56 lines
3.4 KiB
PHP
56 lines
3.4 KiB
PHP
<form id="formData">
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<legend id="titre_formData">Modification des données</legend>
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<INPUT class="sr-only" TYPE="text" id = "id" name = "id" value="<?=$intermediaire['id']?>">
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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="5%" align="center" class="required">Code</td>
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<td width="20%" ><INPUT class="form-control majuscule" TYPE="text" id="codeApporteur" NAME="codeApporteur" required AUTOCOMPLETE="OFF" autofocus value="<?= $this->nettoyer($intermediaire['codeApporteur']); ?>" ></td>
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<td width="5%" align="center" class="required">Type</td>
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<td width="20%">
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<select name="codeTypeApporteur" id="codeTypeApporteur" class="form-control" required AUTOCOMPLETE="OFF" >
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<?= liste_options($typeinter,$this->nettoyer($intermediaire['codeTypeApporteur']),true) ?>
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</select>
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</td>
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<td width="5%" align="center" class="required">Libellé</td>
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<td width="20%" ><INPUT class="form-control majuscule" TYPE="text" id="libelle" NAME="libelle" required AUTOCOMPLETE="OFF" value="<?= $this->nettoyer($intermediaire['libelle']); ?>"></td>
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<td width="5%" align="center">Responsable</td>
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<td width="20%" ><INPUT class="form-control majuscule" TYPE="text" id="nomResponsable" NAME="nomResponsable" value="<?= $this->nettoyer($intermediaire['nomResponsable']); ?>"></td>
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</tr>
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<tr>
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<td width="5%" align="center">Téléphone</td>
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<td width="20%" ><INPUT class="form-control" TYPE="tel" id="telephone" NAME="telephone" value="<?= $this->nettoyer($intermediaire['telephone']); ?>"></td>
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<td width="5%" align="center">Email</td>
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<td width="20%" ><INPUT class="form-control" TYPE="email" id="email" NAME="email" value="<?= $this->nettoyer($intermediaire['email']); ?>"></td>
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<td width="5%" align="center">Bureau</td>
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<td width="20%">
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<select name="codeBureau" id="codeBureau" class="form-control" value="<?= $this->nettoyer($intermediaire['codeBureau']); ?>">
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<?= liste_options($bureau,$this->nettoyer($intermediaire['codeBureau']),true) ?>
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</select>
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</td>
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<td width="5%" align="center">Déduire Com</td>
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<td width="5%">
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<?php
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if($this->nettoyer($intermediaire['deduireComm']) == 0){
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$check ='';
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}
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else{
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$check = 'checked';
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}
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?>
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<INPUT class="form-control" TYPE="checkbox" id="deduireComm" NAME="deduireComm" value="<?=(($this->nettoyer($intermediaire['deduireComm'])==0)? 0 : 1);?>"<?=$check;?> onclick="if (this.checked) this.value=1; else this.value=0;" >
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</td>
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</tr>
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<tr>
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<td width="5%" align="center">Adr. Géo.</td>
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<td colspan="3" ><INPUT class="form-control majuscule" TYPE="text" id="adresseGeo" NAME="adresseGeo" value="<?= $this->nettoyer($intermediaire['adresseGeo']); ?>"></td>
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<td width="5%" align="center">Adr. Post.</td>
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<td colspan="3" ><INPUT class="form-control majuscule" TYPE="text" id="adressePost" NAME="adressePost" value="<?= $this->nettoyer($intermediaire['adressePost']); ?>"></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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