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Inscription.html
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<!DOCTYPE html>
<html lang="fr">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Document</title>
<link href="https://fonts.googleapis.com/css?family=Poppins:100,100i,200,200i,300,300i,400,400i,500,500i,600,600i,700,700i,800,800i,900,900i&display=swap" rel="stylesheet">
<link rel="stylesheet" href="assets/css/style.css">
<link rel="stylesheet" href="https://cdn.lineicons.com/2.0/LineIcons.css">
</head>
<body>
<nav class="navbar navbar-expand-lg navbar-dark ftco_navbar bg-dark ftco-navbar-light" id="ftco-navbar">
<div class="container">
<a class="navbar-brand" href="index.html"><img class="mb-4" src="assets/images/logo-sl.png" alt="" width="250" ></a>
<button class="navbar-toggler" type="button" data-toggle="collapse" data-target="#ftco-nav" aria-controls="ftco-nav" aria-expanded="false" aria-label="Toggle navigation">
<span class="oi oi-menu"></span> Menu
</button>
<div class="collapse navbar-collapse" id="ftco-nav">
<ul class="navbar-nav ml-auto">
<li class="nav-item active"><a href="" class="nav-link">Déconnexion</a></li>
</ul>
</div>
</div>
</nav>
<!-- END nav -->
<div class="hero-wrap" style="background-image: url('assets/images/bg_1.jpg');" >
<div class="overlay"></div>
<div class="container">
<div class="row">
<div class="col-md-6 " id="hero" >
<div class="login-wrap">
<div class="login-html" style="cursor: pointer;">
<input id="tab-2" type="radio" name="tab" checked="" class="sign-up"><label for="tab-2" class="tab"></label>
<div class="login-form">
<div class="sign-in-htm mt-4 ">
<form style="margin-top: 125px;" action="" method="POST">
<div class="group">
<label for="user" class="label">ADRESSE EMAIL</label>
<input name="email" required="" id="user" type="email" class="input" placeholder="Email">
</div>
<div class="group">
<label for="pass" class="label">MOT DE PASSE</label>
<input required="" name="password" id="pass" type="password" class="input" data-type="password" placeholder="Mot de passe">
</div>
<div class="group" style="margin-top: 50px;">
<input type="submit" class="button" value="Se Connecter">
</div>
</form>
<div style="margin-top: 25px; text-align: center;">
<a style="color: #6c757d;" href="">Mot de passe oublié</a>
</div>
</div>
<form action="" method="POST">
<div class="sign-up-htm ">
<div class="row ">
<div id="aa" class="col-12">
<div class="d-block ">
<div class="custom-control custom-radio">
<input id="credit" name="paymentMethod" type="radio" class="custom-control-input" onclick="ChechOut()" checked="" required="">
<label class="custom-control-label" for="credit">Vous êtes propriétaire</label>
</div>
<div class="custom-control custom-radio">
<input id="soignant" name="paymentMethod" type="radio" class="custom-control-input" onclick="check()" required="">
<label class="custom-control-label" for="soignant">Vous êtes soignant</label>
</div>
</div>
<div class="group" style="margin-top: 10px;">
<label class="label">NOM</label>
<input type="text" class="input" placeholder="Dupont" required >
</div>
<div class="group">
<label class="label">PRENOM</label>
<input type="text" class="input" placeholder="Jean" required>
</div>
<div class="group">
<label class="label">NUMERO DE TELEPHONE</label>
<input type="tel" pattern="[0-9]{10}" class="input" placeholder="06 01 02 03 04" required>
</div>
<div class="group">
<label class="label">ADRESSE EMAIL</label>
<input type="email" class="input" placeholder="[email protected]" required>
</div>
<div class="group">
<label class="label">MOT DE PASSE</label>
<input required="" name="password" id="" type="password" class="input" data-type="password" placeholder="Mot de passe" required>
</div>
<div class="group">
