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KONE SOREL 2026-01-13 12:05:52 +00:00
parent 0e65665e29
commit f3612e3feb
1 changed files with 2 additions and 2 deletions
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Vue/Rechercherassure/index.php
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@ -9,11 +9,11 @@
<div class="row g-3">
<div class="col-md-3">
<label class="form-label small fw-bold text-uppercase"><?= _("Numéro Famille") ?></label>
<input class="form-control border-primary-subtle" type="text" id="numeroAdherent" name="numeroAdherent" autocomplete="off" placeholder="Ex: ADH-100...">
<input class="form-control border-primary-subtle" type="text" id="numeroAdherent" name="numeroAdherent" autocomplete="off">
</div>
<div class="col-md-3">
<label class="form-label small fw-bold text-uppercase"><?= _("Numéro Bénéficiaire") ?></label>
<input class="form-control border-primary-subtle" type="text" id="numeroBeneficiaire" name="numeroBeneficiaire" autofocus autocomplete="off" placeholder="Ex: B-500...">
<input class="form-control border-primary-subtle" type="text" id="numeroBeneficiaire" name="numeroBeneficiaire" autofocus autocomplete="off">
</div>
<div class="col-md-3">