This commit is contained in:
KONE SOREL 2026-02-09 14:05:49 +00:00
parent 21c109d354
commit 107731c6fc

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@ -1,4 +1,5 @@
<div id="div_remplacement_adherent">
<!-- -->
<div class="card border-primary shadow-sm mb-4">
<div class="card-body py-2 bg-light">
<div class="row g-2 align-items-center">
@ -62,22 +63,30 @@
<div class="card-body p-4">
<div class="row g-3 mb-4">
<div class="col-md-6">
<label class="form-label small fw-bold text-uppercase"><?= _("Nom") ?></label>
<label class="form-label small fw-bold text-uppercase">
<?= _("Nom") ?><span class="required-star">*</span>
</label>
<input class="form-control text-uppercase border-success" type="text" id="nom" name="nom" required>
</div>
<div class="col-md-6">
<label class="form-label small fw-bold text-uppercase"><?= _("Prénoms") ?></label>
<label class="form-label small fw-bold text-uppercase">
<?= _("Prénoms") ?><span class="required-star">*</span>
</label>
<input class="form-control border-success" type="text" id="prenoms" name="prenoms" required>
</div>
<div class="col-md-4">
<label class="form-label small fw-bold text-uppercase"><?= _("Nature Pièce") ?></label>
<select class="form-select" id="codeNaturePiece" name="codeNaturePiece">
<label class="form-label small fw-bold text-uppercase">
<?= _("Nature Pièce") ?><span class="required-star">*</span>
</label>
<select class="form-select" id="codeNaturePiece" name="codeNaturePiece" required>
<?php liste_options($naturepiece,""); ?>
</select>
</div>
<div class="col-md-4">
<label class="form-label small fw-bold text-uppercase"><?= _("N° Pièce") ?></label>
<label class="form-label small fw-bold text-uppercase">
<?= _("N° Pièce") ?><span class="required-star">*</span>
</label>
<input class="form-control" type="text" id="numeroPiece" name="numeroPiece" onblur="controler_piece_beneficiaire();"
required autocomplete="off">
</div>
@ -87,13 +96,17 @@
</div>
<div class="col-md-4">
<label class="form-label small fw-bold text-uppercase"><?= _("Genre") ?></label>
<select class="form-select" id="sexe" name="sexe">
<label class="form-label small fw-bold text-uppercase">
<?= _("Genre") ?><span class="required-star">*</span>
</label>
<select class="form-select" id="sexe" name="sexe" required>
<?php liste_options($sexe,""); ?>
</select>
</div>
<div class="col-md-4">
<label class="form-label fw-bold small text-uppercase"><?= _("Date de Naissance") ?></label>
<label class="form-label fw-bold small text-uppercase">
<?= _("Date de Naissance") ?><span class="required-star">*</span>
</label>
<div class="input-group">
<span class="input-group-text bg-white text-muted"><i class="fas fa-calendar-alt"></i></span>
<input type="text" class="form-control datepicker" id="dateNaissance" name="dateNaissance" required
@ -141,8 +154,10 @@
</div>
<div class="col-md-4">
<label class="form-label small fw-bold text-uppercase"><?= _("Téléphone Portable") ?></label>
<input class="form-control" type="tel" id="telephonePortable" name="telephonePortable" value="<?= $_SESSION['indicatifTelephone'] ?>">
<label class="form-label small fw-bold text-uppercase">
<?= _("Téléphone Portable") ?><span class="required-star">*</span>
</label>
<input class="form-control" type="tel" id="telephonePortable" name="telephonePortable" value="<?= $_SESSION['indicatifTelephone'] ?>" required>
</div>
<div class="col-md-4">
<label class="form-label small fw-bold text-uppercase"><?= _("E-mail") ?></label>