@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::text('employeur', $employeur->id." ".$employeur->nom, ['class' => 'form-control']) !!} {!! Form::hidden('sonum', $employeur->id, ['class' => 'form-control']) !!}
{!! Form::label('date', 'Date d\'entrée') !!}
{!! Form::text('date', date('d/m/Y'), ['placeholder' => 'Date', 'class' => 'form-control']) !!}
{!! Form::label('type_ope', 'Opération') !!} {!! Form::select( 'type_ope',$types_operations, '', [ 'class' => 'selectpicker' ,'data-width' => "100%", ] ) !!}
{!! Form::label('exercice', 'Exercice') !!} {!! Form::select('exercice',$exercices,date('Y'), [ 'id' => 'exercice_id','class' => 'form-control selectpicker', 'data-width' => "100%",'style' => 'font-weight:bold;' ] ) !!}
{!! Form::label('type_cotis', 'Type') !!} {!! Form::select( 'type_cotis',$types_cotisation, '', [ 'class' => 'selectpicker' ,'data-width' => "100%" ,'placeholder' => 'Choisissez un type' ] ) !!}
{!! Form::label('nbmois', 'Nb mois') !!} {!! Form::text('nbmois', null, ['placeholder' => 'Nb mois','class' => 'form-control']) !!}
{!! Form::label('mois', 'Mois de départ') !!}
{!! Form::text('mois', '', ['placeholder' => 'Mois de départ', 'id'=>'mois','class' => 'form-control']) !!}
{!! Form::label('nbsal', 'Nb salariés') !!} {!! Form::text('nbsal', null, ['placeholder' => 'Nb salariés','class' => 'form-control']) !!}
{!! Form::label('bdx', 'N°Bordereau') !!} {!! Form::text('bdx', null, ['placeholder' => 'N°bordereau','class' => 'form-control']) !!}
{!! Form::label('bdx_prive', 'N°Bord.privé') !!} {!! Form::text('bdx_prive', null, ['placeholder' => 'N°bordereau privé','class' => 'form-control']) !!}
{!! Form::label('observation', 'Observations') !!} {!! Form::textarea('observation', null, ['placeholder' => 'Observations', 'class' => 'form-control', 'rows'=>'3']) !!}
Cotisation
{!! Form::label('assiette', 'Assiette') !!}
{!! Form::text('assiette', null, ['placeholder' => 'Assiette','id'=>'assiette' , 'class' => 'form-control','style'=>'text-align:right']) !!}
{!! Form::text('PrcTot', null, ['class' => 'form-control','id'=>'PrcTot' ,'disabled'=>'true','style'=>'text-align:center']) !!}


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


{!! Form::label('ccpf', 'CCPF') !!}
{!! Form::text('ccpf', null, ['placeholder' => 'CCPF', 'id'=>'CCPF' ,'readonly', 'class' => 'form-control','style'=>'text-align:right']) !!}
{!! Form::text('PrcCCPF', null, ['class' => 'form-control','id'=>'PrcCCPF' ,'readonly','style'=>'text-align:center']) !!}
Sans CCPF
{!! Form::label('total', 'Total') !!}
{!! Form::text('total', null, ['class' => 'form-control' ,'id'=>'total' ,'style'=>'text-align:right' ,'readonly']) !!}
{!! Form::submit('Enregistrer', ['class' => 'btn btn-primary']) !!}
{!! Form::close() !!}
@stop