ꦫꦣꦺꦤ꧀ꦄꦤ꧀ꦠꦱꦺꦤ

PATH: home / lab2454c / healthvalidate.com / resources / views / applicants / dashboard

@extends('layouts.applicant.dashboard')

@section('content')

<div class="inner__from__wrapp personal__information">
    @include('validation.message')
    @include('validation.flashmessage')

@csrf
        <h2>{{ __('messages.applicant_dashboard.profile.frm_field.heading_membership')}}</h2>
        <div class="row">
            <div class="col-xl-4 col-lg-4 col-md-12">
                <div class="form-group form__group">
                    <label>{{ __('messages.applicant_dashboard.profile.frm_field.first_name_personal')}}</label>
                    <input type="text" name='first_name'
                        value='@if(!empty($user->first_name)){{ $user->first_name }}@endif'
                        class="form-control form__control" required>
                </div>
            </div>
            <div class="col-xl-4 col-lg-4 col-md-12">
                <div class="form-group form__group">
                    <label>{{ __('messages.applicant_dashboard.profile.frm_field.last_name_personal')}}</label>
                    <input type="text" name='last_name'
                        value='@if(!empty($user->last_name)){{ $user->last_name }}@endif'
                        class="form-control form__control" required>
                </div>
            </div>
            <div class="col-xl-4 col-lg-4 col-md-12">
                <div class="form-group form__group">
                    <label>{{ __('messages.applicant_dashboard.profile.frm_field.date_of_birth_membership')}}</label>
                    <input type="text" name='date_of_birth'
                        value='@if(!empty($user->membership_information->date_of_birth)){{ $user->membership_information->date_of_birth }}@endif'
                        class="form-control form__control" required>
                </div>
            </div>
        </div>
        <div class="row">
            <div class="col-xl-6 col-lg-6 col-md-12">
                <div class="form-group form__group">
                    <label>{{ __('messages.applicant_dashboard.profile.frm_field.address_1_membership')}}</label>
                    <textarea name="address_1" class="form-control form__control"
                        required="">@if(!empty($user->membership_information->address_1)){{ $user->membership_information->address_1 }}@endif</textarea>
                </div>
            </div>
            <div class="col-xl-3 col-lg-3 col-md-12">
                <div class="form-group form__group">
                    <label>{{ __('messages.applicant_dashboard.profile.frm_field.city_membership')}}</label>
                    <input type="text" name='city'
                        value='@if(!empty($user->membership_information->city)){{ $user->membership_information->city }}@endif'
                        class="form-control form__control" required>
                </div>
            </div>
            <div class="col-xl-3 col-lg-3 col-md-12">
                <div class="form-group form__group">
                    <label>{{ __('messages.applicant_dashboard.profile.frm_field.state_membership')}}</label>
                    <input type="text" name='state'
                        value='@if(!empty($user->membership_information->state)){{ $user->membership_information->state }}@endif'
                        class="form-control form__control" required>
                </div>
            </div>
            <div class="col-xl-4 col-lg-4 col-md-12">
                <div class="form-group form__group">
                    <label>{{ __('messages.applicant_dashboard.profile.frm_field.zipcode_membership')}}</label>
                    <input type="text" name='zipcode'
                        value='@if(!empty($user->membership_information->zipcode)){{ $user->membership_information->zipcode }}@endif'
                        class="form-control form__control" required>
                </div>
            </div>
            <div class="col-xl-4 col-lg-4 col-md-12">
                <div class="form-group form__group">
                    <label>{{ __('messages.applicant_dashboard.profile.frm_field.partner_information_membership')}}(Optional)</label>
                    <input type="text" name='partner_information'
                        value='@if(!empty($user->membership_information->partner_information)){{ $user->membership_information->partner_information }}@endif'
                        class="form-control form__control">
                </div>
            </div>
            <div class="col-xl-4 col-lg-4 col-md-12">
                <div class="form-group form__group">
                    <label>{{ __('messages.applicant_dashboard.profile.frm_field.membership_access_membership')}}</label>
                    <select name="membership_access" class="form-control form__control selectpicker" data-live-search="true">
                        <option value="1" @if(isset($user->membership_information->membership_access) &&
                            ($user->membership_information->membership_access ==
                            1)){{ 'selected="selected"' }}@endif>{{ __('messages.applicant_dashboard.profile.frm_field.membership_access_1yr')}}
                        </option>
                        <option value="2" @if(isset($user->membership_information->membership_access) &&
                            ($user->membership_information->membership_access ==
                            2)){{ 'selected="selected"' }}@endif>{{ __('messages.applicant_dashboard.profile.frm_field.membership_access_3yr')}}
                        </option>
                        <option value="3" @if(isset($user->membership_information->membership_access) &&
                            ($user->membership_information->membership_access ==
                            3)){{ 'selected="selected"' }}@endif>{{ __('messages.applicant_dashboard.profile.frm_field.membership_access_5yr')}}
                        </option>
                    </select>
                </div>
            </div>
        </div>
        <h2>{{ __('messages.applicant_dashboard.membership_form.qry_travel')}}</h2>

