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Filename : 2edd49d47c4c2a0aeb9d0606f1df65e9.php
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<div class="second-el d--none">
    <div class="container">
        <div class="row justify-content-center">
            <div class="col-lg-8">
                <div class="card">
                    <div class="card-body">
                        <h3 class="mb-4"><?php echo e(translate('create_an_account')); ?></h3>
                        <div class="border p-3 p-xl-4 rounded">
                            <h4 class="mb-3"><?php echo e(translate('vendor_information')); ?></h4>
                            <div class="row">
                                <div class="col-sm-6">
                                    <div class="form-group mb-4">
                                        <label for="f_name"><?php echo e(translate('first_name')); ?> <span
                                                class="text-danger">*</span></label>
                                        <input class="form-control" type="text" name="f_name"
                                            placeholder="<?php echo e(translate('ex') . ': John'); ?>" required>
                                    </div>
                                    <div class="form-group mb-4">
                                        <label for="l_name"><?php echo e(translate('last_name')); ?> <span
                                                class="text-danger">*</span></label>
                                        <input class="form-control" type="text" name="l_name"
                                            placeholder="<?php echo e(translate('ex') . ': Doe'); ?>" required>
                                    </div>
                                </div>
                                <div class="col-sm-6">
                                    <div class="d-flex flex-column gap-3 align-items-center">
                                        <div class="upload-file">
                                            <input type="file" class="upload-file__input" name="image"
                                                   data-max-size="<?php echo e(getFileUploadMaxSize()); ?>"
                                                accept="<?php echo e(getFileUploadFormats(skip: '.svg,.gif,.webp')); ?>,image/*" >
                                            <div class="upload-file__img">
                                                <div class="temp-img-box">
                                                    <div class="d-flex align-items-center flex-column gap-2">
                                                        <i class="tio-upload fs-30"></i>
                                                        <div class="fs-12 text-muted text-capitalize">
                                                            <?php echo e(translate('upload_file')); ?></div>
                                                    </div>
                                                </div>
                                                <img src="#" class="dark-support img-fit-contain border"
                                                    alt="" hidden>
                                            </div>
                                        </div>

                                        <div class="d-flex flex-column gap-1 upload-img-content text-center">
                                            <h6 class="text-uppercase mb-1 fs-14">
                                                <?php echo e(translate('vendor_image')); ?>

                                                <span class="text-danger">*</span>
                                            </h6>
                                            <div class="text-muted text-capitalize fs-12">
                                                <?php echo e(translate('image_ratio') . ' ' . '1:1'); ?></div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>

                        <div class="border p-3 p-xl-4 rounded mt-4">
                            <h4 class="mb-3 text-capitalize"><?php echo e(translate('shop_information')); ?></h4>

                            <div class="form-group mb-4">
                                <label for="store_name" class="text-capitalize"><?php echo e(translate('shop_Name')); ?> <span
                                        class="text-danger">*</span></label>
                                <input class="form-control" type="text" id="shop_name" name="shop_name"
                                    placeholder="<?php echo e(translate('Ex: XYZ store')); ?>" required>
                            </div>
                            <div class="form-group mb-4">
                                <label for="store_address" class="text-capitalize"><?php echo e(translate('shop_address')); ?>

                                    <span class="text-danger">*</span></label>
                                <textarea class="form-control" name="shop_address" id="shop_address" rows="4"
                                    placeholder="<?php echo e(translate('shop_address')); ?>" required></textarea>
                            </div>

                            <div class="border p-3 p-xl-4 rounded mb-4">
                                <div class="d-flex flex-column gap-3 align-items-center">
                                    <div class="upload-file">
                                        <input type="file" class="upload-file__input" name="logo" data-max-size="<?php echo e(getFileUploadMaxSize()); ?>"  accept="<?php echo e(getFileUploadFormats(skip: '.svg,.gif,.webp')); ?>,image/*"
                                            >
                                        <div class="upload-file__img">
                                            <div class="temp-img-box">
                                                <div class="d-flex align-items-center flex-column gap-2">
                                                    <i class="tio-upload fs-30"></i>
                                                    <div class="fs-12 text-muted text-capitalize">
                                                        <?php echo e(translate('upload_file')); ?></div>
                                                </div>
                                            </div>
                                            <img src="#" class="dark-support img-fit-contain border"
                                                alt="" hidden>
                                        </div>
                                    </div>

