2018-08-29 17:09:48 +02:00
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- content_for(:title, "Nouveau dossier (#{@dossier.procedure.libelle})")
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2019-01-07 12:17:11 +01:00
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= render partial: "shared/dossiers/submit_is_over", locals: { dossier: @dossier }
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2018-06-19 16:23:43 +02:00
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2019-01-07 12:17:11 +01:00
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- if !dossier_submission_is_closed?(@dossier)
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= form_for @dossier.individual, url: update_identite_dossier_path(@dossier), html: { class: "form" } do |f|
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%h1 Données d'identité
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2018-02-08 17:13:15 +01:00
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2019-01-07 12:17:11 +01:00
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%p.mb-1 Merci de remplir vos informations personnelles pour accéder à la démarche.
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2018-06-25 18:07:16 +02:00
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2020-03-23 16:11:20 +01:00
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%span.form-label
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2019-01-07 12:17:11 +01:00
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%span.mandatory *
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champs requis
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2018-02-08 17:13:15 +01:00
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2020-03-23 17:42:31 +01:00
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%fieldset
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%legend
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= f.label :gender, class: "required"
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.radios
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%label
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= f.radio_button :gender, Individual::GENDER_MALE
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= Individual::GENDER_MALE
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%label
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= f.radio_button :gender, Individual::GENDER_FEMALE
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= Individual::GENDER_FEMALE
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2018-06-25 18:07:16 +02:00
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2019-01-07 12:17:11 +01:00
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.flex
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.inline-champ
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= f.label :prenom, class: "required"
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2020-03-31 16:58:36 +02:00
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= f.text_field :prenom, class: "small", required: true, autocomplete: 'given-name'
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2019-01-07 12:17:11 +01:00
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.inline-champ
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= f.label :nom, class: "required"
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2020-03-31 16:58:36 +02:00
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= f.text_field :nom, class: "small", required: true, autocomplete: 'family-name'
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2018-06-25 18:07:16 +02:00
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2019-01-07 12:17:11 +01:00
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- if @dossier.procedure.ask_birthday?
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= f.label :birthdate, class: "required"
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= f.date_field :birthdate, value: @dossier.individual.birthdate, placeholder: 'format : AAAA-MM-JJ', required: true, class: "small"
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2018-06-25 18:07:16 +02:00
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2019-01-07 12:17:11 +01:00
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= f.submit "Continuer", class: "button large primary expand"
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