73 lines
3.1 KiB
PHP
Executable File
73 lines
3.1 KiB
PHP
Executable File
<?php
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$this->titre = "INTER-SANTE - Nouvell Utilisateur Gestion Confiée ";
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$codeGcAssureur = $this->nettoyer($gc['codeGcAssureur']);
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$idGc = $this->nettoyer($gc['id']);
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$nomGcAssureur = $this->nettoyer($gc['libelle']);
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?>
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<legend> <?= _("Nouvel Utilisateur") . " : " . $nomGcAssureur ?> </legend>
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<input class="sr-only" type="text" id="codeGcAssureur" name="codeGcAssureur" value="<?= $codeGcAssureur ?>" >
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<input class="sr-only" type="text" id="idGc" name="idGc" value="<?= $idGc ?>" >
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<INPUT class="sr-only" TYPE="text" id="telephone" name="telephone" value="" >
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<table class="table table-responsive table-condensed" style='font-size:10pt;'>
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<tbody>
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<tr>
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<td width="10%" > <?= _("Nom") ?> </td>
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<td width="40%" ><INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="nom" NAME="nom" required AUTOCOMPLETE="OFF" autofocus ></td>
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<td width="10%" align="center" > <?= _("Prénoms") ?> </td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="prenoms" NAME="prenoms" required AUTOCOMPLETE="OFF" ></td>
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</tr>
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<tr>
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<td> <?= _("Login") ?> </td>
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<td>
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<INPUT style='font-size:10pt;text-transform: lowercase;' class="form-control" type="text" id="codeUtilisateur" name="codeUtilisateur"
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onChange="this.value=supprimer_espace_string(this.value);">
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</td>
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<td align="center"> E-mail </td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="email" id="email" NAME="email" placeholder="E-mail" ></td>
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</tr>
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<tr>
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<td> <?= _("Langue") ?> </td>
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<td>
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<SELECT style="font-size:10pt;" class="form-control" id="codeLangueUser" NAME="codeLangueUser" >
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<?php liste_options($langue, ""); ?>
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</SELECT>
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</td>
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<td align="center"> <?= _("Actes Visibles?") ?> </td>
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<td>
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<SELECT style="font-size:10pt;" class="form-control" id="actVisibleUser" NAME="actVisibleUser" >
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<?php liste_options($user_actVisible, ""); ?>
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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> <?= _("Mot de passe") ?> </td>
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<td><INPUT style='font-size:10pt;' onBlur="controle_longeur_passe(this);" class="form-control" TYPE="password" id="nvmdp" NAME="nvmdp" placeholder="Mot de Passe / Pass Word" required AUTOCOMPLETE="OFF" ></td>
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<td align="center"> <?= _("Confirmer MDP") ?> </td>
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<td><INPUT style='font-size:10pt;' onBlur="controle_new_pass();" class="form-control" TYPE="password" id="cfnvmdp" NAME="cfnvmdp" placeholder="Confirmation" required AUTOCOMPLETE="OFF" ></td>
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</tr>
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<tr>
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<td> </td>
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<td > <input id="btn_enreg" name="btn_enreg" class = "form-control btn btn-primary" type="button" value="<?= _("Enregistrer") ?>" onClick="javascript:creer_user_gc();" style='font-size:10pt;' > </td>
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<td> </td>
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<td > <input class = "form-control btn btn-warning" type="button" value="<?= _("Annuler") ?>" onClick="javascript:retour_a_users_gc();" style='font-size:10pt;' > </td>
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</tr>
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</tbody>
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</table>
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<div id="div_unicite_login">
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<INPUT class="sr-only" TYPE="text" id="uniciteLogin" NAME="uniciteLogin" value="0" >
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</div>
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