SAE_203_Gestion_des_sauveteurs/views/contact_views.php

50 lines
1.6 KiB
PHP

<?php require('views/header.php'); ?>
<h2>Ajout de personnes</h2>
<form action="index.php?route=ajout_personnes" method="post">
<p>
<label>Nom :</label>
<input type="text" name="nom" required>
</p>
<p>
<label>Prénom :</label>
<input type="text" name="prenom" required>
</p>
<p>
<label>Département :</label>
<input type="text" name="dep" required>
</p>
<p>
<label for="spe">Spécialité :</label>
<select name="spe" id="spe">
<option value="1">Évacuation</option>
<option value="2">ASV (assistance victime)</option>
<option value="3">Transmission</option>
<option value="4">Conseiller technique (chef)</option>
<option value="5">Gestion</option>
<option value="6">Désobstruction</option>
<option value="7">Médical</option>
<option value="8">Ventilation</option>
<option value="9">Pas de spécialité</option>
</select>
</p>
<p>
<label for="date">Date d'engagement :</label>
<input type="date" id="date" name="ladate" required>
</p>
<p>
<label for="heure">Heure d'engagement :</label>
<input type="time" id="heure" name="lheure" required>
</p>
<p>
<label for="tel">Numéro de téléphone :</label>
<input type="tel" id="tel" name="tel" required>
</p>
<p>
<input type="submit" value="Valider">
<input type="reset" value="Annuler">
</p>
</form>
<?php require('views/footer.php'); ?>