96 lines
4.3 KiB
PHP
96 lines
4.3 KiB
PHP
<x-guest-layout>
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<form method="POST" action="{{ route('register') }}">
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@csrf
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<!-- Name -->
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<div>
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<x-input-label for="name" :value="__('Name')" />
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<x-text-input id="name" class="block mt-1 w-full" type="text" name="name" :value="old('name')" required autofocus autocomplete="name" />
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<x-input-error :messages="$errors->get('name')" class="mt-2" />
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</div>
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<!-- No KP -->
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<div class="mt-4">
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<x-input-label for="nokp" :value="__('No KP')" />
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<x-text-input id="nokp" class="block mt-1 w-full" type="text" name="nokp" :value="old('nokp')" required autofocus autocomplete="nokp" />
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<x-input-error :messages="$errors->get('nokp')" class="mt-2" />
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</div>
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<!-- No Telefon -->
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<div class="mt-4">
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<x-input-label for="notelefon" :value="__('No Telefon')" />
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<x-text-input id="notelefon" class="block mt-1 w-full" type="text" name="notelefon" :value="old('notelefon')" required autofocus autocomplete="notelefon" />
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<x-input-error :messages="$errors->get('notelefon')" class="mt-2" />
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</div>
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<!-- Alamat -->
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<div class="mt-4">
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<x-input-label for="alamat" :value="__('Alamat')" />
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<x-textarea id="alamat" class="block mt-1 w-full" name="alamat" :value="old('alamat')" required autofocus autocomplete="alamat" rows="5" cols="60" />
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<x-input-error :messages="$errors->get('alamat')" class="mt-2" />
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</div>
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<!-- Jantina -->
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<div class="mt-4">
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<x-input-label for="jantina" :value="__('Jantina')" />
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<x-select id="jantina" class="block mt-1 w-full" name="jantina"
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:options="[''=>'','lelaki' => 'Lelaki', 'perempuan' => 'Perempuan']"
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:selected="old('jantina')"
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/>
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<x-input-error :messages="$errors->get('jantina')" class="mt-2" />
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</div>
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<!-- Bangsa -->
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<div class="mt-4">
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<x-input-label for="bangsa" :value="__('Bangsa')" />
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<x-select id="bangsa" class="block mt-1 w-full" name="bangsa"
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:options="[''=>'','melayu' => 'Melayu', 'asli' => 'Asli', 'bumiputera sabah' => 'Bumiputera Sabah', 'bumiputera sarawak' => 'Bumiputera Sarawak', 'cina' => 'Cina', 'india' => 'India', 'peranakan' => 'Peranakan', 'lain-lain' => 'Lain-lain']"
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:selected="old('bangsa')"
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/>
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<x-input-error :messages="$errors->get('bangsa')" class="mt-2" />
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</div>
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<!-- Email Address -->
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<div class="mt-4">
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<x-input-label for="email" :value="__('Email')" />
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<x-text-input id="email" class="block mt-1 w-full" type="email" name="email" :value="old('email')" required autocomplete="username" />
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<x-input-error :messages="$errors->get('email')" class="mt-2" />
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</div>
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<!-- Password -->
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<div class="mt-4">
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<x-input-label for="password" :value="__('Password')" />
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<x-text-input id="password" class="block mt-1 w-full"
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type="password"
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name="password"
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required autocomplete="new-password" />
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<x-input-error :messages="$errors->get('password')" class="mt-2" />
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</div>
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<!-- Confirm Password -->
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<div class="mt-4">
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<x-input-label for="password_confirmation" :value="__('Confirm Password')" />
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<x-text-input id="password_confirmation" class="block mt-1 w-full"
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type="password"
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name="password_confirmation" required autocomplete="new-password" />
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<x-input-error :messages="$errors->get('password_confirmation')" class="mt-2" />
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</div>
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<div class="flex items-center justify-end mt-4">
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<a class="underline text-sm text-gray-600 dark:text-gray-400 hover:text-gray-900 dark:hover:text-gray-100 rounded-md focus:outline-none focus:ring-2 focus:ring-offset-2 focus:ring-indigo-500 dark:focus:ring-offset-gray-800" href="{{ route('login') }}">
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{{ __('Already registered?') }}
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</a>
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<x-primary-button class="ms-4">
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{{ __('Register') }}
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</x-primary-button>
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</div>
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</form>
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</x-guest-layout>
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