40 lines
2.1 KiB
PHP
Executable File
40 lines
2.1 KiB
PHP
Executable File
<form id="formData" class="container-fluid p-0">
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<div class="card border-0 shadow-sm border-start border-4 border-primary" style="border-radius: var(--radius-md);">
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<div class="card-header bg-white py-3 border-bottom">
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<h6 class="mb-0 fw-bold text-uppercase text-success small">
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<i class="fas fa-plus-circle me-2"></i><?= _("Ajouter un nouveau Territoire") ?>
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</h6>
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</div>
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<div class="card-body bg-light-50 p-4">
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<div class="row g-4 align-items-end">
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<div class="col-md-7">
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<label class="form-label small fw-bold text-muted required"><?= _("Nom du territoire") ?></label>
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<div class="input-group shadow-xs">
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<span class="input-group-text bg-white border-2 border-end-0">
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<i class="fas fa-city text-muted"></i>
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</span>
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<input type="text"
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class="form-control border-2 border-start-0 majuscule"
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id="libelle"
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name="libelle"
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required
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autocomplete="off">
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</div>
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</div>
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<div class="col-md-5">
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<label class="form-label small fw-bold text-muted required"><?= _("Pays de rattachement") ?></label>
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<div class="input-group shadow-xs">
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<span class="input-group-text bg-white border-2 border-end-0">
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<i class="fas fa-globe-africa text-muted"></i>
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</span>
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<select name="codePays" id="codePays" class="form-control selectpicker border-2 border-start-0" required>
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<?= liste_options($pays, $_SESSION['codePaysSociete'], false) ?>
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</select>
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</div>
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</div>
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</div>
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</div>
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</div>
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</form>
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