Registre Form - Template Bootstrap 4

🏷️ Extraits de code HTML 📅 17/04/2026 👤 Mezgani said
Bootstrap Bootstrap4 Registre Html Css

Template de registre Bootstrap 4 avec design élégant et moderne.

<!doctype html>
<html lang="fr">
  <head>
  <meta charset="UTF-8" />
  <meta name="copyright" content="MEZGANI Said" />
  <meta name="author" content="AngularForAll" />
  <meta name="robots" content="noindex, nofollow" />
  <meta name="viewport" content="width=device-width, initial-scale=1">
  <title>Page d'inscription Bootstrap 5 | AngularForAll</title>
    <link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/bootstrap@4.6.2/dist/css/bootstrap.min.css">
    <link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/5.15.4/css/all.min.css">
    <style>
        :root {
            --primary-color: #007bff;
            --secondary-color: #6c757d;
            --gradient-start: #667eea;
            --gradient-end: #764ba2;
        }

        body {
            background-color: #f4f7f6;
            font-family: 'Inter', sans-serif;
        }

        .registration-container {
            max-width: 800px;
            margin: 50px auto;
            background-color: white;
            border-radius: 15px;
            box-shadow: 0 15px 35px rgba(50,50,93,.1), 0 5px 15px rgba(0,0,0,.07);
            padding: 30px;
        }

        .collapse-section {
            margin-bottom: 20px;
            border: 1px solid #e9ecef;
            border-radius: 10px;
            overflow: hidden;
        }

        .collapse-header {
            background-color: #f8f9fa;
            padding: 15px 20px;
            display: flex;
            justify-content: space-between;
            align-items: center;
            cursor: pointer;
            transition: all 0.3s ease;
        }

        .collapse-header:hover {
            background-color: #e9ecef;
        }

        .collapse-header h5 {
            margin: 0;
            display: flex;
            align-items: center;
        }

        .collapse-header i {
            margin-right: 15px;
            color: var(--primary-color);
        }

        .collapse-header .toggle-icon {
            transition: transform 0.3s ease;
        }

        .collapse-header[aria-expanded="true"] .toggle-icon {
            transform: rotate(180deg);
        }

        .profile-image-upload {
            position: relative;
            max-width: 200px;
            margin: 0 auto 20px;
        }

        .profile-image {
            width: 200px;
            height: 200px;
            border-radius: 50%;
            object-fit: cover;
            border: 4px solid #dee2e6;
        }

        .image-upload-overlay {
            position: absolute;
            bottom: 0;
            right: 0;
            background-color: rgba(0,0,0,0.5);
            color: white;
            border-radius: 50%;
            padding: 10px;
            cursor: pointer;
        }

        .pack-selection .card {
            transition: all 0.3s ease;
            cursor: pointer;
        }

        .pack-selection .card.selected {
            border: 3px solid var(--primary-color);
            transform: scale(1.05);
        }

        @media (max-width: 768px) {
            .registration-container {
                margin: 20px;
                padding: 15px;
            }
        }
    </style>
</head>
<body>
<div class="container-fluid">
    <div class="registration-container">
        <form id="registrationForm" novalidate>
            <!-- Section 1: Informations Personnelles -->
            <div class="collapse-section">
                <div class="collapse-header" data-toggle="collapse" data-target="#personalInfoCollapse" aria-expanded="true">
                    <h5>
                        <i class="fas fa-user"></i>
                        Informations Personnelles
                    </h5>
                    <i class="fas fa-chevron-down toggle-icon"></i>
                </div>

                <div id="personalInfoCollapse" class="collapse show">
                    <div class="card-body">
                        <div class="profile-image-upload mb-4">
                            <img src="https://via.placeholder.com/200" alt="Photo de profil" class="profile-image" id="profileImage">
                            <label for="profileUpload" class="image-upload-overlay">
                                <i class="fas fa-camera"></i>
                                <input type="file" id="profileUpload" class="d-none" accept="image/*">
                            </label>
                        </div>

                        <div class="row">
                            <div class="col-md-4">
                                <div class="form-group">
                                    <label>Civilité</label>
                                    <select class="form-control" required>
                                        <option value="">Sélectionner</option>
                                        <option>M.</option>
                                        <option>Mme</option>
                                        <option>Autre</option>
                                    </select>
                                </div>
                            </div>
                            <div class="col-md-4">
                                <div class="form-group">
                                    <label>Nom</label>
                                    <input type="text" class="form-control" required>
                                </div>
                            </div>
                            <div class="col-md-4">
                                <div class="form-group">
                                    <label>Prénom</label>
                                    <input type="text" class="form-control" required>
                                </div>
                            </div>
                            <div class="col-md-6">
                                <div class="form-group">
                                    <label>Email</label>
                                    <input type="email" class="form-control" required>
                                </div>
                            </div>
                            <div class="col-md-6">
                                <div class="form-group">
                                    <label>Téléphone</label>
                                    <input type="tel" class="form-control" required>
                                </div>
                            </div>
                            <div class="col-md-6">
                                <div class="form-group">
                                    <label>Mot de passe</label>
                                    <input type="password" class="form-control" required>
                                </div>
                            </div>
                            <div class="col-md-6">
                                <div class="form-group">
                                    <label>Confirmation du mot de passe</label>
                                    <input type="password" class="form-control" required>
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
            </div>

