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52 lines
2.6 KiB
52 lines
2.6 KiB
2 months ago
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include 2.0/application
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link(rel="stylesheet" href="/css/1_model_app.css")
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link(rel="stylesheet" href="/css/1_model_icons.css")
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script(type="text/javascript", src="/js/2.0.dashboard.js?q="~randomString())
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.enterblock.custom-font
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.row.mx-auto.h-100(style='max-width: 448px; vertical-align: middle;')
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.col-12.my-md-auto.p-0.card.shadow.rounded-3(style='min-height: 500px; height: auto;')
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.card-body.px-0.pb-0
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h5.mx-4.fw-bold="Заполните форму"
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input.tg_input#user_id(hidden, value=user_id)
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.my-3.mx-4
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label.form-label.m-0(for="fio")='ФИО'
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input.form-control.tg_input#fio
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.my-3.mx-4
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label.form-label.m-0(for="tel")='Телефон'
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input.form-control.tg_input#tel
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.my-3.mx-4
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label.form-label.m-0(for="email")='Электронная почта'
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input.form-control.tg_input#email
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.my-3.mx-4
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label.form-label.m-0(for="passport")='Серия и номер паспорта'
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input.form-control.tg_input#passport
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.my-3.mx-4
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label.form-label.m-0(for="passport_date")='Дата выдачи паспорта'
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input.form-control.tg_input#passport_date(type="date")
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.my-3.mx-4
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label.form-label.m-0(for="postal_code")='Кем выдан'
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input.form-control.tg_input#passport_issued_by
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.my-3.mx-4
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label.form-label.m-0(for="postal_code")='Код подразделения'
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input.form-control.tg_input#postal_code
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.my-3.mx-4
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label.form-label.m-0(for="address")='Место жительства'
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input.form-control.tg_input#address
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.my-3.mx-4
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label.form-label.m-0(for="snils")='СНИЛС'
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input.form-control.tg_input#snils
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.my-3.mx-4
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label.form-label.m-0(for="inn")='ИНН'
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input.form-control.tg_input#inn
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.my-3.mx-4
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label.form-label.m-0(for="dob")='Дата рождения'
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input.form-control.tg_input#dob(type="date")
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.my-3.mx-4
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button.btn.btn-success.float-end.mb-3#form_submit
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span.spinner-border.spinner-border-sm.me-1.d-none(role="status" aria-hidden="true")
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span="Подтвердить"
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