{{ form_start(form, { 'action': path('millesima_client_demandeur_profile_coordonne_edit'), 'attr': { 'class': 'millesima_administrator_profile_coordonne_edit' } }) }}

        <div class="form-horizontal">
            <div class="form-body">

                <div class="row">

                    <div class="col-md-12 col-sm-12 col-xs-12 form-group" xmlns="http://www.w3.org/1999/html">
                        <p style="padding-left: 16px;">
                            Mr {{ form_widget(form.civility[0], { 'attr': {'class': 'flat','required':true} }) }}
                            Mme {{ form_widget(form.civility[1], { 'attr': {'class': 'flat','required':true} }) }}
                        <div class="red">
                            {{ form_errors(form.civility) }}
                        </div>
                        </p>
                    </div>

                </div>
                <div class="row">

                    <div class="col-md-6 col-sm-12 col-xs-12">

                        {{ form_label(form.firstname, 'Prénom *') }}
                        {{ form_widget(form.firstname, { 'attr': {'class': 'form-control','required':true} }) }}
                        <div class="red">
                            {{ form_errors(form.firstname) }}
                        </div>

                    </div>

                    <div class="col-md-6 col-sm-12 col-xs-12">

                        {{ form_label(form.lastname, 'Nom *') }}
                        {{ form_widget(form.lastname, { 'attr': {'class': 'form-control','required':true} }) }}
                        <div class="red">
                            {{ form_errors(form.lastname) }}
                        </div>

                    </div>

                </div>
                <div class="row">

                    <div class="col-md-6 col-sm-12 col-xs-12">

                        {{ form_label(form.phone_number, 'Mobile *') }}
                        {{ form_widget(form.phone_number, { 'attr': {'class': 'form-control','required':true} }) }}
                        <div class="red">
                            {{ form_errors(form.phone_number) }}
                        </div>

                    </div>

                    <div class="col-md-6 col-sm-12 col-xs-12">

                        {{ form_label(form.tel_number, 'Tel') }}
                        {{ form_widget(form.tel_number, { 'attr': {'class': 'form-control','required':false } }) }}
                        <div class="red">
                            {{ form_errors(form.tel_number) }}
                        </div>

                    </div>

                </div>

                <div class="row">

                    <div class="col-md-6 col-sm-12 col-xs-12">

                        {{ form_label(form.username, 'nom Utilisateur *',{'label_attr': {'class': 'req'}}) }}
                        {{ form_widget(form.username, { 'attr': {'class': 'form-control','required':true} }) }}
                        <div class="red">
                            {{ form_errors(form.username, { 'attr': {'class': 'red'} }) }}
                        </div>

                    </div>


                    <div class="col-md-6 col-sm-12 col-xs-12">

                        {{ form_label(form.path, 'Photo') }}
                        {{ form_widget(form.path, { 'attr': {'class': 'form-control','required':false} }) }}
                        <div class="red">
                            {{ form_errors(form.path) }}
                        </div>
                        {#<img id="img_perview" src="{{ asset('uploads/images/common/empty-profile.jpg') }}" style="width: 100px;margin: 1%;"/>#}
                    </div>

                </div>

                <div class="row">

                    <div class="col-md-12 col-sm-12 col-xs-12">

                        {{ form_label(form.email, 'Email *',{'label_attr': {'class': 'req'}}) }}
                        {{ form_widget(form.email, { 'attr': {'class': 'form-control','required':true} }) }}
                        <div class="red">
                            {{ form_errors(form.email, { 'attr': {'class': 'red'} }) }}
                        </div>

                    </div>

                </div>

            </div>

            <div class="form-actions">

                <div class="row">

                    <div style="float: right;padding-right: 15px;padding-top: 20px;">
                        <input type="submit" class="btn btn-success" value="{#{{ 'profile.edit.submit'|trans }}#}Changer Coordonnées"/>
                    </div>

                </div>

            </div>
        </div>

        <div style="display: none"> {{ form_rest(form) }} </div>

    {{ form_end(form) }}