diff --git a/web/layouts/conseillers/update.html b/web/layouts/conseillers/update.html
new file mode 100644
index 0000000..bd972a5
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+++ b/web/layouts/conseillers/update.html
@@ -0,0 +1,131 @@
+{{define "content"}}
+
+<div class="max-w-7xl mx-auto px-4 sm:px-6 md:px-8">
+    <h1 class="text-2xl font-semibold text-gray-900">Modifier vos informations</h1>
+</div>
+
+<div class="max-w-7xl mx-auto px-4 sm:px-6 md:px-8 mt-8"
+    x-data="{
+        fields: {
+            first_name: '{{ .ViewState.Data.first_name }}',
+            last_name: '{{ .ViewState.Data.last_name }}',
+            email: '{{ .ViewState.Data.email }}',
+            phone_number: '{{ .ViewState.Data.phone_number }}',
+            gender: {{.ViewState.Data.gender}}
+        },
+        rules: {
+            first_name: ['required'],
+            last_name: ['required'],
+            email: ['required', 'email'],
+            phone_number: ['required', 'regexMatch:^((\\+)33|0)[1-9](\\d{2}){4}$'],
+        },
+        formValidation: {
+            valid: false,
+            fields: {
+                first_name: {valid: null},
+                last_name: {valid: null},
+                email: {valid: null},
+                phone_number: {valid: null},
+            }
+        },
+        isFormValid: true,
+        validate() {
+            this.formValidation = Iodine.assert(this.fields, this.rules)
+        },
+        validateField(field) {
+            this.formValidation.fields[field] = Iodine.assert(this.fields[field], this.rules[field])
+        },
+        submit(event) {
+            this.validate()
+            if(!this.formValidation.valid) {
+                this.isFormValid = false
+                event.preventDefault()
+            }
+            return this.formValidation.valid
+        }
+    }">
+    <form class="space-y-6" method="POST" @submit="submit">
+        <div class="bg-white shadow px-4 py-5 sm:rounded-lg sm:p-6">
+            <div class="md:grid md:grid-cols-3 md:gap-6">
+                <div class="md:col-span-1">
+                    <h3 class="text-lg font-medium leading-6 text-gray-900">Informations obligatoires</h3>
+                    <p class="mt-1 text-sm text-gray-500">Informations personnelles sur le conseiller obligatoires
+                        pour créer son profil dans PARCOURSMOB</p>
+                </div>
+                <div class="mt-5 md:mt-0 md:col-span-2">
+                    <div class="grid grid-cols-6 gap-6">
+                        <div class="col-span-6 sm:col-span-3">
+                            <label for="first_name" class="block text-sm font-medium text-gray-700">Prénom</label>
+                            <input type="text" name="first_name" id="first_name" autocomplete="given-name"
+                                class="mt-1 focus:ring-co-blue focus:border-co-blue block w-full shadow-sm sm:text-sm  rounded-2xl"
+                                x-model="fields.first_name" @blur="validateField('first_name')"
+                                :class="formValidation.fields.first_name.valid == false ? 'border-co-red border-2' : 'border-gray-300'">
+                        </div>
+
+                        <div class="col-span-6 sm:col-span-3">
+                            <label for="last_name" class="block text-sm font-medium text-gray-700">Nom</label>
+                            <input type="text" name="last_name" id="last_name" autocomplete="family-name"
+                                class="mt-1 focus:ring-co-blue focus:border-co-blue block w-full shadow-sm sm:text-sm rounded-2xl"
+                                x-model="fields.last_name" @blur="validateField('last_name')"
+                                :class="formValidation.fields.last_name.valid == false ? 'border-co-red border-2' : 'border-gray-300'">
+                        </div>
+
+                        <div class="col-span-6 sm:col-span-3">
+                            <label for="email" class="block text-sm font-medium text-gray-700">Email</label>
+                            <input type="text" name="email" id="email" autocomplete="email"
+                                class="mt-1 focus:ring-co-blue focus:border-co-blue block w-full shadow-sm sm:text-sm rounded-2xl"
+                                x-model="fields.email" @blur="validateField('email')"
+                                :class="formValidation.fields.email.valid == false ? 'border-co-red border-2' : 'border-gray-300'">
+                        </div>
+
+                        <div class="col-span-6 sm:col-span-3">
+                            <label for="phone_number" class="block text-sm font-medium text-gray-700">Numéro de
+                                téléphone</label>
+                            <input type="text" name="phone_number" id="phone_number" autocomplete="phone" placeholder="+33612345678"
+                                class="mt-1 focus:ring-co-blue focus:border-co-blue block w-full shadow-sm sm:text-sm rounded-2xl"
+                                x-model="fields.phone_number" @blur="validateField('phone_number')"
+                                :class="formValidation.fields.phone_number.valid == false ? 'border-co-red border-2' : 'border-gray-300'">
+                        </div>
+                    </div>
+                </div>
+            </div>
+        </div>
+
+        <div class="bg-white shadow px-4 py-5 sm:rounded-lg sm:p-6">
+            <div class="md:grid md:grid-cols-3 md:gap-6">
+                <div class="md:col-span-1">
+                    <h3 class="text-lg font-medium leading-6 text-gray-900">Informations optionnelles</h3>
+                    <p class="mt-1 text-sm text-gray-500">Autres informations de profil optionnelles</p>
+                </div>
+                <div class="mt-5 space-y-6 md:mt-0 md:col-span-2">
+                    <div class="grid grid-cols-6 gap-6">
+                        <div class="col-span-6 sm:col-span-3">
+                            <label for="gender" class="block text-sm font-medium text-gray-700">Genre</label>
+                            <div class="sm:mt-0 sm:col-span-2">
+                                <select id="gender" name="gender" autocomplete="gender" x-model="gender"
+                                    class="max-w-lg mt-1 block focus:ring-co-blue focus:border-co-blue w-full shadow-sm sm:max-w-xs sm:text-sm border-gray-300 rounded-2xl">
+                                    <option value="0">Inconnu</option>
+                                    <option value="1" :selected="fields.gender == '1'">Masculin</option>
+                                    <option value="2" :selected="fields.gender == '2'">Féminin</option>
+                                    <option value="9" :selected="fields.gender == '9'">Sans objet</option>
+                                </select>
+                            </div>
+                        </div>
+
+                    </div>
+                </div>
+            </div>
+        </div>
+
+        <div class="flex justify-end">
+            <p x-show="! isFormValid" class="px-4 py-2 text-sm text-co-red">Certains champs de sont pas valides.</p>
+            <a href="/app/profile/{{.ViewState.ID}}">
+                <button type="button"
+                    class="bg-white py-2 px-4 border border-gray-300 rounded-2xl shadow-sm text-sm font-medium text-gray-700 hover:bg-gray-50 focus:outline-none focus:ring-2 focus:ring-offset-2 focus:ring-co-blue">Annuler</button>
+            </a>
+            <button type="submit"
+                class="ml-3 inline-flex justify-center py-2 px-4 border border-transparent shadow-sm text-sm font-medium rounded-2xl text-white bg-co-blue hover:bg-co-blue focus:outline-none focus:ring-2 focus:ring-offset-2 focus:ring-co-blue">Modifier</button>
+        </div>
+    </form>
+</div>
+{{end}}
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