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nairobi/app/views/verification/residence/new.html.erb
2017-06-13 17:51:57 +02:00

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<div class="verification account row">
<%track_event(category: "verification", action: "start_census" )%>
<div class="small-12 column">
<div class="text-center">
<div class="small-4 column verification-step active">
<span class="number">1</span> <%= t("verification.step_1") %>
</div>
<div class="small-4 column verification-step">
<span class="number">2</span> <%= t("verification.step_2") %>
</div>
<div class="small-4 column verification-step">
<span class="number">3</span> <%= t("verification.step_3") %>
</div>
</div>
<div class="progress small-12 success">
<span class="meter" style="width: 33%"></span>
</div>
<%= link_to account_path, class: "back" do %>
<span class="icon-angle-left"></span>
<%= t("verification.back") %>
<% end %>
<h1><%= t("verification.residence.new.title") %></h1>
<div class="user-permissions small-12">
<p><%= t("verification.user_permission_info") %></p>
<ul>
<li><span class="icon-check"></span>&nbsp;<%= t("verification.user_permission_debates") %></li>
<li><span class="icon-check"></span>&nbsp;<%= t("verification.user_permission_proposal") %></li>
<li><span class="icon-check"></span>&nbsp;<%= t("verification.user_permission_support_proposal") %></li>
<li><span class="icon-x"></span>&nbsp;<%= t("verification.user_permission_votes") %></li>
</ul>
</div>
<%= form_for @residence, as: "residence", url: residence_path do |f| %>
<%= render "errors" %>
<div class="row">
<div class="small-12 medium-8">
<div class="small-12 medium-3 column">
<%= f.label t("verification.residence.new.document_type_label") %>
<%= f.select :document_type, document_types, prompt: "", label: false %>
</div>
<div class="small-12 medium-5 column end">
<div class="inline-block">
<%= f.label t("verification.residence.new.document_number") %>
</div>
<div class="inline-block" data-toggle="info-document-number">
<span class="icon-help"></span>
<span class="show-for-sr"><%= t("verification.residence.new.document_number_help_title") %></span>
</div>
<div class="dropdown-pane" id="info-document-number" data-dropdown
data-hover="true" data-hover-pane="true">
<%= t("verification.residence.new.document_number_help_text_html") %>
</div>
<%= f.text_field :document_number, label: false %>
</div>
</div>
</div>
<div class="date-of-birth small-12 medium-6 clear">
<%= f.label t("verification.residence.new.date_of_birth") %>
<%= f.date_select :date_of_birth,
prompt: true,
start_year: 1900, end_year: 16.years.ago.year,
label: false %>
</div>
<div class="small-12 medium-5 clear">
<%= f.label t("verification.residence.new.postal_code") %>
<p class="note"><%= t("verification.residence.new.postal_code_note") %></p>
<div class="medium-6">
<%= f.text_field :postal_code, label: false %>
</div>
</div>
<div class="small-12">
<%= f.label :terms_of_service do %>
<%= f.check_box :terms_of_service, title: t('verification.residence.new.accept_terms_text_title'), label: false %>
<span class="checkbox">
<%= t("verification.residence.new.accept_terms_text",
terms_url: link_to(t("verification.residence.new.terms"), "/census_terms",
title: t('shared.target_blank_html'),
target: "_blank")).html_safe
%>
</span>
<% end %>
</div>
<div class="small-12 medium-3 clear">
<%= f.submit t("verification.residence.new.verify_residence"), class: "button success expanded" %>
</div>
<% end %>
</div>
</div>