Scribd Logo
Upload

Welcome to Scribd!

  • Formulaire

    Uploaded by

    Khadija MH
    11 views2 pages

    Original Title

    formulaire

    Copyright

    © © All Rights Reserved

    Available Formats

    TXT, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document

    Copyright:

    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    11 views2 pages

    Formulaire

    Uploaded by

    Khadija MH

    Copyright:

    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    <!

    DOCTYPE html>
    <html lang="en">
    <head>
    <meta charset="UTF-8">
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>CLIENT'S FORMULAR</title>
    <link rel="stylesheet" href="shihaja.css">
    <style>
    td {
    padding: 1%;
    }
    div {
    text-align: center;
    }
    </style>
    </head>
    <body>
    <form action="/action_page.php">
    <fieldset>
    <legend>CLIENT</legend>
    <table>
    <tr>
    <td><label for="civilité">Civilité </label></td>
    <td><input type="radio" id="mademoiselle" name="civilité">
    <label for="mademoiselle">mademoiselle</label>
    <input type="radio" id="madame" name="civilité">
    <label for="madame">Madame</label>
    <input type="radio" id="monsieur" name="civilité">
    <label for="monsieur">Monsieur</label>
    </td>
    </tr>

    <tr>
    <td><label for="fname">Nom/Prénom</label></td>
    <td><textarea name="adresse" rows="1" cols="30"></textarea> </td>
    </tr>
    <tr>
    <td><label for="adresse">Adresse</label></td>
    <td><textarea name="adresse" rows="1" cols="30">Rue No/Boite postale
    </textarea>
    </td>
    </tr>
    <tr>
    <td><label for="fname">No postal / localité</label></td>
    <td><input type="text" id="fname" name="fname">
    <input type="text" id="fname" name="fname">
    </td>
    </tr>
    <tr>
    <td><label for="Pays">Pays</label></td>
    <td><select id="Pays" name="Pays">
    <option value="Suisse" selected>Suisse</option>
    <option value="Maroc">Maroc</option>
    <option value="France">France</option>
    <option value="Inde">Inde</option>
    <option value="Gabon">Gabon</option>
    </td>
    </tr>
    <tr>
    <td><label for="Platforme"> Platforme(s)</label></td>
    <td>
    <input type="checkbox" id="Platforme1" name="Platforme1"
    value="Windows">
    <label for="Platforme1"> Windows</label>
    <input type="checkbox" id="Platforme2" name="Platforme2"
    value="Macintosh">
    <label for="Platforme2">Macintosh</label>
    <input type="checkbox" id="Platforme3" name="Platforme3"
    value="Unix">
    <label for="Platforme"> Unix</label>
    </td>
    </tr>

    <tr>
    <td> <label for="app">application</label> </td>
    <td>
    <select name="app" id="app" size="4" multiple>
    <option value="bureatique" selected>bureatique</option>
    <option value="DAQ" >DAQ</option>
    <option value="statistique">statistique</option>
    <option value="interp" selected>interp</option>
    </select>
    </td>
    </tr>
    </table>
    </fieldset>
    <div>
    <input type="submit" value="soumettre formulaire" class="test">
    <input type="reset" value="effacer" class="test">
    </div>
    </form>
    </body>
    </html>

    You might also like