<div class="callout callout-danger">
    <div class="form-group row">
        <div class='col-md-4'>
            <?php echo html()->label( 'Numéro&nbsp;de&nbsp;décision','ret_numdec'); ?>

            <?php echo html()->text('ret_numdec', null)
                ->placeholder('Numéro de décision')
                ->attributes([($mode=="show"?'disabled':''), 'class' => 'form-control']); ?>

        </div>

        <div class="col-md-3">
            <?php echo html()->label( "Date d'effet",'ret_dateed'); ?>

            <div class='input-group date' id='datepicker_ret_dateed'>
                <?php echo html()->text('ret_dateed', null)
                    ->placeholder('Date')
                    ->attributes([($mode=="show"?'disabled':''), 'class' => 'form-control']); ?>

                <span class='input-group-addon'><span class='glyphicon glyphicon-calendar'></span></span>
            </div>
        </div>

        <div class='col-md-4'>
            <?php echo html()->label( 'Type&nbsp;de&nbsp;retraite','ret_type'); ?>

            <br/>
            <?php echo html()->select('ret_type',['PRE' =>'PRE' , 'PRV' => 'PRV', 'PAV' => 'PAV', 'PRA' => 'PRA', 'AUT' => 'Autre'],null)
                    ->placeholder('A définir')
                    ->attributes([($mode=="show"?'disabled':''),'class' => 'form-control']); ?>

        </div>
    </div>
    <h4>Retraite</h4>
    <hr>
    <div class="form-group row">
        <div class="col-md-4 text-success ">
            <?php echo html()->label( 'Montant RETRAITE','ret_montant'); ?>

            <div class="input-group">
                <?php echo html()->text('ret_montant', null)->placeholder('Montant retraite')->attributes([($mode=="show"?'disabled':''), 'class' => 'text-success text-right form-control']); ?>

                <div class="input-group-append">
                    <span class="input-group-text">CFP</span>
                </div>
            </div>
        </div>

        <div class="col-md-4 text-danger">
            <?php echo html()->label( 'Montant RAPPEL','ret_rappel'); ?>

            <div class="input-group">
                <?php echo html()->text('ret_rappel', null)->placeholder('Montant rappel')->attributes([($mode=="show"?'disabled':''), 'class' => 'text-danger text-right form-control']); ?>

                <div class="input-group-append">
                    <span class="input-group-text">CFP</span>
                </div>
            </div>
        </div>
    </div>

    <h4>CSR</h4>
    <hr>
    <div class="form-group row">
        <div class="col-md-4 text-success">
            <?php echo html()->label( 'Montant CSR (dernier versement)','csr_montant'); ?>

            <div class="input-group">
                <?php echo html()->text('csr_montant', null)->placeholder('Montant CSR')->attributes([($mode=="show"?'disabled':''), 'class' => 'text-success text-right form-control']); ?>

                <div class="input-group-append">
                    <span class="input-group-text">CFP</span>
                </div>
            </div>
        </div>
        <div class="col-md-4 text-danger ">
            <?php echo html()->label( 'Montant RAPPEL CSR','csr_rappel'); ?>

            <div class="input-group">
                <?php echo html()->text('csr_rappel', null)->placeholder('Montant rappel CSR')->attributes([($mode=="show"?'disabled':''), 'class' => 'text-danger text-right form-control']); ?>

                <div class="input-group-append">
                    <span class="input-group-text">CFP</span>
                </div>
            </div>
        </div>

    </div>
</div>


<?php /**PATH C:\xampp\htdocs\SYSINFO\cpswf\sipre2\resources\views/tiers/beneficiaires/rows_retraite.blade.php ENDPATH**/ ?>