
                        <div class="form-group row">
                            <div class="col-md-12">
                                <?php echo Form::label('adresse', 'Adresse'); ?>

                                <?php echo Form::textarea('adresse', null, 
                                    [($mode=="show"?'disabled':''),'placeholder' => 'Adresse', 'class' => 'form-control', 'rows'=>'2']); ?>

                            </div>
                        </div>

                        <div class="form-group row">
                            <div class="col-md-3">
                                <?php echo Form::label('cp', 'Code Postal'); ?>

                                <?php echo Form::text('cp', null, 
                                    [($mode=="show"?'disabled':''), 'placeholder' => 'Code Postal','class' => 'form-control']); ?>

                            </div>

                            <div class="col-md-3">
                                <?php echo Form::label('district', 'District - Zone'); ?>

                                <br/>
                                    <?php echo Form::select(
                                        'district',
                                        [''=>'AUTRE','HAHAKE' => 'HAHAKE', 'HIHIFO' => 'HIHIFO', 'MUA' => 'MUA', 'SIGAVE' => 'SIGAVE', 'ALO' => 'ALO', 'NOUVELLE-CALEDONIE' => 'NOUVELLE-CALEDONIE', 'TAHITI' => 'TAHITI'],
                                        $employeur->district,
                                        [($mode=="show"?'disabled':''),'class' => 'form-control']
                                    ); ?>

                            </div>

                            <div class="col-md-2">
                                <?php echo Form::label('ile', 'Ile'); ?>

                                <br/>
                                    <?php echo Form::select(
                                        'ile',
                                        [''=>'AUTRE','W' => 'Wallis', 'F' => 'Futuna', 'N' => 'Nouvelle-Calédonie', 'P' => 'Polynésie'],
                                        $employeur->ile,
                                        [($mode=="show"?'disabled':''),'class' => 'form-control']
                                    ); ?>                
                            </div>
                        </div>

                        
                        <div class="form-group row">
                            <legend>Contact 1 / Responsable</legend>
                            <div class="col-md-4">
                                <?php echo Form::label('responsable', 'Nom'); ?>

                                <?php echo Form::text('responsable', null, 
                                    [($mode=="show"?'disabled':''), 'placeholder' => 'Nom Responsable','class' => 'form-control'] ); ?>

                            </div>
                        </div>

                        <div class="form-group row">
                            <div class="col-md-4">
                                <?php echo Form::label('email', 'Email'); ?>

                                <?php echo Form::email('email', null, 
                                    [($mode=="show"?'disabled':''), 'placeholder' => 'Email','class' => 'form-control'] ); ?>

                            </div>

                            <div class="col-md-2">
                                <?php echo Form::label('tel', 'Téléphone'); ?>

                                <?php echo Form::text('tel', null, 
                                    [($mode=="show"?'disabled':''), 'placeholder' => 'Téléphone','class' => 'form-control']); ?>

                            </div>

                            <div class="col-md-2">
                                <?php echo Form::label('fax', 'Fax'); ?>

                                <?php echo Form::text('fax', null, 
                                    [($mode=="show"?'disabled':''), 'placeholder' => 'Fax','class' => 'form-control']); ?>

                            </div>
                        </div>

            
                        <legend>Contact 2</legend>
                        <div class="form-group row">
                            <div class="col-md-4">
                                <?php echo Form::label('contact_nom', 'Nom'); ?>

                                <?php echo Form::text('contact_nom', null, 
                                    [($mode=="show"?'disabled':''), 'placeholder' => 'Nom Contact','class' => 'form-control'] ); ?>

                            </div>
                        </div>

                        <div class="form-group row">
                            <div class="col-md-4">
                                <?php echo Form::label('contact_email', 'Email'); ?>

                                <?php echo Form::email('contact_email', null, 
                                    [($mode=="show"?'disabled':''), 'placeholder' => 'Email','class' => 'form-control'] ); ?>

                            </div>

                            <div class="col-md-2">
                                <?php echo Form::label('contact_tel', 'Téléphone'); ?>

                                <?php echo Form::text('contact_tel', null, 
                                    [($mode=="show"?'disabled':''), 'placeholder' => 'Téléphone','class' => 'form-control']); ?>

                            </div>
                        </div>
<?php /**PATH C:\xampp7422\htdocs\sysinfo\cpswf\sipre_new\resources\views/tiers/employeurs/rows_contacts.blade.php ENDPATH**/ ?>