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@model EnotaryoPH.Web.Common.Models.IdentificationDocumentModel
@section Head {
<link href="/lib/fontawesome-free-6.7.1-web/css/all.min.css" rel="stylesheet" />
}
<div class="row">
<div class="col-12 col-lg-4">
<div class="card">
<a href="#" target="_self" class="identification-document__a"><img id="identification-document__a__img" class="identification-document__a__img card-img w-100 d-block fit-cover identification-document__upload__image" src="@Model.ImageBase64Url" style="height: 300px;" /></a>
<div class="card-body p-2">
<input type="hidden" asp-for="ImageBase64Url" class="identification-document__base64" />
<input type="text" asp-for="Filename" class="card-text mb-1 form-control-plaintext identification-document__filename" />
<div>
<input class="identification-document__upload__file" type="file" style="display:none;" asp-for="File" accept="image/*" />
@Html.ValidationMessageFor(m => m.File)
<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>
</div>
</div>
</div>
</div>
<div class="col">
<div class="row">
<div class="col-12 col-lg-7">
<div class="mb-3">
<label class="form-label">Type</label>
<select class="form-select form-select" required asp-for="IdentificationType" asp-items="Model.IdentificationTypes">
<option value="" selected>Choose an option</option>
</select>
@Html.ValidationMessageFor(m => m.IdentificationType)
</div>
</div>
<div class="col-12 col-lg-7">
<div class="mb-3">
<label class="form-label">ID Number</label>
<input class="form-control form-control" type="text" required asp-for="IdNumber" />
</div>
</div>
</div>
<div class="row">
<div class="col-12 col-lg-7">
<div class="mb-3">
<label class="form-label">Place Issued</label>
<input class="form-control form-control" type="text" required asp-for="PlaceIssued" />
</div>
</div>
<div class="col-12 col-lg-7">
<div class="row">
<div class="col-12 col-sm-6">
<div class="mb-3">
<label class="form-label" asp-for="ExpirationDate">Expiration Date</label>
<input class="form-control form-control" type="date" required asp-for="ExpirationDate" />
@Html.ValidationMessageFor(m => m.ExpirationDate)
</div>
</div>
<div class="col-12 col-sm-6">
<div class="mb-3">
<label class="form-label" asp-for="DateIssued">Date Issued</label>
<input class="form-control form-control" type="date" required asp-for="DateIssued" />
@Html.ValidationMessageFor(m => m.DateIssued)
</div>
</div>
</div>
</div>
</div>
</div>
</div>