87 lines
4.5 KiB
PHP
87 lines
4.5 KiB
PHP
@php($isEdit = $application->exists)
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<div class="row g-3">
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@unless($isEdit)
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<div class="col-md-6">
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<label class="form-label" for="election_id">Pilihanraya</label>
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<select class="form-select" id="election_id" name="election_id" required>
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@foreach ($elections as $election)
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<option value="{{ $election->id }}" @selected(old('election_id', $application->election_id) == $election->id)>{{ $election->name }}</option>
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@endforeach
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</select>
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</div>
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@endunless
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<div class="col-md-6">
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<label class="form-label" for="pusat_mengundi_id">Pusat Mengundi</label>
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<select class="form-select" id="pusat_mengundi_id" name="pusat_mengundi_id" required>
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@foreach ($pusats as $pusat)
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<option value="{{ $pusat->id }}" @selected(old('pusat_mengundi_id', $application->pusat_mengundi_id) == $pusat->id)>{{ $pusat->code }} - {{ $pusat->name }}</option>
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@endforeach
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</select>
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</div>
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<div class="col-md-6">
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<label class="form-label" for="requested_position_id">Jawatan Dipohon</label>
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<select class="form-select" id="requested_position_id" name="requested_position_id" required>
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@foreach ($positions as $position)
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<option value="{{ $position->id }}" @selected(old('requested_position_id', $application->requested_position_id) == $position->id)>{{ $position->code }} - {{ $position->name }}</option>
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@endforeach
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</select>
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</div>
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@if($isEdit)
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<div class="col-md-6">
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<label class="form-label" for="approved_position_id">Jawatan Diluluskan</label>
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<select class="form-select" id="approved_position_id" name="approved_position_id">
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<option value="">Belum diluluskan</option>
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@foreach ($positions as $position)
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<option value="{{ $position->id }}" @selected(old('approved_position_id', $application->approved_position_id) == $position->id)>{{ $position->code }} - {{ $position->name }}</option>
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@endforeach
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</select>
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</div>
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<div class="col-md-6">
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<label class="form-label" for="status">Status</label>
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<select class="form-select" id="status" name="status" required>
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@foreach (['draft', 'submitted', 'under_ppm_review', 'approved', 'rejected', 'assigned', 'cancelled'] as $status)
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<option value="{{ $status }}" @selected(old('status', $application->status) === $status)>{{ str_replace('_', ' ', $status) }}</option>
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@endforeach
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</select>
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</div>
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@endif
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<div class="col-md-6">
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<label class="form-label" for="name">Nama</label>
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<input class="form-control" id="name" name="name" value="{{ old('name', $application->name) }}" required>
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</div>
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<div class="col-md-6">
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<label class="form-label" for="ic_number">No. IC</label>
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<input class="form-control" id="ic_number" name="ic_number" value="{{ old('ic_number', $application->ic_number) }}" maxlength="12" required>
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</div>
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<div class="col-md-6">
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<label class="form-label" for="phone_number">Telefon</label>
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<input class="form-control" id="phone_number" name="phone_number" value="{{ old('phone_number', $application->phone_number) }}" required>
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</div>
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<div class="col-md-6">
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<label class="form-label" for="email">Email</label>
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<input class="form-control" id="email" name="email" type="email" value="{{ old('email', $application->email) }}">
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</div>
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<div class="col-12">
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<label class="form-label" for="address">Alamat</label>
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<textarea class="form-control" id="address" name="address" rows="2">{{ old('address', $application->address) }}</textarea>
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</div>
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<div class="col-md-6">
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<label class="form-label" for="bank_name">Bank</label>
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<input class="form-control" id="bank_name" name="bank_name" value="{{ old('bank_name', $application->bank_name) }}">
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</div>
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<div class="col-md-6">
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<label class="form-label" for="bank_account_number">No. Akaun Bank</label>
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<input class="form-control" id="bank_account_number" name="bank_account_number" value="{{ old('bank_account_number', $application->bank_account_number) }}">
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</div>
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<div class="col-12">
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<label class="form-label" for="note">Catatan</label>
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<textarea class="form-control" id="note" name="note" rows="2" placeholder="Wajib selepas tempoh pendaftaran ditutup">{{ old('note') }}</textarea>
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</div>
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</div>
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