62 lines
2.8 KiB
HTML
62 lines
2.8 KiB
HTML
<th:block th:utext="#{title.contact.dtl}"></th:block>
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<form id="formContact" name="formContact" th:action="@{'/resources/contact-details'}"
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autocomplete="off" th:method="post">
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<input type="hidden" th:value="${profile?.wrkrRegId}" name="workerRegId">
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<input type="hidden" th:value="${profile?.wrkrRegNo}" name="wrkrRegNo">
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<input type="hidden" th:value="${updateFlag}" name="updateFlag" />
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<div class="row">
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<div class="col-sm-12 col-md-2 col-lg-12">
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<div class="form-group">
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<th:block th:if="${!isView}">
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<label class="required bmd-label-floating" th:text="#{lbl.wrkr.address}"></label>
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<textarea class="form-control clear-whitespace" th:field="*{profile.workerProfile.addr1}" id="workerAddress"
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required="required" maxlength="100" autofocus="autofocus" name="profile.workerProfile.addr1" rows="3">
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</textarea>
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</th:block>
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-sm-12 col-md-6 col-lg-6">
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<div class="form-group">
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<th:block th:if="${!isView}">
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<label class="required bmd-label-floating" th:text="#{lbl.wrkr.zipcode}"></label>
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<input type="text" class="form-control input-number"
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th:field="*{profile.workerProfile.zipcode}" name="profile.workerProfile.zipcode"
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required="required" maxlength="10" autofocus="autofocus" />
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</th:block>
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</div>
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</div>
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<div class="col-sm-12 col-md-6 col-lg-6">
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<div class="form-group is-focused">
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<th:block th:if="${!isView}">
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<label class="required bmd-label-floating" th:text="#{lbl.wrkr.country}"></label>
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<select id="selCountryCode" name="profile.workerProfile.country.cntryCode"
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class="form-control select-filter" th:field="*{profile.workerProfile.country.cntryCode}"
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required="required">
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<option value="" />
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<option th:each="country : ${countryList}" th:value="${country.cntryCode}" th:text="${country.cntryDesc}"></option>
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</select>
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</th:block>
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-sm-12 col-md-6 col-lg-6">
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<div class="form-group">
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<th:block th:if="${!isView}">
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<label class="required bmd-label-floating" th:text="#{lbl.wrkr.contact}"></label>
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<input type="text" class="form-control input-contact input-number"
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th:field="*{profile.workerProfile.contactNo}" name="profile.workerProfile.contactNo"
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autofocus="autofocus" maxlength="20" required="required" data-init-country="BD"/>
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</th:block>
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</div>
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</div>
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</div>
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<div class="pb-3 text-right">
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<div class="ml-auto button-group">
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<a class="btn waves-effect waves-light btn-secondary" th:href="@{${'/resources/previousTab?previousTab='+previousTab + '&wrkrRegId=' + profile?.wrkrRegId + '&updateFlag=' + updateFlag}}">Previous</a>
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<button type="submit" class="btn waves-effect waves-light btn-primary btn-check-device">Save and Continue</button>
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</div>
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</div>
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</form> |