<%@include file="jspf/enteteJSPF.jspf" %>
<br /><br />
<table style='border: 0px solid white;'>
    <tr>
        <td style='border :0px;'>
            <fieldset><legend>Coordonnées Pompier</legend>
                <table>
                    <tr><th>Nom : <input readonly type="text" name="ztNom"  size="20" maxlength="30"></th></tr>
                    <tr><th>Prénom : <input readonly type="text" name="ztPrenom"  size="20" maxlength="30"></th></tr>
                    <tr><th>Adresse : <input readonly type="text" name="ztAdr"  size="20" maxlength="30"></th></tr>
                    <tr><th>Ville : <input readonly type="text"name="ztVille"  size="20" maxlength="30"></th></tr>
                    <tr><th>Code postal : <input readonly type="text" 	name="ztCp"  size="20" maxlength="30"></th></tr>
                    <tr><th>Téléphone : <input readonly type="text" 	name="ztTel"  size="20" maxlength="30"></th></tr>
                    <tr><th>Mail : <input readonly type="text" 	name="ztMail"  size="20" maxlength="30"></th></tr>
                    <tr><th>Statut : <input readonly type="text" 	name="ztStatut"  size="20" maxlength="30"></th></tr>
                    <tr><th>Grade : <input readonly type="text" 	name="ztGrade"  size="20" maxlength="30"></th></tr>
                </table>
            </fieldset>
            <fieldset><legend>Coordonnées Employeur</legend>
                <table>
                    <tr><th>Nom employeur : <input readonly type="text" name="ztNomEmp"  size="20" maxlength="30"></th></tr>
                    <tr><th>Téléphone employeur : <input readonly type="text" name="ztTelEmp"  size="20" maxlength="30"></th></tr>
                    <tr><th>Adresse employeur : <input readonly type="text" name="ztadrEmp"  size="20" maxlength="30"></th></tr>
                    <tr><th>Mail employeur : <input readonly type="text" name="ztMailEmp"  size="20" maxlength="30"></th></tr>
                </table>
            </fieldset>
        </td>
    </tr>
</table>
