@extends('user.layouts.master') @section('breadcrumb') @include('user.components.breadcrumb',['breadcrumbs' => [ [ 'name' => __("Dashboard"), 'url' => setRoute("user.dashboard"), ] ], 'active' => __(@$page_title)]) @endsection @section('content')
@csrf @method("PUT")
@include('admin.components.form.input', [ 'label' => __("first Name")."*", 'placeholder' => __("enter First Name"), 'name' => "first_name", 'value' => $card_customer->first_name ])
@include('admin.components.form.input', [ 'label' => __("Last Name")."*", 'placeholder' => __("enter Last Name"), 'name' => "last_name", 'value' => $card_customer->last_name ])
@include('admin.components.form.input', [ 'label' => __("Date Of Birth")."*"." "." (" . __("Should match with your ID") . ")", 'type' => "date", 'name' => "date_of_birth", 'value' => old('date_of_birth', $card_customer->date_of_birth) ])
id_number) }}">
@include('admin.components.form.input-file', [ 'label' => __("ID Card Image (Font Side)")."*", 'name' => "id_front_image", 'class' => "form--control input-img", ])
@include('admin.components.form.input-file', [ 'label' => __("ID Card Image (Back Side)")."*", 'name' => "id_back_image", 'class' => "form--control input-img", ])
@include('admin.components.form.input-file', [ 'label' => __("Your Photo")."*", 'name' => "user_image", 'class' => "form--control input-img", ])
@include('admin.components.form.input', [ 'label' => __("house Number")." "."*", 'placeholder' => __("Enter House Number"), 'name' => "house_number", 'value' => old('house_number',$card_customer->house_number) ])
@include('admin.components.form.input', [ 'label' => __("City")." "."*", 'placeholder' => __("Enter City"), 'name' => "city", 'value' => old('city',$card_customer->city ?? "") ])
@include('admin.components.form.input', [ 'label' => __("State")." "."*", 'placeholder' => __("Enter State"), 'name' => "state", 'value' => old('state', $card_customer->state ?? "") ])
@include('admin.components.form.input', [ 'label' => __("Zip Code")." "."*", 'placeholder' => __("Enter Zip Code"), 'name' => "zip_code", 'value' => old('zip_code', $card_customer->zip_code ?? "") ])
@include('admin.components.form.textarea', [ 'label' => __("Address")." "."*", 'placeholder' => __("Enter Address"), 'name' => "address", 'value' => old('address',$card_customer->address_line_1 ?? "") ])
  • {{ __("ID Card Image (Font Side)") }}:
    no-file
  • {{__("ID Card Image (Back Side)") }}:
    no-file
  • {{__("Your Photo") }}:
    no-file
@endsection @push('script') @endpush