demarches-normaliennes/app/views/dossiers/etapes/etape_2/_individual.html.haml

.col-xs-3.center
  %h3 Mes informations
  %p
    Les informations de bases
    %br
    vous concernant.

.etape.etapes-informations.col-xs-9
  = form_for @facade.dossier, url: { controller: '/users/dossiers', action: :update } do |f|
    .row
      .col-xs-12.padding-left-30
        = f.hidden_field :id

        = f.fields_for :individual, @facade.individual do |ff|
          .form-group
            %label
              %h4
                Civilité
              = ff.select :gender, ['M.', 'Mme']
          .form-group
            %label
              %h4
                Nom *
              = ff.text_field :nom, { class: 'form-control', required: true }
          .form-group
            %label
              %h4
                Prénom *
              = ff.text_field :prenom, { class: 'form-control', required: true }
          .form-group
            %label
              %h4
                Date de naissance *
              = ff.date_field :birthdate, { value: @facade.individual.birthdate, class: 'form-control', placeholder: 'jj/mm/aaaa', required: true }

        %p
          %label{ style: 'font-weight: normal;' }
            = f.check_box :autorisation_donnees
             J'accepte
            = link_to "les CGU", CGU_URL, target: :blank
    .row
      .col-xs-5.col-xs-5
      .col-xs-2.col-xs-2
        = f.submit 'Etape suivante', class: "action", id: 'etape_suivante'
      .col-xs-5.col-xs-5