@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', $card_customer->date_of_birth)
])
@include('admin.components.form.input-file', [
'label' => __("ID Card Image (Font Side)")."*",
'name' => "id_front_image",
'class' => "form--control input-img",
])
@include('admin.components.form.input-file', [
'label' => __("ID Card Image (Back Side)")."*",
'name' => "id_back_image",
'class' => "form--control input-img",
])
@include('admin.components.form.input-file', [
'label' => __("Your Photo")."*",
'name' => "user_image",
'class' => "form--control input-img",
])
@include('admin.components.form.input', [
'label' => __("house Number")." "."*",
'placeholder' => __("Enter House Number"),
'name' => "house_number",
'value' => old('house_number',$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 ?? "")
])