@extends('layouts.master') @section('title') Nouvelle fiche cotisation @stop @section('content')
@if ($errors) @foreach ($errors->all() as $error)
{!! $error !!}
@endforeach @endif

Nouvelle cotisation

{!! Form::open(['cotisation' => 'form', 'url' => '/recouvrement/cotisations', 'class' => 'form-horizontal']) !!}
{!! Form::label('sonum', 'Employeur') !!} {!! Form::select('sonum',array(""=>"")+$liste_employeur,$employeur_id, [ 'class' => 'selectpicker show-tick', 'id' => 'sonum', 'data-width' => "100%", 'disabled' => ($employeur_id!="")?'true':'false', ] ) !!}
{!! Form::label('date', 'Date d\'entrée') !!}
{!! Form::text('date', '', ['placeholder' => 'Date', 'class' => 'form-control']) !!}
{!! Form::label('exercice', 'Exercice') !!} {!! Form::select('exercice',$exercices,date('Y'), [ 'id' => 'exercice_id','class' => 'form-control selectpicker', 'data-width' => "100%",'style' => 'font-weight:bold;' ] ) !!}
{!! Form::label('type_cotis', 'Type de cotisation') !!} {!! Form::select( 'type_cotis',$types_cotisation, '', [ 'class' => 'selectpicker' ,'data-width' => "100%" ,'placeholder' => 'Type' ] ) !!}
{!! Form::label('nbmois', 'Nombre de mois') !!} {!! Form::text('nbmois', null, ['placeholder' => 'Nombre de mois','class' => 'form-control']) !!}
{!! Form::label('mois', 'Mois de départ') !!}
{!! Form::text('mois', '', ['placeholder' => 'Mois de départ', 'class' => 'form-control']) !!}
{!! Form::label('bdx', 'N°Bordereau') !!} {!! Form::text('bdx', null, ['placeholder' => 'Numéro de bordereau','class' => 'form-control']) !!}
{!! Form::label('nbsal', 'Nombre de salariés') !!} {!! Form::text('nbsal', null, ['placeholder' => 'Nombre de salariés','class' => 'form-control']) !!}
{!! Form::label('bdx_prive', 'N°Bord.privé') !!} {!! Form::text('bdx_prive', null, ['placeholder' => 'Numéro de bordereau privé','class' => 'form-control']) !!}
{!! Form::label('compte', 'Compte') !!} {!! Form::text('compte', null, ['placeholder' => 'Compte','class' => 'form-control']) !!}
{!! Form::label('typepmt', 'Type de paiement') !!} {!! Form::select( 'typepmt', [ 'A'=>'Autre' ,'B' => 'Banque' ,'E' => 'Espèce' ,'T' => 'Trésor' ,'V' => 'Virement' ,'P' => 'Prélèvement automatique' ,'€' => 'Euro' ,'N' => 'Nul' ], '', [ 'class' => 'selectpicker' ,'data-width' => "100%" ] ) !!}
{!! Form::label('obs', 'Observations') !!} {!! Form::textarea('obs', null, ['placeholder' => 'Observations', 'class' => 'form-control', 'rows'=>'3']) !!}
Cotisation
{!! Form::label('assiette', 'Assiette') !!}
{!! Form::text('assiette', null, ['placeholder' => 'Assiette' , 'class' => 'form-control','style'=>'text-align:right']) !!}
{!! Form::text('PrcTot', null, ['class' => 'form-control' ,'disabled'=>'true','style'=>'text-align:center']) !!}


{!! Form::label('clr', 'CLR') !!}
{!! Form::text('clr', null, ['placeholder' => 'CLR' ,'disabled'=>'true', 'class' => 'form-control','style'=>'text-align:right']) !!}
{!! Form::text('PrcCLR', null, ['class' => 'form-control','id'=>'PrcCLR' ,'disabled'=>'true','style'=>'text-align:center']) !!}


{!! Form::label('ccpf', 'CCPF') !!}
{!! Form::text('ccpf', null, ['placeholder' => 'CLR' ,'disabled'=>'true', 'class' => 'form-control','style'=>'text-align:right']) !!}
{!! Form::text('PrcCCPF', null, ['class' => 'form-control' ,'disabled'=>'true','style'=>'text-align:center']) !!}
{!! Form::label('debit', 'Total') !!}
{!! Form::text('debit', null, ['class' => 'form-control' ,'style'=>'text-align:right','disabled'=>'true']) !!}


{!! Form::label('credit', 'Règlement') !!}
{!! Form::text('credit', null, ['class' => 'form-control','style'=>'text-align:right']) !!}
{!! Form::submit('Enregistrer', ['class' => 'btn btn-primary']) !!}
{!! Form::close() !!}
@stop