                                    <div class="d-flex flex-column gap-1 upload-img-content text-center">
                                        <h6 class="text-uppercase mb-1 fs-14">
                                            <?php echo e(translate('upload_logo')); ?>

                                            <span class="text-danger">*</span>
                                        </h6>
                                        <div class="text-muted text-capitalize fs-12">
                                            <?php echo e(translate('image_ratio') . ' ' . '1:1'); ?></div>
                                        <div class="text-muted text-capitalize fs-12">
                                            <?php echo e(translate('Image Size : Max 2 MB')); ?></div>
                                    </div>
                                </div>
                            </div>

                            <div class="border p-3 p-xl-4 rounded">
                                <div class="d-flex flex-column gap-3 align-items-center">
                                    <div class="upload-file">
                                        <input type="file" class="upload-file__input" name="banner" data-max-size="<?php echo e(getFileUploadMaxSize()); ?>"   accept="<?php echo e(getFileUploadFormats(skip: '.svg,.gif')); ?>,image/*"
                                            required>
                                        <div class="upload-file__img style--two">
                                            <div class="temp-img-box">
                                                <div class="d-flex align-items-center flex-column gap-2">
                                                    <i class="tio-upload fs-30"></i>
                                                    <div class="fs-12 text-muted text-capitalize">
                                                        <?php echo e(translate('upload_file')); ?>

                                                    </div>
                                                </div>
                                            </div>
                                            <img src="#" class="dark-support img-fit-contain border"
                                                alt="" hidden>
                                        </div>
                                    </div>

                                    <div class="d-flex flex-column gap-1 upload-img-content text-center">
                                        <h6 class="text-uppercase mb-1 fs-14">
                                            <?php echo e(translate('upload_banner')); ?>

                                            <span class="text-danger">*</span>
                                        </h6>
                                        <div class="text-muted text-capitalize fs-12">
                                            <?php echo e(translate('image_ratio') . ' ' . '2:1'); ?></div>
                                        <div class="text-muted text-capitalize fs-12">
                                            <?php echo e(translate('Image Size : Max 2 MB')); ?></div>
                                    </div>
                                </div>
                            </div>
                        </div>

                        <div class="border p-3 p-xl-4 rounded mt-2">
                            <div class="row gy-4">
                                <div class="col-lg-6">
                                    <div>
                                        <h4 class="mb-3 text-capitalize">
                                            <?php echo e(translate('Business_TIN')); ?>

                                        </h4>
                                        <div class="form-group mb-4">
                                            <label class="mb-2 text-capitalize" for="">
                                                <?php echo e(translate('taxpayer_identification_number(TIN)')); ?>

                                            </label>
                                            <input class="form-control" type="text"
                                                name="tax_identification_number"
                                                placeholder="<?php echo e(translate('type_your_user_name')); ?>">
                                        </div>
                                        <div class="form-group mb-4">
                                            <label class="mb-2 text-capitalize" for="">
                                                <?php echo e(translate('Expire_Date')); ?>

