Sindbad~EG File Manager

Current Path : /home/numerotech/www/livemt2023.aios-scientificcommittee.org/app/views/arcldp/
Upload File :
Current File : //home/numerotech/www/livemt2023.aios-scientificcommittee.org/app/views/arcldp/step1.blade.php


{{ Form::open(array('url' => 'arcldp/store','role'=>'form','id'=>'form_s1')) }}

{{ Form::hidden('hdnId', isset($arcldp)? $arcldp->arcldp_id : 0,array('id'=>'hdnId')) }}
{{ Form::hidden('hdnStep', '1',array('id'=>'hdnStep')) }}
{{ Form::hidden('hdnUserId', Auth::user()->user_id,array('id'=>'hdnUserId')) }}


<div class="row">            
    <div class="col-sm-12">               
       <div class="alert alert-success" style="display:none">            
       </div>

      <div class="alert alert-danger"  style="display:none">                  
      </div>
    </div>
</div>


<!--step 1 details  -->
<div class="row">            
    <div class="col-lg-6 col-md-6 col-sm-12">                
          <label>Applicant's Membership Number </label>             
          <p>{{  empty($membership)? '':$membership->membership_no}}</p>    
    </div>            
    <div class="col-lg-6 col-md-6 col-sm-12">        
          <label>Applicant Name </label>             
          <p>{{ isset(Auth::user()->prefix)?Auth::user()->prefix.'.':'' }}{{ Auth::user()->first_name }}</p>    
    </div>        
    <div class="col-lg-6 col-md-6 col-sm-12">                
          <label>Applicant's Email Id </label>             
          <p>{{ Auth::user()->email }}</p>    
    </div>            
    <div class="col-lg-6 col-md-6 col-sm-12">        
          <label>Applicant's Mobile Number </label>             
          <p>{{ Auth::user()->mobile }}</p>    
    </div> 
</div>




<div class="row">            
    <div class="col-lg-12 col-md-12 col-sm-12">      
<table class="table table-bordered">
  <tr>
    <td style ="width:80%">
      <p> Are you willing to travel at your own cost ? <sup>*</sup> </p>      
      <label id="rbtn1-error" class="error" for="rbtn1"></label>
    </td>
    <td>
      <label> {{ Form::radio('rbtn1', '1',false ) }} Yes</label>
      <label>{{ Form::radio('rbtn1', '0', false) }} NO </label>     
    </td>
  </tr>
  <tr>
    <td>
      <p>
     Do you agree to participate in all the elements of the LDP / attend all designated meetings ? <sup>*</sup>   
      </p>    
      <label id="rbtn2-error" class="error" for="rbtn2"></label>
      </td>
      <td>    
            <label> {{ Form::radio('rbtn2', 1,false ) }} Yes</label>
            <label>{{ Form::radio('rbtn2', 0,false) }} NO </label>
    </td>
  </tr>
  <!--<tr>-->
  <!--  <td>-->
  <!--   <p>Do you want your abstract to be evaluated for Physical Poster ? Your submission becomes eligible to contest for the Best Physical Poster Award. <sup>*</sup></p>-->
  <!--      <br />-->
  <!--      <label id="rbtn3-error" class="error" for="rbtn3"></label>-->
  <!--  </td>-->
  <!--  <td>-->
  <!--        <label> {{ Form::radio('rbtn3', 1, false ) }} Yes</label>-->
  <!--        <label>{{ Form::radio('rbtn3', 0, false ) }} NO </label>-->
  <!--  </td>-->
  <!--</tr>-->
  <tr>
    <td>
     <p>Would you be able to get an endorsement by a variety of National Society Leaders that you are ready and likely to higher responsibility and therefore worthy of investment by AIOS?<sup>*</sup></p>
        <br />
        <label id="rbtn4-error" class="error" for="rbtn4"></label>
    </td>
    <td>
          <label> {{ Form::radio('rbtn4', 1, false ) }} Yes</label>
          <label>{{ Form::radio('rbtn4', 0, false ) }} NO </label>
    </td>
  </tr>
</table>
    </div>
</div>

<!--End step 1 details  -->

<div class="row margin30">  
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-6">
</div>
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-6">
<input type="button" value="Submit" id ="btnNext_s1" class="btn primary button-large pull-right"
  onclick="Move(1,1)">
</div>
</div>

{{ Form::close() }}

<script type="text/javascript">


</script>

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