boran1999
/
DB_app


			
				
					
						
						
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							@extends('layout')
@section('content')
    <style>
      .bd-placeholder-img {
        font-size: 1.125rem;
        text-anchor: middle;
      }

      @media (min-width: 768px) {
        .bd-placeholder-img-lg {
          font-size: 3.5rem;
        }
      }
    </style>
    <!-- Custom styles for this template -->
    <link href="css/form-validation.css" rel="stylesheet">
</head>
 
<body class="bg-light">
<div class="container">
  <div class="py-5 text-center">
    <img class="d-block mx-auto mb-4" src="/docs/4.3.1/assets/brand/bootstrap-solid.svg" alt="" width="72" height="72" alt="bootstrap">
    <h1>Top up account</h1>
    <p class="lead">Enter your email and the amount of money you want to add</p>
  </div>
   
        
  <form method="POST" align="center" class="needs-validation" novalidate="" action="{{action('PostsController@ind')}}">
  	{{csrf_field()}}
          <div class="mb-4">
          	<label for="second_name">Фамилия</label>
            <input type="text" name="second_name" class="form-control" id="seсond_name">
          </div>
          <div class="mb-4">
            <label for="first_name">Имя</label>
            <input type="text" name="first_name" class="form-control" id="first_name">
          </div>
          <div class="mb-4">
            <label for="last_name">Отчество</label>
            <input type="text" name="last_name" class="form-control" id="last_name">
          </div>
          <div class="mb-4">
            <label for="phone">Телефон</label>
            <input type="text" name="phone" class="form-control" id="phone">
          </div>
          <div class="mb-4">
            <label for="address">Адрес</label>
            <input type="text" name="address" class="form-control" id="address">
          </div>
          <div class="mb-4">
            <label for="dbirth">Дата рождения</label>
            <input type="date" name="dbirth" class="form-control" id="dbirth">
          </div>
          <div class="mb-4">
            <label for="position">Должность</label>
            <input type="text" name="position" class="form-control" id="position">
          </div>
          <hr class="mb-4">
          <button class="btn btn-primary btn-lg btn-block" type="submit">Continue to checkout</button>
      </form>
</body>
</html>
@endsection