            <!-- Section 2: Informations Professionnelles -->
            <div class="collapse-section">
                <div class="collapse-header" data-toggle="collapse" data-target="#professionalInfoCollapse" aria-expanded="false">
                    <h5>
                        <i class="fas fa-building"></i>
                        Informations Professionnelles
                    </h5>
                    <i class="fas fa-chevron-down toggle-icon"></i>
                </div>

                <div id="professionalInfoCollapse" class="collapse">
                    <div class="card-body">
                        <div class="row">
                            <div class="col-md-4">
                                <div class="form-group">
                                    <label>Type d'Entreprise</label>
                                    <select class="form-control" required>
                                        <option value="">Sélectionner</option>
                                        <option>Indépendant</option>
                                        <option>SARL</option>
                                        <option>SA</option>
                                        <option>Association</option>
                                    </select>
                                </div>
                            </div>
                            <div class="col-md-4">
                                <div class="form-group">
                                    <label>Nom de l'Entreprise</label>
                                    <input type="text" class="form-control" required>
                                </div>
                            </div>
                            <div class="col-md-4">
                                <div class="form-group">
                                    <label>Secteur d'Activité</label>
                                    <select class="form-control" required>
                                        <option value="">Sélectionner</option>
                                        <option>Technologies</option>
                                        <option>Finance</option>
                                        <option>Santé</option>
                                        <option>Commerce</option>
                                    </select>
                                </div>
                            </div>
                            <div class="col-md-6">
                                <div class="form-group">
                                    <label>Numéro SIRET</label>
                                    <input type="text" class="form-control" required>
                                </div>
                            </div>
                            <div class="col-md-6">
                                <div class="form-group">
                                    <label>Code APE</label>
                                    <input type="text" class="form-control" required>
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
            </div>

            <!-- Section 3: Sélection de Forfait -->
            <div class="collapse-section">
                <div class="collapse-header" data-toggle="collapse" data-target="#packSelectionCollapse" aria-expanded="false">
                    <h5>
                        <i class="fas fa-box-open"></i>
                        Sélection de Forfait
                    </h5>
                    <i class="fas fa-chevron-down toggle-icon"></i>
                </div>

                <div id="packSelectionCollapse" class="collapse">
                    <div class="card-body">
                        <div class="row pack-selection">
                            <div class="col-md-4">
                                <div class="card mb-4">
                                    <div class="card-body text-center">
                                        <h5 class="card-title">Starter</h5>
                                        <p class="card-text">Idéal pour débuter</p>
                                        <h3 class="text-primary">29€/mois</h3>
                                        <input type="radio" name="pack" required class="d-none">
                                        <button type="button" class="btn btn-outline-primary mt-3">Choisir</button>
                                    </div>
                                </div>
                            </div>
                            <div class="col-md-4">
                                <div class="card mb-4">
                                    <div class="card-body text-center">
                                        <h5 class="card-title">Pro</h5>
                                        <p class="card-text">Pour les professionnels</p>
                                        <h3 class="text-primary">59€/mois</h3>
                                        <input type="radio" name="pack" required class="d-none">
                                        <button type="button" class="btn btn-outline-primary mt-3">Choisir</button>
                                    </div>
                                </div>
                            </div>
                            <div class="col-md-4">
                                <div class="card mb-4">
                                    <div class="card-body text-center">
                                        <h5 class="card-title">Enterprise</h5>
                                        <p class="card-text">Solution complète</p>
                                        <h3 class="text-primary">99€/mois</h3>
                                        <input type="radio" name="pack" required class="d-none">
                                        <button type="button" class="btn btn-outline-primary mt-3">Choisir</button>
                                    </div>
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
            </div>

            <div class="text-center mt-4">
                <button type="submit" class="btn btn-primary btn-lg">
                    <i class="fas fa-paper-plane mr-2"></i>S'inscrire
                </button>
            </div>
        </form>
    </div>
</div>

<script src="https://code.jquery.com/jquery-3.5.1.slim.min.js"></script>
<script src="https://cdn.jsdelivr.net/npm/bootstrap@4.6.2/dist/js/bootstrap.bundle.min.js"></script>
<script>
    $(document).ready(function() {
        // Gestion des en-têtes de collapse
        $('.collapse-header').on('click', function() {
            // Rotation de l'icône
            $(this).find('.toggle-icon').toggleClass('rotated');

            // Fermeture des autres sections
            $('.collapse-section .collapse').not($($(this).data('target'))).removeClass('show');
            $('.collapse-header').not(this).attr('aria-expanded', 'false');
        });

        // Sélection de pack
        $('.pack-selection .card').click(function() {
            $('.pack-selection .card').removeClass('selected');
            $(this).addClass('selected');
            $(this).find('input[type="radio"]').prop('checked', true);
        });

        // Upload d'avatar
        $('.image-upload-overlay').click(function() {
            $('#profileUpload').click();
        });

        $('#profileUpload').change(function(e) {
            let reader = new FileReader();
            reader.onload = function(event) {
                $('#profileImage').attr('src', event.target.result);
            }
            reader.readAsDataURL(e.target.files[0]);
        });

        // Validation du formulaire
        $('#registrationForm').on('submit', function(e) {
            if (this.checkValidity() === false) {
                e.preventDefault();
                e.stopPropagation();
            }
            $(this).addClass('was-validated');
        });
    });
</script>
</body>
</html>