2018-02-08 17:13:15 +01:00
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.two-columns
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.columns-container
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.column.preview
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.procedure-logos
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= image_tag @dossier.procedure.decorate.logo_img
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- if @dossier.procedure.euro_flag
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= image_tag "flag_of_europe.svg"
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%h2.procedure-title
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= @dossier.procedure.libelle
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2018-03-29 09:49:47 +02:00
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.procedure-description
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2018-03-29 10:35:02 +02:00
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= h simple_format(@dossier.procedure.description)
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2018-02-08 17:13:15 +01:00
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.column
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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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%p.mb-1 Merci de remplir vos informations personnelles pour accéder à la démarche.
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%label
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%span.mandatory *
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champs requis
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= f.label :gender, class: "required"
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= f.select :gender, ['M.', 'Mme'], {}, class: "small"
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.flex
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.inline-champ
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= f.label :prenom, class: "required"
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= f.text_field :prenom, class: "small", required: true
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.inline-champ
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= f.label :nom, class: "required"
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= f.text_field :nom, class: "small", required: true
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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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= fields_for :dossier, @dossier do |df|
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= label_tag do
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= df.check_box :autorisation_donnees, required: true
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J'accepte
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= link_to "les CGU", CGU_URL, target: :blank
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= f.submit "Continuer", class: "button large primary expand"
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