29 lines
1.4 KiB
PHP
Executable File
29 lines
1.4 KiB
PHP
Executable File
<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="<?=$tabentetetrancheage['id']?>">
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<table class="table table-responsive table-condensed">
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<tbody>
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<tr>
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<td width="10%" align="center" >Code</td>
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<td width="10%" ><INPUT class="form-control majuscule" TYPE="text" id="codeEnteteTrancheAge" NAME="codeEnteteTrancheAge"
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value="<?=$tabentetetrancheage['codeEnteteTrancheAge']?>" disabled >
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</td>
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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" value="<?=$tabentetetrancheage['libelle']?>"></td>
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<td width="10%" align="center"><?= _("Libellé Eng") ?></td>
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<td ><INPUT class="form-control majuscule" TYPE="text" id="libelleEng" NAME="libelleEng" value="<?=$tabentetetrancheage['libelleEng']?>"></td>
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</tr>
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<tr>
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<td width="10%" align="center" ><?= _("Garant") ?></td>
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<td colspan="5" >
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<select class="form-select" id="codeGcAssureur" NAME="codeGcAssureur" readonly>
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<?php liste_options($garants,$tabentetetrancheage['codeGcAssureur']); ?>
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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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