odea/application/views/default/scripts/gestion/profiladd.phtml

<div id="dashboard">

<?=$this->message?>

<form name="profil" method="post" action="<?=$this->url(array('controller'=>'gestion', 'action'=>'profiladd'))?>">
<label>idClient</label>
<input type="text" name="idClient" />
<br/>
<label>login</label>
<input type="text" name="login" />
<br/>
<label>Reference</label>
<input type="text" name="reference" />
<br/>

<label>tarifLigne</label>
<input type="text" name="tarifLigne" /> €
<br/>

<div>
<label>Selection des données pour l'enrichissement</label>
<select style="padding:5px;" name="criteres[]" multiple size="20">
<?php if ( count($this->fields)>0 ) {?>
	<?php foreach ( $this->fields as $value => $item ) {?>
	<option value="<?=$value?>"><?=$item['label']?></option>
	<?php }?>
<?php }?>
</select>
</div>

<input type="submit" name="submit" value="Enregistrer"/>
</form>

</div>