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drmariampharmacy.com
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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**/ ?>