114 lines
6.0 KiB
PHP
114 lines
6.0 KiB
PHP
@extends('layouts.guest')
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@section('content')
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<div class="container">
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<div class="row justify-content-center">
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<div class="col-md-8">
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<div class="card">
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<div class="card-header">Регистрация агента</div>
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<div class="card-body">
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<form method="POST" action="{{ route('register') }}">
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@csrf
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<div class="row mb-3">
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<label for="name" class="col-md-4 col-form-label text-md-end">Полное имя</label>
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<div class="col-md-6">
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<input id="name" type="text"
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class="form-control @error('name') is-invalid @enderror" name="name"
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value="{{ old('name') }}" required autocomplete="name" placeholder="ФИО полностью"
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autofocus>
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@error('name')
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<span class="invalid-feedback" role="alert">
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<strong>{{ $message }}</strong>
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</span>
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@enderror
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</div>
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</div>
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<div class="row mb-3">
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<label for="email" class="col-md-4 col-form-label text-md-end">Номер телефона</label>
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<div class="col-md-6">
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<input id="phone" type="phone"
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class="form-control @error('phone') is-invalid @enderror" name="phone"
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value="{{ old('phone') }}" required autocomplete="phone"
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placeholder="В формате: +7 999 999 99 99">
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@error('phone')
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<span class="invalid-feedback" role="alert">
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<strong>{{ $message }}</strong>
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</span>
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@enderror
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</div>
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</div>
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<div class="row mb-3">
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<label for="email" class="col-md-4 col-form-label text-md-end">Электронная почта</label>
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<div class="col-md-6">
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<input id="email" type="email"
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class="form-control @error('email') is-invalid @enderror" name="email"
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value="{{ old('email') }}" required autocomplete="email">
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@error('email')
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<span class="invalid-feedback" role="alert">
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<strong>{{ $message }}</strong>
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</span>
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@enderror
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</div>
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</div>
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<div class="border-top rounded mb-3">
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<div class="row my-3">
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<label for="type" class="col-md-4 col-form-label text-md-end">Юридический
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статус</label>
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<div class="col-md-6">
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<select id="type" name="type"
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class="form-control @error('type') is-invalid @enderror"
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value="{{ old('type') }}" required>
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<option value="SELFEMP">Самозанятый</option>
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<option value="SOLEPROP">Индивидуальный предприниматель</option>
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</select>
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@error('type')
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<span class="invalid-feedback" role="alert">
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<strong>{{ $message }}</strong>
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</span>
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@enderror
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</div>
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</div>
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<div class="row">
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<label for="name" class="col-md-4 col-form-label text-md-end">ИНН</label>
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<div class="col-md-6">
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<input id="inn" type="text"
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class="form-control @error('inn') is-invalid @enderror" name="inn"
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value="{{ old('inn') }}" required autocomplete="inn" placeholder="12345678"
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autofocus>
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@error('inn')
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<span class="invalid-feedback" role="alert">
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<strong>{{ $message }}</strong>
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</span>
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@enderror
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</div>
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</div>
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</div>
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<div class="row mb-0">
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<div class="col-md-6 offset-md-4">
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<button type="submit" class="btn btn-primary">
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Зарегистрироваться
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</button>
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</div>
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</div>
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</form>
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</div>
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</div>
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</div>
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</div>
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</div>
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@endsection
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