207 lines
13 KiB
PHP
207 lines
13 KiB
PHP
<?php
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$this->titre = "INTER-SANTE - Ajout Adhérent";
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$dateAvenant = $_SESSION['dateAvenant_C'];
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//
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?>
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<div id="div_ajout_adherent" class="container-fluid py-2 animate__animated animate__fadeIn">
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<h1 class="text-primary"><i class="fas fa-user-plus me-2"></i><?= _('Nouvel Adhérent') ?></h1>
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<div class="card-header d-flex justify-content-between align-items-center py-1">
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<h4 class="fw-bold text-secondary mb-0">
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<?= _("POLICE") ?> : <span class="text-primary"><?= $_SESSION['numeroPolice_C'] ?></span>
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</h4>
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</div>
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<form method="post" action="Creeradherent/ajouteradherent">
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<input class="sr-only" type="text" id="idPolice" name="idPolice" value="<?= $_SESSION['idPolice_C'] ?>">
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<input class="sr-only" type="text" id="numeroPolice" name="numeroPolice" value="<?= $_SESSION['numeroPolice_C'] ?>">
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<div class="card shadow-sm border-0 mb-4">
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<div class="card-header bg-light py-1 border-bottom-0">
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<h6 class="mb-0 fw-bold text-secondary text-uppercase small">
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<i class="fas fa-id-card me-2"></i><?= _("Informations Générales & Contrat") ?>
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</h6>
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</div>
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<div class="card-body p-4">
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<div class="row g-3">
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<div class="col-md-6">
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<label class="form-label fw-bold small text-uppercase"><?= _("Collège") ?></label>
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<select class="form-select border-primary-subtle" id="idCollege" name="idCollege" required autofocus onChange="prorater_prime_adherent();">
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<?php liste_options($college,""); ?>
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</select>
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</div>
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<div class="col-md-6">
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<label class="form-label fw-bold small text-uppercase"><?= _("Avenant") ?></label>
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<select class="form-select" id="idAvenant" name="idAvenant" required onChange="changer_avenant_incorporation();">
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<?php liste_options($avenant,""); ?>
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</select>
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</div>
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<div class="col-md-6">
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<label class="form-label fw-bold small text-uppercase"><?= _("Nom de l'adhérent") ?></label>
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<input type="text" class="form-control text-uppercase fw-bold" id="nom" name="nom" required>
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</div>
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<div class="col-md-6">
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<label class="form-label fw-bold small text-uppercase"><?= _("Prénoms") ?></label>
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<input type="text" class="form-control" id="prenoms" name="prenoms" required>
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</div>
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<div class="col-md-4">
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<label class="form-label fw-bold small text-uppercase"><?= _("Nature Pièce") ?></label>
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<select class="form-select" id="codeNaturePiece" name="codeNaturePiece" required onChange="controler_piece_beneficiaire();">
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<?php liste_options($naturepiece,""); ?>
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</select>
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</div>
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<div class="col-md-4">
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<label class="form-label fw-bold small text-uppercase"><?= _("N° de Pièce") ?></label>
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<input type="text" class="form-control" id="numeroPiece" name="numeroPiece" onblur="controler_piece_beneficiaire();" required autocomplete="off">
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</div>
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<div class="col-md-4 d-flex align-items-end">
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<div id="div_controle_piece" class="w-100"></div>
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</div>
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<div class="col-md-2">
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<label class="form-label fw-bold small text-uppercase"><?= _("Genre") ?></label>
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<select class="form-select" id="sexe" name="sexe" required>
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<?php liste_options($sexe,""); ?>
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</select>
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</div>
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<div class="col-md-3">
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<label class="form-label fw-bold small text-uppercase"><?= _("Date de Naissance") ?></label>
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<div class="input-group">
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<span class="input-group-text bg-white text-muted"><i class="fas fa-calendar-alt"></i></span>
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<input type="text" class="form-control datepicker" id="dateNaissance" name="dateNaissance" required
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onchange="controle_age($('#dateNaissance').datepicker('getDate'), 'A')">
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</div>
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</div>
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<div class="col-md-2 text-center d-flex align-items-end justify-content-center pb-1">
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<input type="text" id="agepersonne" name="agepersonne" class="form-control-plaintext text-danger fw-bold text-center border-bottom" value="Age : 0" disabled>
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</div>
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<div class="col-md-2">
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<label class="form-label fw-bold small text-uppercase"><?= _("Groupe Sanguin") ?></label>
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<select class="form-select" id="codeGroupeSanguin" name="codeGroupeSanguin" required>
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<?php liste_options($groupesanguin,""); ?>
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</select>
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</div>
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<div class="col-md-3">
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<label class="form-label fw-bold small text-uppercase"><?= _("Situation Familiale") ?></label>
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<select class="form-select" id="codeSituationFamille" name="codeSituationFamille" required>
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<?php liste_options($situationfamille,""); ?>
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</select>
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</div>
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</div>
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</div>
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</div>
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<div class="row g-4">
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<div class="col-lg-8">
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<div class="card shadow-sm border-0 h-100">
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<div class="card-header bg-light py-3 border-bottom-0">
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<h6 class="mb-0 fw-bold text-secondary text-uppercase small"><i class="fas fa-map-marker-alt me-2"></i><?= _("Localisation & Contact") ?></h6>
