Add personal application fields to members
This commit is contained in:
@@ -38,6 +38,22 @@
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@enderror
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</div>
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<div>
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<label for="member_number" class="block text-sm font-medium text-gray-700 dark:text-gray-300">
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會員編號
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</label>
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<input
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type="text"
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name="member_number"
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id="member_number"
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value="{{ old('member_number', $member->member_number) }}"
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class="mt-1 block w-full rounded-md border-gray-300 dark:border-gray-700 shadow-sm focus:border-indigo-500 dark:focus:border-indigo-600 focus:ring-indigo-500 dark:focus:ring-indigo-600 sm:text-sm dark:bg-gray-900 dark:text-gray-300"
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>
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@error('member_number')
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<p class="mt-2 text-sm text-red-600 dark:text-red-400">{{ $message }}</p>
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@enderror
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</div>
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<div>
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<label for="email" class="block text-sm font-medium text-gray-700 dark:text-gray-300">
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電子郵件
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@@ -55,6 +71,82 @@
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@enderror
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</div>
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<div class="grid gap-6 sm:grid-cols-2">
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<div>
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<label for="birth_date" class="block text-sm font-medium text-gray-700 dark:text-gray-300">
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出生年月日
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</label>
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<input
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type="date"
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name="birth_date"
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id="birth_date"
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value="{{ old('birth_date', optional($member->birth_date)->toDateString()) }}"
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class="mt-1 block w-full rounded-md border-gray-300 dark:border-gray-700 shadow-sm focus:border-indigo-500 dark:focus:border-indigo-600 focus:ring-indigo-500 dark:focus:ring-indigo-600 sm:text-sm dark:bg-gray-900 dark:text-gray-300"
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>
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@error('birth_date')
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<p class="mt-2 text-sm text-red-600 dark:text-red-400">{{ $message }}</p>
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@enderror
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</div>
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<div>
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<label for="gender" class="block text-sm font-medium text-gray-700 dark:text-gray-300">
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性別
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</label>
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<select
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name="gender"
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id="gender"
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class="mt-1 block w-full rounded-md border-gray-300 dark:border-gray-700 shadow-sm focus:border-indigo-500 dark:focus:border-indigo-600 focus:ring-indigo-500 dark:focus:ring-indigo-600 sm:text-sm dark:bg-gray-900 dark:text-gray-300"
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>
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<option value="">未設定</option>
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<option value="male" @selected(old('gender', $member->gender) === 'male')>男</option>
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<option value="female" @selected(old('gender', $member->gender) === 'female')>女</option>
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<option value="other" @selected(old('gender', $member->gender) === 'other')>其他</option>
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</select>
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@error('gender')
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<p class="mt-2 text-sm text-red-600 dark:text-red-400">{{ $message }}</p>
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@enderror
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</div>
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</div>
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<div class="grid gap-6 sm:grid-cols-2">
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<div>
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<label for="identity_type" class="block text-sm font-medium text-gray-700 dark:text-gray-300">
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身份別
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</label>
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<select
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name="identity_type"
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id="identity_type"
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class="mt-1 block w-full rounded-md border-gray-300 dark:border-gray-700 shadow-sm focus:border-indigo-500 dark:focus:border-indigo-600 focus:ring-indigo-500 dark:focus:ring-indigo-600 sm:text-sm dark:bg-gray-900 dark:text-gray-300"
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>
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<option value="">未設定</option>
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<option value="patient" @selected(old('identity_type', $member->identity_type) === 'patient')>病友</option>
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<option value="parent" @selected(old('identity_type', $member->identity_type) === 'parent')>父母</option>
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<option value="social" @selected(old('identity_type', $member->identity_type) === 'social')>社會人士</option>
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<option value="other" @selected(old('identity_type', $member->identity_type) === 'other')>其他</option>
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</select>
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@error('identity_type')
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<p class="mt-2 text-sm text-red-600 dark:text-red-400">{{ $message }}</p>
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@enderror
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</div>
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<div>
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<label for="identity_other_text" class="block text-sm font-medium text-gray-700 dark:text-gray-300">
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身份別其他說明
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</label>
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<input
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type="text"
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name="identity_other_text"
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id="identity_other_text"
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value="{{ old('identity_other_text', $member->identity_other_text) }}"
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class="mt-1 block w-full rounded-md border-gray-300 dark:border-gray-700 shadow-sm focus:border-indigo-500 dark:focus:border-indigo-600 focus:ring-indigo-500 dark:focus:ring-indigo-600 sm:text-sm dark:bg-gray-900 dark:text-gray-300"
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placeholder="若選其他請填寫"
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>
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@error('identity_other_text')
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<p class="mt-2 text-sm text-red-600 dark:text-red-400">{{ $message }}</p>
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@enderror
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</div>
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</div>
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<div>
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<label for="national_id" class="block text-sm font-medium text-gray-700 dark:text-gray-300">
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身分證號
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@@ -75,18 +167,118 @@
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</p>
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</div>
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<div class="grid gap-6 sm:grid-cols-2">
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<div>
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<label for="phone" class="block text-sm font-medium text-gray-700 dark:text-gray-300">
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行動電話
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</label>
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<input
