@extends('layouts/eims_pre_admission_layout') @section('title', '| ' . $pageTitle) @section('content') {{Form::open(['method'=>"post", 'id'=>"preAdmissionAdmitCardForm", 'enctype'=>"multipart/form-data"])}} {!! Form::hidden('companyId', $company->encoded_id ?? null, ['id'=> 'companyId']) !!}

{{$pageTitle}}

{!! Form::label('admission_no', 'Admission No: ', ['class' => 'control-label'], false) !!}
{!! Form::text('admission_no', $admission_no ? base64_decode($admission_no) : null, ['class' => 'form-control', 'id' => 'admission_noAdmission','placeholder' => 'Enter Admission No']) !!}

{!! Form::label('dob', 'Date of birth: *', ['class' => 'control-label'], false) !!}
{!! Form::text('dob', null, ['class' => 'form-control', 'id' => 'dobAdmission', 'placeholder' => 'dd-mm-yyyy', 'readonly']) !!}

@if($company->companyType === 'UNV' ) {{-- national_id --}}
{!! Form::label('national_id', 'National ID: *', ['class' => 'control-label'], false) !!}
{!! Form::text('national_id', null, ['class' => 'form-control', 'id' => 'national_id', 'placeholder' => 'Enter your national ID']) !!}

@elseif($company->companyType === 'SCL' || $company->companyType === 'CLG') {{-- birth_certificate_id --}}
{!! Form::label('birth_certificate_id', 'Birth Certificate ID: *', ['class' => ' control-label'], false) !!}
{!! Form::text('birth_certificate_id', null, ['class' => 'form-control', 'id' => 'birth_certificate_id', 'placeholder' => 'Enter your birth certificate ID']) !!}

@endif {{-- phone_number --}}
{!! Form::label('phone_number', 'Phone Number: * (Same phone number used in admission) ', ['class' => 'control-label'], false) !!}
{!! Form::text('phone_number', null, ['class' => 'form-control', 'id' => 'phone_number', 'type' => 'text', 'placeholder' => 'Enter phone number']) !!}

{{Form::close()}} {{-- Start Admit Download Modal --}} @include('eims/settings/examination/designAdmitCard/admitCardDesign') {{-- End Admit Download Modal --}} {{-- Tab Loading Scripts --}} @endsection