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adherent
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[
Home
]
File: adherent_ajout.php
<?php include("../../inc/enligne_param.inc.php"); include("../../inc/gere_session.inc.php"); include("../../inc/salutations.inc.php"); $date=(date('j-m-Y')); $heure=(date('G.i')); ?> <!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> <title>CCPSA annuaire des membres gestion</title> <style type="text/css"> <!-- @import url("../../css/form_common.css"); --> </style> </head> <body> <div id="page" class="clearfix"> <h2>ADHÉRENTS - AJOUT</h2> <h5>Interface Administrateur. Session ouverte pour : <?php echo ucfirst($LePrenom).' '.strtoupper($LeNom); ?>.</h5> <div id="left_col"> </div><!--fin left_col--> <div id="container"> <div id="main_col"> <form id="form2" method="post" action="adherent_ajout_x.php" enctype="multipart/form-data"> <h5>FICHE ADHÉRENT</h5> <?php echo"<p><center><img src='../trombin/$LePrenom $LeNom.jpg 'height='150px'/></center></p>"; ?> <p>Photo (120x150px) :</p> <p><input type="file" name="photo" type="text" id="fileField" size="56"/></p> <p>Mme / M / Melle</p> <p> <input name="civ" type="radio" id="radiobutton" value="Mme" /> <input name="civ" type="radio" id="radiobutton" value="M" /> <input name="civ" type="radio" id="radiobutton" value="Melle" /></p> <p><b>Prenom :<span style="margin-left:220px;">Nom :</span></b></p> <p><input name="prenom" type="mdtext" size="82" maxlength="20"/> <input name="nom" type="mdtext" size="82" maxlength="160"/></p> <p>N° FPF / N° CCPSA / Anné 1 inscrip. / Est réinscrit : (non/oui)</p> <p> <input name="idfpf" type="pttext" size="9" maxlength="9"/> <input name="idccpsa" type="pttext" size="9" maxlength="9" /> <input name="arrive" type="pttext" size="4" maxlength="4" /> <select name="actif"> <?php echo "<option value='non'> non </option>"; echo "<option value='oui'> oui </option>"; ?> </select></p> <p class="pbreak"> </p> <p>N° :<span style="margin-left:42px;">Voie :</span></p> <p><input name="num" type="pttext" size="5" maxlength="6" /> <input name="voie" type="gdtext" size="82" maxlength="100"/></p> <p>CP :<span style="margin-left:37px;">Ville :</span></p> <p><input name="cp" type="pttext" size="5" maxlength="5"/> <input name="commune" type="gdtext" size="82" maxlength="60"/></p> <p>Tél Fixe :<span style="margin-left:80px;">Tél Mobile :</span><span style="margin-left:63px;">E-mail :</span></p> <p><input name="tel1" type="gptext" size="33" maxlength="160"/> <input name="tel2" type="gptext" size="33" maxlength="160"/> <input name="mail" type="mdtext" id="boite4" size="82" maxlength="40"/></p> <p>Appareil :<span style="margin-left:220px;">Style de photos :</span></p> <p><input name="apn" type="mdtext" size="82" maxlength="160"/> <input name="style" type="mdtext" size="82" maxlength="160"/></p> <hr /> <h5>RENSEIGNEMENTS CONCERNANT LES DROITS ET CONNEXION</h5> <p>Identifiant :<span style="margin-left:204px;">Mot de Passe :</span><span style="margin-left:86px;">Droits :</span></p> <select name="droit" type="pttext" > <?php echo "<p><option value='A'>A</option>"; echo "<option value='WM'>WM</option>"; echo "<option value='PR'>PR</option>"; echo "<option value='CA'>CA</option>"; echo "<option value='EX'>EX</option></p>"; ?> </select> <input name="login" type="mdtext" id="boite7" size="32" maxlength="40"/> <input name="pass" type="mdpttext" id="boite" size="32" maxlength="20" value="numeriqueargentique"/></p> <hr /> <h5>RENSEIGNEMENTS CONCERNANT LE COMITÉ</h5> <p>Rôle :<span style="margin-left:242px;">Rang :</span><span style="margin-left:20px;">Poste :</span></p> <p><input name="definition" type="mdtext" id="boite6" size="82" maxlength="80"/> <input name="rang" type="pttext" id="boite5" size="5" maxlength="10"/> <select name="cat" type="gdtext"> <?php echo "<option value=''>Adhérent</option>"; echo "<option value='Bureau'>Bureau</option>"; echo "<option value='CA'>CA</option>"; echo "<option value='Resp. Activ.'>Resp. Activ.</option></p>"; ?> </select> <p class="pbreak"> </p> <p class="pbreak"> </p> <p>Activité :</p> <p> <textarea name="activite" type="mdtext" cols="59" rows="5"></textarea></p> <input type="hidden" name="fonction" value="<?php echo $Filtre ?>" /> <!--/DATE DE MISE A JOUR DU SITE/--> <input type="hidden" name="date" value="<?php echo $date; ?>" /> <input type="hidden" name="heure" value="<?php echo $heure; ?>" /> <!----> </div> <div id="right_col"> <!--BOUTONS VALIDATION--> <p> <input type="submit" name="Submit" value="Valider" /> </p> <p> <center> <a href="adherent.php" class="xlink" title="retour site"/>ANNULER</a> </center> </p> <!--FIN BOUTONS VALIDATION--> </div> </div> <!--fin container--> </form> </div> <!--fin page--> </body> </html>
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2020 Black Eagle Team
