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<form action="#" id="import" enctype="multipart/form-data" novalidate> <div class="row"> <div class="col-md-4"> <div class="form-group import-dealer_name mt-2 mb-2"> <label for="">Company Name <em><small style="color: red">*</small></em></label> <input type="text" class="form-control form-control-lg" placeholder="Company Name" name="comp_name" id="comp_name" required> </div> <div class="form-group import-dealer_name mt-2 mb-2"> <label for="">Dealer Name <em><small style="color: red">*</small></em></label> <input type="text" class="form-control form-control-lg" placeholder="Dealer Name" name="dealer_name" id="dealer_name" required> </div> <div class="form-group import-dealer_code mt-2"> <label for="">Dealer Code <em><small style="color: red">*</small></em></label> <input type="text" class="form-control form-control-lg" placeholder="Dealer Code" name="dealer_code" id="dealer_code" > </div> <div class="form-group import-dealer_password mt-2"> <label for="">Dealer Password <em><small style="color: red">*</small></em></label> <input type="password" class="form-control form-control-lg" placeholder="******" name="password" id="password" > </div> </div> <div class="col-md-4"> <div class="form-group input-first-page mt-2"> <label for="">Official Receipt <em><small style="color: red">*</small></em></label> <input type="file" class="form-control" placeholder="Choose Image" name="official_receipt" id="official_receipt"> </div> <div class="form-group"> <img id="preview-image-before-import-or" src="https://cdn.dribbble.com/users/308895/screenshots/2598725/no-results.gif" alt="preview image" name="image-or" style="max-height: 150px; max-width:150px"> </div> </div> <div class="col-md-4"> <div class="form-group input-first-page mt-2"> <label for="">Dealer Logo <em><small style="color: red">*</small></em></label> <input type="file" class="form-control" placeholder="Choose Image" name="official_logo" id="official_logo"> </div> <div class="form-group"> <img id="preview-image-before-import-logo" src="https://cdn.dribbble.com/users/308895/screenshots/2598725/no-results.gif" alt="preview image" name="image-logo" style="max-height: 150px; max-width:150px"> </div> </div> <div class="col-md-12 justify-content-end px-1 py-0"> <button class="btn btn-success btn-lg import-btn mr-2 mb-1" id="import" style="float:right; margin-top:-1rem"> SAVE </button> </div> </div> </form><?php /**PATH /home/autoph/public_html/projects/AutoHub-Kiosk-Final/resources/views/admin/management/registration/dealer.blade.php ENDPATH**/ ?>
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