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KONE SOREL 2026-04-24 14:47:18 +00:00
parent 021c0d5e84
commit 2236f08305
1 changed files with 10 additions and 10 deletions
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20
Vue/Nouveaufraisfuneraire/index.php
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@ -26,21 +26,21 @@
<div class="row g-3 mb-4">
<div class="col-md-6">
<label class="form-label fw-bold small"><?= _("Demandeur (Nom & Prénoms)") ?> <span class="text-danger">*</span></label>
<label class="form-label fw-bold small text-uppercase"><?= _("Demandeur (Nom & Prénoms)") ?> <span class="text-danger">*</span></label>
<input class="form-control fw-bold border-primary" type="text" id="demandeur" name="demandeur" required autofocus>
</div>
<div class="col-md-6">
<label class="form-label fw-bold small"><?= _("Lien Parenté Demandeur") ?> <span class="text-danger">*</span></label>
<label class="form-label fw-bold small text-uppercase"><?= _("Lien Parenté Demandeur") ?> <span class="text-danger">*</span></label>
<select class="form-select fw-bold" id="codeLienDemandeur" name="codeLienDemandeur" required>
<?php liste_options($liendemandeur,""); ?>
</select>
</div>
<div class="col-md-8">
<label class="form-label fw-bold small"><?= _("Cause du décès") ?> <span class="text-danger">*</span></label>
<label class="form-label fw-bold small text-uppercase"><?= _("Cause du décès") ?> <span class="text-danger">*</span></label>
<input class="form-control" type="text" id="causeDeces" name="causeDeces" required>
</div>
<div class="col-md-4">
<label class="form-label fw-bold small"><?= _("Date du décès") ?> <span class="text-danger">*</span></label>
<label class="form-label fw-bold small text-uppercase"><?= _("Date du décès") ?> <span class="text-danger">*</span></label>
<div class="input-group">
<span class="input-group-text bg-white"><i class="fas fa-calendar-times text-danger"></i></span>
<input class="form-control datepicker fw-bold" type="text" id="dateDeces" name="dateDeces" required>
@ -54,17 +54,17 @@
<div class="row g-3 mb-4">
<div class="col-md-6">
<label class="form-label fw-bold small"><?= _("Nom du bénéficiaire au règlement") ?> <span class="text-danger">*</span></label>
<label class="form-label fw-bold small text-uppercase"><?= _("Nom du bénéficiaire au règlement") ?> <span class="text-danger">*</span></label>
<input class="form-control fw-bold border-primary text-uppercase" type="text" id="beneficiaireReglement" name="beneficiaireReglement" required>
</div>
<div class="col-md-6">
<label class="form-label fw-bold small"><?= _("Lien Parenté Bénéficiaire") ?> <span class="text-danger">*</span></label>
<label class="form-label fw-bold small text-uppercase"><?= _("Lien Parenté Bénéficiaire") ?> <span class="text-danger">*</span></label>
<select class="form-select fw-bold" id="codeLienBeneficiaire" name="codeLienBeneficiaire" required>
<?php liste_options($lienbeneficiaire,""); ?>
</select>
</div>
<div class="col-md-12">
<label class="form-label fw-bold small"><?= _("Observations") ?></label>
<label class="form-label fw-bold small text-uppercase"><?= _("Observations") ?></label>
<textarea class="form-control" id="observations" name="observations" rows="2"></textarea>
</div>
</div>
@ -87,19 +87,19 @@
<div class="row g-3">
<div class="col-md-4">
<label class="form-label fw-bold small"><?= _("Mode de Paiement") ?> <span class="text-danger">*</span></label>
<label class="form-label fw-bold small text-uppercase"><?= _("Mode de Paiement") ?> <span class="text-danger">*</span></label>
<select class="form-select border-success" id="codeModePaiementDemande" name="codeModePaiementDemande" required>
<?php liste_options($modepaiement,""); ?>
</select>
</div>
<div class="col-md-4">
<label class="form-label fw-bold small"><?= _("Banque du Bénéficiaire") ?> <span class="text-danger">*</span></label>
<label class="form-label fw-bold small text-uppercase"><?= _("Banque du Bénéficiaire") ?> <span class="text-danger">*</span></label>
<select class="form-select border-success" id="codeBanqueBeneficiaire" name="codeBanqueBeneficiaire" required>
<?php liste_options($banque, ""); ?>
</select>
</div>
<div class="col-md-4">
<label class="form-label fw-bold small"><?= _("N° Compte (RIB/IBAN)") ?> <span class="text-danger">*</span></label>
<label class="form-label fw-bold small text-uppercase"><?= _("N° Compte (RIB/IBAN)") ?> <span class="text-danger">*</span></label>
<div class="input-group">
<span class="input-group-text bg-success text-white"><i class="fas fa-credit-card"></i></span>
<input class="form-control border-success fw-bold" type="text" id="numeroCompteBeneficiaire" name="numeroCompteBeneficiaire" required>