@include('components.input.form-input', [
'label' => __('app.name'),
'mandatory' => true,
'name' => 'name',
'placeholder' => __('app.masukkan_field', ['field' => 'name']),
])
@php
$gender = ['Male', 'Female'];
@endphp
@include('components.input.form-select', [
'label' => __('app.gender'),
'options' => $gender,
'mandatory' => true,
'name' => 'gender',
'placeholder' => __('app.select_field', ['field' => 'gender']),
'arr_type' => 'linear',
])
@php
$blood = ['A', 'AB', 'B', 'O'];
@endphp
@include('components.input.form-select', [
'label' => __('app.blood_type'),
'options' => $blood,
'mandatory' => true,
'name' => 'blood_type',
'placeholder' => __('app.select_field', ['field' => 'blood type']),
'arr_type' => 'linear',
])
@include('components.input.form-input', [
'label' => __('app.birth_place'),
'mandatory' => true,
'name' => 'birth_place',
'placeholder' => __('app.masukkan_field', ['field' => 'birth place']),
])
@include('components.input.form-date', [
'label' => __('app.birth_date'),
'name' => 'birth_date',
'mandatory' => true,
'placeholder' => __('app.select_field', ['field' => 'birth date']),
])
@include('components.input.form-input', [
'label' => __('app.phone_number'),
'mandatory' => true,
'name' => 'phone_number',
'placeholder' => __('app.masukkan_field', ['field' => 'phone number']),
])
@include('components.input.form-input', [
'label' => 'Email (Optional)',
'mandatory' => false,
'name' => 'email',
'placeholder' => __('app.masukkan_field', ['field' => 'email']),
])
@include('components.input.form-select', [
'label' => __('app.nationality'),
'options' => $countries,
'mandatory' => true,
'name' => 'nationality',
'placeholder' => __('app.select_field', ['field' => 'nationality']),
'arr_type' => 'assoc',
'value_type' => 'string',
])
@include('components.input.form-textarea', [
'label' => __('app.address'),
'mandatory' => true,
'name' => 'address',
'placeholder' => __('app.masukkan_field', ['field' => 'address']),
])
@include('components.input.form-input', [
'label' => __('app.company'),
'mandatory' => true,
'name' => 'company',
'placeholder' => __('app.masukkan_field', ['field' => 'company']),
])
@include('components.input.form-select', [
'label' => __('app.purpose'),
'options' => $purpose,
'mandatory' => true,
'name' => 'purposed',
'placeholder' => __('app.select_field', ['field' => 'purpose']),
'arr_type' => 'linear',
])
@include('components.input.form-input', [
'label' => 'Sponsor (email)',
'input_type' => 'email',
'mandatory' => true,
'name' => 'sponsor',
'placeholder' => __('app.masukkan_field', ['field' => 'sponsor']),
])
@include('components.form.form-upload-file', [
'id' => 'pas_photo',
])
Peringatan
Untuk visitor dengan masa kunjungan kurang dari 7 hari, diwajibkan mengunggah Surat Keterangan Sehat yang memuat informasi: vital signs, kolesterol total & HDL, riwayat merokok, serta riwayat pengobatan saat ini.
Dokumen tersebut dianjurkan untuk digabungkan menjadi satu file sebelum diunggah.
Selain itu, hasil MCU harus berumur tidak lebih dari 2 tahun (≤ 2 tahun).
Warning
For visitors with a stay duration of less than 7 days, it is mandatory to upload a Health Certificate containing the following information:
vital signs, total cholesterol & HDL, smoking history, and current medication history.
The document is recommended to be
combined into a single file before uploading.
In addition, the
MCU results must be no more than 2 years old (≤ 2 years).
Translate
@include('components.form.form-upload-file', [
'id' => 'health_certificate',
'tooltip' => true,
])