mamberamo/resources/views/wizard/wizard_page.blade.php
2022-04-13 13:51:55 +07:00

70 lines
3.2 KiB
PHP

<!--**********************************
Content body start
***********************************-->
<div class="content-body">
<div class="container-fluid">
<!-- row -->
<div class="row">
<div class="col-xl-6 col-lg-12">
<div class="card">
<div class="card-header">
<h4 class="card-title">Data Diri</h4>
</div>
<div class="card-body">
<div class="basic-form">
<form method="POST" action="{{ url('pos/savename') }}" enctype="multipart/form-data">
@csrf
<div class="form-group row">
<label class="col-sm-3 col-form-label">Nama</label>
<div class="col-sm-9">
<input type="text" name="nama" class="form-control"
placeholder="Nama Sesuai KTP" required>
<input type="text" name="id" class="form-control" value="{{ $data->Id }}"
hidden>
</div>
</div>
<div class="form-group row">
<label class="col-sm-3 col-form-label">NIK</label>
<div class="col-sm-9">
<input type="text" name="nik" pattern="[0-9]+" class="form-control"
placeholder="NIK" minlength="16" maxlength="16" required>
</div>
</div>
<div class="input-group mb-3">
<div class="input-group-prepend">
<span class="input-group-text">Foto KTP</span>
</div>
<div class="custom-file">
<input type="file" name="ktp" class="custom-file-input"
accept="image/png, image/jpeg">
<label class="custom-file-label">Choose file</label>
</div>
</div>
<div class="form-group row">
<div class="col-sm-10">
<button type="submit" class="btn btn-primary">Save</button>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<!--**********************************
Content body end
***********************************-->
<!--**********************************
Footer start
***********************************-->
<!--**********************************
Footer end
***********************************-->