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</div>
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<div class="card-body p-4">
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<div class="row g-3">
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<div class="col-md-4">
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<label class="form-label fw-bold small text-uppercase"><?= _("Pays") ?></label>
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<select class="form-select" id="codePays" name="codePays" required onChange="ajaxListerVille();">
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<?php liste_options($pays, $codePays); ?>
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</select>
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</div>
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<div class="col-md-4">
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<label class="form-label fw-bold small text-uppercase"><?= (isset($_SESSION['affichagedynamique']['Province'])) ? _($_SESSION['affichagedynamique']['Province']) : _("Province") ?></label>
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<div id="listeville">
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<select class="form-select" id="codeVille" name="codeVille" required onChange="ajaxListerLocalite();">
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<?php liste_options($ville, $codeVille); ?>
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</select>
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</div>
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</div>
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<div class="col-md-4">
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<label class="form-label fw-bold small text-uppercase"><?= (isset($_SESSION['affichagedynamique']['Commune'])) ? _($_SESSION['affichagedynamique']['Commune']) : _("Commune") ?></label>
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<div id="listelocalite">
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<select class="form-select" id="codeLocalite" name="codeLocalite" required>
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<?php liste_options($localite, $codeLocalite); ?>
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</select>
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</div>
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</div>
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<div class="col-md-6">
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<label class="form-label fw-bold small text-uppercase"><?= _("Adresse Géographique") ?></label>
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<input type="text" class="form-control" id="adresseGeo" name="adresseGeo">
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</div>
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<div class="col-md-6">
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<label class="form-label fw-bold small text-uppercase"><?= _("E-mail") ?></label>
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<div class="input-group">
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<span class="input-group-text bg-white text-muted"><i class="fas fa-envelope"></i></span>
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<input type="email" class="form-control" id="email" name="email" placeholder="exemple@mail.com">
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</div>
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</div>
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<div class="col-md-6">
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<label class="form-label fw-bold small text-uppercase"><?= _("Téléphone Portable") ?></label>
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<div class="input-group">
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<span class="input-group-text bg-white text-muted"><i class="fas fa-mobile-alt"></i></span>
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<input type="tel" class="form-control" id="telephonePortable" name="telephonePortable" required minlength="12">
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</div>
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</div>
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<div class="col-md-6">
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<label class="form-label fw-bold small text-uppercase"><?= _("Téléphone Fixe") ?></label>
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<input type="tel" class="form-control" id="telephonFixe" name="telephonFixe">
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="col-lg-4">
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<div class="card border-primary-subtle shadow-sm h-100">
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<div class="card-header bg-office-primary-lighter py-3">
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<h6 class="mb-0 fw-bold text-primary text-uppercase small"><i class="fas fa-check-double me-2"></i><?= _("Validation de l'adhésion") ?></h6>
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</div>
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<div class="card-body p-4 d-flex flex-column justify-content-between">
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<div>
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<div class="mb-3">
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<label class="form-label fw-bold small text-uppercase"><?= _("Date d'Entrée") ?></label>
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<div id="div_date_avenant">
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<input type="text" class="form-control datepicker fw-bold text-uppercase" id="dateEntree" name="dateEntree"
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value="<?= dateLang($_SESSION['dateAvenant_C'], $_SESSION['lang']) ?>" required onChange="prorater_prime_adherent();">
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</div>
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</div>
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<div class="row g-2 mb-4">
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<div class="col-7">
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<label class="form-label fw-bold small text-uppercase"><?= _("Prorata?") ?></label>
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<select class="form-select form-select-sm" id="prorata" name="prorata" required onChange="prorater_prime_adherent();">
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<?php liste_options($ouinonprorata,"1",true); ?>
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</select>
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</div>
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<div class="col-5">
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<label class="form-label fw-bold small text-uppercase"><?= _("Enfants") ?></label>
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<input class="form-control form-control-sm text-center fw-bold" type="number" id="nombreEnfants" name="nombreEnfants" min="0" max="10" value="0">
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</div>
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</div>
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</div>
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<div class="pt-3 border-top">
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<button type="submit" class="btn btn-primary w-100 py-3 fw-bold shadow">
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<i class="fas fa-save me-2"></i> <?= _("ENREGISTRER L'ADHÉRENT") ?>
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</button>
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</div>
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</div>
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</div>
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</div>
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</div>
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<div id="div_prime" class="mt-4 animate__animated animate__fadeInUp">
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</div>
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</form>
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<?php if (isset($msgErreur)): ?>
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<div class="alert alert-danger shadow-sm border-start border-4 border-danger mt-4 d-flex align-items-center animate__animated animate__shakeX" role="alert">
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<i class="fas fa-exclamation-circle me-3 fa-2x"></i>
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<div>
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<strong class="d-block"><?= _("Erreur de saisie") ?></strong>
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<?= $msgErreur ?>
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</div>
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</div>
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<?php endif; ?>
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</div>
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