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- @extends('layouts.login')
- @section('content')
- <style>
- .salutation {
- font-weight: bold;
- font-size: 1.2em;
- }
- </style>
- <div class="container my-3 my-md-4 my-lg-5">
- <div class="row">
- <div class="col-lg-8 offset-lg-2">
- <div id="formView" class="card px-0 px-md-4">
- <div class="card-body">
- <div>
- <h3 class="text-blue">
- <strong>
- Welcome to DialMD.com HR!
- </strong>
- </h3>
- <hr/>
- <p>
- <strong>Enter your details</strong>
- </p>
- </div>
- <hr>
- <form action="{{route('submit-account-setup')}}" method="post">
- @csrf
- @if(session('message'))
- <div class="alert alert-info">{{session('message')}}</div>
- @endif
- <div class="form-group">
- <label for="" class="control-label">First Name</label>
- <input class="form-control phone" name="first_name" autofocus value="{{old('first_name')}}">
- @error('first_name')
- <span class="text-sm text-muted">{{$message}}</span>
- @enderror
- </div>
- <div class="form-group">
- <label for="" class="control-label">Last Name</label>
- <input class="form-control phone" name="last_name" autofocus value="{{old('last_name')}}">
- @error('last_name')
- <span class="text-sm text-muted">{{$message}}</span>
- @enderror
- </div>
- <div class="form-group">
- <label for="" class="control-label">Email Address</label>
- <input class="form-control phone" name="email_address" autofocus value="{{old('email_address')}}">
- @error('email_address')
- <span class="text-sm text-muted">{{$message}}</span>
- @enderror
- </div>
- <div class="form-group">
- <label for="" class="control-label">Password</label>
- <input class="form-control phone" type="password" name="password" autofocus value="{{old('password')}}">
- @error('password')
- <span class="text-sm text-muted">{{$message}}</span>
- @enderror
- </div>
- <div class="row">
- <div class="col-12 text-center">
- <input type="submit" name="Submit" value="Submit" class="btn btn-sm btn-primary px-5 py-2">
- </div>
- </div>
- </form>
- </div>
- </div>
- </div>
- </div>
- </div>
- @endsection
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