98 lines
3.6 KiB
PHP
98 lines
3.6 KiB
PHP
<x-guest-layout>
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<x-auth-card>
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<x-slot name="logo">
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<center> <h1> Powered By </h1> </center>
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<a href="/">
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<img src="{{url('img/telkom.png')}}" alt="logo">
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</a>
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</x-slot>
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<!-- Validation Errors -->
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<x-auth-validation-errors class="mb-4" :errors="$errors" />
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<form method="POST" action="{{ route('register-orang-tua') }}">
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@csrf
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<!-- Name -->
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<div>
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<x-label for="nama" :value="__('Nama')" />
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<x-input id="nama" class="block mt-1 w-full" type="text" name="nama" :value="old('nama')" required autofocus />
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</div>
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<div>
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<x-label for="alamat" :value="__('Alamat')" />
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<x-input id="alamat" class="block mt-1 w-full" type="text" name="alamat" :value="old('alamat')" required autofocus />
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</div>
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<!-- Email Address -->
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<div class="mt-4">
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<x-label for="email" :value="__('Email')" />
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<x-input id="email" class="block mt-1 w-full" type="email" name="email" :value="old('email')" required />
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</div>
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<!-- Password -->
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<div class="mt-4">
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<x-label for="password" :value="__('Password')" />
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<x-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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</div>
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<!-- Confirm Password -->
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<div class="mt-4">
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<x-label for="password_confirmation" :value="__('Confirm Password')" />
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<x-input id="password_confirmation" class="block mt-1 w-full"
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type="password"
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name="password_confirmation" required />
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</div>
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<div>
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<x-label for="id_desa" :value="__('Desa')" />
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<select id="id_desa" name="id_desa" class="rounded-md shadow-sm border-gray-300 focus:border-red-300 focus:ring focus:ring-red-200 focus:ring-opacity-50" required autofocus>
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@foreach ($desa as $d)
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<option value="{{ $d->id }}">{{ $d->name }}</option>
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@endforeach
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</select>
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</div>
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<div>
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<x-label for="id_posyandu" :value="__('Posyandu')" />
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<select id="id_posyandu" name="id_posyandu" class="rounded-md shadow-sm border-gray-300 focus:border-red-300 focus:ring focus:ring-red-200 focus:ring-opacity-50" required autofocus>
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@foreach ($posyandu as $p)
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<option value="{{ $p->id }}">{{ $p->nama }}</option>
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@endforeach
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</select>
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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 hover:text-gray-900" href="{{ route('login') }}">
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{{ __('Already registered?') }}
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</a>
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<x-button class="ml-4">
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{{ __('Register') }}
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</x-button>
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</div>
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</form>
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</x-auth-card>
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<div class="footer">
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<h1>Telkom University <p> Telkom University | Universitas Swasta Terbaik</h1>
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<style>
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.footer {
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left: 0;
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bottom: 0;
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width: 100%;
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background-color: rgb(255, 0, 0);
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color: white;
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text-align: center;
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}
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</style>
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</div>
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</x-guest-layout>
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