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@ -43,22 +43,30 @@
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</div>
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<div class="col-md-6">
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<label class="form-label fw-bold small text-uppercase"><?= _("Nom de l'adhérent") ?></label>
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<label class="form-label fw-bold small text-uppercase">
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<?= _("Nom de l'adhérent") ?><span class="required-star">*</span>
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</label>
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<input type="text" class="form-control text-uppercase fw-bold" id="nom" name="nom" required>
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</div>
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<div class="col-md-6">
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<label class="form-label fw-bold small text-uppercase"><?= _("Prénoms") ?></label>
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<label class="form-label fw-bold small text-uppercase">
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<?= _("Prénoms") ?><span class="required-star">*</span>
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</label>
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<input type="text" class="form-control" id="prenoms" name="prenoms" required>
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</div>
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<div class="col-md-4">
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<label class="form-label fw-bold small text-uppercase"><?= _("Nature Pièce") ?></label>
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<label class="form-label fw-bold small text-uppercase">
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<?= _("Nature Pièce") ?><span class="required-star">*</span>
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</label>
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<select class="form-select" id="codeNaturePiece" name="codeNaturePiece" required onChange="controler_piece_beneficiaire();">
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<?php liste_options($naturepiece,""); ?>
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</select>
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</div>
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<div class="col-md-4">
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<label class="form-label fw-bold small text-uppercase"><?= _("N° de Pièce") ?></label>
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<label class="form-label fw-bold small text-uppercase">
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<?= _("N° de Pièce") ?><span class="required-star">*</span>
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</label>
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<input type="text" class="form-control" id="numeroPiece" name="numeroPiece" onblur="controler_piece_beneficiaire();" required autocomplete="off">
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</div>
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<div class="col-md-4 d-flex align-items-end">
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@ -66,13 +74,17 @@
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</div>
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<div class="col-md-2">
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<label class="form-label fw-bold small text-uppercase"><?= _("Genre") ?></label>
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<label class="form-label fw-bold small text-uppercase">
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<?= _("Genre") ?><span class="required-star">*</span>
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</label>
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<select class="form-select" id="sexe" name="sexe" required>
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<?php liste_options($sexe,""); ?>
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</select>
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</div>
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<div class="col-md-3">
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<label class="form-label fw-bold small text-uppercase"><?= _("Date de Naissance") ?></label>
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<label class="form-label fw-bold small text-uppercase">
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<?= _("Date de Naissance") ?><span class="required-star">*</span>
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</label>
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<div class="input-group">
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<span class="input-group-text bg-white text-muted"><i class="fas fa-calendar-alt"></i></span>
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<input type="text" class="form-control datepicker" id="dateNaissance" name="dateNaissance" required
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@ -83,13 +95,17 @@
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<input type="text" id="agepersonne" name="agepersonne" class="form-control-plaintext text-danger fw-bold text-center border-bottom" value="Age : 0" disabled>
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</div>
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<div class="col-md-2">
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<label class="form-label fw-bold small text-uppercase"><?= _("Groupe Sanguin") ?></label>
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<label class="form-label fw-bold small text-uppercase">
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<?= _("Groupe Sanguin") ?><span class="required-star">*</span>
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</label>
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<select class="form-select" id="codeGroupeSanguin" name="codeGroupeSanguin" required>
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<?php liste_options($groupesanguin,""); ?>
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</select>
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</div>
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<div class="col-md-3">
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<label class="form-label fw-bold small text-uppercase"><?= _("Situation Familiale") ?></label>
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<label class="form-label fw-bold small text-uppercase">
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<?= _("Situation Familiale") ?><span class="required-star">*</span>
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</label>
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<select class="form-select" id="codeSituationFamille" name="codeSituationFamille" required>
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<?php liste_options($situationfamille,""); ?>
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</select>
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@ -107,13 +123,17 @@
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<div class="card-body p-4">
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<div class="row g-3">
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<div class="col-md-4">
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<label class="form-label fw-bold small text-uppercase"><?= _("Pays") ?></label>
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<label class="form-label fw-bold small text-uppercase">
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<?= _("Pays") ?><span class="required-star">*</span>
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</label>
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<select class="form-select" id="codePays" name="codePays" required onChange="ajaxListerVille();">
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<?php liste_options($pays, $codePays); ?>
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</select>
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</div>
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<div class="col-md-4">
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<label class="form-label fw-bold small text-uppercase"><?= (isset($_SESSION['affichagedynamique']['Province'])) ? _($_SESSION['affichagedynamique']['Province']) : _("Province") ?></label>
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<label class="form-label fw-bold small text-uppercase">
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<?= (isset($_SESSION['affichagedynamique']['Province'])) ? _($_SESSION['affichagedynamique']['Province']) : _("Province") ?><span class="required-star">*</span>
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</label>
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<div id="listeville">
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<select class="form-select" id="codeVille" name="codeVille" required onChange="ajaxListerLocalite();">
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<?php liste_options($ville, $codeVille); ?>
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@ -121,7 +141,9 @@
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</div>
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</div>
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<div class="col-md-4">
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<label class="form-label fw-bold small text-uppercase"><?= (isset($_SESSION['affichagedynamique']['Commune'])) ? _($_SESSION['affichagedynamique']['Commune']) : _("Commune") ?></label>
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<label class="form-label fw-bold small text-uppercase">
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<?= (isset($_SESSION['affichagedynamique']['Commune'])) ? _($_SESSION['affichagedynamique']['Commune']) : _("Commune") ?><span class="required-star">*</span>
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</label>
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<div id="listelocalite">
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<select class="form-select" id="codeLocalite" name="codeLocalite" required>
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<?php liste_options($localite, $codeLocalite); ?>
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@ -142,7 +164,9 @@
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</div>
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<div class="col-md-6">
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<label class="form-label fw-bold small text-uppercase"><?= _("Téléphone Portable") ?></label>
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<label class="form-label fw-bold small text-uppercase">
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<?= _("Téléphone Portable") ?><span class="required-star">*</span>
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</label>
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<div class="input-group">
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<span class="input-group-text bg-white text-muted"><i class="fas fa-mobile-alt"></i></span>
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<input type="tel" class="form-control" id="telephonePortable" name="telephonePortable" required minlength="12">
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@ -165,7 +189,9 @@
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<div class="card-body p-4 d-flex flex-column justify-content-between">
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<div>
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<div class="mb-3">
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<label class="form-label fw-bold small text-uppercase"><?= _("Date d'Entrée") ?></label>
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<label class="form-label fw-bold small text-uppercase">
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<?= _("Date d'Entrée") ?><span class="required-star">*</span>
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</label>
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<div id="div_date_avenant">
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<input type="text" class="form-control datepicker fw-bold text-uppercase" id="dateEntree" name="dateEntree"
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value="<?= dateLang($_SESSION['dateAvenant_C'], $_SESSION['lang']) ?>" required onChange="prorater_prime_adherent();">
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@ -173,7 +199,9 @@
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</div>
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<div class="row g-2 mb-4">
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<div class="col-7">
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<label class="form-label fw-bold small text-uppercase"><?= _("Prorata?") ?></label>
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<label class="form-label fw-bold small text-uppercase">
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<?= _("Prorata?") ?><span class="required-star">*</span>
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</label>
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<select class="form-select form-select-sm" id="prorata" name="prorata" required onChange="prorater_prime_adherent();">
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<?php liste_options($ouinonprorata,"1",true); ?>
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</select>
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