33 lines
1.5 KiB
PHP
Executable File
33 lines
1.5 KiB
PHP
Executable File
<form id="formData">
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<legend id="titre_formData"><?= _("Ajouter des données") ?></legend>
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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"><?= _("Libellé") ?></td>
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<td width="30%" ><INPUT class="form-control majuscule" TYPE="text" id="libelle" NAME="libelle" required AUTOCOMPLETE="OFF" ></td>
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<td width="5%" align="center"><?= _("Nom Responsable") ?></td>
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<td width="30%" ><INPUT class="form-control majuscule" TYPE="text" id="nomRespon" NAME="nomRespon"></td>
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</tr>
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<tr>
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<td width="5%" align="center"><?= _("Prénoms Responsable") ?></td>
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<td width="30%" ><INPUT class="form-control majuscule" TYPE="text" id="prenomRespon" NAME="prenomRespon"></td>
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<td width="5%" align="center"><?= _("Tél. Fixe") ?></td>
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<td width="30%" ><INPUT class="form-control" TYPE="tel" id="telephoneFixe" NAME="telephoneFixe"></td>
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</tr>
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<tr>
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<td width="5%" align="center"><?= _("Tél. Mobile") ?></td>
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<td width="30%" ><INPUT class="form-control" TYPE="tel" id="telephonePortable" NAME="telephonePortable"></td>
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<td width="5%" align="center"><?= _("Email") ?></td>
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<td width="30%" ><INPUT class="form-control" TYPE="email" id="email" NAME="email"></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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