extranet/application/views/default/scripts/saisie/fiche.phtml

<div id="center">
<?php if ($message!='') { ?>
<div style="margin:5px; padding: 0pt 0.7em;" class="ui-state-highlight ui-corner-all">
<p><span style="float: left; margin-right: 0.3em;" class="ui-icon ui-icon-info"></span>
<?=$message?></p>
</div>
<?php } ?>

<?php if ($this->etab->Siege==0) { ?>
<h1 class="titre">IDENTITE DE L'&Eacute;TABLISSEMENT</h1>
<?php } else { ?>
<h1 class="titre">IDENTITE DE L'ENTREPRISE</h1>
<?php } ?>
<div class="paragraph">

<div>
<label>Num&eacute;ro identifiant Siret</label>
<?=$this->SiretTexte($this->etab->Siret)?>
</div>

<div class="clearfix">
<label>Num&eacute;ro identifiant Siret du si&egrave;ge</label>
<a href="<?=$this->url(array(
	'controller' => 'identite',
	'action' => 'fiche',
	'siret' => $this->etab->SiretSiege))?>">
<?=$this->SiretTexte($this->etab->SiretSiege)?>
</a>
</div>

<div class="clearfix">
<label>Raison Sociale</label>
<?php
echo $this->etab->Nom;
if ($this->etab->Nom2!='') echo ' / '.$this->etab->Nom2;
?>
</div>

<div class="clearfix">
<label>Adresse</label>
<div style="float:left;">
<?php
echo $this->etab->AdresseNum.' '.$this->etab->AdresseRue.'<br/>';
if (!empty($this->etab->Adresse)) echo $this->etab->Adresse.'<br/>';
if (!empty($this->etab->Adresse2)) echo $this->etab->Adresse2.'<br/>';
echo $this->etab->CP.' '.$this->etab->Ville;
?>
</div>
</div>

<div>
<label>&Eacute;tablissement</label>
<?php
if ($this->etab->Siege==1)	echo "Si&egrave;ge";
else 						echo "Secondaire";
if ($this->etab->Actif==1)	echo " actif";
else 						echo " inactif";
if($this->etab->Nic*1==0 || $this->etab->Nic*1>=99990)
	echo " provisoire";
?>
</div>

<?php
$siteWeb = '';
if (substr($this->etab->Web,0,7)<>'http://')
	$siteWeb='http://'.$this->etab->Web;
else
	$siteWeb=$this->etab->Web;
 ?>
</div>
 
<h2 id="dFormLogo" href="<?=$this->url(array('controller'=>'logo', 'action'=>'index', 'siren'=>$this->etab->Siren))?>">Logo</h2>
<div class="paragraph">
<div id="formLogo"></div>
</div>

<h2>Raison sociale et coordonnées</h2>
<form name="form_saisie" action="<?=$this->url(array('controller'=>'saisie', 'action'=>'save'), null, true)?>" method="post" enctype="multipart/form-data">
<input type="hidden" name="siret" value="<?=$this->siret?>"/>
<input type="hidden" name="id" value="<?=$this->id?>"/>
<input type="hidden" name="siren" value="<?=$this->etab->Siren?>"/>
<input type="hidden" name="nic" value="<?=$this->etab->Nic?>"/>

<div class="paragraph">

<label>T&eacute;l&eacute;phone</label>
<input type="text" name="frmSaisie[tel]" size="25" maxlength="100" value="<?=trim($this->etab->Tel)?>" />
<label>Fax</label>
<input type="text" name="frmSaisie[fax]" size="25" maxlength="100" value="<?=trim($this->etab->Fax)?>" />
<label>Site Internet</label>
<input type="text" name="frmSaisie[web]" size="40" maxlength="100" value="<?=$siteWeb?>" />
<label>E-mail</label>
<input type="text" name="frmSaisie[mail]" size="40" maxlength="100" value="<?=trim($this->etab->Mail)?>" />

</div>

<h2>Activité(s) et Chiffres d'Affaires</h2>
<div class="paragraph">

<label>Code ISIN</label>
<input type="text" name="frmSaisie[isin]" size="15" maxlength="15" value="<?=trim($this->etab->Isin)?>" />
<label>Activit&eacute; d&eacute;clar&eacute;e de l'entreprise</label>
<textarea name="frmSaisie[activite]" rows="5" cols="40"><?=$this->etab->Activite?></textarea>

<label>Capital Montant</label>
<input type="text" name="frmSaisie[capital_mt]" size="10" maxlength="11" value="<?=trim($this->etab->Capital)*1.0?>" disabled="disabled"/>
<label>Capital Devise</label>
<select disabled="disabled" name="frmSaisie[capital_dev]">
<?php
$selOne=false;
foreach($this->devises as $dev) {
	if (trim($this->etab->CapitalDev)==$dev->devIso) { $selOne=true; $sel='selected'; } else $sel='';
	$lib = $dev->devNom;
	if (strlen($dev->devNom)>39) $lib = substr($dev->devNom,0,41).'...';
	echo "<option value=\"$dev->devIso\" $sel >$lib</option>";
}
if (!$selOne)	echo '<option value="0000" selected>-</option>';
?>
</select>
</div>

