271 lines
15 KiB
PHP
271 lines
15 KiB
PHP
@extends('layouts.app')
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@section('content')
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<main class="main">
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<div class="site-breadcrumb" style="background: url(assets/img/breadcrumb/02.jpg)">
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<div class="container">
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<h2 class="breadcrumb-title">ثبت نام</h2>
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<ul class="breadcrumb-menu">
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<li><a href="{{route('index')}}">صفحه اصلی</a></li>
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<li class="active">ثبت نام</li>
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</ul>
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</div>
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</div>
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<div class="login-area py-120">
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<div class="container">
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<!-- چون تعداد فیلدها زیاد شده، عرض کانتینر رو از col-md-5 به col-md-8 یا 9 تغییر دادم تا فضا باز بشه -->
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<div class="col-md-8 mx-auto">
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<div class="login-form">
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<div class="login-header">
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<a href="{{route('index')}}">
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<img src="{{asset('assets/img/logo/logo-dark.png')}}" alt="Logo">
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</a>
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<p>حساب MyTrip خود را ایجاد کنید</p>
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</div>
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<form action="#" method="POST" enctype="multipart/form-data">
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@csrf
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<div class="row">
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<div class="col-md-6">
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<div class="form-group">
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<label for="first_name">نام</label>
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<div class="form-group-icon">
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<input type="text" id="first_name" name="first_name" class="form-control" placeholder="نام" value="{{old('first_name')}}">
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<i class="far fa-user"></i>
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</div>
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@error('first_name')
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<span style="color: red">{{$message}}</span>
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@enderror
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</div>
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</div>
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<div class="col-md-6">
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<div class="form-group">
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<label for="last_name">نام خانوادگی</label>
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<div class="form-group-icon">
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<input type="text" id="last_name" name="last_name" class="form-control" placeholder="نام خانوادگی" value="{{old('last_name')}}">
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<i class="far fa-user"></i>
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</div>
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@error('last_name')
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<span style="color: red">{{$message}}</span>
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@enderror
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-md-6">
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<div class="form-group">
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<label for="national_code">کد ملی</label>
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<div class="form-group-icon">
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<input type="text" id="national_code" name="national_code" class="form-control" placeholder="کد ملی" value="{{old('national_code')}}">
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<i class="far fa-id-card"></i>
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</div>
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@error('national_code')
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<span style="color: red">{{$message}}</span>
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@enderror
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</div>
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</div>
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<div class="col-md-6">
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<div class="form-group">
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<label for="gender">جنسیت</label>
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<div class="form-group-icon">
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<select id="gender" name="gender" class="form-control">
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<option value="">انتخاب کنید</option>
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<option value="male">آقا</option>
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<option value="female">خانم</option>
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</select>
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<i class="far fa-venus-mars"></i>
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</div>
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@error('gender')
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<span style="color: red">{{$message}}</span>
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@enderror
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-md-6">
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<div class="form-group">
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<label for="marital_status">وضعیت تاهل</label>
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<div class="form-group-icon">
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<select id="marital_status" name="marital_status" class="form-control">
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<option value="">انتخاب کنید</option>
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<option value="single">مجرد</option>
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<option value="married">متأهل</option>
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</select>
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<i class="fas fa-ring"></i>
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</div>
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@error('marital_status')
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<span style="color: red">{{$message}}</span>
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@enderror
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</div>
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</div>
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<div class="col-md-6">
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<div class="form-group">
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<label for="spouse_name">نام و نام خانوادگی همسر</label>
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<div class="form-group-icon">
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<input type="text" id="spouse_name" name="spouse_name" class="form-control" placeholder="نام همسر" value="{{old('spouse_name')}}">
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<i class="far fa-user-friends"></i>
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</div>
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@error('spouse_name')
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<span style="color: red">{{$message}}</span>
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@enderror
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-md-6">
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<div class="form-group">
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<label for="mobile">شماره همراه</label>
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<div class="form-group-icon">
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<input type="text" id="mobile" name="mobile" class="form-control" placeholder="0912..." value="{{old('mobile')}}">
