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https://gitlab.com/CIEFWorldwideSdnBhd/izyim.git
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8a28eb1790
This reverts merge request !5
41 lines
1.5 KiB
PHP
41 lines
1.5 KiB
PHP
<div class="form-group form-group-default required">
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<label class="muted">Address Line 1</label>
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<input class="form-control" name="street_one">
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</div>
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<div class="form-group form-group-default required">
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<label class="muted">Address Line 2</label>
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<input class="form-control" name="street_two">
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</div>
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<div class="row">
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<div class="col p-l-0">
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<div class="form-group form-group-default required">
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<label class="muted">City</label>
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<input class="form-control" name="city">
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</div>
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</div>
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<div class="col p-r-0">
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<div class="form-group form-group-default required">
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<label class="muted">State</label>
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<input class="form-control" name="state">
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-4 p-l-0">
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<div class="form-group form-group-default required">
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<label class="muted">Post Code</label>
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<input class="form-control" name="post_code">
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</div>
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</div>
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<div class="col p-r-0">
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<div class="form-group form-group-default form-group-default-select2 required">
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<label class="muted">Country</label>
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<select name="country" class="full-width" data-placeholder="Select Country" data-init-plugin="select2">
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<option selected disabled></option>
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@foreach($countriesList as $key => $country)
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<option value="{{$key}}">{{$country['name']['common']}}</option>
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@endforeach
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</select>
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</div>
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</div>
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</div> |