landing_register_form.blade.php 4.2 KB

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  1. @extends('modal_pages.base')
  2. <style>
  3. .listFlag{
  4. height: 20px;
  5. border-radius: 50%;
  6. width: 20px;
  7. margin-right: 5px;
  8. }
  9. .btn1{
  10. background-color: #141639c4 !important;
  11. color:white !important;
  12. border-radius: 20px;
  13. box-shadow:none !important;
  14. }
  15. .btn1:hover{
  16. background: #ffff !important;
  17. color: #141639c4 !important;
  18. border-radius: 20px;
  19. border: 1px solid #141639c4;
  20. }
  21. </style>
  22. @section('main')
  23. <div class="container" style="background-color: white; border-radius: 6px;">
  24. <div class="row">
  25. <div class="co-md-12 p-3">
  26. <form class="modal-form" action="{{ url()->current() }}" method="POST" enctype="multipart/form-data">
  27. {{ csrf_field() }}
  28. <div class="row">
  29. <div class="col-md-6">
  30. <div>
  31. <label class="form-label"></label>
  32. <div class="form-icon position-relative">
  33. <input type="text" class="form-control" placeholder="Full Name" name="name" required="">
  34. </div>
  35. </div>
  36. </div>
  37. <div class="col-lg-6">
  38. <div>
  39. <label class="form-label"></label>
  40. <div class="form-icon position-relative">
  41. <input type="email" class="form-control" placeholder="Email Address" name="email" required="">
  42. </div>
  43. </div>
  44. </div><!--end col-->
  45. <div class="col-lg-12">
  46. <div>
  47. <label class="form-label"></label>
  48. <select class="form-control" name="country_id">
  49. <option selected disabled>Select Country</option>
  50. @foreach($countries as $row)
  51. <option value="{{$row->id}}">{{$row->name}}</option>
  52. @endforeach
  53. </select>
  54. </div>
  55. </div><!--end col-->
  56. <div class="col-lg-6">
  57. <div class="mb-3">
  58. <label class="form-label"></label>
  59. <input type="text" class="form-control" placeholder="University" name="university" required="">
  60. {{-- <select class="form-control" name="university_id">
  61. <option selected disabled>Select University</option>
  62. @foreach($universities as $row)
  63. <option value="{{$row->id}}">{{$row->name}}</option>
  64. @endforeach
  65. </select> --}}
  66. </div>
  67. </div><!--end col-->
  68. <div class="col-lg-6">
  69. <div class="mb-3">
  70. <label class="form-label"></label>
  71. <div class="form-icon position-relative">
  72. <input type="text" class="form-control" placeholder="University Website" name="uni_website" required="">
  73. </div>
  74. </div>
  75. </div><!--end col-->
  76. <div class="col-md-12">
  77. <div class="mt-2 text-center">
  78. <button type="submit" class="btn btn1" style="padding: 3px 18px;">
  79. {{ __('Submit') }}
  80. </button>
  81. </div>
  82. </div>
  83. </div>
  84. </form>
  85. </div>
  86. </div>
  87. </div>
  88. <script>
  89. $(function(){
  90. $('#modal_page_footer').hide();
  91. });
  92. </script>
  93. @endsection