125 lines
6.4 KiB
PHP
125 lines
6.4 KiB
PHP
<div class="card-header bg-dark text-white">
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<h5 class="mb-0 h6">{{translate('Basic Information')}}</h5>
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</div>
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<div class="card-body">
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<form action="{{ route('member.basic_info_update', $member->id) }}" method="POST">
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@csrf
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<div class="form-group row">
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<div class="col-md-6">
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<label for="first_name" >{{translate('First Name')}}
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<span class="text-danger">*</span>
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</label>
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<input type="text" name="first_name" value="{{ $member->first_name }}" class="form-control" placeholder="{{translate('First Name')}}" required>
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@error('first_name')
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<small class="form-text text-danger">{{ $message }}</small>
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@enderror
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</div>
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<div class="col-md-6">
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<label for="first_name" >{{translate('Last Name')}}
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<span class="text-danger">*</span>
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</label>
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<input type="text" name="last_name" value="{{ $member->last_name }}" class="form-control" placeholder="{{translate('Last Name')}}" required>
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@error('last_name')
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<small class="form-text text-danger">{{ $message }}</small>
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@enderror
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</div>
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</div>
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<div class="form-group row">
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<div class="col-md-6">
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<label for="first_name" >{{translate('Gender')}}
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<span class="text-danger">*</span>
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</label>
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<select class="form-control aiz-selectpicker" name="gender" required>
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<option value="1" @if($member->member->gender == 1) selected @endif >{{translate('Male')}}</option>
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<option value="2" @if($member->member->gender == 2) selected @endif >{{translate('Female')}}</option>
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@error('gender')
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<small class="form-text text-danger">{{ $message }}</small>
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@enderror
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</select>
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</div>
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<div class="col-md-6">
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<label for="first_name" >{{translate('Date Of Birth')}}
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<span class="text-danger">*</span>
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</label>
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<input type="text" class="aiz-date-range form-control" value="@if(!empty($member->member->birthday)) {{date('Y-m-d', strtotime($member->member->birthday))}} @endif" name="date_of_birth" placeholder="Select Date" data-single="true" data-show-dropdown="true" data-max-date="{{ get_max_date() }}" autocomplete="off" required>
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@error('date_of_birth')
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<small class="form-text text-danger">{{ $message }}</small>
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@enderror
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</div>
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</div>
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<div class="form-group row">
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<input type="hidden" name="email" value="{{ $member->email }}">
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<div class="col-md-6">
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<label for="email" >{{translate('Email')}}</label>
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<input type="email" name="email" value="{{ $member->email }}" class="form-control" placeholder="{{translate('Email')}}" disabled>
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@error('email')
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<small class="form-text text-danger">{{ $message }}</small>
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@enderror
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</div>
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<div class="col-md-6">
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<label for="first_name" >{{translate('Phone Number')}}</label>
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<input type="text" name="phone" value="{{ $member->phone }}" class="form-control" placeholder="{{translate('Phone')}}">
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@error('phone')
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<small class="form-text text-danger">{{ $message }}</small>
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@enderror
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</div>
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</div>
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<div class="form-group row">
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<div class="col-md-12">
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<label for="first_name" >{{translate('On Behalf')}}
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<span class="text-danger">*</span>
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</label>
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<select class="form-control aiz-selectpicker" name="on_behalf" data-selected="{{ $member->member->on_behalves_id }}" data-live-search="true" required>
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@foreach ($on_behalves as $on_behalf)
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<option value="{{$on_behalf->id}}">{{$on_behalf->name}}</option>
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@endforeach
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</select>
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@error('on_behalf')
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<small class="form-text text-danger">{{ $message }}</small>
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@enderror
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</div>
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</div>
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<div class="form-group row">
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<div class="col-md-6">
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<label for="first_name" >{{translate('Marital Status')}}
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<span class="text-danger">*</span>
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</label>
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<select class="form-control aiz-selectpicker" name="marital_status" data-selected="{{ $member->member->marital_status_id }}" data-live-search="true" required>
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@foreach ($marital_statuses as $marital_status)
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<option value="{{$marital_status->id}}">{{$marital_status->name}}</option>
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@endforeach
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</select>
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@error('marital_status')
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<small class="form-text text-danger">{{ $message }}</small>
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@enderror
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</div>
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<div class="col-md-6">
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<label for="first_name" >{{translate('Number Of Children')}}
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<span class="text-danger">*</span>
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</label>
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<input type="text" name="children" value="{{ $member->member->children }}" class="form-control" placeholder="{{translate('Number Of Children')}}" >
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</div>
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</div>
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<div class="form-group row">
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<div class="col-md-12">
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<label class="" for="signinSrEmail">{{translate('Photo')}}</small></label>
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<div class="input-group" data-toggle="aizuploader" data-type="image">
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<div class="input-group-prepend">
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<div class="input-group-text bg-soft-secondary font-weight-medium">{{ translate('Browse')}}</div>
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</div>
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<div class="form-control file-amount">{{ translate('Choose File') }}</div>
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<input type="hidden" name="photo" class="selected-files" value="{{ $member->photo}}">
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</div>
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<div class="file-preview box sm">
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</div>
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</div>
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</div>
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<div class="text-right">
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<button type="submit" class="btn btn-primary btn-sm">{{translate('Update')}}</button>
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</div>
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</form>
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</div>
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