<div class="row">
            <div class="col-xl-4 col-lg-4 col-md-12">
                <div class="form-group form__group">
                    <label>{{__('messages.applicant_dashboard.membership_form.qry_yes')}}</label><input type="radio"
                        class="travel_ready" name="travel_frm_chk" value="1"
                        @if(isset($user->travel_information)){{'checked="checked"'}}@endif>
                    <label>{{__('messages.applicant_dashboard.membership_form.qry_no')}}</label><input type="radio"
                        class="travel_ready" name="travel_frm_chk" value="0"
                        @if(!isset($user->travel_information)){{'checked="checked"'}}@endif>
                </div>
            </div>
        </div>

<div class="travel_frm_data" @if(!isset($user->travel_information)){{'style=display:none;'}}@endif>
            <div class="row">
                <div class="col-xl-8 col-lg-8 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.information_travel')}}</label>
                        <textarea name="information"
                            class="form-control form__control">@if(!empty($user->travel_information->information)){{ $user->travel_information->information }}@endif</textarea>
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.date_submitted_travel')}}</label>
                        <input type="text" name='date_submitted'
                            value='@if(!empty($user->travel_information->date_submitted)){{ $user->travel_information->date_submitted }}@endif'
                            class="form-control form__control">
                    </div>
                </div>
            </div>
            <h2>{{ __('messages.applicant_dashboard.profile.frm_field.heading_personal')}}</h2>
            <div class="row">
                <div class="col-xl-8 col-lg-8 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.membership_form.travel_name')}}</label>
                        <div class="row">
                            <div class="col-xl-4 col-lg-12 col-md-12 col-sm-12 space__top">
                                <input type="text" name="first_name_travel"
                                    value="@if(!empty($user->travel_information->first_name_travel)){{ $user->travel_information->first_name_travel }}@endif"
                                    class="form-control form__control req_cls">
                                <p>{{ __('messages.applicant_dashboard.profile.frm_field.first_name_travel')}}</p>
                            </div>
                            <div class="col-xl-4 col-lg-12 col-md-12 col-sm-12 space__top">
                                <input type="text" name="middle_name_travel"
                                    value="@if(!empty($user->travel_information->middle_name_travel)){{ $user->travel_information->middle_name_travel }}@endif"
                                    class="form-control form__control req_cls middle_name_travel">
                                <p>{{ __('messages.applicant_dashboard.profile.frm_field.middle_name_travel')}}</p>
                            </div>
                            <div class="col-xl-4 col-lg-12 col-md-12 col-sm-12 space__top">
                                <input type="text" name="last_name_travel"
                                    value="@if(!empty($user->travel_information->last_name_travel)){{ $user->travel_information->last_name_travel }}@endif"
                                    class="form-control form__control req_cls">
                                <p>{{ __('messages.applicant_dashboard.profile.frm_field.last_name_travel')}}</p>
                            </div>
                        </div>
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.sex_age_travel')}}</label>
                        <input type="text" name="sex_age"
                            value="@if(!empty($user->travel_information->sex_age)){{ $user->travel_information->sex_age }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.mobile_contact_number_travel')}}</label>
                        <input type="text" name="mobile_contact_number"
                            value="@if(!empty($user->travel_information->mobile_contact_number)){{ $user->travel_information->mobile_contact_number }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.business_contact_number_travel')}}</label>
                        <input type="text" name="business_contact_number"
                            value="@if(!empty($user->travel_information->business_contact_number)){{ $user->travel_information->business_contact_number }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.home_contact_number_travel')}}</label>
                        <input type="text" name="home_contact_number"
                            value="@if(!empty($user->travel_information->home_contact_number)){{ $user->travel_information->home_contact_number }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{__('messages.applicant_dashboard.profile.frm_field.other_contact_number_travel')}}</label>
                        <input type="text" name="other_contact_number"
                            value="@if(!empty($user->travel_information->other_contact_number)){{ $user->travel_information->other_contact_number }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.email_address_travel')}}</label>
                        <input type="email" name="email_address"
                            value="@if(!empty($user->travel_information->email_address)){{ $user->travel_information->email_address }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.passport_travel')}}</label>
                        <input type="text" name="passport"
                            value="@if(!empty($user->travel_information->passport)){{ $user->travel_information->passport }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.driving_license_travel')}}</label>
