{!! html()->label('Employeur','sonum') !!} {!! html()->text('employeur', $employeur->id." ".$employeur->nom)->attributes(['disabled','class' => 'form-control']) !!} {!! html()->hidden('sonum', $employeur->id, ['class' => 'form-control']) !!}

{!! html()->label( 'Date','date') !!}

{!! html()->text('date', date('d/m/Y'))->attributes(['placeholder' => 'Date', 'class' => 'form-control']) !!}

{!! html()->label( 'Opération','type_ope') !!} {!! html()->select('type_ope',$types_operations,'REG')->attributes(['class' => 'form-control']) !!} {!! html()->hidden('type_ope','REG')->attributes(['readonly','class' => 'form-control']) !!}

{!! html()->label('Compte','encais_compte') !!} {!! html()->select('encais_compte',App\Models\MyApp::COMPTES_ENCAISSEMENT,'') ->placeholder('A définir') ->attributes(['class' => 'form-control']) !!}

{!! html()->label('Exercice','exercice') !!} {!! html()->select('exercice',$exercices,$exercice)->attributes(['id' => 'sonum','class' => 'form-control']) !!}

{!! html()->label('Type de cotisation','type_cotis') !!} {!! html()->select('type_cotis',$types_cotisation,'ENC')->attributes(['disabled','class' => 'form-control']) !!} {!! html()->hidden('type_cotis','ENC')->attributes(['readonly','class' => 'form-control']) !!}

{!! html()->label('Nb mois','nbmois') !!} {!! html()->text('nbmois', '')->attributes(['placeholder' => 'Nombre de mois','class' => 'form-control']) !!}

{!! html()->label( 'Mois de départ','mois') !!}

{!! html()->text('mois', '')->attributes(['placeholder' => 'Mois de départ', 'class' => 'form-control']) !!}

{!! html()->label( 'N°Bordereau','bdx') !!} {!! html()->text('bdx', $bdx_default)->attributes(['placeholder' => 'Numéro de bordereau','class' => 'form-control']) !!}

{!! html()->label( 'N°Bord. privé','bdx_prive') !!} {!! html()->text('bdx_prive', $bdx_prive_default)->attributes(['placeholder' => 'Numéro de bordereau privé','class' => 'form-control']) !!}

{!! html()->label( 'Nb salariés','nbsal') !!} {!! html()->text('nbsal', $nbsal)->attributes(['placeholder' => 'Nb salariés','class' => 'form-control']) !!}

Règlements

{!! html()->label( 'Crédit','credit1') !!} {!! html()->text('credit1', 0)->attributes(['placeholder' => 'Montant 1','class' => 'form-control']) !!}

{!! html()->label( 'Compte','compte1') !!} {!! html()->text('compte1', $employeur->compte)->attributes(['placeholder' => 'Compte 1','class' => 'form-control']) !!}

{!! html()->label( 'Mode','typepmt1') !!} {!! html()->select('typepmt1',$types_paiement,'')->attributes(['class' => 'form-control']) !!}

{!! html()->label( 'Date de dépôt','date_depot1') !!}

{!! html()->text('date_depot1', date('d/m/Y'))->attributes(['placeholder' => 'Date de dépôt', 'class' => 'form-control']) !!}

{!! html()->label('Observations','obs1') !!} {!! html()->textarea('obs1', null)->attributes(['placeholder' => 'Observations 1', 'class' => 'form-control', 'rows'=>'2']) !!}

{!! html()->text('credit2', '')->attributes(['placeholder' => 'Montant 2','class' => 'form-control']) !!}

{!! html()->text('compte2', null)->attributes(['placeholder' => 'Compte','class' => 'form-control']) !!}

{!! html()->select('typepmt2',$types_paiement,'')->attributes(['class' => 'form-control']) !!}

{!! html()->text('date_depot2', '')->attributes(['placeholder' => 'Date de dépôt', 'class' => 'form-control']) !!}

{!! html()->textarea('obs2', null)->attributes(['placeholder' => 'Observations 2', 'class' => 'form-control', 'rows'=>'2']) !!}

{!! html()->text('credit3', '')->attributes(['placeholder' => 'Montant 3','class' => 'form-control']) !!}

{!! html()->text('compte3', null)->attributes(['placeholder' => 'Compte3','class' => 'form-control']) !!}

{!! html()->select('typepmt3',$types_paiement,'')->attributes(['class' => 'form-control']) !!}

{!! html()->text('date_depot3', '')->attributes(['placeholder' => 'Date de dépôt', 'class' => 'form-control']) !!}

{!! html()->textarea('obs3', null)->attributes(['placeholder' => 'Observations 3', 'class' => 'form-control', 'rows'=>'2']) !!}

{!! html()->text('credit4', '')->attributes(['placeholder' => 'Montant 4','class' => 'form-control']) !!}

{!! html()->text('compte4', null)->attributes(['placeholder' => 'Compte4','class' => 'form-control']) !!}

{!! html()->select('typepmt4',$types_paiement,'')->attributes(['class' => 'form-control']) !!}

{!! html()->text('date_depot4', '')->attributes(['placeholder' => 'Date de dépôt', 'class' => 'form-control']) !!}

{!! html()->textarea('obs4', null)->attributes(['placeholder' => 'Observations 4', 'class' => 'form-control', 'rows'=>'2']) !!}

{!! html()->text('credit5', '')->attributes(['placeholder' => 'Montant 5','class' => 'form-control']) !!}

{!! html()->text('compte5', null)->attributes(['placeholder' => 'Compte5','class' => 'form-control']) !!}

{!! html()->select('typepmt5',$types_paiement,'')->attributes(['class' => 'form-control']) !!}

{!! html()->text('date_depot5','')->attributes(['placeholder' => 'Date de dépôt', 'class' => 'form-control']) !!}

{!! html()->textarea('obs5', null)->attributes(['placeholder' => 'Observations 5', 'class' => 'form-control', 'rows'=>'2']) !!}

{!! html()->hidden('encais_date','') !!} Retour {!! html()->submit('Enregistrer')->attributes(['class' => 'btn btn-primary']) !!}