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<?php
// exit() ;
include 'includes/config_tmcpro.php' ;
include 'includes/stable_functions_tmcpro.php' ;
$q =dbi_query("SELECT * FROM `etablissement_type`") ;
if(!empty($_POST))
{
// echo "<pre>" ;
// print_r($_POST);
// echo "</pre>" ;
// exit() ;
$Recnom=$_POST['Recnom'] ;
$Recprenom=addslashes($_POST['Recprenom']) ;
$Recmail=addslashes($_POST['Recmail']) ;
$Rectel=addslashes($_POST['Rectel']) ;
$Recpaysnaissance=addslashes($_POST['Recpaynaissance']) ;
$Recvillenaissance=addslashes($_POST['Recvillenaissance']) ;
dbi_query(" INSERT INTO Rec (
Recnom,
Recprenom,
Recmail,
Rectel,
Recpaynaissance,
Recvillenaissance,
)
VALUES
(
'$Recnom',
'$Recprenom',
'$Recmail',
'$Rectel',
'$Recpaynaissance',
'$Recvillenaissance'
)") ;
header('Location:etablissements.php?msg=Informations bien envoyées&color=success');
}
?>
<!DOCTYPE html>
<!--
This is a starter template page. Use this page to start your new project from
scratch. This page gets rid of all links and provides the needed markup only.
-->
<html lang="en">
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>MC PRO | Embauche</title>
<!-- Google Font: Source Sans Pro -->
<link rel="stylesheet" href="https://fonts.googleapis.com/css?family=Source+Sans+Pro:300,400,400i,700&display=fallback">
<!-- Font Awesome Icons -->
<link rel="stylesheet" href="../../plugins/fontawesome-free/css/all.min.css">
<!-- Theme style -->
<link rel="stylesheet" href="../../dist/css/adminlte.min.css">
</head>
<body class="hold-transition layout-top-nav">
<div class="wrapper">
<!-- Navbar -->
<nav class="main-header navbar navbar-expand-md navbar-light navbar-white">
<div class="container">
<a href="../../index3.html" class="navbar-brand">
<img src="../../dist/img/logomcpro.png" alt="AdminLTE Logo" class="brand-image img-circle elevation-3" style="opacity: .8">
<span class="brand-text font-weight-light">MC PRO</span>
</a>
<button class="navbar-toggler order-1" type="button" data-toggle="collapse" data-target="#navbarCollapse" aria-controls="navbarCollapse" aria-expanded="false" aria-label="Toggle navigation">
<span class="navbar-toggler-icon"></span>
</button>
<div class="collapse navbar-collapse order-3" id="navbarCollapse">
</div>
</nav>
<!-- /.navbar -->
<!-- Content Wrapper. Contains page content -->
<div class="content-wrapper">
<!-- Content Header (Page header) -->
<div class="content-header">
<div class="container">
<div class="row mb-12">
<div class="col-sm-12">
<h1 class="m-0"> Informations Préalable à l'Embauche <small></small></h1>
</div><!-- /.col -->
</div><!-- /.row -->
</div><!-- /.container-fluid -->
</div>
<!-- /.content-header -->
<!-- Main content -->
<div class="content">
<div class="container">
<div class="row">
<div class="card">
<div class="card-body">
<p class="card-text">Bonjour</p>
<p class="card-text">
Merci de bien vouloir remplir ce formulaire et de joindre l'ensemble des documents
demandés qui nous permettront d'établir votre contrat de travail. Il est indispensable que
les photos soient nettes et de bonne qualité.
</p>
<h5 class="card-title">L'Equipe MC PRO</h5>
</div>
</div>
<div class="content">
<div class="container">
<div class="row">
<div class="card">
<!-- form start -->
<form>
<div class="card-body">
<div class="form-group">
<label for="Recnom">Nom</label>
<input type="text" class="form-control" id="Recnom" placeholder="Votre nom">
</div>
<div class="form-group">
<label for="Recprenom">Prénom</label>
<input type="text" class="form-control" id="Recprenom" placeholder="Votre Prénom">
</div>
<div class="form-group">
<label for="Recmail">Email</label>
<input type="text" class="form-control" id="Recmail" placeholder="Votre Email">
</div>
<div class="form-group">
<label for="Recvillenaissance">Ville de Naissance</label>
<input type="text" class="form-control" id="Recvillenaissance" placeholder="Votre Ville de Naissance">
</div>
<div class="form-group">
<label for="exampleInputFile">Pièce d'identité RECTO</label>
<div class="input-group">
<div class="custom-file">
<input type="file" class="custom-file-input" id="exampleInputFile">
<label class="custom-file-label" for="exampleInputFile">Choisir un fichier</label>
</div>
<div class="input-group-append">
<span class="input-group-text">Télécharger</span>
</div>
</div>
</div>
<div class="form-group">
<label for="exampleInputFile">Pièce d'identité VERSO</label>
<div class="input-group">
<div class="custom-file">
<input type="file" class="custom-file-input" id="exampleInputFile">
<label class="custom-file-label" for="exampleInputFile">Choisir un fichier</label>
</div>
<div class="input-group-append">
<span class="input-group-text">Télécharger</span>
</div>
</div>
</div>
<div class="form-group">
<label for="exampleInputFile">Attestation de droits à la Sécurité Sociale ou Carte Vitale</label>
<div class="input-group">
<div class="custom-file">
<input type="file" class="custom-file-input" id="exampleInputFile">
<label class="custom-file-label" for="exampleInputFile">Choisir un fichier</label>
</div>
<div class="input-group-append">
<span class="input-group-text">Télécharger</span>
</div>
</div>
</div>
<div class="form-group">
<label for="exampleInputFile">Justificatif de domicile de moins de 3 mois</label>
<div class="input-group">
<div class="custom-file">
<input type="file" class="custom-file-input" id="exampleInputFile">
<label class="custom-file-label" for="exampleInputFile">Choisir un fichier</label>
</div>
<div class="input-group-append">
<span class="input-group-text">Télécharger</span>
</div>
</div>
</div>
</div>
<!-- /.card-body -->
<div class="card-footer">
<button type="submit" class="btn btn-primary">Envoyer</button>
</div>
</form>
</div>
<!-- /.col-md-6 -->
</div>
<!-- /.row -->
</div><!-- /.container-fluid -->
</div>
<!-- /.content -->
</div>
<!-- /.content-wrapper -->
<!-- Control Sidebar -->
<aside class="control-sidebar control-sidebar-dark">
<!-- Control sidebar content goes here -->
</aside>
<!-- /.control-sidebar -->
<!-- Main Footer -->
<footer class="main-footer">
<!-- To the right -->
<div class="float-right d-none d-sm-inline">
Anything you want
</div>
<!-- Default to the left -->
<strong>Copyright © 2023 <a href="http://wwww.mc-pro.fr">MC PRO</a>.</strong>
</footer>
</div>
<!-- ./wrapper -->
<!-- REQUIRED SCRIPTS -->
<!-- jQuery -->
<script src="../../plugins/jquery/jquery.min.js"></script>
<!-- Bootstrap 4 -->
<script src="../../plugins/bootstrap/js/bootstrap.bundle.min.js"></script>
<!-- AdminLTE App -->
<script src="../../dist/js/adminlte.min.js"></script>
<!-- AdminLTE for demo purposes -->
<script src="../../dist/js/demo.js"></script>
</body>
</html>