                        <input type="text" name="driving_license"
                            value="@if(!empty($user->travel_information->driving_license)){{ $user->travel_information->driving_license }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
            </div>
            <h2>{{ __('messages.applicant_dashboard.profile.frm_field.heading_transportation')}}</h2>
            <div class="row">
                <div class="col-xl-3 col-lg-3 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.airline_name_travel')}}</label>
                        <input type="text" name="airline_name"
                            value="@if(!empty($user->travel_information->airline_name)){{ $user->travel_information->airline_name }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-3 col-lg-3 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.flight_number_travel')}}</label>
                        <input type="text" name="flight_number"
                            value="@if(!empty($user->travel_information->flight_number)){{ $user->travel_information->flight_number }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-3 col-lg-3 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.date_of_arrival_travel')}}</label>
                        <input type="text" name="date_of_arrival"
                            value="@if(!empty($user->travel_information->date_of_arrival)){{ $user->travel_information->date_of_arrival }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-3 col-lg-3 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.point_of_entry_travel')}}</label>
                        <input type="text" name="point_of_entry"
                            value="@if(!empty($user->travel_information->point_of_entry )){{ $user->travel_information->point_of_entry  }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
            </div>
            <h2>{{ __('messages.applicant_dashboard.profile.frm_field.heading_permanent_location')}}</h2>
            <div class="row">
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.country_permanent_travel')}}</label>
                        <input type="text" name="country_permanent"
                            value="@if(!empty($user->travel_information->country_permanent)){{ $user->travel_information->country_permanent }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.state_permanent_travel')}}</label>
                        <input type="text" name="state_permanent"
                            value="@if(!empty($user->travel_information->state_permanent)){{ $user->travel_information->state_permanent }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.city_permanent_travel')}}</label>
                        <input type="text" name="city_permanent"
                            value="@if(!empty($user->travel_information->city_permanent)){{ $user->travel_information->city_permanent }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.street_permanent_travel')}}</label>
                        <input type="text" name="street_permanent"
                            value="@if(!empty($user->travel_information->street_permanent)){{ $user->travel_information->street_permanent }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.apartment_permanent_travel')}}</label>
                        <input type="text" name="apartment_permanent"
                            value="@if(!empty($user->travel_information->apartment_permanent)){{ $user->travel_information->apartment_permanent }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.previous_visited_country_permanent_travel')}}</label>
                        <input type="text" name="previous_visited_country_permanent"
                            value="@if(!empty($user->travel_information->previous_visited_country_permanent)){{ $user->travel_information->previous_visited_country_permanent }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
            </div>
            <h2>{{ __('messages.applicant_dashboard.profile.frm_field.heading_temporary_location')}}</h2>
            <div class="row">
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.country_temporary_travel')}}</label>
                        <input type="text" name="country_temporary"
                            value="@if(!empty($user->travel_information->country_temporary)){{ $user->travel_information->country_temporary }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.state_temporary_travel')}}</label>
                        <input type="text" name="state_temporary"
                            value="@if(!empty($user->travel_information->state_temporary)){{ $user->travel_information->state_temporary }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.city_temporary_travel')}}</label>
                        <input type="text" name="city_temporary"
                            value="@if(!empty($user->travel_information->city_temporary)){{ $user->travel_information->city_temporary }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.street_temporary_travel')}}</label>
                        <input type="text" name="street_temporary"
                            value="@if(!empty($user->travel_information->street_temporary)){{ $user->travel_information->street_temporary }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.apartment_temporary_travel')}}</label>
                        <input type="text" name="apartment_temporary"
                            value="@if(!empty($user->travel_information->apartment_temporary)){{ $user->travel_information->apartment_temporary }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.previous_visited_country_temporary_travel')}}</label>
                        <input type="text" name="previous_visited_country_temporary"
