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86 lines
4.0 KiB
HTML
86 lines
4.0 KiB
HTML
{% extends "add-edit-main.html" %}
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{%load static%}
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{% block content %}
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<div class="w-full px-5 s:px-9 mb-5">
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<div class="w-full h-full shadow-md rounded-md py-5 px-3 bg-white">
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<h1 class="text-3xl text-secondosiblue text-center font-semibold">
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Add Customer
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</h1>
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<form method="POST" action="{% url 'addcustomer' %}">
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{% csrf_token %}
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<div class="w-full flex flex-col gap-5 justify-center items-center mt-5">
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<div class="w-full">
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<label class="text-gray-500">First Name:</label>
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<input name="first_name" type="text"
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class="w-full h-[50px] py-1 px-3 border border-gray-300 outline-none rounded-md mt-1" required>
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</div>
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<div class="w-full">
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<label class="text-gray-500">Last Name:</label>
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<input name="last_name" type="text"
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class="w-full h-[50px] py-1 px-3 border border-gray-300 outline-none rounded-md mt-1" required>
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</div>
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<div class="w-full">
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<label class="text-gray-500">Email:</label>
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<input name="email" type="email"
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class="w-full h-[50px] py-1 px-3 border border-gray-300 outline-none rounded-md mt-1" required>
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</div>
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<div class="w-full">
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<label class="text-gray-500">Mobile Number:</label>
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<input name="mobile_number" type="number"
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class="w-full h-[50px] py-1 px-3 border border-gray-300 outline-none rounded-md mt-1" required>
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</div>
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<div class="w-full">
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<label class="text-gray-500">Personal Website:</label>
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<input name="personal_website" type="url"
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class="w-full h-[50px] py-1 px-3 border border-gray-300 outline-none rounded-md mt-1">
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</div>
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<div class="w-full">
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<label class="text-gray-500">Status:</label>
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<select name="status"
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class="w-full h-[50px] py-1 px-3 border border-gray-300 outline-none rounded-md text-gray-500 mt-1"
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required>
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<option value="Active">Active</option>
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<option value="Suspended">Suspended</option>
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<option value="Terminated">Terminated</option>
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</select>
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</div>
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<div class="w-full">
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<label class="text-gray-500">Reference:</label>
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<select name="referenceid"
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class="w-full h-[50px] py-1 px-3 border border-gray-300 outline-none rounded-md text-gray-500 mt-1">
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<option value="" disabled selected>Select Reference</option>
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{% for reference in references %}
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<option value="{{reference.id}}">{{reference.name}}</option>
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{% endfor %}
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</select>
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</div>
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<input name="password1" type="password" placeholder="Password"
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class="w-full h-[50px] py-1 px-3 border border-gray-300 outline-none rounded-md" required>
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<input name="password2" type="password" placeholder="Password"
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class="w-full h-[50px] py-1 px-3 border border-gray-300 outline-none rounded-md" required>
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<div class="w-full flex justify-center items-center mt-3">
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<button type="submit"
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class="w-fit py-1 px-3 bg-osiblue rounded-md outline-none text-white border border-osiblue text-xl cursor-pointer hover:bg-white hover:text-osiblue duration-300">Save</button>
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</div>
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</div>
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</form>
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</div>
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</div>
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<!-------------- JS SCRIPTS --------------->
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<script type="text/javascript" src='{% static "js/inputs/upload-input-tag.js" %}'></script>
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{% endblock content %} |