<h2>BODACC</h2>
<div class="paragraph">
<?=$this->action('form','saisie', null, array( 'siret' => $this->siret))?>
</div>

<h2 id="dFormActionnaire">Actionnariat</h2>
<div class="paragraph">

<div id="formActionnaire">
	<label>Siren actionnaire</label>
	<input type="text" name="actionnaire[siren]" size="8" maxlength="12" value="" />
	<label>Pourcentage</label><input type="text" class="percent" name="actionnaire[pct]" size="3" maxlength="5" value="" />
	<span class="left">%</span>
	<label>&nbsp;Major.&nbsp;/&nbsp;</label><input type="radio" class="widthauto" name="actionnaire[majMin]" value="maj" />
	<label>&nbsp;Minor.</label><input type="radio" class="widthauto" name="actionnaire[majMin]" value="min" />
	<label>au DateMAJ</label><input type="text" class="date" name="actionnaire[dateMAJ]" size="10" maxlength="10" value="" />
	<span class="left">(Format JJ/MM/AAAA)</span>
	<label>Pays</label>
	<select name="actionnaire[pays]">
	<?php foreach($this->selectPays as $val => $item):?>
	<option value="<?=$val?>"><?=$item?></option>
	<?php endforeach;?>	
	</select>
	<label>Raison sociale</label>
	<input type="text" name="actionnaire[nom]" size="35" maxlength="80" value=""/>
	<span class="left">si &eacute;tranger</span>
</div>

</div>

<h2 id="dFormParticipation">Participations</h2>
<div class="paragraph">

<div id="formParticipation">
	<label>Siren participation</label>
	<input type="text" name="particip[siren]" size="8" maxlength="12" value="" />
	<label>&agrave;</label>
	<label>Pourcentage</label><input class="percent" type="text" name="particip[pct]" size="3" maxlength="5" value="" /><span class="left">%</span>
	<label>&nbsp;Major.&nbsp;/&nbsp;</label><input type="radio" class="widthauto" name="particip[majMin]" value="maj" />
	<label>&nbsp;Minor.</label><input type="radio" class="widthauto" name="particip[majMin]" value="min" />
	<label>au DateMAJ</label><input type="text" class="date" name="particip[dateMAJ]" size="10" maxlength="10" value="" />
	<span class="left">(Format JJ/MM/AAAA)</span>
	<label>Pays</label><select name="particip[pays]">
	<?php foreach($this->selectPays as $val => $item):?>
	<option value="<?=$val?>"><?=$item?></option>
	<?php endforeach;?>
	</select>
	<label>Raison sociale</label>
	<input type="text" name="particip[nom]" size="35" maxlength="80" value=""/>
	<span class="left">&nbsp;si &eacute;tranger</span>
</div>

</div>

<h2>Informations diverses</h2>
<div class="paragraph">

<div>
<label>Autre siren (doublon)</label>
<input type="text" size="11" name="frmSaisie[sirenDoublon]" value="<?=$this->etab->sirenDoublon?>"/>
</div>

<label>Refus d’inscription au Registre du Commerce et des Sociétés</label>
<input type="checkbox" name="refusRNCS" value="1"/>
<div id="divRefusRNCS"></div>

<?php
$waldec = '';
if (substr($this->etab->autreId,0,1)=='W'){
	$waldec = $this->etab->autreId;
}
?>
<div>
<label>Identifiant R.N.A.</label>
<input type="text" size="11" name="frmSaisie[waldec]" value="<?=$waldec?>"/>
</div>

<div>
<label>Entreprise de domiciliation</label>
<select name="frmSaisie[domiciliataire]">
<option value="nd">Sans objet</option>
<option value="oui">Oui</option>
<option value="non">Non</option>
</select>
</div>

<div>
<label>Encours</label>
<input type="text" name="score[encours]" value="">
<span class="left">€</span>
</div>

<div>
<label>Note indiScore</label>
<input style="width:25px;" type="text" name="score[scoreSolv]" value="">
<span class="left"> / 100</span>
</div>

<div>
<label>Note Dirigeance</label>
<input style="width:25px;" type="text" name="score[scoreDir]" value="">
<span class="left"> / 100</span>
</div>

<div>
<label>Note Conformité</label>
<input style="width:25px;" type="text" name="score[scoreConf]" value="">
<span class="left"> / 100</span>
</div>

<?php 
$disable = ' disabled'; 
if(substr($this->etab->FJ,0,1)=='1' || in_array($this->etab->FJ, array(2310, 2320, 2385))) { 
	$disable = '';
} 
?>
<div>
<label>Entreprise ayant exercée son droit d'opposition en</label>
<input type="checkbox" name="oppositionInsee" value="1"<?=$disable?>/>
<div id="divOppositionInsee"></div>
</div>

<div class="submit clearfix"><input type="submit" name="submit" value="Sauver"/></div>

</div>

</form>

</div>