<label class="label">CONFIRMATION DE MOT DE PASSE</label>
<input required="" name="password" id="" type="password" class="input" data-type="password" placeholder="Confirmer" required>
</div><div class="group">
<div class="form-group row">
<div class="col-sm-10">
<div class="form-check">
<label class="form-check-label">
<input class="form-check-input" type="checkbox">J'ai lu et j'accepte <a href="">les conditions générales</a> </label>
</div>
</div>
</div>
<input type="submit" class="button" value="S'INSCRIRE">
<div class="text-center m-3">
<a id="link-cnx" href="" >SE CONNECTER</a>
</div>
</div>
</div>
<div id="rr">
<div class="group">
<h6>Photocopie de votre carte d'identité (obligatoire)</h6>
<br>
<div class="custom-file">
<input type="file" class="custom-file-input" id="hFichier" name="hFichier" lang="fr" accept=".jpg,.jpeg,.gif,.png" />
<label class="custom-file-label" for="hFichier">Sélectionner un fichier</label>
</div>
<br>
<br>
<h6>Photocopie de carte CPS / attestation de l’hôpital / contrat de travail de l’hôpital / carte d’enregistrement à l’ordre national des infirmiers / Fiche de paie, badge, et d'une facon générale tout document daté de moins de 3 mois (obligatoire)</h6>
<br>
<div class="custom-file">
<input type="file" class="custom-file-input" name="hFichier" lang="fr" accept=".jpg,.jpeg,.gif,.png" />
<label class="custom-file-label" for="hFichier">Sélectionner un fichier</label>
</div>
</div>
<br>
<div class="form-group form-login ">
<label for="exampleFormControlTextarea1" style="color: #ffb400;">VOUS EN QUELQUES MOTS </label>
<textarea class="form-control" id="exampleFormControlTextarea1" rows="6" required></textarea>
</div>
</div>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
<div class="col-md-6 " style="margin-top: 550px;">
<div class="row no-gutters slider-text align-items-center " >
<div class="col-md-12 order-md-last mt-5 text-left" >
<h1 class="mb-4 soulignement">DES LOGEMENTS GRATUITS POUR NOS SOIGNANTS</h1>
</div>
</div>
</div>
</div>
</div>
</div>
<footer class="ftco-footer ftco-section">
<div class="container">
<div class="row ">
<div class="col-md">
<div class="ftco-footer-widget mb-4">
<p> ©<script>document.write(new Date().getFullYear());</script> Les Logements Solidaires</p>
<ul class="ftco-footer-social list-unstyled float-md-left float-lft mt-6">
<li><a href="https://www.malt.fr/" ><img class="mb-4" src="assets/images/malt_logo.svg" alt="" width="150" ></a></li>
<li><a href="https://www.lewagon.com/fr" ><img class="mb-4" src="assets/images/le-wagon-color.png" alt="" width="150" ></a></a></li>
</ul>
</div>
</div>
<div class="col-md">
</div>
<div class="col-md">
<ul class="list-unstyled text alignend icon-footer" >
<li><span><a href="#" class="fab fa-facebook" ></a></span></li>
</ul>
<ul class="list-unstyled text alignend">
<li><a class="text" href="#">Mentions légales</a></li>
<li><a class="text" href="#">Politique de confidentialité</a></li>
<li><a class="text" href="#">Contact</a></li>
</ul>
</div>
</div>
</div>
</footer>
<script src="assets/js/app.js"></script>
<script src="https://kit.fontawesome.com/b9dea9cce1.js" crossorigin="anonymous"></script>
<script src="https://code.jquery.com/jquery-3.4.1.slim.min.js" integrity="sha384-J6qa4849blE2+poT4WnyKhv5vZF5SrPo0iEjwBvKU7imGFAV0wwj1yYfoRSJoZ+n" crossorigin="anonymous"></script>
<script src="https://cdn.jsdelivr.net/npm/[email protected]/dist/umd/popper.min.js" integrity="sha384-Q6E9RHvbIyZFJoft+2mJbHaEWldlvI9IOYy5n3zV9zzTtmI3UksdQRVvoxMfooAo" crossorigin="anonymous"></script>
<script src="https://stackpath.bootstrapcdn.com/bootstrap/4.4.1/js/bootstrap.min.js" integrity="sha384-wfSDF2E50Y2D1uUdj0O3uMBJnjuUD4Ih7YwaYd1iqfktj0Uod8GCExl3Og8ifwB6" crossorigin="anonymous"></script>
</body>
</html>