.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 les CGU. .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