<!-- Edit this file to change the layout of the detail view print preview page -->


<div class="panel-heading"><h3 class="panel-title">
	<strong><%%DETAIL_VIEW_TITLE%%></strong>
	<div class="hidden-print pull-right">
		<div class="btn-group">
			<button type="button" id="print" onclick="window.print();" title="<%%TRANSLATION(Print)%%>" class="btn btn-primary"><i class="glyphicon glyphicon-print"></i> <%%TRANSLATION(Print)%%></button>
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	</div>
	<div class="clearfix"></div>
</h3></div>

<div class="panel-body">
	<fieldset class="form-horizontal">
		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">N&#176; dossier</label>
			<div class="col-xs-9">
				<div class="form-control-static"><%%VALUE(num_dossier)%%></div>
			</div>
		</div>
		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Nom</label>
			<div class="col-xs-9">
				<div class="form-control-static"><span id="nom<%%RND1%%>"><%%COMBOTEXT(nom)%%></span></div>
			</div>
		</div>
		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Prenom</label>
			<div class="col-xs-9">
				<div class="form-control-static"><span id="prenom<%%RND1%%>"></span></div>
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		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Raison sociale</label>
			<div class="col-xs-9">
				<div class="form-control-static"><span id="raison_sociale<%%RND1%%>"></span></div>
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		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Telephone</label>
			<div class="col-xs-9">
				<div class="form-control-static"><span id="telephone<%%RND1%%>"></span></div>
			</div>
		</div>
		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Email</label>
			<div class="col-xs-9">
				<div class="form-control-static"><span id="email<%%RND1%%>"></span></div>
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		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Whatsapp</label>
			<div class="col-xs-9">
				<div class="form-control-static"><span id="whatsapp<%%RND1%%>"></span></div>
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		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Service demande</label>
			<div class="col-xs-9">
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		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Date de la demande</label>
			<div class="col-xs-9">
				<div class="form-control-static"><%%COMBOTEXT(date_demande)%%></div>
			</div>
		</div>
		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Statut du service</label>
			<div class="col-xs-9">
				<div class="form-control-static"><%%COMBOTEXT(statut_service)%%></div>
			</div>
		</div>
		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">N&#176; visa</label>
			<div class="col-xs-9">
				<div class="form-control-static"><%%VALUE(num_visa)%%></div>
			</div>
		</div>
		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Date debut visa</label>
			<div class="col-xs-9">
				<div class="form-control-static"><%%COMBOTEXT(date_debut_visa)%%></div>
			</div>
		</div>
		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Date fin visa</label>
			<div class="col-xs-9">
				<div class="form-control-static"><%%COMBOTEXT(date_fin_visa)%%></div>
			</div>
		</div>
		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Type de visa</label>
			<div class="col-xs-9">
				<div class="form-control-static"><span id="type_de_visa<%%RND1%%>"><%%COMBOTEXT(type_de_visa)%%></span></div>
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		</div>
		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Observations</label>
			<div class="col-xs-9">
				<div class="form-control-static"><%%VALUE(observations)%%></div>
			</div>
		</div>
		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Groupe</label>
			<div class="col-xs-9">
				<div class="form-control-static"><%%VALUE(groupe)%%></div>
			</div>
		</div>
		<div class="form-group" style="border-bottom: dotted 1px #DDD;">
			<label class="col-xs-3 control-label">Agent</label>
			<div class="col-xs-9">
				<div class="form-control-static"><%%VALUE(agent)%%></div>
			</div>
		</div>
	</fieldset>
</div>
