Raffales-LMS/resources/views/rosetta/confirmation.blade.php

@extends(env("CLIENT_PATH").".welcome")
@section("content")
        <div class="form-box">

            <div class="infotext">
                <h1> Visitor Confirmation</h1>
                <h5>Welcome <?php echo $data->name; ?></h5>
            </div>
            <form>
                @csrf
                <div class="form-row">
                    <div class="col-12 col-sm-12 col-md-12 col-lg-12">
                        <div class="form-group"><label for="from-name">Name</label><span class="required-input">*</span>
                            <input class="form-control" type="text" id="from-name" name="name" required="" disabled value="<?php echo $data->name; ?>">
                        </div>
                    </div>
                </div>
                <div class="form-row">
                    <div class="col-12 col-sm-6 col-md-12 col-lg-6">
                        <div class="form-group"><label for="from-email">Email</label><span class="required-input">*</span>
                            <input class="form-control" type="email" value="<?php echo $data->email; ?>" id="from-email" name="email" required="" disabled>
                        </div>
                    </div>
                    <div class="col-12 col-sm-6 col-md-12 col-lg-6">
                        <div class="form-group"><label for="from-phone">Mobile Number</label><span class="required-input">*</span>
                            <div class="input-group">
                                <input class="form-control" type="text" value="<?php echo $data->mobile; ?>" id="from-phone" name="mobile" required="" disabled>
                            </div>
                        </div>
                    </div>
                </div>
                <div class="form-row">
                    <div class="col-12 col-sm-6 col-md-12 col-lg-6">
                        <div class="form-group"><label for="from-qualifications">Highest Qualification</label><span class="required-input">*</span>
                        <input class="form-control" type="text" value="<?php echo $data->highest_qualification; ?>" id="from-qualifications" name="from-qualifications" required="" disabled>
                        </div>
                    </div>
                    <div class="col-12 col-sm-6 col-md-12 col-lg-6">
                        <div class="form-group"><label for="board">University / Board:</label><span class="required-input">*</span>
                            <div class="input-group">
                            <input class="form-control" type="text" value="<?php echo $data->highest_college; ?>"  required="" disabled>
                            </div>
                        </div>
                    </div>
                </div>

                <div class="form-row">
                    <div class="col-md-12">
                        <div class="form-group"><label for="preferred_destination">Preferred Study Destination:</label><span class="required-input">*</span>
                            <div class="select-group">
                            <input class="form-control" type="text" value="<?php echo $data->intrested_for_country; ?>"  required="" disabled>
                            </div>
                        </div>

                    </div>
                </div>
                <div class="form-row">
                    <div class="col-12 col-sm-12 col-md-12 col-lg-12">
                        <div class="form-group"><label for="from-calltime">Message / Enquiry</label><span class="required-input">*</span>
                        <input class="form-control" type="text" value="<?php echo $data->remarks; ?>"  required="" disabled>
                        </div>
                    </div>
                </div>
                <div class="form-group">
                    <div class="form-row">
                        <input type="hidden" name="g-recaptcha-response" value="">

                        <div class="col"><a class="btn btn-success btn-block" href="<?php echo route("home"); ?>">Visitor Confirmed <i class="fa fa-chevron-circle-right"></i></a></div>
                    </div>
                </div>
        </div>
        </form>
        
    </div>
  
@endsection
@push("css")
<style>
    * {
        box-sizing: border-box;
    }

    body {

        background-image: url(<?php echo site_url("lms/assets/images/bg.jpg"); ?>);
        -webkit-background-size: cover;
        -moz-background-size: cover;
        -o-background-size: cover;
        background-size: cover;

    }

    .form-box {
        display: block;
        margin: 0 auto;
        margin-top: 5%;
        margin-bottom: 5%;
        background-color: white;
        width: 98%;
        border-radius: 5px;
        box-shadow: 10px 10px 0 0 #083079;
    }

    .boximage {
        width: 100%;
        height: auto;

        background-size: cover;
        border-radius: 5px 5px 0 0;
    }

    .infotext {
        width: 100%;
        padding: 3%;
        text-align: center;
        color: #fff;
        font-family: sans-serif;
        background: #1951b8;
    }

    h1 {
        font-family: 'Roboto Slab', serif;
        font-size: 1.8em;
        color: #fff;
        text-transform: uppercase;
    }

    .infotext p {
        line-height: 1.5em;
        letter-spacing: 0.05em;
    }

    form {
        width: 100%;
        padding: 5%;
    }

    .required-input {
        color: #f00;
    }

    input {
        display: block;
        width: 100%;
        border: solid 1px #bbb7b7;
        border-radius: 5px;
        margin-bottom: 15px;
        padding: 2%;
        font-size: .8em;
        font-family: sans-serif;
        letter-spacing: 0.1em;
        color: #888;
        text-align: left;
    }

    input[type=submit] {
        border: none;
        border-radius: 5px;
        background-color: #a82d2d;
        color: #fff;
        text-align: center;
    }

    input[type=submit]:hover {
        background-color: #711616;
        cursor: pointer;
    }

    .form-control {
        height: 50px;
        background: #ecf0f4;
        border-color: transparent;
        padding: 0 15px;
        font-size: 16px;
        -webkit-transition: all 0.3s ease-in-out;
        -moz-transition: all 0.3s ease-in-out;
        -o-transition: all 0.3s ease-in-out;
        transition: all 0.3s ease-in-out;
    }

    .form-control:focus {
        border-color: #00bcd9;
        -webkit-box-shadow: 0px 0px 20px rgba(0, 0, 0, .1);
        -moz-box-shadow: 0px 0px 20px rgba(0, 0, 0, .1);
        box-shadow: 0px 0px 20px rgba(0, 0, 0, .1);
    }

    textarea.form-control {
        height: 160px;
        padding-top: 15px;
        resize: none;
    }


    .content-column ul li {

        list-style-type: disc;

        margin-left: 20px;

    }
</style>
@endpush