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<i class="fas fa-phone"></i>
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</div>
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@error('mobile')
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<span style="color: red">{{$message}}</span>
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@enderror
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</div>
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</div>
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<div class="col-md-6">
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<div class="form-group">
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<label for="email">آدرس ایمیل</label>
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<div class="form-group-icon">
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<input type="email" id="mobile" name="email" class="form-control" placeholder="ایمیل خود را وارد کنید" value="{{old('email')}}">
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<i class="far fa-envelope"></i>
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</div>
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@error('email')
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<span style="color: red">{{$message}}</span>
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@enderror
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-md-6">
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<div class="form-group">
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<label for="username">نام کاربری</label>
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<div class="form-group-icon">
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<input type="text" id="username" name="username" class="form-control" placeholder="Username" value="{{old('username')}}">
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<i class="far fa-user-circle"></i>
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</div>
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@error('username')
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<span style="color: red">{{$message}}</span>
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@enderror
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</div>
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</div>
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<div class="col-md-6">
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<div class="form-group">
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<label for="avatar">عکس پروفایل</label>
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<div class="form-group-icon">
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<input type="file" id="avatar" name="avatar" class="form-control">
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<i class="far fa-image"></i>
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</div>
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@error('avatar')
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<span style="color: red">{{$message}}</span>
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@enderror
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-md-6">
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<div class="form-group">
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<label for="password">رمز عبور</label>
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<div class="form-group-icon">
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<input type="password" id="password" name="password" class="form-control" placeholder="رمز عبور" required>
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<i class="far fa-lock"></i>
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</div>
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@error('password')
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<span style="color: red">{{$message}}</span>
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@enderror
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</div>
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</div>
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<div class="col-md-6">
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<div class="form-group">
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<label for="password_confirmation" >تایید رمز عبور</label>
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<div class="form-group-icon">
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<input type="password" id="password_confirmation" name="password_confirmation" class="form-control" placeholder="تکرار رمز عبور" required>
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<i class="far fa-check-circle"></i>
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</div>
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@error('password_confirmation')
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<span style="color: red">{{$message}}</span>
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@enderror
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-md-6">
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<div class="form-group">
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<label for="user_province">استان</label>
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<div class="form-group-icon">
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<input type="text" id="user_province" name="user_province" class="form-control" placeholder="استان" value="{{old('user_province')}}">
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<i class="fas fa-map-marker-alt"></i>
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</div>
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@error('user_province')
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<span style="color: red">{{$message}}</span>
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@enderror
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</div>
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</div>
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<div class="col-md-6">
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<div class="form-group">
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<label for="user_city">شهر</label>
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<div class="form-group-icon">
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<input type="text" id="user_city" name="user_city" class="form-control" placeholder="شهر" value="{{old('user_city')}}">
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<i class="fas fa-city"></i>
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</div>
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@error('user_city')
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<span style="color: red">{{$message}}</span>
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@enderror
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</div>
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</div>
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</div>
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<div class="form-check form-group mt-3">
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<input class="form-check-input" type="checkbox" name="terms" value="1" id="agree" required>
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<label class="form-check-label" for="agree">
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من موافقم با <a href="#">شرایط استفاده از خدمات.</a>
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</label>
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</div>
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<div class="d-flex align-items-center mt-4">
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<button type="submit" class="theme-btn"><i class="far fa-paper-plane"></i> ثبت نام</button>
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</div>
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</form>
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<div class="login-footer">
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<div class="login-divider"><span>یا</span></div>
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<p>از قبل حساب کاربری دارید؟ <a href="{{route('auth.login.index')}}">وارد شدن.</a></p>
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</div>
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</div>
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</div>
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</div>
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</div>
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</main>
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@endsection
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