<input class="form-control majuscule shadow-none border-2" type="text" id="adresseGeographique" name="adresseGeographique" value="<?= $this->nettoyer($gc['adresseGeographique']) ?>">
</div>
</div>