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POST https://www.tchaada-app.kounasso.net/store/inscription/etudiant

<form action="https://www.tchaada-app.kounasso.net/store/inscription/etudiant" method="post">
  <input type="hidden" name="_token" value="S34VMIrRFWkIXfwZxARnAPIULtEcpZ1A0g4dKhWv">
  <div class="row g-3">
    <div class="col-md-6">
      <div class="form-floating">
        <input type="text" class="form-control" required="" name="nom" id="nom" minlength="1" maxlength="150">
        <label for="name">Nom <i class="text-danger">*</i></label>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-floating">
        <input type="text" class="form-control" required="" name="prenoms" id="prenoms" minlength="1" maxlength="20">
        <label for="label">Prénoms <i class="text-danger">*</i></label>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-floating">
        <input type="text" class="form-control" required="" name="serie" id="serie" minlength="1" maxlength="20">
        <label for="label">Série <i class="text-danger">*</i></label>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-floating">
        <input 2023="" type="number" class="form-control" required="" name="annee_obtention" id="annee_obtention" min="0">
        <label for="label">Année d'obtention <i class="text-danger">*</i></label>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-floating">
        <input type="number" class="form-control" required="" name="annee_universitaire" id="annee_universitaire" min="0" max="2023">
        <label for="label">Année universitaire <i class="text-danger">*</i></label>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-floating">
        <input type="text" class="form-control" required="" name="universite" id="universite" minlength="1" maxlength="100">
        <label for="label">Université <i class="text-danger">*</i></label>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-floating">
        <input type="text" class="form-control" required="" name="filiere" id="filiere" minlength="1">
        <label for="email">Filière <i class="text-danger">*</i></label>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-floating">
        <select name="village" id="village" class="form-select" required="">
          <option value=""></option>
          <option value="7">Agbodjèdo</option>
          <option value="3">Dessah</option>
          <option value="5">Ketougbécon</option>
          <option value="4">Ketoukpè</option>
          <option value="6">Ko-anagodo</option>
          <option value="1">Mongba</option>
          <option value="2">Tamondo</option>
          <option value="8">Tchaada centre</option>
        </select>
        <label for="label">Village <i class="text-danger">*</i></label>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-floating">
        <input type="text" class="form-control" required="" name="maison" id="maison" minlength="1" maxlength="100">
        <label for="label">Maison <i class="text-danger">*</i></label>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-floating">
        <input type="number" class="form-control" required="" name="contact" id="contact" min="0">
        <label for="label">Contact <i class="text-danger">*</i></label>
      </div>
    </div>
    <div class="col-12">
      <button class="btn btn-primary w-100 py-3" type="submit">Valider</button>
    </div>
  </div>
</form>

Text Content

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TCHAADA

Accueil S'inscrire
Se connecter


BIENVENUE SUR LA PLATEFORME D'ENREGISTREMENT DES ÉTUDIANTS DE L'ARRONDISSEMENT
DE TCHAADA

 1. Accueil
 2. Inscription
 3. Connexion

FORMULAIRE D'INSCRIPTION DES ÉTUDIANTS


FORMULAIRE D'INSCRIPTION DES ÉTUDIANTS

Nom *
Prénoms *
Série *
Année d'obtention *
Année universitaire *
Université *
Filière *
Agbodjèdo Dessah Ketougbécon Ketoukpè Ko-anagodo Mongba Tamondo Tchaada centre
Village *
Maison *
Contact *
Valider

QUICK LINK

Accueil S'inscrire Se connecter

CONTACT

Tchaada, Bénin

+229 00 00 00 00

info@example.com



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