 [hidden number-pers]
<div class="p-4">
<div class="row">
<div class="col col-xl-6 col-lg-5 col-md-12 col-sm-12 col-12 pr-0 pr-lg-4">
  <div class="row mt-4">
    <div class="col">
      <small class="date-difference" style="opacity: 0.73;"></small>
    </div>
  </div>
  <div class="row mt-4">
   <div class="col-xl-12">
    <fieldset>
      <div class="input-group mt-1">
        [select type-personne "Etudiant Mineur" "Etudiant Majeur"]
     </div>
    </fieldset>
   </div>
  </div>
  <div class="col-xl-6 col-lg-7 col-md-12 col-sm-12 col-12 pl-0 pl-lg-4 mt-4 mt-lg-0">
    <div class="row mt-4"> 
      <div class="col-12 mt-2 d-flex justify-content-start mb-3">
        [submit id:nextBtn class:nextBtn class:ml-5 class:w-100 class:btn-radius "Next"]
      </div>
    </div>
  </div>

</div>
</div>
</div>