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KONE SOREL 2026-03-15 10:23:37 +00:00
parent 055d6d9a09
commit 839ba4a4dd
1 changed files with 9 additions and 1 deletions
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10
Vue/Creergcassureur/index.php
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@ -119,9 +119,17 @@
<input class="form-control majuscule" type="text" id="representant" name="representant">
</div>
<div class="col-md-6">
<label class="form-label small fw-bold text-muted"><?= _("Tél. Représentant") ?></label>
<label class="form-label small fw-bold text-muted"><?= _("Téléphone Représentant") ?></label>
<input class="form-control" type="text" id="telephonerepresentant" name="telephonerepresentant">
</div>
<div class="col-md-6">
<label class="form-label small fw-bold text-muted text-uppercase"><?= _("Sigle") ?></label>
<input class="form-control majuscule shadow-none border-2" type="text" id="siglerepresentant" name="siglerepresentant" value="">
</div>
<div class="col-md-6">
<label class="form-label small fw-bold text-muted text-uppercase"><?= _("Service") ?></label>
<input class="form-control majuscule shadow-none border-2" type="text" id="servicerepresentant" name="servicerepresentant" value="">
</div>
</div>
</div>
</div>