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@extends('layouts.instructor') @section('breadcrumb') <div class="page-banner-content text-center"> <h3 class="page-banner-heading text-white pb-15"> {{__('Become An Affiliate')}} </h3> <!-- Breadcrumb Start--> <nav aria-label="breadcrumb"> <ol class="breadcrumb justify-content-center"> <li class="breadcrumb-item font-14"><a href="{{route('instructor.dashboard')}}">{{__('Dashboard')}}</a></li> <li class="breadcrumb-item font-14"><a href="{{ route('instructor.become-affiliate') }}">{{ __('Become An Affiliate') }}</a></li> <li class="breadcrumb-item font-14 active" aria-current="page">{{__('Apply')}}</li> </ol> </nav> </div> @endsection @section('content') <div class="instructor-profile-right-part"> <div class="instructor-quiz-list-page instructor-notice-board-page"> <div class="row"> <div class="col-12"> <form action="{{route('instructor.create-affiliate-request')}}" method="post"> @csrf <div class="row"> <div class="col-md-6 mb-30"> <label class="label-text-title color-heading font-medium font-16 mb-3">{{ __('Name') }} <span class="text-danger">*</span></label> <input type="text" class="form-control" name="name" value="{{Auth::user()->name}}" readonly> </div> <div class="col-md-6 mb-30"> <label class="label-text-title color-heading font-medium font-16 mb-3">{{ __('Email') }} <span class="text-danger">*</span></label> <input type="text" class="form-control" name="email" value="{{Auth::user()->email}}" readonly> </div> </div> <div class="row mb-30"> <div class="col-md-12"> <div class="label-text-title color-heading font-medium font-16 mb-3">{{ __('Address') }} <span class="text-danger">*</span></div> <textarea class="form-control" name="address" cols="30" rows="10"></textarea> </div> </div> <div> <button type="submit" class="theme-btn theme-button1 default-hover-btn">{{__('Apply')}}</button> </div> </form> </div> </div> </div> </div> @endsection