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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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