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<form id="formData">
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<legend id="titre_formData"><?= _("Ajouter des données") ?></legend>
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<table class="table table-responsive table-condensed">
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<tbody>
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<tr>
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<td width="10%" align="center"><?= _("S/P Minimum")?></td>
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<td width="10%" ><INPUT class="form-control" TYPE="number" step="0.01" id="spMin" NAME="spMin" readonly value="<?= $spMin ?>"></td>
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<td width="10%" align="center" class="required"><?= _("S/P Maximum")?></td>
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<td width="10%" ><INPUT class="form-control" TYPE="number" step="0.01" id="spMax" NAME="spMax" required AUTOCOMPLETE="OFF" onblur="javascript:controle_spmax();"></td>
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<td width="10%" align="center" class="required"><?= _("Taux")." (%)"?></td>
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<td width="10%" ><INPUT class="form-control" TYPE="number" step="0.01" id="tauxAjustement" NAME="tauxAjustement" required AUTOCOMPLETE="OFF" value="0.00"></td>
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</tr>
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</tbody>
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</table>
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</form>
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<div class="card border-0 shadow-sm mb-4 border-start border-primary border-4 animate__animated animate__fadeIn">
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<div class="card-header border-bottom bg-light py-3">
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<h6 class="card-title mb-0 fw-bold text-primary text-uppercase small">
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<i class="fas fa-plus-circle me-2"></i><?= _("Ajouter des données") ?>
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</h6>
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</div>
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<div class="card-body p-4">
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<form id="formData">
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<input type="hidden" name="codeGcAssureur" value="<?= $codeGcAssureur ?>">
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<div class="row g-4 align-items-end">
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<div class="col-md-4">
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<label class="form-label small fw-bold text-muted"><?= _("S/P Minimum") ?></label>
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<div class="input-group">
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<span class="input-group-text bg-light opacity-75">
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<i class="fas fa-lock text-muted"></i>
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</span>
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<input class="form-control text-center bg-light fw-bold"
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type="number" step="0.01"
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id="spMin" name="spMin"
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readonly value="<?= intval($spMin) ?>">
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</div>
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</div>
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<div class="col-md-4">
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<label class="form-label small fw-bold text-muted required"><?= _("S/P Maximum") ?></label>
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<div class="input-group">
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<span class="input-group-text bg-light text-primary">
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<i class="fas fa-chart-line"></i>
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</span>
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<input class="form-control text-center fw-bold border-2 border-start-0"
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type="number" step="0.01"
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id="spMax" name="spMax"
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required autocomplete="off"
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onblur="javascript:controle_spmax();">
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</div>
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</div>
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<div class="col-md-4">
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<label class="form-label small fw-bold text-muted required"><?= _("Taux Ajustement (%)") ?></label>
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<div class="input-group">
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<span class="input-group-text bg-light text-info">
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<i class="fas fa-percentage"></i>
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</span>
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<input class="form-control text-center fw-bold border-2 border-start-0"
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type="number" step="0.01"
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id="tauxAjustement" name="tauxAjustement"
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required autocomplete="off"
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value="0.00">
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</div>
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</div>
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</div>
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</form>
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</div>
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</div>
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