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KONE SOREL 2026-01-02 10:14:59 +00:00
parent ad77195de6
commit 4ab17fa618

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@ -31,29 +31,29 @@
</select> </select>
</div> </div>
<div class="col-md-6"> <div class="col-md-6">
<label class="form-label fw-bold small text-primary"><?= _("Avenant") ?></label> <label class="form-label fw-bold small text-uppercase"><?= _("Avenant") ?></label>
<select class="form-select" id="idAvenant" name="idAvenant" required onChange="changer_avenant_incorporation();"> <select class="form-select" id="idAvenant" name="idAvenant" required onChange="changer_avenant_incorporation();">
<?php liste_options($avenant,""); ?> <?php liste_options($avenant,""); ?>
</select> </select>
</div> </div>
<div class="col-md-6"> <div class="col-md-6">
<label class="form-label fw-bold small text-primary"><?= _("Nom de l'adhérent") ?></label> <label class="form-label fw-bold small text-uppercase"><?= _("Nom de l'adhérent") ?></label>
<input type="text" class="form-control text-uppercase fw-bold" id="nom" name="nom" required> <input type="text" class="form-control text-uppercase fw-bold" id="nom" name="nom" required>
</div> </div>
<div class="col-md-6"> <div class="col-md-6">
<label class="form-label fw-bold small text-primary"><?= _("Prénoms") ?></label> <label class="form-label fw-bold small text-uppercase"><?= _("Prénoms") ?></label>
<input type="text" class="form-control" id="prenoms" name="prenoms" required> <input type="text" class="form-control" id="prenoms" name="prenoms" required>
</div> </div>
<div class="col-md-4"> <div class="col-md-4">
<label class="form-label fw-bold small text-primary"><?= _("Nature Pièce") ?></label> <label class="form-label fw-bold small text-uppercase"><?= _("Nature Pièce") ?></label>
<select class="form-select" id="codeNaturePiece" name="codeNaturePiece" required onChange="controler_piece_beneficiaire();"> <select class="form-select" id="codeNaturePiece" name="codeNaturePiece" required onChange="controler_piece_beneficiaire();">
<?php liste_options($naturepiece,""); ?> <?php liste_options($naturepiece,""); ?>
</select> </select>
</div> </div>
<div class="col-md-4"> <div class="col-md-4">
<label class="form-label fw-bold small text-primary"><?= _("N° de Pièce") ?></label> <label class="form-label fw-bold small text-uppercase"><?= _("N° de Pièce") ?></label>
<input type="text" class="form-control" id="numeroPiece" name="numeroPiece" onblur="controler_piece_beneficiaire();" required autocomplete="off"> <input type="text" class="form-control" id="numeroPiece" name="numeroPiece" onblur="controler_piece_beneficiaire();" required autocomplete="off">
</div> </div>
<div class="col-md-4 d-flex align-items-end"> <div class="col-md-4 d-flex align-items-end">
@ -61,13 +61,13 @@
</div> </div>
<div class="col-md-2"> <div class="col-md-2">
<label class="form-label fw-bold small text-primary"><?= _("Sexe") ?></label> <label class="form-label fw-bold small text-uppercase"><?= _("Genre") ?></label>
<select class="form-select" id="sexe" name="sexe" required> <select class="form-select" id="sexe" name="sexe" required>
<?php liste_options($sexe,""); ?> <?php liste_options($sexe,""); ?>
</select> </select>
</div> </div>
<div class="col-md-3"> <div class="col-md-3">
<label class="form-label fw-bold small text-primary"><?= _("Date de Naissance") ?></label> <label class="form-label fw-bold small text-uppercase"><?= _("Date de Naissance") ?></label>
<div class="input-group"> <div class="input-group">
<span class="input-group-text bg-white text-muted"><i class="fas fa-calendar-alt"></i></span> <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 <input type="text" class="form-control datepicker" id="dateNaissance" name="dateNaissance" required
@ -78,13 +78,13 @@
<input type="text" id="agepersonne" name="agepersonne" class="form-control-plaintext text-danger fw-bold text-center border-bottom" value="Age : 0" readonly> <input type="text" id="agepersonne" name="agepersonne" class="form-control-plaintext text-danger fw-bold text-center border-bottom" value="Age : 0" readonly>
</div> </div>
<div class="col-md-2"> <div class="col-md-2">
<label class="form-label fw-bold small text-primary"><?= _("Groupe Sanguin") ?></label> <label class="form-label fw-bold small text-uppercase"><?= _("Groupe Sanguin") ?></label>
<select class="form-select" id="codeGroupeSanguin" name="codeGroupeSanguin" required> <select class="form-select" id="codeGroupeSanguin" name="codeGroupeSanguin" required>
<?php liste_options($groupesanguin,""); ?> <?php liste_options($groupesanguin,""); ?>
</select> </select>
</div> </div>
<div class="col-md-3"> <div class="col-md-3">
<label class="form-label fw-bold small text-primary"><?= _("Situation Familiale") ?></label> <label class="form-label fw-bold small text-uppercase"><?= _("Situation Familiale") ?></label>
<select class="form-select" id="codeSituationFamille" name="codeSituationFamille" required> <select class="form-select" id="codeSituationFamille" name="codeSituationFamille" required>
<?php liste_options($situationfamille,""); ?> <?php liste_options($situationfamille,""); ?>
</select> </select>
@ -102,13 +102,13 @@
