@model MALDFGASSURANCE.Models.ASSURE

@{
    ViewBag.Title = "CreateAssure";

}
<!-- BEGIN: Content-->



<div class="card card-custom">

    <div class="card-header py-3">
        <div class="card-title">
            <span class="card-icon">
                <i class="flaticon2-user text-primary"></i>
            </span>
            <h3 class="card-label">AJOUTER UN ASSURE</h3>
        </div>

    </div>

    @using (Html.BeginForm("Create", "ASSURES", FormMethod.Post, new { enctype = "multipart/form-data" }))
    {
            @Html.AntiForgeryToken()

            <div class="card-body">

                <div class="row">

                    <div class="col-md-12">
                        <div class="form-group">
                            @Html.ValidationSummary(true, "", new { @class = "text-danger" })

                            @if (ViewBag.Message != null)
                            {
                                <p class=" text-danger"> <strong>@ViewBag.Message</strong></p>
                            }
                        </div>
                    </div>


                    <div class="col-md-4">
                        <div class="form-group">
                            @Html.LabelFor(model => model.REFERENCE_ADHERENT, htmlAttributes: new { @class = "control-label " })

                            @Html.DropDownList("REFERENCE_ADHERENT", null, htmlAttributes: new { @class = "form-control select2", @id = "kt_select2_8" })
                            @Html.ValidationMessageFor(model => model.REFERENCE_ADHERENT, "", new { @class = "text-danger" })
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group">
                            @Html.LabelFor(model => model.DATE_NAISSANCE, htmlAttributes: new { @class = "control-label " })

                            @Html.EditorFor(model => model.DATE_NAISSANCE, new { htmlAttributes = new { @class = "form-control" } })
                            @Html.ValidationMessageFor(model => model.DATE_NAISSANCE, "", new { @class = "text-danger" })
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group">
                            @Html.LabelFor(model => model.NOM, htmlAttributes: new { @class = "control-label " })

                            @Html.EditorFor(model => model.NOM, new { htmlAttributes = new { @class = "form-control", @value = "@ViewBag.NOM" } })
                            @Html.ValidationMessageFor(model => model.NOM, "", new { @class = "text-danger" })
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group">
                            @Html.LabelFor(model => model.PRENOMS, htmlAttributes: new { @class = "control-label " })

                            @Html.EditorFor(model => model.PRENOMS, new { htmlAttributes = new { @class = "form-control", @value = "koffi" } })
                            @Html.ValidationMessageFor(model => model.PRENOMS, "", new { @class = "text-danger" })
                        </div>
                    </div>

                    <div class="col-md-4">
                        <div class="form-group">
                            @Html.LabelFor(model => model.LIEU_NAISSANCE, htmlAttributes: new { @class = "control-label " })

                            @Html.EditorFor(model => model.LIEU_NAISSANCE, new { htmlAttributes = new { @class = "form-control" } })
                            @Html.ValidationMessageFor(model => model.LIEU_NAISSANCE, "", new { @class = "text-danger" })
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group">
                            <div class="form-group">
                                @Html.LabelFor(model => model.IDSEXE, htmlAttributes: new { @class = "control-label" })

                                @Html.DropDownList("IDSEXE", null, htmlAttributes: new { @class = "form-control select2", @id = "kt_select2_1" })
                                @Html.ValidationMessageFor(model => model.IDSEXE, "", new { @class = "text-danger" })

                            </div>
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group">
                            @Html.LabelFor(model => model.EMAIL, htmlAttributes: new { @class = "control-label " })

                            @Html.EditorFor(model => model.EMAIL, new { htmlAttributes = new { @class = "form-control" } })
                            @Html.ValidationMessageFor(model => model.EMAIL, "", new { @class = "text-danger" })
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group">
                            @Html.LabelFor(model => model.CODE_STATUT_MATRIMONIALE, htmlAttributes: new { @class = "control-label " })

                            @Html.DropDownList("CODE_STATUT_MATRIMONIALE", null, htmlAttributes: new { @class = "form-control select2", @id = "kt_select2_2" })
                            @Html.ValidationMessageFor(model => model.CODE_STATUT_MATRIMONIALE, "", new { @class = "text-danger" })
                        </div>
                    </div>

                    <div class="col-md-4">
                        <div class="form-group">
                            @Html.LabelFor(model => model.IDNIVEAU_ETUDE, htmlAttributes: new { @class = "control-label " })

