126 lines
6.9 KiB
PHP
126 lines
6.9 KiB
PHP
<div class="container">
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<div class="wp-credit-form">
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<form class="form-submit" method="POST" action="<?php echo get_site_url() ?>/credit-step4">
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<input type="hidden" name="credit-direct-token" value="<?php echo $currentCredit->token ?>">
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<section class="step-progress">
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<ul class="progressbar">
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<li class="progress-step active-step">Coordonées</li>
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<li class="progress-step active-step">Emprunteur</li>
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<li class="progress-step active-step">Crédit</li>
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</ul>
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</section>
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<fieldset class="py-5">
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<div class="form-row">
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<legend>Emprunteur</legend>
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<legend>Données personnelles</legend>
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<div class="form-group col-md-3">
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<label for="IDaddress">Adresse</label>
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<input name="address" type="text" class="form-control" id="IDaddress" placeholder="Rue et numéro" required>
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</div>
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<div class="form-group col-md-3"><label for="IDzip">Code Postal</label>
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<input name="zip" type="number" class="form-control" id="IDzip" required>
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</div>
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<div class="form-group col-md-3">
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<label for="IDcity">Ville</label>
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<input name="city" type="text" class="form-control" id="IDcity" required>
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</div>
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<div class="form-group col-md-3">
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<label for="IDcountry">Pays</label>
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<input name="country" type="text" class="form-control" id="IDcountry" required>
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</div>
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<div class="form-group col-md-6">
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<label for="IDmovingdate">Date d'emménagement</label>
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<input name="movingdate" type="date" class="form-control" id="IDmovingdate" required>
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</div>
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</div>
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<div class="form-row">
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<legend>Données professionnelles</legend>
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<div class="form-group col-md-4">
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<label for="IDemname">Nom <span>de l'employeur/organisme de paiement</span></label>
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<input name="emname" type="text" class="form-control" id="IDemname">
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</div>
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<div class="form-group col-md-3">
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<label for="IDemaddress">Adresse <span>de l'employeur/organisme de paiement</span></label>
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<input name="emaddress" type="text" class="form-control" id="IDemaddress">
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</div>
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<div class="form-group col-md-3">
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<label for="IDemzip">Code postal <span>de l'employeur/organisme de paiement</span></label>
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<input name="emzip" type="text" class="form-control" id="IDemzip">
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</div>
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<div class="form-group col-md-3">
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<label for="IDemcity">Localité <span>de l'employeur/organisme de paiement</span></label>
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<input name="emcity" type="text" class="form-control" id="IDemcity">
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</div>
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<div class="form-group col-md-6">
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<label for="IDcommitmentdate">Date <span>d'engagement</span></label>
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<input name="commitmentdate" type="date" class="form-control" id="IDcommitmentdate">
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</div>
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</div>
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</fieldset>
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<?php if (is_object($coBorrower)) : ?>
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<fieldset class="py-5">
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<legend>Co-Emprunteur</legend>
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<legend>Données personnelles</legend>
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<div class="form-row">
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<div class="form-group col-md-3">
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<label for="IDcoaddress">Adresse</label>
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<input name="coaddress" type="text" class="form-control" id="IDcoaddress">
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</div>
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<div class="form-group col-md-3">
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<label for="IDcozip">Code Postal</label>
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<input name="cozip" type="text" class="form-control" id="IDcozip">
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</div>
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<div class="form-group col-md-3">
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<label for="IDcocity">Ville</label>
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<input name="cocity" type="text" class="form-control" id="IDcocity">
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</div>
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<div class="form-group col-md-3">
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<label for="IDcocountry">Pays</label>
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<input name="cocountry" type="text" class="form-control" id="IDcocountry">
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</div>
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</div>
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<div class="form-row">
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<legend>Données professionnelles</legend>
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<div class="form-group col-md-4">
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<label for="IDcoemname">Nom <span>de l'employeur/organisme de paiement</span></label>
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<input name="coemname" type="text" class="form-control" id="IDcoemname">
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</div>
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<div class="form-group col-md-12 d-none">
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<label for="IDcoemnumber">Numéro d'entreprise</label>
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<input name="coemnumber" type="text" class="form-control" id="IDcoemnumber">
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</div>
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<div class="form-group col-md-3">
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<label for="IDcoemaddress">Adresse <span>de l'employeur/organisme de paiement</span></label>
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<input name="coemaddress" type="text" class="form-control" id="IDcoemaddress">
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</div>
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<div class="form-group col-md-3">
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<label for="IDcoemzip">Code postal <span>de l'employeur/organisme de paiement</span></label>
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<input name="coemzip" type="text" class="form-control" id="IDcoemzip">
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</div>
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<div class="form-group col-md-3">
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<label for="IDcoemcity">Localité <span>de l'employeur/organisme de paiement</span></label>
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<input name="coemcity" type="text" class="form-control" id="IDcoemcity">
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</div>
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<div class="form-group col-md-6">
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<label for="IDcocommitmentdate">Date <span>d'engagement</span></label>
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<input name="cocommitmentdate" type="date" class="form-control" id="IDcocommitmentdate">
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</div>
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</div>
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</fieldset>
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<?php endif ?>
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<button class="btn btn-primary mt-5" type="submit">Étape suivante</button>
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</form>
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</div>
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</div>
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