41 lines
1.8 KiB
PHP
41 lines
1.8 KiB
PHP
<form id="formData">
|
|
<legend id="titre_formData">Ajouter des données</legend>
|
|
<table class="table table-responsive table-condensed">
|
|
<tbody>
|
|
<tr>
|
|
<td width="10%" align="center" class="required">Nom</td>
|
|
<td width="40%" ><INPUT class="form-control majuscule" TYPE="text" id="nom" NAME="nom" required AUTOCOMPLETE="OFF" autofocus ></td>
|
|
|
|
<td width="10%" align="center" class="required">Prénoms</td>
|
|
<td width="40%" ><INPUT class="form-control majuscule" TYPE="text" id="prenoms" NAME="prenoms" required AUTOCOMPLETE="OFF" ></td>
|
|
</tr>
|
|
<tr>
|
|
<td width="10%" align="center">Téléphone</td>
|
|
<td width="40%" ><INPUT class="form-control" TYPE="tel" id="telephone" NAME="telephone"></td>
|
|
|
|
<td width="10%" align="center">Email</td>
|
|
<td width="40%" ><INPUT class="form-control" TYPE="email" id="email" NAME="email"></td>
|
|
</tr>
|
|
<tr>
|
|
<td width="10%" align="center">Fonction</td>
|
|
<td width="40%" ><INPUT class="form-control majuscule" TYPE="text" id="fonction" NAME="fonction"></td>
|
|
|
|
<td width="1%" align="center">Fonction Eng</td>
|
|
<td width="40%" ><INPUT class="form-control majuscule" TYPE="text" id="fonctionEng" NAME="fonctionEng"></td>
|
|
</tr>
|
|
<tr>
|
|
<td width="10%" align="center">Genre</td>
|
|
<td width="40%">
|
|
<select name="sexe" id="sexe" class="form-control">
|
|
<option value="F">Femme</option>
|
|
<option value="M" selected>Homme</option>
|
|
</select>
|
|
</td>
|
|
|
|
<td width="10%" align="center">Ordre</td>
|
|
<td width="40%" ><INPUT class="form-control" TYPE="number" id="ordre" NAME="ordre"></td>
|
|
</tr>
|
|
</tbody>
|
|
</table>
|
|
</form>
|