| Current File : /home/sanghavirealty/public_html/resourcesazwer/views/authviews/register.blade.php |
@extends('loginlayout.login-layout-design', [
'admintitle' => 'Register',
])
@section('content')
<div class="col-lg-12 col-md-12 d-flex flex-column ms-auto me-auto login">
<div class=" text-center loginlogo mb-3">
<img class="" src="{{url('userassets')}}/logo.png">
</div>
<h3 class="text-center">New User Registration</h3>
<p class="mandatory text-center mb-1">All fields are mandatory</p>
<div class=" form-top alert alert-danger">
@include('error.error-display')
</div>
<form _lpchecked="1" method="POST" action="{{ route('register') }}">
@csrf
<div class="form-group ">
<div class="row g-2 ">
<div class="col mb-lg-2 mb-md-2">
<input id="name" class="form-control" type="text" name="name" value="{{ old('name') }}"
required autofocus placeholder="First Name" />
<label for="">First Name<span class='mandatory'>*</span></label>
</div>
<div class="col mb-lg-2 mb-md-2">
<input type="text" name='lastname' class="form-control" id="floatingInput"
placeholder="Last Name" required autofocus autocomplete="off" value="{{ old('lastname') }}">
<label for="">Surname<span class='mandatory'>*</span></label>
</div>
</div>
</div>
<div class="form-group">
<div class="row g-2 ">
<div class="col mb-lg-2 mb-md-2">
<input id="middlename" class="form-control" type="text" name="middlename"
value="{{ old('middlename') }}" required autofocus placeholder="Middle Name" />
<label for="">Father Name<span class='mandatory'>*</span></label>
</div>
<div class="col mb-lg-2 mb-md-2">
<input type="text" name='grandfathername' class="form-control" id="floatingInput"
placeholder="Grand Father Name" required autofocus autocomplete="off"
value="{{ old('grandfathername') }}">
<label for="">Grand Father Name<span class='mandatory'>*</span></label>
</div>
</div>
</div>
<div class="form-group">
<div class="row g-2 ">
<div class="col mb-lg-2 mb-md-2">
<input id="mobile" class="form-control" type="text" name="mobile" value="{{ old('mobile') }}"
required autofocus placeholder="mobile" />
<label for="">Mobile<span class='mandatory'>*</span></label>
</div>
<div class="col mb-lg-2 mb-md-2">
<select name="location" id='floatingInput' type="text"
class="form-select @error('location') is-invalid @enderror" autocomplete="off">
<option value='0.0'>Select</option>
@foreach ($locationCombo as $location)
<option value='{{ $location->id }}'
{{ (old('location') ?? '') == $location->id ? 'selected' : '' }}>
{{ $location->title }} </option>
@endforeach
</select>
<label for="">Location<span class='mandatory'>*</span></label>
@error('location')
<div class="alert alert-danger">{{ $message }}</div>
@enderror
</div>
</div></div>
{{-- <div class="col mb-lg-2 mb-md-2">
<div class="form-group">
<input type="text" class="form-control" id="floatingInput" name='location' placeholder="location" value="{{ old('location') }}"
autocomplete="off">
<label for="">Location<span class='mandatory'>*</span></label>
</div>
</div> --}}
<div class="form-group">
<div class="row g-2 ">
<div class="col mb-lg-2 mb-md-2">
<input id="address" class="form-control" type="text" name="address"
value="{{ old('address') }}" required autofocus placeholder="address" />
<label for="">Address<span class='mandatory'>*</span></label>
</div>
<div class="col mb-lg-2 mb-md-2">
<select name="native" id='floatingInput' type="text"
class="form-select @error('native') is-invalid @enderror" autocomplete="off">
<option value='0.0 '>Select</option>
@foreach ($vasCombo as $location)
<option value='{{ $location->id }}'
{{ (old('native') ?? '') == $location->id ? 'selected' : '' }}>
{{ $location->title }} </option>
@endforeach
</select>
<label for="">Vaas (mohallo)<span class='mandatory'>*</span></label>
@error('native')
<div class="alert alert-danger">{{ $message }}</div>
@enderror
</div>
</div>
</div>
{{-- <div class="col mb-lg-2 mb-md-2">
<div class="form-group">
<input type="text" class="form-control" name='native' id="floatingInput" placeholder="Native" value="{{ old('native') }}"
autocomplete="off">
<label for="">Vaas (mohallo)<span class='mandatory'>*</span></label>
</div>
</div> --}}
<div class="form-group">
<div class="row g-2">
<div class="col mb-lg-2 mb-md-2">
<input id="email" class="form-control" type="email" name="email"
value="{{ old('email') }}" placeholder="Email" required autofocus />
<label for="">Email address<span class='mandatory'>*</span></label>
</div>
</div>
</div>
<div class="form-group">
<div class="row g-2">
<div class="col mb-lg-2 mb-md-2">
<input id="password" class="form-control" type="password" name="password" required
autocomplete="current-password" placeholder="Password" />
<label for="floatingPassword">Password<span class='mandatory'>*</span></label>
</div>
</div>
</div>
<div class="form-group">
<div class="row g-2">
<div class="col mb-lg-2 mb-md-2">
{{-- <input id="RoleFor" class="form-control" type="hidden" name="RoleFor" value='3' /> --}}
<input id="password_confirmation" class="form-control" type="password"
name="password_confirmation" required autocomplete="current-password"
placeholder="Confirm Password" />
<label for="floatingPassword">Confirm Password<span class='mandatory'>*</span></label>
</div>
</div>
</div>
{{-- accepted --}}
<div class="my-2 agree">
<label for="floatingPassword"class="form-check-label fs-base">
<input type="checkbox" name="terms" class='form-check-input' value="1">
<a href="{{ url('/tos') }}">I agree to terms & conditions</a><span
class='mandatory'>*</span></label>
</div>
<div class="loginbtn my-3">
<button class="w-100 btn btn-primary hvr-bounce-to-top fade-in" type="submit" class="form-control">Sign up <i class="fa fa-arrow-right"></i></button>
</div>
</form>
<div class="account mb-3">
Already registered? <a class="small" href="/login"> Login Here</a>
</div>
</div>
</div>
</form>
@stop