templates/backend/abstract_inscription/new.html.twig line 1

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  1. {% extends 'frontend/frontindex/add.html.twig' %}
  2. {% block title %}Inscription aus abstracts{% endblock %}
  6. {% block body %}
  7. <section class="apppoinment-page-area">
  8.     <div class="container">
  9.         <div class="row">
  10.             <div class="col-md-12">
  11.                 <h1 class="text-center">{% if app.request.locale=='fr' %}{{congres.label}}{% elseif app.request.locale=='en' %}{{congres.labelEn}}{% endif %}</h1>
  12.                 <h3 class="text-center">{{'%Inscrivezvousauxabstracts%'|trans}}</h3>
  13.                 <div class="blog-s-title">
  14.                     <div class="blog-single-meta">
  15.                         <span><i class="far fa-calendar-alt"></i>
  16.                             {{ congres.dateDebut |date("d/m/y")}}
  17.                             -
  18.                             {{ congres.dateFin |date("d/m/y")}}</span>
  19.                         <span>
  20.                             <i class="fa fa-location-dot"></i>
  21.                             {{congres.lieu}}</span>
  22.                     </div>
  23.                 </div>
  24.                     <form id="front_abstract_congress" method="post" action="{{ path('app_abstract_congress_new',{'id':congres.id}) }}" enctype="multipart/form-data">
  26.                     <div class="form-row mt-3">
  27.                         <div class="col-md-6">
  28.                             <label for="nom" class="text-muted">{{ '%nom%'|trans|capitalize }} (*)</label>
  29.                             <input name="nom" class="form-control" required/>
  30.                         </div>
  31.                         <div class="col-md-6">
  32.                             <div class="form-group">
  33.                             <label for="prenom" class="text-muted">{{ '%prenom%'|trans|capitalize }} (*)</label>
  34.                                 <input type="text" name="prenom" class="form-control" required/>
  35.                             </div>
  36.                         </div>
  37.                         <div class="col-md-6">
  38.                             <div class="form-group">
  39.                                 <label for="email" class="text-muted">{{ '%E-mail%'|trans|capitalize }} (*)</label>
  40.                                 <input type="email" name="email" class="form-control" required/>
  41.                             </div>
  42.                         </div>
  43.                         <div class="col-md-6">
  44.                             <div class="form-group">
  45.                                 <label for="password" class="text-muted">{{ '%Password%'|trans|capitalize }} (*)</label>
  46.                                 <input type="password" name="plainPassword" class="form-control" minlength="6" required/>
  47.                             </div>
  48.                         </div>
  49.                         <div class="col-md-6">
  50.                             <div class="form-group">
  51.                                 <label for="civilite" class="text-muted">{{ '%civilite%'|trans|capitalize }} (*)</label>
  52.                                 <select name="civilite" id="civilite-select">
  53.                                     <option value="Madame">{{'%Madame%'|trans}}</option>
  54.                                     <option value="Mademoiselle">{{'%Mademoiselle%'|trans}}</option>
  55.                                     <option value="Monsieur">{{'%Monsieur%'|trans}}</option>
  56.                                 </select>
  57.                             </div>
  58.                         </div>
  59.                         <div class="col-md-6">
  60.                             <div class="form-group">
  61.                                 {{ include('registration/_specialite.html.twig') }}
  62.                             </div>
  63.                         </div>
  64.                         <div class="col-md-6">
  65.                             <div class="form-group">
  66.                             <label for="addresse" class="text-muted">{{ '%Address%'|trans|capitalize }} (*)</label>
  67.                                 <input type="text" name="addresse" class="form-control" required/>
  68.                             </div>
  69.                         </div>
  70.                         
  71.                         <div class="col-md-6">
  72.                             <label for="pays" class="text-muted">{{'%pays%'|trans|capitalize }} (*)</label>
  73.                             <select type="text" name="pays" class="form-control">
  74.                                 {% for pay in pays %}
  75.                                 <option value="{{pay.id}}">{{pay.labelFr}}</option>
  76.                                 {% endfor %}
  77.                             </select>
  78.                         </div>
  79.                         <div class="col-md-6">
  80.                             <label for="titre" class="text-muted">{{ '%titre%'|trans|capitalize }} (*)</label>
  81.                             <select name="titre" id="titre-select">
  82.                                 <option value="Résident">{{'%Résident%'|trans}}</option>
  83.                                 <option value="Spécialiste médical">{{'%Spécialistemédical%'|trans}}</option>
  84.                                 <option value="Assistant">{{'%Assistant%'|trans}}</option>
  85.                                 <option value="Professeur agrégé">{{'%Professeuragrégé%' |trans}}</option>
  86.                                 <option value="Professeur">{{'%Professeur%' |trans}}</option>
  87.                             </select>
  88.                         </div>
  89.                         <div class="col-md-6">
  90.                             <label for="sousSpecialite" class="text-muted">{{'%sousSpecialite%'|trans|capitalize }}</label>
  91.                             <input type="text" name="sousSpecialite" class="form-control"/>
  92.                         </div>
  93.                         <div class="col-md-6 offset-md-3 mt-3">
  94.                             <div class="form-group col-md-6 offset-md-3">
  95.                                 <button class="theme-btn btn-block">{{ button_label|default('Valider') }}</button>
  96.                             </div>
  97.                         </div>
  98.                     </div>
  99.                     </form>
  102.             </div>
  103.         </div>
  104.     </div>
  105.     
  106. </section>
  107. {% endblock %}