
                            <input type="hidden" id="wilaya_name" name="wilaya_name">
                            <select name="wilaya" id="wilaya" class="form-control">
                                <option value="" >--Wilaya--</option>
                                 
                                    <option value="1" >1 - Adrar</option>
                                 
                                    <option value="2" >2 - Chlef</option>
                                 
            