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<!DOCTYPE html> <html> <head> <title>ESI-UNB</title> <meta charset="utf-8"> <link rel="stylesheet" type="text/css" href="style.css"> <meta name="viewport" content="width=device-width, initial-scale=1.0"> </head> <header style="background-color: rgba(223, 230, 240, 1.9);"> <div id="en-tete"> <h1>INSCRIPTION ESI-UNB</h1> </div> </header> <nav> <div class="table"> <label for="menu-mobile" class="menu-mobile">MENU</label> <input type="checkbox" id="menu-mobile" role="button"> <ul> <li class="menu-esi"> <a href="index.html">ACCUEIL</a> </li> <li class="menu-gal"> <a href="gallerie.html">GALLERIE</a> </li> <li class="menu-insc"> INSCRIPTION <ul class="sous-menu"> <li><a href="licence.html">Licence</a></li> <li><a href="Master.html">Master</a></li> </ul> </li> </ul> </div> </nav> <section class="formulaire"> <h1 style="color: rgba(230, 230, 230, 1.8");">FORMULAIRE D'INSCRIPTION</h1> <form method="post" action="traitement.php"> <fieldset style="width: auto;background-color: rgba(235, 245, 255, 1.5);height: auto;"> <legend style="font-weight: bold;">Formulaire d'inscription en licence</legend> <table> <tr> <td> <label for="form">Cycle de formation</label> </td> <td> <select name="c_form" id="form"> <option value="Licence">Licence</option> </select> </td> </tr> <tr> <td> <label for="nom">NOM</label> </td> <td> <input type="text" name="Nom" id="nom" required="required"> </td> </tr> <tr> <td> <label for="prenom">PRENOM</label> </td> <td> <input type="text" name="Prenom" id="prenom" required="required"> </td> </tr> <tr> <td> <label for="datenaiss">Date de nassance</label> </td> <td> <input type="date" name="date" id="datenaiss" required="required"> </td> </tr> <tr> <td> <label for="dipl">Diplome</label> </td> <td> <select name="Diplome" id="dipl"> <option value="BAC">BAC</option> </select> <label for="sess">SESSION DE</label> <input type="date" name="session" id="sess"> </td> </tr> <tr> <td> <label for="mail">Email</label> </td> <td> <input type="email" name="mail" id="mail" required="required"> </td> </tr> <tr> <td> <input type="submit" name="ajout" value="inscrire"> </td> </tr> </table> </fieldset> </form> </section> <body> </body> <footer> <p>Copyright 2020 ESI-UNB</p> </footer> </html>
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