                                            </label>
                                            <div class="position-relative">
                                                <span class="fi fi-sr-calendar icon-absolute-on-right"></span>
                                                <input type="text"
                                                    class="js-daterangepicker_single-date-with-placeholder form-control"
                                                    placeholder="<?php echo e(translate('click_to_add_date')); ?>"
                                                    name="tin_expire_date" value="" readonly>
                                            </div>
                                        </div>
                                    </div>
                                </div>
                                <div class="col-lg-6">
                                    <div class="form-group mb-0">
                                        <div id="file-assets"
                                            data-picture-icon="<?php echo e(dynamicAsset(path: 'public/assets/back-end/img/icons/picture.svg')); ?>"
                                            data-document-icon="<?php echo e(dynamicAsset(path: 'public/assets/back-end/img/icons/document.svg')); ?>"
                                            data-blank-thumbnail="<?php echo e(dynamicAsset(path: 'public/assets/back-end/img/blank.png')); ?>">
                                        </div>
                                        <div class="d-flex justify-content-center" id="pdf-container">
                                            <div class="document-upload-wrapper" id="doc-upload-wrapper">
                                                <input type="file" name="tin_certificate" data-max-size="<?php echo e(getFileUploadMaxSize(type: 'file')); ?>" class="document_input" accept=".pdf,.doc,.jpg">
                                                <div class="textbox">
                                                    <img class="svg"
                                                        src="<?php echo e(dynamicAsset(path: 'public/assets/back-end/img/icons/doc-upload-icon.svg')); ?>"
                                                        alt="">
                                                    <p class="fs-12 mb-0">
                                                        <?php echo e(translate('Select_a_file_or')); ?>

                                                        <span class="font-weight-semibold">
                                                            <?php echo e(translate('Drag_and_Drop_here')); ?>

                                                        </span>
                                                    </p>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="d-flex flex-column gap-1 upload-img-content text-center mt-3">
                                            <h6 class="text-uppercase mb-1">
                                                <?php echo e(translate('TIN_Certificate')); ?>

                                            </h6>
                                            <div class="text-muted text-capitalize">
                                                <?php echo e(translate('pdf,_doc,_jpg._file_size_:_max_5_MB')); ?>

                                            </div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>

                        <div class="my-2">
                            <?php ($recaptcha = getWebConfig(name: 'recaptcha')); ?>

                            <?php if(isset($recaptcha) && $recaptcha['status'] == 1): ?>
                                <div class="dynamic-default-and-recaptcha-section">
                                    <input type="hidden" name="g-recaptcha-response" class="render-grecaptcha-response"
                                           data-input="#login-default-captcha-section"
                                           data-default-captcha="#login-default-captcha-section" data-action="register"
                                    >

                                    <div class="default-captcha-container d-none" id="login-default-captcha-section"
                                         data-placeholder="<?php echo e(translate('enter_captcha_value')); ?>"
                                         data-base-url="<?php echo e(route('g-recaptcha-session-store')); ?>"
                                         data-session="<?php echo e('vendorRecaptchaSessionKey'); ?>"
                                    >
                                    </div>
                                </div>
                            <?php else: ?>
                                <div class="default-captcha-container"
                                     data-placeholder="<?php echo e(translate('enter_captcha_value')); ?>"
                                     data-base-url="<?php echo e(route('g-recaptcha-session-store')); ?>"
                                     data-session="<?php echo e('vendorRecaptchaSessionKey'); ?>"
                                >
                                </div>
                            <?php endif; ?>
                        </div>

                        <div class="d-flex justify-content-start mt-2">
                            <label class="custom-checkbox align-items-center">
                                <input type="checkbox" class="" id="terms-checkbox">
                                <span class="form-check-label">
                                    <?php echo e(translate('i_agree_with_the')); ?>

                                    <a href="<?php echo e(route('business-page.view', ['slug' => 'terms-and-conditions'])); ?>"
                                        target="_blank" class="text-underline color-bs-primary-force">
                                        <?php echo e(translate('terms_&_conditions')); ?>

                                    </a>
                                </span>
                            </label>
                        </div>
                        <div class="d-flex justify-content-end mb-2 gap-2">
                            <button type="button" class="btn btn-secondary back-to-main-page">
                                <?php echo e(translate('back')); ?> </button>
                            <button type="submit" class="btn btn--primary" id="vendor-apply-submit"
                                disabled="disabled"> <?php echo e(translate('submit')); ?> </button>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>
<?php /**PATH /home/forge/drmariampharmacy.com/resources/themes/default/web-views/seller-view/auth/partial/vendor-information-form.blade.php ENDPATH**/ ?>