188 lines
9.5 KiB
PHP
Executable File
188 lines
9.5 KiB
PHP
Executable File
<?php $this->titre = "INTER SANTE - Modification Garant Gestion Confiée";
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//highlight_string("<?php\n\$datas =\n" . var_export($gc, true) . ";\n>");
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?>
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<input class="sr-only" type="text" id="idGc" name="idGc" value="<?= $this->nettoyer($gc['id']) ?>" >
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<legend> <?= _("Modifier la Fiche du Garant") ?> </legend>
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<table class="table table-responsive table-condensed" style='font-size:10pt;'>
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<tbody>
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<tr>
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<td width="19%" class="required"> <?= _("Nom") ?> </td>
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<td width="32%"><INPUT style='font-size:10pt;' class="form-control majuscule" TYPE="text" id="libelle" NAME="libelle" value="<?=$this->nettoyer($gc['libelle'])?>" required AUTOCOMPLETE="OFF"></td>
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<td width="19%" align="center" class="required"><?= _("Type Garant") ?></td>
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<td>
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<select name="typeGarant" id="typeGarant" class="form-select" required>
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<?= liste_options($gctypegarant,$this->nettoyer($gc['typeGarant']),true) ?>
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</select>
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</td>
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</tr>
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<td ><?= _("Code Garant") ?></td>
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<td >
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<INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="codeGcAssureur" NAME="codeGcAssureur" value="<?=$this->nettoyer($gc['codeGcAssureur'])?>" readonly></td>
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</td>
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<td align="center"><?= _("Représentant") ?></td>
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<td><INPUT style='font-size:10pt;' class="form-control majuscule" TYPE="text" id="representant" NAME="representant" value="<?=$this->nettoyer($gc['representant'])?>"></td>
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</tr>
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<tr>
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<td ><?= _("Téléphone") ?></td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="tel" id="telephoneGarant" NAME="telephoneGarant" value="<?=$this->nettoyer($gc['telephoneGarant'])?>"></td>
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<td width="10%" align="center"><?= _("E-mail") ?></td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="email" id="emailGcAssureur" NAME="emailGcAssureur" value="<?=$this->nettoyer($gc['email'])?>" ></td>
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</tr>
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<tr>
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<td > <?= _("Taux Commission Primes (%)") ?> </td>
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<td> <INPUT style='font-size:10pt;' class="form-control" id="gcTauxCommissionGerant" NAME="gcTauxCommissionGerant" TYPE="number" value="<?= $this->nettoyer($gc['gcTauxCommissionGerant']) ?>" step="1" value="0" min="0" max="100"></td>
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<td align="center"> <?= _("Taux Ristourne (%)") ?> </td>
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<td> <INPUT style='font-size:10pt;' class="form-control" id="gcTauxRistourne" NAME="gcTauxRistourne" TYPE="number" value="<?= $this->nettoyer($gc['gcTauxRistourne']) ?> step="1" value="100" min="0" max="100"></td>
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</tr>
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<tr>
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<td > <?= _("Taux Commission Sinistres (%)") ?> </td>
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<td> <INPUT style='font-size:10pt;' class="form-control" id="gcTauxFraisReel" NAME="gcTauxFraisReel" TYPE="number" value="<?= $this->nettoyer($gc['gcTauxFraisReel']) ?>" step="1" value="0" min="0" max="100"></td>
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<td align="center"> <?= _("Taux Redressement (%)") ?> </td>
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<td> <INPUT style='font-size:10pt;' class="form-control" id="gcTauxRedressement" NAME="gcTauxRedressement" TYPE="number" step="1" value="<?= $this->nettoyer($gc['gcTauxRedressement']) ?>" min="0" max="100"></td>
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</tr>
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<tr>
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<td > <?= _("Taux Provision (%)") ?> </td>
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<td> <INPUT style='font-size:10pt;' class="form-control" id="gcTauxProvision" NAME="gcTauxProvision" TYPE="number" value="<?= $this->nettoyer($gc['gcTauxProvision']) ?>" min="0" max="100"></td>
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<td align="center"> <?= _("Forfait Provision") ?> </td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="gcForfaitProvision" NAME="gcForfaitProvision" value="<?= format_N($this->nettoyer($gc['gcForfaitProvision'])) ?> " onkeyup="controle_numerique(this);" onblur="formatMonetaire(this);"></td>
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</tr>
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<tr>
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<td > <?= _("Taux Tva (%)") ?> </td>
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<td> <INPUT style='font-size:10pt;' class="form-control" id="gcTauxTva" NAME="gcTauxTva" TYPE="number" step="1"value="<?= $this->nettoyer($gc['gcTauxTva']) ?>" min="0" max="100"></td>
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<td align="center"> <?= _("Frais Nouvelle Carte") ?> </td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="fraisCarteAfn" NAME="fraisCarteAfn" value="0" onkeyup="controle_numerique(this);" value="<?=format_N($this->nettoyer($gc['fraisCarteAfn']))?>" onblur="formatMonetaire(this);"></td>
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</tr>
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<tr>
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<td > <?= _("Frais Renouvellement Carte") ?> </td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="fraisCarteRen" NAME="fraisCarteRen" value="0" onkeyup="controle_numerique(this);" value="<?=format_N($this->nettoyer($gc['fraisCarteRen']))?>" onblur="formatMonetaire(this);"></td>
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<td align="center"> <?= _("Frais RE-IMPRESSION") ?> </td>
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<td><INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="fraisCarteImp" NAME="fraisCarteImp"value="<?=format_N($this->nettoyer($gc['fraisCarteImp']))?>"onkeyup="controle_numerique(this);" onblur="formatMonetaire(this);"></td>
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</tr>
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<tr>
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<td > <?= _("Taux Suspension (%)") ?> </td>
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<td> <INPUT style='font-size:10pt;' class="form-control" id="gcLimiteConsommation" NAME="gcLimiteConsommation" TYPE="number" value="<?=$this->nettoyer($gc['gcLimiteConsommation'])?>" step="1" value="0" min="0" max="100"></td>
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<td align="center"> <?= _("Seuil RD (%)") ?> </td>
