133 lines
6.3 KiB
PHP
133 lines
6.3 KiB
PHP
@extends('template.admin.auth')
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@section('content')
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<!-- Register Card -->
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<div class="authentication-register-inner py-4">
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<div class="card">
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<div class="card-body">
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<!-- Logo -->
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<div class="app-brand justify-content-center mb-6">
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<a href="index.html" class="app-brand-link">
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<span class="app-brand-logo demo">
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<span class="text-primary">
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<svg width="32" height="22" viewBox="0 0 32 22" fill="none" xmlns="http://www.w3.org/2000/svg">
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<path
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fill-rule="evenodd"
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clip-rule="evenodd"
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d="M0.00172773 0V6.85398C0.00172773 6.85398 -0.133178 9.01207 1.98092 10.8388L13.6912 21.9964L19.7809 21.9181L18.8042 9.88248L16.4951 7.17289L9.23799 0H0.00172773Z"
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fill="currentColor" />
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<path
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opacity="0.06"
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fill-rule="evenodd"
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clip-rule="evenodd"
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d="M7.69824 16.4364L12.5199 3.23696L16.5541 7.25596L7.69824 16.4364Z"
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fill="#161616" />
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<path
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opacity="0.06"
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fill-rule="evenodd"
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clip-rule="evenodd"
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d="M8.07751 15.9175L13.9419 4.63989L16.5849 7.28475L8.07751 15.9175Z"
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fill="#161616" />
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<path
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fill-rule="evenodd"
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clip-rule="evenodd"
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d="M7.77295 16.3566L23.6563 0H32V6.88383C32 6.88383 31.8262 9.17836 30.6591 10.4057L19.7824 22H13.6938L7.77295 16.3566Z"
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fill="currentColor" />
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</svg>
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</span>
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</span>
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<span class="app-brand-text demo text-heading fw-bold">Vuexy</span>
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</a>
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</div>
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<!-- /Logo -->
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<h4 class="mb-1">Registrasi Akun Pelanggan</h4>
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<p class="mb-6">Lakukan pendaftaran akun pelanggan dengan data dan kredensial Anda.</p>
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<form id="formRegister" class="mb-6" action="{{ route('cust.auth.store') }}" method="GET">
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<div class="row mb-3">
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<div class="col-xl-3 col-md-6 col-sm-6">
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<label for="nama" class="form-label">Nama Kabupaten/Kota</label>
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<input type="text" class="form-control" id="nama" name="nama" value="{{ old('nama') }}" />
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</div>
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<div class="col-xl-3 col-md-6 col-sm-6">
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<label for="kode" class="form-label">Kode Kabupaten/Kota</label>
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<input type="text" class="form-control" id="kode" name="kode" value="{{ old('kode') }}" />
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</div>
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<div class="col-xl-3 col-md-6 col-sm-6">
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<label for="provinsi_id" class="form-label">Provinsi</label>
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<select class="select2 form-select" data-allow-clear="true" id="provinsi_id" name="provinsi_id">
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</select>
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</div>
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</div>
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<div class="mb-6 form-control">
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<label for="username" class="form-label">Username</label>
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<input
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type="text"
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class="form-control"
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id="username"
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name="username"
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placeholder="Enter your username"
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autofocus />
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</div>
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<div class="mb-6 form-control-validation">
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<label for="email" class="form-label">Email</label>
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<input type="text" class="form-control" id="email" name="email" placeholder="Enter your email" />
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</div>
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<div class="mb-6 form-password-toggle form-control-validation">
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<label class="form-label" for="password">Password</label>
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<div class="input-group input-group-merge">
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<input
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type="password"
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id="password"
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class="form-control"
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name="password"
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placeholder="············"
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aria-describedby="password" />
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<span class="input-group-text cursor-pointer"><i class="icon-base ti tabler-eye-off"></i></span>
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</div>
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</div>
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<div class="my-8 form-control-validation">
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<div class="form-check mb-0 ms-2">
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<input class="form-check-input" type="checkbox" id="terms-conditions" name="terms" />
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<label class="form-check-label" for="terms-conditions">
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I agree to
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<a href="javascript:void(0);">privacy policy & terms</a>
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</label>
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</div>
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</div>
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<button class="btn btn-primary d-grid w-100">Sign up</button>
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</form>
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<p class="text-center">
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<span>Already have an account?</span>
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<a href="auth-login-basic.html">
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<span>Sign in instead</span>
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</a>
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</p>
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<div class="divider my-6">
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<div class="divider-text">or</div>
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</div>
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<div class="d-flex justify-content-center">
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<a href="javascript:;" class="btn btn-icon rounded-circle btn-text-facebook me-1_5">
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<i class="icon-base ti tabler-brand-facebook-filled icon-20px"></i>
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</a>
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<a href="javascript:;" class="btn btn-icon rounded-circle btn-text-twitter me-1_5">
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<i class="icon-base ti tabler-brand-twitter-filled icon-20px"></i>
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</a>
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<a href="javascript:;" class="btn btn-icon rounded-circle btn-text-github me-1_5">
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<i class="icon-base ti tabler-brand-github-filled icon-20px"></i>
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</a>
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<a href="javascript:;" class="btn btn-icon rounded-circle btn-text-google-plus">
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<i class="icon-base ti tabler-brand-google-filled icon-20px"></i>
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</a>
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</div>
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</div>
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</div>
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</div>
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<!-- Register Card -->
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@endsection |