26 lines
871 B
Plaintext
26 lines
871 B
Plaintext
<h2><%= t("officing.residence.new.title") %></h2>
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<div class="row verification account">
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<div class="small-12 medium-8 column">
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<%= form_for @residence, as: "residence", url: officing_residence_path do |f| %>
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<%= render "errors" %>
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<div class="small-12 medium-6">
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<%= f.select :document_type, document_types, prompt: "" %>
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<%= f.text_field :document_number,
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placeholder: t("officing.residence.new.document_number"),
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autocomplete: "off" %>
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</div>
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<div class="date-of-birth small-12 medium-6">
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<%= f.text_field :year_of_birth, type: "number", autocomplete: "off" %>
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</div>
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<div class="small-12 medium-6">
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<input type="submit" value="<%= t("officing.residence.new.submit") %>" class="button expanded">
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</div>
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<% end %>
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</div>
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</div>
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