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<td ><INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="seuilRdGarant" NAME="seuilRdGarant" TYPE="number" value="<?= $this->nettoyer($gc['seuilRdGarant']) ?>" step="1" value="0" min="0" max="100"></td>
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</tr>
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<tr>
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<td ><?= _("Téléphone du Représentant") ?></td>
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<td ><INPUT style='font-size:10pt;' class="form-control" TYPE="text" id="telephonerepresentant" NAME="telephonerepresentant" value="<?=$this->nettoyer($gc['telephonerepresentant'])?>"></td>
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<td align="center"><?= _("Sigle du Représentant") ?></td>
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<td><INPUT style='font-size:10pt;' class="form-control majuscule" TYPE="text" id="siglerepresentant" NAME="siglerepresentant" value="<?=$this->nettoyer($gc['siglerepresentant'])?>"></td>
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</tr>
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<tr>
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<td ><?= _("No Compte Comptable RD") ?></td>
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<td><INPUT style='font-size:10pt;' class="form-control majuscule" TYPE="text" id="numerodeCompteComptableRD" NAME="numerodeCompteComptableRD" value="<?=$this->nettoyer($gc['numerodeCompteComptableRD'])?>"></td>
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<td align="center"><?= _("Adresse Géographique") ?></td>
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<td >
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<INPUT style='font-size:10pt;' class="form-control majuscule" TYPE="text" id="adresseGeographique" NAME="adresseGeographique" value="<?=$this->nettoyer($gc['adresseGeographique'])?>"></td>
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</td>
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</tr>
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<tr>
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<td ><?= _("No Compte Comptable TP") ?></td>
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<td><INPUT style='font-size:10pt;' class="form-control majuscule" TYPE="text" id="numerodeCompteComptableTP" NAME="numerodeCompteComptableTP" value="<?=$this->nettoyer($gc['numerodeCompteComptableTP'])?>" ></td>
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<td align="center"><?= _("No Compte Contribuable") ?></td>
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<td >
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<INPUT style='font-size:10pt;' class="form-control majuscule" TYPE="text" id="numeroCompteContribuable" NAME="numeroCompteContribuable" value="<?=$this->nettoyer($gc['numeroCompteContribuable'])?>">
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</td>
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</tr>
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<tr>
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<td ><?= _("Service du Représentant") ?></td>
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<td><INPUT style='font-size:10pt;' class="form-control majuscule" TYPE="text" id="servicerepresentant" NAME="servicerepresentant" value="<?=$this->nettoyer($gc['siglerepresentant'])?>"></td>
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<td align="center"><?= _("Tarif Actes") ?></td>
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<td >
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<select name="codeTarifActe" id="codeTarifActe" class="form-control selectpicker" data-live-search="true">
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<?= liste_options($tarifActe,$this->nettoyer($gc['codeTarifActe']),false) ?>
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</select>
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</td>
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</tr>
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<tr>
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<td > <?= _("Type Remboursement") ?> </td>
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<td >
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<SELECT style="font-size:10pt;" class="form-control selectpicker" data-live-search="true" id="codeTypeRemboursement" NAME="codeTypeRemboursement">
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<?php liste_options($typeremboursement, $this->nettoyer($gc['codeTypeRemboursement']),true); ?>
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</SELECT>
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</td>
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<td align="center" class="required"> <?= _("Mode Paiement") ?> </td>
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<td>
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<select name="codeModePaiementDemande" id="codeModePaiementDemande" class="form-select">
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<?= liste_options($modepaiement,$this->nettoyer($gc['codeModePaiementDemande']),true) ?>
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</select>
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</td>
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</tr>
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<tr>
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<td > <?= _("Adresse Postale") ?> </td>
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<td><INPUT style='font-size:10pt;' class="form-control majuscule" TYPE="text" id="adressePostale" NAME="adressePostale" value="<?=$this->nettoyer($gc['adressePostale'])?>"></td>
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<td align="center">
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<?= _("Interdire prestation pour impayé ?") ?>
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</td>
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<td>
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<select class="form-select" id="encaissementExige" NAME="encaissementExige" style='font-size:10pt;' >
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<?php liste_options($encaissementExigeOuinon, $this->nettoyer($gc['encaissementExige']), true); ?>
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</SELECT>
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</td>
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</tr>
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<!--
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<tr>
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<td colspan="4" style="height:30px; background-color:white;"></td>
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</tr>
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-->
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<tr>
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<td> </td>
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<td > <input id="btn_enreg" name="btn_enreg" class = "form-control btn btn-primary" type="button" value="<?= _("Enregistrer") ?>" onClick="enregistrer_modif_gc_assureur();" style='font-size:10pt;' > </td>
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<td> </td>
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<td > <input class = "form-control btn btn-warning" type="button" value="<?= _("Annuler") ?>" onClick="javascript:retour_gc_assureur();" style='font-size:9pt;' > </td>
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</tr>
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</tbody>
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</table>
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<div id="div_test_gc">
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</div>
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