70 lines
3.7 KiB
Plaintext
70 lines
3.7 KiB
Plaintext
@model EnotaryoPH.Web.Common.Models.IdentificationDocumentModel
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@section Head {
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<link href="/lib/fontawesome-free-6.7.1-web/css/all.min.css" rel="stylesheet" />
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}
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<div class="row">
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<div class="col-12 col-lg-5 col-xl-4">
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<div class="card">
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<a href="#" target="_self" class="identification-document__a">
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<img id="identification-document__a__img" class="identification-document__a__img card-img w-100 d-block fit-cover identification-document__upload__image" src="@(!string.IsNullOrEmpty(Model.ImageBase64Url) ? Model.ImageBase64Url : "/images/image-white-on-gray-400x300.jpg")" style="height: 300px;" />
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</a>
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@Html.ValidationMessageFor(m => m.File)
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<div class="card-body p-2">
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<input type="hidden" asp-for="ImageBase64Url" class="identification-document__base64" />
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<input type="text" asp-for="Filename" class="card-text mb-1 form-control-plaintext identification-document__filename" />
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<div>
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<input class="identification-document__upload__file" type="file" style="display:none;" asp-for="File" accept="image/*;capture=camera" capture="camera" />
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<button class="btn btn-secondary btn-sm me-1 identification-document__upload__button" type="button">Upload Photo<i class="fas fa-upload ms-1"></i></button>
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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 class="col">
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<div class="row">
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<div class="col-12 col-lg-7">
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<div class="mb-3">
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<label class="form-label">Type</label>
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<select class="form-select form-select" required asp-for="IdentificationType" asp-items="Model.IdentificationTypes">
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<option value="" selected>Choose an option</option>
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</select>
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@Html.ValidationMessageFor(m => m.IdentificationType)
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</div>
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</div>
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<div class="col-12 col-lg-7">
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<div class="mb-3">
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<label class="form-label">ID Number</label>
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<input class="form-control form-control" type="text" required asp-for="IdNumber" />
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@Html.ValidationMessageFor(m => m.IdNumber)
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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-12 col-lg-7">
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<div class="mb-3">
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<label class="form-label">Place Issued</label>
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<input class="form-control form-control" type="text" required asp-for="PlaceIssued" />
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@Html.ValidationMessageFor(m => m.PlaceIssued)
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</div>
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</div>
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<div class="col-12 col-lg-7">
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<div class="row">
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<div class="col-12 col-sm-6">
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<div class="mb-3">
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<label class="form-label" asp-for="ExpirationDate">Expiration Date</label>
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<input class="form-control form-control" type="date" required asp-for="ExpirationDate" />
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@Html.ValidationMessageFor(m => m.ExpirationDate)
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</div>
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</div>
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<div class="col-12 col-sm-6">
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<div class="mb-3">
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<label class="form-label" asp-for="DateIssued">Date Issued</label>
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<input class="form-control form-control" type="date" required asp-for="DateIssued" />
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@Html.ValidationMessageFor(m => m.DateIssued)
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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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</div>
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</div> |