{% extends 'Default/base.html.twig' %}
{% block title %} {{'ADMIN_TABLEAU_DE_BORD.AdminCountry.T1'|trans}}  {% endblock %}
{% block breadcrumb1 %} {{'ADMIN_TABLEAU_DE_BORD.AdminCountry.T1'|trans}}  {% endblock %}
{% block breadcrumb2 %} {{'ADMIN_TABLEAU_DE_BORD.AdminCountry.T17'|trans}}  {% endblock %}
{% block content %}
        <div class="row">
            <div class="col-md-3 swMain"></div>
            <div class="col-md-6 swMain">
                <div class="row">
                    <div class="col-md-12">
                        <fieldset>
                            <legend>
                                {{'ADMIN_TABLEAU_DE_BORD.AdminCountry.T16'|trans}}
                            </legend>
                            {{ form_start(form) }}
                            <div class="clip-radio radio-primary">
                                {{ form_widget(form.civility) }}
                            </div>
                            <div class="form-group">
                                {{ form_widget(form.firstName ,{'attr': {'class': 'form-control','placeholder': 'ADMIN_TABLEAU_DE_BORD.AdminCountry.T12'|trans}}) }}
                            </div>
                            <div class="form-group">
                                {{ form_widget(form.lastName ,{'attr': {'class': 'form-control','placeholder': 'ADMIN_TABLEAU_DE_BORD.AdminCountry.T13'|trans}}) }}
                            </div>
                            <div class="form-group">
                                {{ form_widget(form.function ,{'attr': {'class': 'form-control','placeholder': 'ADMIN_TABLEAU_DE_BORD.AdminCountry.T14'|trans }}) }}
                            </div>
                            <div class="form-group">
                            <span class="input-icon">
                               {{ form_widget(form.email ,{'attr': {'class': 'form-control','placeholder': 'ADMIN_TABLEAU_DE_BORD.AdminCountry.T15'|trans }}) }}
                               <i class="fa fa-envelope"></i> </span>
                             </div>
                            <div class="form-actions">
                                {%  if app.request.locale == 'ar' %}
                                    <button type="submit" class="btn btn-primary pull-left">
                                        {{'ADMIN_TABLEAU_DE_BORD.AdminCountry.T18'|trans}}  <i class="fa fa-arrow-circle-left"></i>
                                    </button>
                                {% else %}
                                    <button type="submit" class="btn btn-primary pull-right">
                                        {{'ADMIN_TABLEAU_DE_BORD.AdminCountry.T18'|trans}}  <i class="fa fa-arrow-circle-right"></i>
                                    </button>
                                {% endif %}

                            </div>
                            {{ form_end(form) }}
                        </fieldset>
                    </div>
                </div>
            </div>
        </div>
{% endblock %}