154 lines
6.2 KiB
PHP
Executable File
154 lines
6.2 KiB
PHP
Executable File
<div id="div_remplacement_adherent">
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<table class="table table-responsive table-condensed" style='font-size:9pt;'>
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<tbody>
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<tr>
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<td width="10%" > <?= _("Sortie") ?> </td>
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<td width="15%" >
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<INPUT style='font-size:9pt; text-align:center' class="form-control" TYPE="text" Value="<?= dateLang($this->nettoyer($remplacementadherent_temp['dateSortie'])) ?>" readonly >
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</td>
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<td width="10%" style='font-size:9pt; text-align:center' > <?= _("Remplacement") ?> </td>
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<td width="15%" >
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<INPUT style='font-size:9pt; text-align:center' class="form-control" TYPE="text" Value="<?= dateLang($this->nettoyer($remplacementadherent_temp['dateRemplacement'])) ?>" readonly>
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</td>
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<td width="5%" style='font-size:9pt; text-align:center' > <?= _("Motif") ?> </td>
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<td > <INPUT style='font-size:9pt;' class="form-control" TYPE="text" Value="<?= $this->nettoyer($remplacementadherent_temp['motif']) ?>" readonly> </td>
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</tr>
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</tbody>
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</table>
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<table class="table table-striped table-bordered table-hover table-condensed table-responsive" style="font-size:10pt;">
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<thead>
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<tr>
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<th style="text-align:center"> <?= _("Garanties et soldes à transmettre") ?> </th>
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<th style="text-align:center"> <?= _("Limites en vigeur") ?> </th>
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<th style="text-align:center"> <?= _("Consommations") ?> </th>
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<th style="text-align:center"> <?= _("Solde") ?> </th>
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<th style="text-align:center"> <?= _("Par tête?") ?> </th>
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</tr>
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</thead>
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<tbody>
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<?php foreach ($garantieadherents as $garantieadherent):
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$champApplication = $this->nettoyer($garantieadherent['champApplication']);
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?>
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<tr valign="top">
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<td align='center'> <?= $this->nettoyer($garantieadherent['garantie'])?> </td>
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<td align='center'><?= format_N($this->nettoyer($garantieadherent['plafond'])) ?></td>
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<?php if($champApplication=='1'): ?>
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<td> </td>
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<td> </td>
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<td align='center'> <input type="checkbox" checked value="<?php echo $champApplication ; ?>" disabled ></td>
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<?php else: ?>
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<td align='center'><?= format_N($this->nettoyer($garantieadherent['consommation'])) ?></td>
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<td align='center'><?= format_N($this->nettoyer($garantieadherent['solde'])) ?></td>
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<td align='center'> <input type="checkbox" value="<?php echo $champApplication ; ?>" disabled ></td>
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<?php endif; ?>
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</tr>
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<?php endforeach; ?>
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</tbody>
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</table>
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<INPUT class="form-control" TYPE="text" value="FAMILLE ENTRANTE " readonly style='text-align:center; font-size:10pt;' >
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<table class="table table-responsive table-condensed">
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<tbody>
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<tr>
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<td width="10%" > <?= _("Nom") ?> </td>
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<td colspan="3"> <INPUT class="form-control" TYPE="text" id="nom" NAME="nom" style="text-transform: uppercase;"></td>
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<td width="10%" align="center"> <?= _("Prénoms") ?> </td>
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<td colspan="3"><INPUT class="form-control" TYPE="text" id="prenoms" NAME="prenoms" ></td>
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</tr>
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<tr>
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<td width="10%"><?= _("Nat Pièce") ?></td>
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<td>
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<SELECT class="form-control" id="codeNaturePiece" NAME="codeNaturePiece" >
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<?php liste_options($naturepiece,""); ?>
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</SELECT>
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</td>
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<td width="10%" align="center"><?= _("No Pièce") ?></td>
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<td>
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<INPUT class="form-control" TYPE="text" id="numeroPiece" NAME="numeroPiece" >
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</td>
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<td align="center" width="10%" >Genre</td>
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<td>
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<SELECT class="form-control" id="sexe" NAME="sexe" >
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<?php liste_options($sexe,""); ?>
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</SELECT>
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</td>
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<td align="center" width="10%" > <?= _("Naiss") ?> </td>
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<td><INPUT class="form-control datepicker" TYPE="text" id="dateNaissance" NAME="dateNaissance"
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onchange="controle_age($('#dateNaissance').datepicker('getDate'), 'A')"></td>
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</tr>
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<tr>
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<td> <?= _("Groupe Sang") ?> </td>
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<td>
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<SELECT class="form-control" id="codeGroupeSanguin" NAME="codeGroupeSanguin" >
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<?php liste_options($groupesanguin,""); ?>
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</SELECT>
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</td>
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<td align="center"> <?= _("Sit Famil") ?> </td>
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<td>
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<SELECT class="form-control" id="codeSituationFamille" NAME="codeSituationFamille" >
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<?php liste_options($situationfamille,""); ?>
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</SELECT>
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</td>
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<td align="center"> <?= _("Nb Enfants") ?> </td>
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<td><input class="form-control" type="number" id="nombreEnfants" name="nombreEnfants" min="0" max="10" value="0"></td>
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<td align="center"> <?= _("Pays") ?> </td>
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<td>
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<SELECT class="form-control" id="codePays" NAME="codePays" >
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<?php liste_options($pays,$_SESSION['codePaysSociete']); ?>
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</SELECT>
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</td>
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</tr>
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<tr>
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<td> <?= _("Adresse Géo") ?> </td>
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<td colspan="3"><INPUT class="form-control" TYPE="text" id="adresseGeo" NAME="adresseGeo"></td>
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<td align="center"> <?= _("Adresse Post") ?> </td>
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<td colspan="3"><INPUT class="form-control" TYPE="text" id="adressePostale" NAME="adressePostale"></td>
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</tr>
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<tr>
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<td> <?= _("Tél Port") ?> </td>
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<td>
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<INPUT class="form-control" TYPE="tel" id="telephonePortable" value="<?= $_SESSION['indicatifTelephone'] ?>" NAME="telephonePortable" >
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</td>
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<td align="center"> <?= _("Tél Fixe") ?> </td>
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<td><INPUT class="form-control" TYPE="tel" id="telephonFixe" NAME="telephonFixe"></td>
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<td align="center">E-mail</td>
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<td colspan="3"><INPUT class="form-control" TYPE="email" id="email" NAME="email" ></td>
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</tr>
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<tr>
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<td> <?= _("Carte") ?> </td>
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<td > <INPUT style='font-size:9pt;' class="form-control" id="fraisCarte" NAME="fraisCarte" TYPE="text" value="<?=$adherentremplacanttemp['fraisCarte']?>"> </td>
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<td> </td>
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<td><input style="text-align:center;color:red;" class="form-control" type="text" id="agepersonne" name="agepersonne" value="Age : 0" readonly ></td>
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<td> </td>
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<td colspan="3"> <button type="button" class="form-control btn btn-primary" onclick="javascript:enregistrer_remplacement_adherent();"> <?= _("Enregistrer") ?> </button> </td>
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</tr>
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</tbody>
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</table>
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</div>
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