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type="text"
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name="phone"
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id="phone"
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value="{{ old('phone', $member->phone) }}"
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class="mt-1 block w-full rounded-md border-gray-300 dark:border-gray-700 shadow-sm focus:border-indigo-500 dark:focus:border-indigo-600 focus:ring-indigo-500 dark:focus:ring-indigo-600 sm:text-sm dark:bg-gray-900 dark:text-gray-300"
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>
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@error('phone')
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<p class="mt-2 text-sm text-red-600 dark:text-red-400">{{ $message }}</p>
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@enderror
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</div>
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<div>
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<label for="phone_home" class="block text-sm font-medium text-gray-700 dark:text-gray-300">
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室內電話
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</label>
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<input
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type="text"
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name="phone_home"
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id="phone_home"
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value="{{ old('phone_home', $member->phone_home) }}"
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class="mt-1 block w-full rounded-md border-gray-300 dark:border-gray-700 shadow-sm focus:border-indigo-500 dark:focus:border-indigo-600 focus:ring-indigo-500 dark:focus:ring-indigo-600 sm:text-sm dark:bg-gray-900 dark:text-gray-300"
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>
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@error('phone_home')
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<p class="mt-2 text-sm text-red-600 dark:text-red-400">{{ $message }}</p>
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@enderror
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</div>
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</div>
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<div>
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<label for="phone" class="block text-sm font-medium text-gray-700 dark:text-gray-300">
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電話
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<label for="phone_fax" class="block text-sm font-medium text-gray-700 dark:text-gray-300">
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傳真
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</label>
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<input
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type="text"
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name="phone"
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id="phone"
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value="{{ old('phone', $member->phone) }}"
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name="phone_fax"
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id="phone_fax"
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value="{{ old('phone_fax', $member->phone_fax) }}"
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class="mt-1 block w-full rounded-md border-gray-300 dark:border-gray-700 shadow-sm focus:border-indigo-500 dark:focus:border-indigo-600 focus:ring-indigo-500 dark:focus:ring-indigo-600 sm:text-sm dark:bg-gray-900 dark:text-gray-300"
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>
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@error('phone')
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@error('phone_fax')
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<p class="mt-2 text-sm text-red-600 dark:text-red-400">{{ $message }}</p>
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@enderror
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</div>
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<div class="grid gap-6 sm:grid-cols-2">
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<div>
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<label for="occupation" class="block text-sm font-medium text-gray-700 dark:text-gray-300">
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現職
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</label>
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<input
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type="text"
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name="occupation"
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id="occupation"
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value="{{ old('occupation', $member->occupation) }}"
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class="mt-1 block w-full rounded-md border-gray-300 dark:border-gray-700 shadow-sm focus:border-indigo-500 dark:focus:border-indigo-600 focus:ring-indigo-500 dark:focus:ring-indigo-600 sm:text-sm dark:bg-gray-900 dark:text-gray-300"
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>
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@error('occupation')
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<p class="mt-2 text-sm text-red-600 dark:text-red-400">{{ $message }}</p>
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@enderror
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</div>
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<div>
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<label for="job_title" class="block text-sm font-medium text-gray-700 dark:text-gray-300">
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職稱
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</label>
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<input
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type="text"
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name="job_title"
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id="job_title"
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value="{{ old('job_title', $member->job_title) }}"
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class="mt-1 block w-full rounded-md border-gray-300 dark:border-gray-700 shadow-sm focus:border-indigo-500 dark:focus:border-indigo-600 focus:ring-indigo-500 dark:focus:ring-indigo-600 sm:text-sm dark:bg-gray-900 dark:text-gray-300"
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>
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@error('job_title')
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<p class="mt-2 text-sm text-red-600 dark:text-red-400">{{ $message }}</p>
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@enderror
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</div>
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</div>
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<div>
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<label for="employer" class="block text-sm font-medium text-gray-700 dark:text-gray-300">
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服務單位
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</label>
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<input
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type="text"
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name="employer"
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id="employer"
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value="{{ old('employer', $member->employer) }}"
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class="mt-1 block w-full rounded-md border-gray-300 dark:border-gray-700 shadow-sm focus:border-indigo-500 dark:focus:border-indigo-600 focus:ring-indigo-500 dark:focus:ring-indigo-600 sm:text-sm dark:bg-gray-900 dark:text-gray-300"
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>
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@error('employer')
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<p class="mt-2 text-sm text-red-600 dark:text-red-400">{{ $message }}</p>
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@enderror
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</div>
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<div>
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<label for="applied_at" class="block text-sm font-medium text-gray-700 dark:text-gray-300">
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申請日期
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</label>
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<input
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type="date"
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name="applied_at"
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id="applied_at"
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value="{{ old('applied_at', optional($member->applied_at)->toDateString()) }}"
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class="mt-1 block w-full rounded-md border-gray-300 dark:border-gray-700 shadow-sm focus:border-indigo-500 dark:focus:border-indigo-600 focus:ring-indigo-500 dark:focus:ring-indigo-600 sm:text-sm dark:bg-gray-900 dark:text-gray-300"
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>
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@error('applied_at')
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<p class="mt-2 text-sm text-red-600 dark:text-red-400">{{ $message }}</p>
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@enderror
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</div>
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