forked from kevinowino869/mitrobill
update:
Added Additional Information City District State Zip
This commit is contained in:
committed by
Ibnu Maksum
parent
066f333a85
commit
8fb930cddf
@ -121,6 +121,51 @@
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</div>
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</div>
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</div>
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<div class="col-md-6">
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<div class="box box-primary box-solid collapsed-box">
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<div class="box-header with-border">
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<h3 class="box-title">{Lang::T('Additional Information')}</h3>
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<div class="box-tools pull-right">
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<button type="button" class="btn btn-box-tool" data-widget="collapse"><i class="fa fa-plus"></i>
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</button>
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</div>
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</div>
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<div class="box-body" style="display: none;">
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<div class="form-group">
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<label class="col-md-3 control-label">{Lang::T('City')}</label>
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<div class="col-md-9">
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<input type="text" class="form-control" id="city" name="city"
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value="{$d['city']}">
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<small class="form-text text-muted">{Lang::T('City of Resident')}</small>
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</div>
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</div>
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<div class="form-group">
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<label class="col-md-3 control-label">{Lang::T('District')}</label>
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<div class="col-md-9">
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<input type="text" class="form-control" id="district" name="district"
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value="{$d['district']}">
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<small class="form-text text-muted">{Lang::T('District')}</small>
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</div>
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</div>
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<div class="form-group">
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<label class="col-md-3 control-label">{Lang::T('State')}</label>
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<div class="col-md-9">
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<input type="text" class="form-control" id="state" name="state"
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value="{$d['state']}">
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<small class="form-text text-muted">{Lang::T('State of Resident')}</small>
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</div>
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</div>
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<div class="form-group">
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<label class="col-md-3 control-label">{Lang::T('Zip')}</label>
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<div class="col-md-9">
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<input type="text" class="form-control" id="zip" name="zip"
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value="{$d['zip']}">
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<small class="form-text text-muted">{Lang::T('Zip Code')}</small>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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<center>
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<button class="btn btn-primary" type="submit">
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