radiantassure/Vue/Ajaxconnexioncookie/english.php
2025-12-07 19:34:03 +00:00

48 lines
1.7 KiB
PHP
Executable File

<?php
?>
<span class="login100-form-title" style="font-family: Play-Bold; color:#e5e5e5; margin-top: 5px; margin-bottom:10px;">
Insured Portal
</span>
<div class="wrap-input100" >
<label for="langue">Language</label>
<select class="form-select" id="langue" name="langue"
required autocomplete="off" onchange="javascript:changer_langue_connexion();">
<?php liste_options($langues, $_SESSION['lang'], true); ?>
</select>
</div>
<div class="sr-only">
<div class="wrap-input100 validate-input" data-validate="Enter Entity">
<label for="codeSociete">Entity</label>
<input class="input100" type="text" name="codeSociete" id="codeSociete" value="<?= $codeSociete ?>"
placeholder="Entity" style="text-align:center;" required AUTOCOMPLETE="off"
onChange="javascript:changer_entite_portail();" >
</div>
</div>
<div id="div_login_portail">
<div class="wrap-input100 validate-input" data-validate="Enter username">
<label for="login">Login</label>
<input class="input100" type="text" name="login" id="login" value="<?= $codeUtilisateur ?>" placeholder="Login" style="text-align:center;" required AUTOCOMPLETE="off">
</div>
</div>
<div class="wrap-input100 validate-input" data-validate="Enter password">
<label for="mdp">Password</label>
<input class="input100" type="password" name="mdp" id="mdp" placeholder="Password" style="text-align:center;" required AUTOCOMPLETE="off">
</div>
<div class="container-login100-form-btn">
<button name="btn_connexion" id="btn_connexion" class="btn login-btn">
Login
</button>
</div>
<div class="footer">
All rights reserved <a href="https://www.ebene.info/">&copy; EBENE SOLUTIONS INFORMATIQUES</a>
</div>