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@@ -8,119 +8,88 @@
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<div class="form-group row"></div>
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<div class="row" style="text-align:left">
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<div class="col-md-6">
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+ <label>Name</label>
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<div class="input-group-prepend">
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<span class="input-group-text">
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- <eva-icon name="person" fill="#60CBEB"></eva-icon>
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+ <eva-icon name="person-outline" fill="#60CBEB"></eva-icon>
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</span>
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- <input
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- class="form-control"
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- type="text"
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- name="name"
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- placeholder="Name"
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- v-model="registerIndividual.name"
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- />
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+ <input class="form-control" type="text" name="name" v-model="registerIndividual.name" />
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</div>
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</div>
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<div class="col-md-6" style="margin-bottom: 1em">
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+ <label>Surname</label>
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<div class="input-group-prepend">
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<span class="input-group-text">
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- <eva-icon name="book" fill="#60CBEB"></eva-icon>
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+ <eva-icon name="book-outline" fill="#60CBEB"></eva-icon>
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</span>
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<input
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class="form-control"
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type="text"
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name="surname"
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- placeholder="Surname"
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v-model="registerIndividual.surname"
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/>
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</div>
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</div>
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<div class="col-md-6" style="margin-bottom: 1em">
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+ <label>ID Number</label>
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<div class="input-group-prepend">
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<span class="input-group-text">
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<eva-icon name="archive" fill="#60CBEB"></eva-icon>
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</span>
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- <input class="form-control" type="text" name="idnumber" placeholder="ID Number" />
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+ <input class="form-control" type="text" name="idnumber" />
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</div>
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</div>
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<div class="col-md-6" style="margin-bottom: 1em">
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+ <label>Company Reg Number</label>
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<div class="input-group-prepend">
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<span class="input-group-text">
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- <eva-icon name="npm" fill="#60CBEB"></eva-icon>
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+ <eva-icon name="npm-outline" fill="#60CBEB"></eva-icon>
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</span>
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- <input
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- class="form-control"
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- type="text"
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- name="companyregnumber"
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- placeholder="Company Reg Number"
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- />
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+ <input class="form-control" type="text" name="companyregnumber" />
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</div>
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</div>
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<div class="col-md-6" style="margin-bottom: 1em">
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+ <label>Marital Status</label>
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<div class="input-group-prepend">
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<span class="input-group-text">
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- <eva-icon name="people" fill="#60CBEB"></eva-icon>
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+ <eva-icon name="people-outline" fill="#60CBEB"></eva-icon>
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</span>
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- <input
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- class="form-control"
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- type="text"
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- name="maritalstatus"
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- placeholder="Marital Status"
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- />
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+ <input class="form-control" type="text" name="maritalstatus" />
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</div>
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</div>
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<div class="col-md-6" style="margin-bottom: 1em">
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+ <label>Email Address</label>
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<div class="input-group-prepend">
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<span class="input-group-text">
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- <eva-icon name="email" fill="#60CBEB"></eva-icon>
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+ <eva-icon name="email-outline" fill="#60CBEB"></eva-icon>
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</span>
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- <input
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- class="form-control"
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- type="text"
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- name="email"
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- placeholder="Email Address"
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- v-model="registerIndividual.email"
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- />
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+ <input class="form-control" type="text" name="email" v-model="registerIndividual.email" />
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</div>
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</div>
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<div class="col-md-6" style="margin-bottom: 1em">
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+ <label>Cell Number</label>
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<div class="input-group-prepend">
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<span class="input-group-text">
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- <eva-icon name="smartphone" fill="#60CBEB"></eva-icon>
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+ <eva-icon name="smartphone-outline" fill="#60CBEB"></eva-icon>
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</span>
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<input
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class="form-control"
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type="text"
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name="cellnumber"
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- placeholder="Cellphone Number"
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v-model="registerIndividual.cellNumber"
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/>
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</div>
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</div>
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<div class="col-md-6" style="margin-bottom: 1em">
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+ <label>Landline Number</label>
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<div class="input-group-prepend">
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<span class="input-group-text">
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- <eva-icon name="phone" fill="#60CBEB"></eva-icon>
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+ <eva-icon name="phone-outline" fill="#60CBEB"></eva-icon>
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</span>
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<input
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class="form-control"
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type="text"
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name="landline"
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- placeholder="Landline Number"
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- v-model="registerIndividual.telephone"
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- />
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- </div>
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- </div>
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- <div class="col-md-6" style="margin-bottom: 1em">
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- <div class="input-group-prepend">
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- <span class="input-group-text">
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- <eva-icon name="home" fill="#60CBEB"></eva-icon>
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- </span>
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- <input
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- class="form-control"
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- type="text"
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- name="address"
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- placeholder="Address"
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v-model="registerIndividual.telephone"
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/>
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</div>
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