23 lines
943 B
PHP
Executable File
23 lines
943 B
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="10%" align="center" class="required"><?= _("Libellé") ?></td>
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<td ><INPUT class="form-control majuscule" TYPE="text" id="libelle" NAME="libelle" required AUTOCOMPLETE="OFF"></td>
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<td width="10%" align="center"><?= _("Libellé Eng") ?></td>
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<td ><INPUT class="form-control majuscule" TYPE="text" id="libelleEng" NAME="libelleEng"></td>
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</tr>
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<tr>
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<td width="10%" align="center" class="required"><?= _("Garant") ?></td>
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<td colspan="5" >
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<select class="form-control selectpicker" data-live-search="true" id="codeGcAssureur" NAME="codeGcAssureur" required AUTOCOMPLETE="OFF" autofocus>
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<?php liste_options($garants,""); ?>
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</SELECT>
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</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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