templates/default/inscription.html.twig line 1

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  1. {% extends 'base.html.twig' %}
  3. {% block title %}IDCIE Caraibes - Retrouvez confiance en votre potentiel{% endblock %}
  5. {% block body %}
  6. {% if page == "pro"%}
  7.     <header class="head-service" style="background-image:url({{asset('img/idcie/page-registration-pro.jpg')}});background-position:center"></header>
  8.     <div class="container">
  9.         {# Qui sommes nous #}
  10.         <div class="row m-5" style="text-align:center">       
  11.              <h2 class="title">Bulletin d’inscription pour entreprise</h2>   
  12.              <p>Donnez une nouvelle impulsion à votre équipe.</p>
  13.         </div>
  14.          <div class="row m-5">
  15.             <div class="offset-md-2 col-md-9">         
  16.                 <div class="row">
  17.                    <form action="">
  18.                    <div class="mb-3">
  19.                    <h4 class="title">Formation</h4>
  20.                    <select name="" id="" class="form-control">
  21.                         <option value="">Sélectionnez une formation</option>
  22.                         <option value="">Transitions et Changements</option>
  23.                         <option value="">De la connaissance de soi à la construction de son projet</option>
  24.                         <option value="">Optimisation de la Gestion de Carrière</option>
  25.                         <option value="">Développez Votre Efficacité Professionnelle</option>
  26.                         <option value="">Préparation à l'Emploi</option>
  27.                         <option value="">Entrepreneuriat et Création d'Entreprise</option>
  28.                         <option value="">Consolidez Votre Projet de Création: Créez une Entreprise 2.0</option>
  29.                         <option value="">J’Optimise la Gestion de Mon Activité d’ASP au Quotidien</option>
  30.                    </select>
  31.                    </div>
  32.                    <div class="mb-4">
  33.                         <h4 class="title">Entreprise</h4>
  34.                          <div class="mb-3">
  35.                             <label for="exampleFormControlInput1" class="form-label">Nom de l'entreprise</label>
  36.                             <input type="text" class="form-control" id="exampleFormControlInput1" placeholder="Nom de l'entreprise">
  37.                          </div> 
  38.                          <div class="mb-3">
  39.                             <label for="exampleFormControlInput1" class="form-label">Adresse</label>
  40.                             <input type="text" class="form-control" id="exampleFormControlInput1" placeholder="Adresse">
  41.                          </div> 
  42.                          <div class="mb-3">
  43.                             <label for="exampleFormControlInput1" class="form-label">Email</label>
  44.                             <input type="email" class="form-control" id="exampleFormControlInput1" placeholder="Email de reférent entreprise">
  45.                          </div> 
  46.                         <div class="mb-3">
  47.                             <div class="row">
  48.                             <div class="col-md-6">
  49.                                 <label class="form-label">Téléphone</label>
  50.                                 <input type="number" class="form-control" placeholder="votre téléphone">
  51.                             </div>
  52.                             <div class="col-md-6">
  53.                                 <label class="form-label">Portable</label>
  54.                                 <input type="number" class="form-control" placeholder="votre portable">
  55.                             </div>
  56.                         </div> 
  57.                     </div> 
  58.                    </div>
  59.                      <div class="mb-3">
  60.                             <div class="row">
  61.                             <div class="col-md-6">
  62.                                 <label class="form-label">N°Siret</label>
  63.                                 <input type="number" class="form-control" placeholder="votre téléphone">
  64.                             </div>
  65.                             <div class="col-md-6">
  66.                                 <label class="form-label">Identifiant TVA</label>
  67.                                 <input type="number" class="form-control" placeholder="votre portable">
  68.                             </div>
  69.                         </div> 
  70.                     </div> 
  71.                    </div>
  72.                    <h4 class="title">Participant</h4>
  73.                     <div class="mb-3">
  74.                         <div class="row">
  75.                             <div class="col-md-6">
  76.                                 <label class="form-label">Nom</label>
  77.                                 <input type="text" class="form-control" placeholder="votre nom">
  78.                             </div>
  79.                             <div class="col-md-6">
  80.                                 <label class="form-label">Prénom</label>
  81.                                 <input type="text" class="form-control" placeholder="votre Prénom">
  82.                             </div>
  83.                         </div> 
  84.                     </div> 
  85.                     <div class="mb-3">
  86.                         <label for="exampleFormControlInput1" class="form-label">Activité Professionnelle</label>
  87.                         <input type="text" class="form-control" id="exampleFormControlInput1" placeholder="Activité Professionnelle">
  88.                     </div> 
  89.                     <div class="mb-3">
  90.                         <div class="row">
  91.                             <div class="col-md-6">
  92.                                 <label class="form-label">Email</label>
  93.                                 <input type="email" class="form-control" placeholder="votre email ex:nom@example.com">
  94.                             </div>
  95.                             <div class="col-md-6">
  96.                                 <label class="form-label">Téléphone</label>
  97.                                 <input type="text" class="form-control" placeholder="votre téléphone">
  98.                             </div>
  99.                         </div> 
  100.                     </div> 
  101.                     <div class="mb-3">
  102.                         <label for="exampleFormControlInput1" class="form-label">Adresse</label>
  103.                         <input type="text" class="form-control" id="exampleFormControlInput1" placeholder="name@example.com">
  104.                     </div> 
  105.                     <div class="text-center mt-4">
  106.                        <input class="btn btn-primary" type="button" value="Envoyer inscription">
  107.                     </div>
  108.                    </form>
  109.                  
