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KONE SOREL 2026-01-12 15:49:07 +00:00
parent 2a33057cdb
commit b1bc7111df
1 changed files with 15 additions and 15 deletions
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30
Vue/Creerbeneficiaire/index.php
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@ -23,54 +23,54 @@
</div>
<div class="row g-3">
<div class=" card col-md-6 border-end px-1">
<div class=" card col-md-6 border-end px-4">
<h5 class="mb-3 text-secondary small text-uppercase fw-bold"><?= _("Paramètres d'inclusion") ?></h5>
<div class="mb-3">
<label class="form-label small fw-bold"><?= _("Avenant") ?></label>
<label class="form-label small fw-bold text-uppercase"><?= _("Avenant") ?></label>
<select class="form-select form-select-sm shadow-sm border-primary" id="idAvenant" name="idAvenant" required autofocus onChange="changer_avenant_incorporation_beneficiaire();">
<?php liste_options($avenant,""); ?>
</select>
</div>
<div class="mb-3">
<label class="form-label small fw-bold"><?= _("Date d'Entrée") ?></label>
<label class="form-label small fw-bold text-uppercase"><?= _("Date d'Entrée") ?></label>
<div id="div_date_avenant">
<input class="form-control form-control-sm datepicker" type="text" id="dateEntree" name="dateEntree" value="<?= dateLang($_SESSION['dateAvenant_C']) ?>" required onChange="prorater_prime_beneficiaire();">
</div>
</div>
<div class="mb-3">
<label class="form-label small fw-bold"><?= _("Option de Prorata") ?></label>
<label class="form-label small fw-bold text-uppercase"><?= _("Option de Prorata") ?></label>
<select class="form-select form-select-sm" id="prorata" name="prorata" required onChange="prorater_prime_beneficiaire();">
<?php liste_options($ouinonprorata,"1",true); ?>
</select>
</div>
</div>
<div class="card col-md-6 px-1">
<div class="card col-md-6 px-4">
<h5 class="mb-3 text-secondary small text-uppercase fw-bold"><?= _("État Civil") ?></h5>
<div class="row g-2 mb-3">
<div class="col-md-5">
<label class="form-label small fw-bold"><?= _("Nom") ?></label>
<label class="form-label small fw-bold text-uppercase"><?= _("Nom") ?></label>
<input class="form-control form-control-sm fw-bold shadow-sm" type="text" id="nomBeneficiaire" name="nomBeneficiaire" value="<?= $adherent['nom'] ?>" required style="text-transform: uppercase;">
</div>
<div class="col-md-7">
<label class="form-label small fw-bold"><?= _("Prénoms") ?></label>
<label class="form-label small fw-bold text-uppercase"><?= _("Prénoms") ?></label>
<input class="form-control form-control-sm shadow-sm" type="text" id="prenomsBeneficiaire" name="prenomsBeneficiaire" required>
</div>
</div>
<div class="row g-2 mb-3">
<div class="col-md-6">
<label class="form-label small fw-bold"><?= _("Lien Parenté") ?></label>
<label class="form-label small fw-bold text-uppercase"><?= _("Lien Parenté") ?></label>
<select class="form-select form-select-sm" id="codeLienParente" name="codeLienParente" required onChange="filtrergenreconjoint();">
<?php liste_options($lienparente,""); ?>
</select>
</div>
<div class="col-md-6">
<label class="form-label small fw-bold"><?= _("Sexe") ?></label>
<label class="form-label small fw-bold text-uppercase"><?= _("Genre") ?></label>
<select class="form-select form-select-sm" id="sexe" name="sexe" required>
<?php liste_options($sexe,""); ?>
</select>
@ -79,7 +79,7 @@
<div class="row g-2 mb-3">
<div class="col-md-6">
<label class="form-label small fw-bold"><?= _("Date de Naissance") ?></label>
<label class="form-label small fw-bold text-uppercase"><?= _("Date de Naissance") ?></label>
<input class="form-control form-control-sm datepicker" type="text" id="dateNaissance" name="dateNaissance" required onchange="controle_age($('#dateNaissance').datepicker('getDate'), $('#codeLienParente').val())">
</div>
<div class="col-md-6">
@ -91,27 +91,27 @@
<hr class="my-4">
<div class="col-md-12">
<div class="card col-md-12">
<div class="row g-3">
<div class="col-md-3">
<label class="form-label small fw-bold"><?= _("Nature Pièce") ?></label>
<label class="form-label small fw-bold text-uppercase"><?= _("Nature Pièce") ?></label>
<select class="form-select form-select-sm" id="codeNaturePiece" name="codeNaturePiece" required onChange="javascript:controler_piece_beneficiaire();">
<?php liste_options($naturepiece,""); ?>
</select>
</div>
<div class="col-md-3">
<label class="form-label small fw-bold"><?= _("N° Pièce") ?></label>
<label class="form-label small fw-bold text-uppercase"><?= _("N° Pièce") ?></label>
<input class="form-control form-control-sm" type="text" id="numeroPiece" name="numeroPiece" onblur="javascript:controler_piece_beneficiaire();" required autocomplete="off">
<div id="div_controle_piece" class="mt-1 small"></div>
</div>
<div class="col-md-3">
<label class="form-label small fw-bold"><?= _("Groupe Sanguin") ?></label>
<label class="form-label small fw-bold text-uppercase"><?= _("Groupe Sanguin") ?></label>
<select class="form-select form-select-sm" id="codeGroupeSanguin" name="codeGroupeSanguin" required>
<?php liste_options($groupesanguin,""); ?>
</select>
</div>
<div class="col-md-3">
<label class="form-label small fw-bold"><?= _("Téléphone") ?></label>
<label class="form-label small fw-bold text-uppercase"><?= _("Téléphone") ?></label>
<input class="form-control form-control-sm" type="tel" id="telephonePortable" name="telephonePortable" autocomplete="off">
</div>
</div>