79 lines
3.4 KiB
PHP
79 lines
3.4 KiB
PHP
@extends('layouts.admin_master')
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@section('page-title')
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Admin | {{ $page_title }}
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@endsection
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@section('page-css')
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@endsection
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@section('page-content')
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<div class="row">
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<form action="{{ url('admin/organisation/store') }}" method="POST" >
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{{csrf_field()}}
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<div class="col-md-12">
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@include('commons.notifications')
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</div>
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<div class="col-md-6">
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<div class="hpanel">
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<div class="panel-heading">Main Organisation</div>
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<div class="panel-body">
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<div class="form-group">
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<label class="col-sm-2 control-label">Fullname</label>
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<div class="col-sm-10">
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<input type="text" class="form-control" name="name" placeholder="Full Name of Organisation (Dealer) " required>
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</div>
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</div>
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<div class="hr-line-dashed"></div>
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<div class="form-group"><label class="col-sm-2 control-label">Email</label>
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<div class="col-sm-10">
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<input type="email" name="email" class="form-control" id="email" placeholder="Organisation's Email" required>
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</div>
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</div>
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<div class="hr-line-dashed"></div>
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<div class="form-group"><label class="col-sm-2 control-label">Phone</label>
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<div class="col-sm-10">
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<input type="text" name="phone" class="form-control" id="phone" placeholder="Organisation's Phone " required >
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</div>
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</div>
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<div class="hr-line-dashed"></div>
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</div>
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</div>
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</div>
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<div class="col-md-6">
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<div class="hpanel">
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<div class="panel-heading">Organisation User Account</div>
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<div class="panel-body">
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<div class="form-group">
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<label class="col-sm-2 control-label">Username</label>
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<div class="col-sm-10">
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<input type="text" class="form-control" name="user_name" placeholder="Full Name" required>
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</div>
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</div>
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<div class="hr-line-dashed"></div>
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<div class="form-group"><label class="col-sm-2 control-label">Email</label>
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<div class="col-sm-10">
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<input type="email" name="user_email" class="form-control" id="userEmail" placeholder="Enter User Email" required>
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</div>
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</div>
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<div class="hr-line-dashed"></div>
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<div class="form-group"><label class="col-sm-2 control-label">Phone</label>
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<div class="col-sm-10">
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<input type="text" name="user_phone" class="form-control" id="userPhone" placeholder="Enter User Phone number " required >
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</div>
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</div>
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<div class="hr-line-dashed"></div>
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</div>
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</div>
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</div>
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<div class="com-md-12">
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<div class="form-group">
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<div class="col-sm-12 ">
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<button class="btn btn-primary btn-block" type="submit">Submit</button>
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<button class="btn btn-default btn-block" type="button">Cancel</button> <br>
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</div>
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</div>
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</div>
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</form>
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</div>
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@endsection |