You are on page 1of 4

@extends('layouts.themes.

login')
@section('content')

<section class="ftco-section" id="login-user">


@include('layouts.partials.alerts')
<div class="container">
<div class="row justify-content-center">
<div class="col-md-12 col-lg-10">
<div class="wrap d-md-flex">
<div class="img" style="background-image:
url({{ asset('assets/images/bg-logo.jpg') }});"></div>
<div class="login-wrap p-4 p-md-4">
<div class="d-flex justify-content-center">
<img src="{{ asset('assets/images/logo-
nccc.png') }}"
class="img-fluid profile-image-pic img-
thumbnail rounded-circle my-3" width="100px"
alt="profile">
</div>
<div class="d-flex justify-content-center">
<h3 class="text-center mb-3" style="color:rgb(21,
0, 255); font-weight: 800;">NCCC</h3>

</div>
<div>
<h3 class="text-center mb-3" style="color:rgb(10,
10, 13); font-weight: 800;">Registration
</h3>
</div>
{{-- <p>Please sign in by entering the information
below.</p> --}}
@if (session('error'))
<div class="alert alert-danger mt-5" role="alert">
{{ session('error') }}
</div>
@endif
<form action="{{ route('Register') }}" method="POST">
@csrf
<div class="row">
<div class="col-md-12">
<label for="First_name">Firstname</label>
<input class="form-control" type="text" id=
"First_name" name="First_name"
value="{{ old('First_name') }}"
required />
<span class="text-danger">
@error('First_name')
{{ $message }}
@enderror
</span>
</div>
<div class="col-md-12">
<label for="Last_name">Lastname</label>
<input class="form-control" type="text" id=
"Last_name" name="Last_name"
value="{{ old('Last_name') }}" required
/>
<span class="text-danger">
@error('Last_name')
{{ $message }}
@enderror
</span>
</div>
<div class="col-md-12">
<label for="email">Email</label>
<input class="form-control" type="text" id=
"email" name="email"
value="{{ old('email') }}" required />
<span class="text-danger">
@error('email')
{{ $message }}
@enderror
</span>
</div>
<div class="col-md-12">
<label for="Age">Age</label>
<input class="form-control" type="number"
id= "Age" name="Age"
value="{{ old('Age') }}" required />
<span class="text-danger">
@error('Address')
{{ $message }}
@enderror
</span>
</div>
<div class="col-md-12 mt-2 mb-2">
<label for="Address">Address</label>
<input class="form-control" type="text"
name="Address"
value="{{ old('Address') }}"
required />
<span class="text-danger">
@error('Address')
{{ $message }}
@enderror
</span>
</div>
<div class="col-md-12">
<label>Gender</label>
<select class="form-control" name="Gender"
required>
<option value=" ">Select
gender</option>
<option value="female">Female</option>
<option value="male">Male</option>
</select>
@error('Gender')
{{ $message }}
@enderror
</span>
</div>
<div class="col-md-12">
<label for="Phone">Phone</label>
<input class="form-control" type="number"
id= "Phone" name="Phone"
value="{{ old('Phone') }}" required />
<span class="text-danger">
@error('Phone')
{{ $message }}
@enderror
</span>
</div>
<div class="col-md-12">
<label for="password">Password</label>
<input class="form-control" type="password"
id= "password" name="password"
value="{{ old('password') }}"
required />
<span class="text-danger">
@error('password')
{{ $message }}
@enderror
</span>
</div>
<div class="col-md-12">
<label>Department</label>
<select class="form-control"
name="Accountname" required>
@foreach ($tests as $test)
<option value="{{$test-
>Account_id}}">{{$test->Account_name}}</option>
@endforeach

</select>
@error('Gender')
{{ $message }}
@enderror
</span>
</div>
<div class="col-md-12 col-sm-12 mb-3">
<p class="text-right"><a
href="resetpassword"
style="font-size: 15px;
color:#171717">Forgot Password ?</a></p>
</div>
<div class="col-md-12 col-sm-12 mb-4">
<button class="btn btn-secondary btn-block"
style="background-
color:#00508d;color:white;" type="submit">
<i class="fa fa-sign-in"></i> Register
</button>
</div>
</div>
</form>
<div class="row">
<div class="col-12">
<hr class="mt-5 mb-4 border-secondary-subtle">
<div class="d-flex gap-4 justify-content-center">
<p>Back <a href="/" class="link-secondary text-
info text-decoration-none">Log in</a>.</p>
{{-- <a href="#!" class="link-secondary text-
decoration-none">Register</a> --}}
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</section>
@endsection

You might also like