  110.                 </div>
  111.             </div>
  112.         </div>   
  113.     </div>
  114. {% else %}
  115.  <header class="head-service" style="background-image:url({{asset('img/idcie/page-registration.jpg')}});background-position:center"></header>
  116.     <div class="container">
  117.         {# Qui sommes nous #}
  118.         <div class="row m-5" style="text-align:center">       
  119.              <h2 class="title">Bulletin d’inscription pour particulier</h2>   
  120.              <p>Lancez-vous vers de nouvelles compétences !</p>
  121.         </div>
  122.         <div class="row m-5">
  123.             <div class="offset-md-2 col-md-9">         
  124.                 <div class="row">
  125.                    <form action="">
  126.                    <div class="mb-5">
  127.                    <h4 class="title">Formation</h4>
  128.                    <select name="" id="" class="form-control">
  129.                         <option value="">Sélectionnez une formation</option>
  130.                         <option value="">Transitions et Changements</option>
  131.                         <option value="">De la connaissance de soi à la construction de son projet</option>
  132.                         <option value="">Optimisation de la Gestion de Carrière</option>
  133.                         <option value="">Développez Votre Efficacité Professionnelle</option>
  134.                         <option value="">Préparation à l'Emploi</option>
  135.                         <option value="">Entrepreneuriat et Création d'Entreprise</option>
  136.                         <option value="">Consolidez Votre Projet de Création: Créez une Entreprise 2.0</option>
  137.                         <option value="">J’Optimise la Gestion de Mon Activité d’ASP au Quotidien</option>
  138.                    </select>
  139.                    </div>
  140.                    <h4 class="title">Participant</h4>
  141.                     <div class="mb-3">
  142.                         <div class="row">
  143.                             <div class="col-md-6">
  144.                                 <label class="form-label">Nom</label>
  145.                                 <input type="text" class="form-control" placeholder="votre nom">
  146.                             </div>
  147.                             <div class="col-md-6">
  148.                                 <label class="form-label">Prénom</label>
  149.                                 <input type="text" class="form-control" placeholder="votre Prénom">
  150.                             </div>
  151.                         </div> 
  152.                     </div> 
  153.                     <div class="mb-3">
  154.                         <label for="exampleFormControlInput1" class="form-label">Activité Professionnelle</label>
  155.                         <input type="text" class="form-control" id="exampleFormControlInput1" placeholder="Activité Professionnelle">
  156.                     </div> 
  157.                     <div class="mb-3">
  158.                         <div class="row">
  159.                             <div class="col-md-6">
  160.                                 <label class="form-label">Email</label>
  161.                                 <input type="email" class="form-control" placeholder="votre email ex:nom@example.com">
  162.                             </div>
  163.                             <div class="col-md-6">
  164.                                 <label class="form-label">Téléphone</label>
  165.                                 <input type="text" class="form-control" placeholder="votre téléphone">
  166.                             </div>
  167.                         </div> 
  168.                     </div> 
  169.                     <div class="mb-3">
  170.                         <label for="exampleFormControlInput1" class="form-label">Adresse</label>
  171.                         <input type="text" class="form-control" id="exampleFormControlInput1" placeholder="name@example.com">
  172.                     </div> 
  173.                     <div class="text-center mt-4">
  174.                        <input class="btn btn-primary" type="button" value="Envoyer inscription">
  175.                     </div>
  176.                    
  177.                    </form>
  178.                  
  179.                 </div>
  180.             </div>
  181.         </div>
  182.     </div>
  183. {% endif %}
  184. {% endblock %}