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@ -18,11 +18,11 @@
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<table class="table table-condensed table-responsive" style='font-size:8pt;'>
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<tbody>
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<tr>
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<td > <?= _("Numéro Bénéficiaire") ?> </td>
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<td width="35%" ><INPUT class="form-control" TYPE="text" id="numeroBeneficiaire" name="numeroBeneficiaire" autofocus AUTOCOMPLETE="OFF"></td>
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<td align="center" width="10%"> <?= _("Numéro Famille") ?> </td>
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<td width="45%" ><INPUT class="form-control" TYPE="text" id="numeroAdherent" name="numeroAdherent" AUTOCOMPLETE="OFF"></td>
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<td> <?= _("Numéro Famille") ?> </td>
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<td width="30%" ><INPUT class="form-control" TYPE="text" id="numeroAdherent" name="numeroAdherent" AUTOCOMPLETE="OFF"></td>
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<td align="center"> <?= _("Numéro Bénéficiaire") ?> </td>
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<td width="45%" ><INPUT class="form-control" TYPE="text" id="numeroBeneficiaire" name="numeroBeneficiaire" autofocus AUTOCOMPLETE="OFF"></td>
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</tr>
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<tr>
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