
       
        <div id="DEMANDE" class="Section">
 
            <div id="_TITRE" class="SectionHeader"><span class="SectionHeaderTitle">Demande</span></div>   
 
               <div class="Fields">
               
                    <div class="Field" id="_ROW">
                        <div class="FieldCaption"><label class="FieldCaptionLabel" for="_PRENOM">Prénom :</label></div>
                        <div class="FieldValue"><span class="FieldValueInput FieldValueInputReadonly" id="_PRENOM" title="Prénom"></span></div>
                    </div>
               
                    <div class="Field" id="_ROW">
                        <div class="FieldCaption"><label class="FieldCaptionLabel" for="_NOM">Nom :</label></div>
                        <div class="FieldValue"><span class="FieldValueInput FieldValueInputReadonly" id="_NOM" title="Nom"></span></div>
                    </div>
               
                    <div class="Field" id="_ROW">
                        <div class="FieldCaption"><label class="FieldCaptionLabel" for="_DATE">Date :</label></div>
                        <div class="FieldValue"><span class="FieldValueInput FieldValueInputReadonly" id="_DATE" fielddatatype="DateTime" fieldformat="{0:d}" title="Date"></span></div>
                    </div>
               
                    <div class="Field" id="_ROW">
                        <div class="FieldCaption"><label class="FieldCaptionLabel" for="_CATEGORIE">Catégorie :</label></div>
                        <div class="FieldValue">
                            <select class="FieldValueInput" id="_CATEGORIE" title="Catégorie">
                                <option value="Categorie 1">Categorie 1</option>
                                <option value="Categorie 2">Categorie 2</option>
                                <option value="Categorie 3">Categoie 3</option>
                            </select>
                        </div>
                    </div>

                    <div class="Field" id="_ROW">
                        <div class="FieldCaption"><label class="FieldCaptionLabel" for="_SUJET">Sujet :</label></div>
                        <div class="FieldValue"><input type="text" class="FieldValueInput" id="_SUJET" title="Sujet"></input></div>
                    </div>
                
                    <div class="Field" id="_ROW">
                        <div class="FieldCaption"><label class="FieldCaptionLabel" for="_DESCRIPTION">Description :</label></div>
                        <div class="FieldValue"><textarea class="FieldValueInput" id="_DESCRIPTION" title="Description" rows="5"></textarea></div>
                    </div>
            
             </div>

        </div>
