65 lines
2.7 KiB
PHP
65 lines
2.7 KiB
PHP
@extends('layouts.app')
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@section('content')
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<div class="container">
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<div class="row justify-content-center">
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<div class="col-md-8 main-area">
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<h1 style="text-align: center;">
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符合代謝新收案 早鳥報名最划算
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</h1>
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</div>
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</div>
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<div style="height:20px;"> </div>
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<div class="row justify-content-center">
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<div class="col-md-8 main-area">
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<h2 style="text-align: center;">查詢審核狀態</h2>
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<p> </p>
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<form id="dataForm" method="POST" action="/metabolism_check" enctype="multipart/form-data" style="font-size: 1.4em; ">
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@csrf
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@if ($errors->any())
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<div class="text-left mt-3 alert alert-block alert-dismissible alert-danger">
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<!--<span type="button" class="close" data-bs-dismiss="alert">×</span>-->
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<ul>
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@foreach ($errors->all() as $error)
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@if ($error)
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<li>{{ $error }}</li>
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@endif
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@endforeach
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</ul>
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</div>
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@endif
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@if ($message = Session::get('success'))
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<div class="text-left mt-3 alert alert-block alert-dismissible alert-success ">
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<!--<span type="button" class="close" data-bs-dismiss="alert">×</span>-->
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<strong>{{ $message }}</strong>
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</div>
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@endif
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<div class="card">
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<div class="card-body">
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<div class="mb-3">
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<label for="regIdNumber" class="form-label">身份證字號後4碼</label>
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<input type="text" class="form-control" id="regTwid" name="twid" required value="{{ old('twid') }}" placeholder="範例：6789">
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</div>
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<div class="mb-3">
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<label for="regPhone" class="form-label">行動電話後4碼</label>
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<input type="text" class="form-control" id="regPhone" name="phone" required value="{{ old('phone') }}" placeholder="範例：1111">
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</div>
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<div class="mb-3">
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</div>
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<button type="submit" class="btn btn-primary">送出查詢</button>
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</div>
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</div>
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</form>
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</div>
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</div>
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</div>
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@endsection
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