                            @Html.DropDownList("IDNIVEAU_ETUDE", null, htmlAttributes: new { @class = "form-control select2", @id = "kt_select2_3" })
                            @Html.ValidationMessageFor(model => model.IDNIVEAU_ETUDE, "", new { @class = "text-danger" })
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group">
                            @Html.LabelFor(model => model.IDPROFESSION, htmlAttributes: new { @class = "control-label" })

                            @Html.DropDownList("IDPROFESSION", null, htmlAttributes: new { @class = "form-control select2", @id = "kt_select2_4" })
                            @Html.ValidationMessageFor(model => model.IDPROFESSION, "", new { @class = "text-danger" })
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group">
                            @Html.LabelFor(model => model.ADRESSE, htmlAttributes: new { @class = "control-label " })

                            @Html.EditorFor(model => model.ADRESSE, new { htmlAttributes = new { @class = "form-control" } })
                            @Html.ValidationMessageFor(model => model.ADRESSE, "", new { @class = "text-danger" })
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group">
                            @Html.LabelFor(model => model.TAILLE, "TAILLE (cm)", htmlAttributes: new { @class = "control-label " })

                            @Html.EditorFor(model => model.TAILLE, new { htmlAttributes = new { @class = "form-control" } })
                            @Html.ValidationMessageFor(model => model.TAILLE, "", new { @class = "text-danger" })
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group">
                            @Html.LabelFor(model => model.POIDS, "POIDS (Kg)", htmlAttributes: new { @class = "control-label " })

                            @Html.EditorFor(model => model.POIDS, new { htmlAttributes = new { @class = "form-control" } })
                            @Html.ValidationMessageFor(model => model.POIDS, "", new { @class = "text-danger" })
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group">
                            @Html.LabelFor(model => model.NATIONALITE, "NATIONALITE", htmlAttributes: new { @class = "control-label " })

                            @Html.EditorFor(model => model.NATIONALITE, new { htmlAttributes = new { @class = "form-control" } })
                            @Html.ValidationMessageFor(model => model.NATIONALITE, "", new { @class = "text-danger" })
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group">
                            @Html.LabelFor(model => model.ID_GROUPE_SANGUIN, htmlAttributes: new { @class = "control-label " })

                            @Html.DropDownList("ID_GROUPE_SANGUIN", null, htmlAttributes: new { @class = "form-control select2", @id = "kt_select2_5" })
                            @Html.ValidationMessageFor(model => model.ID_GROUPE_SANGUIN, "", new { @class = "text-danger" })
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group">
                            @Html.LabelFor(model => model.ID_TYPE_ASSURE, htmlAttributes: new { @class = "control-label " })

                            @Html.DropDownList("ID_TYPE_ASSURE", null, htmlAttributes: new { @class = "form-control select2", @id = "kt_select2_9" })
                            @Html.ValidationMessageFor(model => model.ID_TYPE_ASSURE, "", new { @class = "text-danger" })
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group">
                            @Html.LabelFor(model => model.DATE_DEBUT_ASSURANCE, htmlAttributes: new { @class = "control-label " })

                            @Html.EditorFor(model => model.DATE_DEBUT_ASSURANCE, new { htmlAttributes = new { @class = "form-control" } })
                            @Html.ValidationMessageFor(model => model.DATE_DEBUT_ASSURANCE, "", new { @class = "text-danger" })
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group">
                            @Html.LabelFor(model => model.CODE_STATUT, htmlAttributes: new { @class = "control-label " })

                            @Html.DropDownList("CODE_STATUT", null, htmlAttributes: new { @class = "form-control select2", @id = "kt_select2_7" })
                            @Html.ValidationMessageFor(model => model.CODE_STATUT, "", new { @class = "text-danger" })
                        </div>
                    </div>
                    <div class="col-md-4">
                        <div class="form-group">

                            @Html.LabelFor(model => model.PHOTO, "PHOTO", htmlAttributes: new { @class = "control-label " })

                            <input class="form-control text-box single-line" id="PHOTO" name="PHOTO" type="file">
                            @Html.ValidationMessageFor(model => model.PHOTO, "", new { @class = "text-danger" })
                        </div>
                    </div>


                </div>

            </div>
            <div class="card-footer">
                <div class="row form-group">
                    <div class="col-md-6 ">
                        <a href="@Url.Action("Index","ASSURES")" class="btn btn-default ">Retour</a>
                    </div>
                    <div class="col-md-6 text-right">
                        <input type="submit" value="Ajouter" class="btn btn-primary   py-3 px-6" />
                    </div>

                </div>
            </div>
        }
    </div>