{!! html()->label( 'Nom','nom') !!} {!! html()->text('nom', null) ->placeholder('Nom') ->attributes([($mode=="show"?'disabled':''), 'class' => 'form-control text-uppercase']) !!}

{!! html()->label( 'Prenom','prenom') !!} {!! html()->text('prenom', null) ->placeholder('Prénom') ->attributes([($mode=="show"?'disabled':''), 'class' => 'form-control']) !!}

{!! html()->label( 'Civilité','civilite') !!} {!! html()->select('civilite',['Mr'=>'Monsieur','Mme' => 'Madame', 'Mll' => 'Mademoiselle'],null) ->placeholder('A définir') ->attributes([($mode=="show"?'disabled':''),'class' => 'form-control']) !!}

{!! html()->label( 'Nom de jeune fille','nom_jf') !!} {!! html()->text('nom_jf', null) ->placeholder('') ->attributes([($mode=="show"?'disabled':''), 'class' => 'form-control text-uppercase']) !!}

{!! html()->label( 'Statut conjugal','statut_conjugal') !!} {!! html()->select('statut_conjugal',App\Models\MyApp::STATUT_CONJUGAL,null) ->placeholder('A définir') ->attributes([($mode=="show"?'disabled':''),'class' => 'form-control']) !!}

{!! html()->label( 'Date de naissance','datenaiss') !!}

{!! html()->label( 'Lieu de naissance','lieunaiss') !!} {!! html()->text('lieunaiss', null) ->placeholder('Lieu de naissance') ->attributes([($mode=="show"?'disabled':''), 'class' => 'form-control text-uppercase']) !!}

{!! html()->label( 'Statut','statut') !!} {!! html()->select('statut',$liste_benefstatut,null) ->placeholder('A définir') ->attributes([($mode=="show"?'disabled':''),'class' => 'form-control']) !!}

{!! html()->label( 'Certificat de vie','n_all') !!} {!! html()->text('n_all', null) ->placeholder('Certificat de vie') ->attributes([($mode=="show"?'disabled':''),'class' => 'form-control']) !!}

{!! html()->label( 'date de décès','date_deces') !!}

{!! html()->label( 'Date de création','created_at') !!} {!! html()->text('created_at', null)->attributes(['readonly'=>'true','class' => 'form-control']) !!}

{!! html()->label( 'Date 1ère immat.','date_pi') !!}

{!! html()->label( 'Verrou','verrou') !!} {!! html()->checkbox('verrou', null,1)->attributes([($mode=="show"?'disabled':''),'class' => '']) !!}

{!! html()->label('Observations','obs',) !!} {!! html()->textarea('obs', null)->attributes([($mode=="show"?'disabled':''), 'class' => 'form-control', 'rows'=>'3']) !!}