{%  extends "WebBackBundle::layout_lte.html.twig" %}

{% block title %} testForm {% endblock %}
{% block bodytile %}Form  {% endblock %}
{% block body %}

	<script type="text/javascript" charset="utf8" src="https://cdn.datatables.net/1.10.13/js/jquery.dataTables.min.js"></script>
	<script type="text/javascript" charset="utf8" src="https://cdn.datatables.net/1.10.13/js/dataTables.bootstrap.min.js"></script>
	<script type="text/javascript" charset="utf8" src="https://cdn.datatables.net/responsive/2.1.1/js/dataTables.responsive.min.js"></script>
	<script type="text/javascript" charset="utf8" src="https://cdn.datatables.net/responsive/2.1.1/js/responsive.bootstrap.min.js"></script>

	<script type="text/javascript" charset="utf8" src="https://cdn.datatables.net/buttons/1.2.4/js/dataTables.buttons.min.js"></script>
	<script type="text/javascript" charset="utf8" src="https://cdn.datatables.net/buttons/1.2.4/js/buttons.flash.min.js"></script>
	<script type="text/javascript" charset="utf8" src="https://cdnjs.cloudflare.com/ajax/libs/jszip/2.5.0/jszip.min.js"></script>
	<script type="text/javascript" charset="utf8" src="https://cdn.rawgit.com/bpampuch/pdfmake/0.1.18/build/pdfmake.min.js"></script>
	<script type="text/javascript" charset="utf8" src="https://cdn.rawgit.com/bpampuch/pdfmake/0.1.18/build/vfs_fonts.js"></script>
	<script type="text/javascript" charset="utf8" src="https://cdn.datatables.net/buttons/1.2.4/js/buttons.html5.min.js"></script>
	<script type="text/javascript" charset="utf8" src="https://cdn.datatables.net/buttons/1.2.4/js/buttons.print.min.js"></script>
	<script type="text/javascript" charset="utf8" src="https://cdnjs.cloudflare.com/ajax/libs/moment.js/2.18.1/moment.min.js"></script>
	<script type="text/javascript" charset="utf8" src="https://cdn.datatables.net/datetime/1.1.2/js/dataTables.dateTime.min.js"></script>

	<!-- DataTables -->
	<link rel="stylesheet" href="https://cdn.datatables.net/1.10.13/css/dataTables.bootstrap.min.css">
	<link rel="stylesheet" href="https://cdn.datatables.net/responsive/2.1.1/css/responsive.bootstrap.min.css">
	<link rel="stylesheet" href="https://cdn.datatables.net/datetime/1.1.2/css/dataTables.dateTime.min.css">
	<link rel="stylesheet" type="text/css" href="https://cdn.datatables.net/buttons/1.2.4/css/buttons.dataTables.min.css">
	<link rel="stylesheet" type="text/css" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.4.0/css/font-awesome.min.css">


	<div class="container-fluid">

	  <!-- Breadcrumbs-->
	

	
	  <!-- DataTables Example -->
	  <div class="card mb-3">

			<form action="/administration/testResquest" method="post">

                        <div class="input-group">
                            <span class="input-group-addon"><i class="fa fa-user"></i></span>
                            <input type="text" name="nom" class="form-control" placeholder="Nom">
                        </div>
                        <br>
                        <div class="input-group">
                            <span class="input-group-addon"><i class="fa fa-user"></i></span>
                            <input type="text" name="prenom" class="form-control" placeholder="Prenom">
                        </div>
                        <br>

                        <div class="input-group">
                            <span class="input-group-addon"><i class="fa fa-envelope"></i></span>
                            <input type="email" name="email" class="form-control" placeholder="Email">
                        </div>
                        <br>

                        <div class="input-group">
                            <span class="input-group-addon"><i class="fa fa-phone"></i></span>
                            <input type="tel" name="tel" class="form-control" placeholder="Telephone">
                        </div>
                        <br>
						<div class="input-group">
                            <span class="input-group-addon"><i class="fa fa-user"></i></span>
                            <input type="text" name="ice" class="form-control" placeholder="ICE">
                        </div>
                        <br>
						
						<div class="input-group">
                            <span class="input-group-addon"><i class="fa fa-user"></i></span>
                            <input type="text" name="entreprise" class="form-control" placeholder="Entreprise">
                        </div>
                        <br>
						
                        <div class="input-group">
                            <button type="submit" class="btn btn-block btn-warning btn-lg pull-right"><b>Valider Enregistrement</b></button>
                        </div>

                    </form>

	  </div>

	 
	</div>

{% endblock %}



   {% block scripts %}


   {% endblock %}