Your IP : 216.73.216.65

Current Path : /home/a/t/a/ataenra/www/ATA/INTRANET/Tech/MesSav/
Upload File :
Current File : /home/a/t/a/ataenra/www/ATA/INTRANET/Tech/MesSav/MesForm2.php

<?php


?>







<!--FORMULAIRES A PARTIR DICI-->

<form action="index.php/tmes" method="POST" autocomplete="off" >
<div class="container1">
    
        <h4 class="btn-lg btn-info" type="submit" name="test"> Formulaire 2 : Infos / Unité Exterieure :</h4>
        <div style="overflow-x: hidden; overflow-y: hidden; width: 100%; height: 350px;">
                     
            <div class="row">
               
                    <div class="col-md-6">
                    <p> Emplacement unité Extérieure : <select class="form-control" name="UE_Emp" required></p>
                    <option selected>Conforme</option>
                    <option>Non conforme</option>
                    </select> 

                    <p> Evacuation des condensats : <select class="form-control" name="UE_Condens" required></p>
                    <option selected>Conforme</option>
                    <option>Non conforme</option>
                    </select> 

                    <p> Numéro de série :<input class="form-control" type="text" name="UE_NumS" required /></p>

                    <p> Observations :<textarea class="form-control" rows="3" name="UE_Obs" ></textarea></p>
                   
                    </div>

                    <div class="col-md-4-l">
                    <img src="../../ATA/INTRANET/Tech/Required/emp.png" alt="ISO" width=100% class="img-responsive" />
                    </div>       
                    <input type='hidden' name='ID' value='<?php echo $_GET['ID'];?>'>          
            </div>

    
            
            

            </div>


        </div>	
	
</body>