19 lines
814 B
PHP
19 lines
814 B
PHP
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<div class="container mt-5">
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<h2 class="text-center">Add License</h2>
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<?php if (isset($error) && $error): ?>
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<div class="alert alert-danger" role="alert">
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Please fill in all required fields!
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</div>
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<?php endif; ?>
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<form action="/admin/license/add" method="POST" class="mt-4">
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<div class="form-group">
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<label for="relationship_num">Relationship Number</label>
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<input type="text" name="relationship_num" id="relationship_num" class="form-control" required>
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</div>
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<div class="form-group">
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<label for="email">Email</label>
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<input type="email" name="email" id="email" class="form-control" required>
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</div>
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<button type="submit" class="btn btn-primary">Submit</button>
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</form>
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</div>
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