                            value="@if(!empty($user->travel_information->previous_visited_country_temporary)){{ $user->travel_information->previous_visited_country_temporary }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
            </div>
            <h2>{{ __('messages.applicant_dashboard.profile.frm_field.heading_emergency')}}</h2>
            <div class="row">
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.first_name_emergency_travel')}}</label>
                        <input type="text" name="first_name_emergency"
                            value="@if(!empty($user->travel_information->first_name_emergency)){{ $user->travel_information->first_name_emergency }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.last_name_emergency_travel')}}</label>
                        <input type="text" name="last_name_emergency"
                            value="@if(!empty($user->travel_information->last_name_emergency)){{ $user->travel_information->last_name_emergency }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.country_city_emergency_travel')}}</label>
                        <input type="text" name="country_city_emergency"
                            value="@if(!empty($user->travel_information->country_city_emergency)){{ $user->travel_information->country_city_emergency }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.mobile_contact_number_emergency_travel')}}</label>
                        <input type="text" name="mobile_contact_number_emergency"
                            value="@if(!empty($user->travel_information->mobile_contact_number_emergency)){{ $user->travel_information->mobile_contact_number_emergency }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.other_contact_number_emergency_travel')}}</label>
                        <input type="text" name="other_contact_number_emergency"
                            value="@if(!empty($user->travel_information->other_contact_number_emergency)){{ $user->travel_information->other_contact_number_emergency }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.email_address_emergency_travel')}}</label>
                        <input type="email" name="email_address_emergency"
                            value="@if(!empty($user->travel_information->email_address_emergency)){{ $user->travel_information->email_address_emergency }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
            </div>
            <h2>{{ __('messages.applicant_dashboard.profile.frm_field.heading_digital')}}</h2>
            <div class="row">
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.first_name_digital_travel')}}</label>
                        <input type="text" name="first_name_digital"
                            value="@if(!empty($user->travel_information->first_name_digital)){{ $user->travel_information->first_name_digital }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.last_name_digital_travel')}}</label>
                        <input type="text" name="last_name_digital"
                            value="@if(!empty($user->travel_information->last_name_digital)){{ $user->travel_information->last_name_digital }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.national_id_digital_travel')}}</label>
                        <input type="text" name="national_id_digital"
                            value="@if(!empty($user->travel_information->national_id_digital)){{ $user->travel_information->national_id_digital }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.certificate_type_digital_travel')}}</label>
                        <input type="text" name="certificate_type_digital"
                            value="@if(!empty($user->travel_information->certificate_type_digital)){{ $user->travel_information->certificate_type_digital }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.credential_type_digital_travel')}}</label>
                        <input type="text" name="credential_type_digital"
                            value="@if(!empty($user->travel_information->credential_type_digital)){{ $user->travel_information->credential_type_digital }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.certificate_id_digital_travel')}}</label>
                        <input type="text" name="certificate_id_digital"
                            value="@if(!empty($user->travel_information->certificate_id_digital)){{ $user->travel_information->certificate_id_digital }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.vaccination_country_digital_travel')}}</label>
                        <input type="text" name="vaccination_country_digital"
                            value="@if(!empty($user->travel_information->vaccination_country_digital)){{ $user->travel_information->vaccination_country_digital }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
                <div class="col-xl-4 col-lg-4 col-md-12">
                    <div class="form-group form__group">
                        <label>{{ __('messages.applicant_dashboard.profile.frm_field.vaccination_manufacturer_digital_travel')}}</label>
                        <input type="text" name="vaccination_manufacturer_digital"
                            value="@if(!empty($user->travel_information->vaccination_manufacturer_digital)){{ $user->travel_information->vaccination_manufacturer_digital }}@endif"
                            class="form-control form__control">
                    </div>
                </div>
            </div>

</div>
        <input type="submit" value="{{ __('messages.applicant_dashboard.profile.frm_field.submit_btn_general')}}"
            class="submit__btn">
    </form>

</div>
@endsection

[+] ..
[-] membership_lounge_payform.blade.php [edit]
[-] membership_lounge_form.blade.php [edit]
[-] membership_lounge_dashboard.blade.php [edit]
[-] immunization_profile_form.blade.php [edit]