<div class="card-body p-4"> <div class="card-body p-4">
<div class="row g-3"> <div class="row g-3">
<div class="col-md-4"> <div class="col-md-4">
<label class="form-label fw-bold small text-primary"><?= _("Pays") ?></label> <label class="form-label fw-bold small text-uppercase"><?= _("Pays") ?></label>
<select class="form-select" id="codePays" name="codePays" required onChange="ajaxListerVille();"> <select class="form-select" id="codePays" name="codePays" required onChange="ajaxListerVille();">
<?php liste_options($pays, $codePays); ?> <?php liste_options($pays, $codePays); ?>
</select> </select>
</div> </div>
<div class="col-md-4"> <div class="col-md-4">
<label class="form-label fw-bold small text-primary"><?= (isset($_SESSION['affichagedynamique']['Province'])) ? _($_SESSION['affichagedynamique']['Province']) : _("Province") ?></label> <label class="form-label fw-bold small text-uppercase"><?= (isset($_SESSION['affichagedynamique']['Province'])) ? _($_SESSION['affichagedynamique']['Province']) : _("Province") ?></label>
<div id="listeville"> <div id="listeville">
<select class="form-select" id="codeVille" name="codeVille" required onChange="ajaxListerLocalite();"> <select class="form-select" id="codeVille" name="codeVille" required onChange="ajaxListerLocalite();">
<?php liste_options($ville, $codeVille); ?> <?php liste_options($ville, $codeVille); ?>
@ -116,7 +116,7 @@
</div> </div>
</div> </div>
<div class="col-md-4"> <div class="col-md-4">
<label class="form-label fw-bold small text-primary"><?= (isset($_SESSION['affichagedynamique']['Commune'])) ? _($_SESSION['affichagedynamique']['Commune']) : _("Commune") ?></label> <label class="form-label fw-bold small text-uppercase"><?= (isset($_SESSION['affichagedynamique']['Commune'])) ? _($_SESSION['affichagedynamique']['Commune']) : _("Commune") ?></label>
<div id="listelocalite"> <div id="listelocalite">
<select class="form-select" id="codeLocalite" name="codeLocalite" required> <select class="form-select" id="codeLocalite" name="codeLocalite" required>
<?php liste_options($localite, $codeLocalite); ?> <?php liste_options($localite, $codeLocalite); ?>
@ -125,11 +125,11 @@
</div> </div>
<div class="col-md-6"> <div class="col-md-6">
<label class="form-label fw-bold small text-primary"><?= _("Adresse Géo") ?></label> <label class="form-label fw-bold small text-uppercase"><?= _("Adresse Géographique") ?></label>
<input type="text" class="form-control" id="adresseGeo" name="adresseGeo"> <input type="text" class="form-control" id="adresseGeo" name="adresseGeo">
</div> </div>
<div class="col-md-6"> <div class="col-md-6">
<label class="form-label fw-bold small text-primary"><?= _("E-mail") ?></label> <label class="form-label fw-bold small text-uppercase"><?= _("E-mail") ?></label>
<div class="input-group"> <div class="input-group">
<span class="input-group-text bg-white text-muted"><i class="fas fa-envelope"></i></span> <span class="input-group-text bg-white text-muted"><i class="fas fa-envelope"></i></span>
<input type="email" class="form-control" id="email" name="email" placeholder="exemple@mail.com"> <input type="email" class="form-control" id="email" name="email" placeholder="exemple@mail.com">
@ -137,14 +137,14 @@
</div> </div>
<div class="col-md-6"> <div class="col-md-6">
<label class="form-label fw-bold small text-primary"><?= _("Tél Portable") ?></label> <label class="form-label fw-bold small text-uppercase"><?= _("Téléphone Portable") ?></label>
<div class="input-group"> <div class="input-group">
<span class="input-group-text bg-white text-muted"><i class="fas fa-mobile-alt"></i></span> <span class="input-group-text bg-white text-muted"><i class="fas fa-mobile-alt"></i></span>
<input type="tel" class="form-control" id="telephonePortable" name="telephonePortable" required minlength="12"> <input type="tel" class="form-control" id="telephonePortable" name="telephonePortable" required minlength="12">
</div> </div>
</div> </div>
<div class="col-md-6"> <div class="col-md-6">
<label class="form-label fw-bold small text-primary"><?= _("Tél Fixe") ?></label> <label class="form-label fw-bold small text-uppercase"><?= _("Téléphone Fixe") ?></label>
<input type="tel" class="form-control" id="telephonFixe" name="telephonFixe"> <input type="tel" class="form-control" id="telephonFixe" name="telephonFixe">
</div> </div>
</div> </div>
@ -160,9 +160,9 @@
<div class="card-body p-4 d-flex flex-column justify-content-between"> <div class="card-body p-4 d-flex flex-column justify-content-between">
<div> <div>
<div class="mb-3"> <div class="mb-3">
<label class="form-label fw-bold small text-primary text-uppercase"><?= _("Date d'Entrée") ?></label> <label class="form-label fw-bold small text-uppercase"><?= _("Date d'Entrée") ?></label>
<div id="div_date_avenant"> <div id="div_date_avenant">
<input type="text" class="form-control datepicker fw-bold text-primary" id="dateEntree" name="dateEntree" <input type="text" class="form-control datepicker fw-bold text-uppercase" id="dateEntree" name="dateEntree"
value="<?= dateLang($_SESSION['dateAvenant_C']) ?>" required onChange="prorater_prime_adherent();"> value="<?= dateLang($_SESSION['dateAvenant_C']) ?>" required onChange="prorater_prime_adherent();">
</div> </div>
</div> </div>