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"6. Request Safe Conduct"
Bootstrap 4.1.1 Snippet by
bigosiwy
4.1.1
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<link href="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/js/bootstrap.min.js"></script> <script src="//cdnjs.cloudflare.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script> <!------ Include the above in your HEAD tag ----------> <link href="//maxcdn.bootstrapcdn.com/bootstrap/4.0.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/4.0.0/js/bootstrap.min.js"></script> <script src="//cdnjs.cloudflare.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script> <!------ Include the above in your HEAD tag ----------> <link href="https://use.fontawesome.com/releases/v5.0.11/css/all.css" rel="stylesheet"> <div class="nav-side-menu"> <div class="brand">Safe Conduct v1.0</div> <i class="fa fa-bars fa-2x toggle-btn" data-toggle="collapse" data-target="#menu-content"></i> <div class="menu-list"> <ul id="menu-content" class="menu-content collapse out"> <li> <a href="#"> <i class="fas fa-tachometer-alt fa-lg"></i> Home </a> </li> <li> <a href="#"> <i class="fas fa-inbox fa-lg"></i> Safe Conducts </a> </li> <li> <a href="#"> <i class="fas fa-user-tie fa-lg"></i> Profile </a> </li> <li> <a href="#"> <i class="fa fa-users fa-lg"></i> Users </a> </li> <li> <a href="#"> <i class="fa fa-globe fa-lg"></i> Información </a> </li> </ul> </div> </div> <div class="container"> <h2 class=""> </h2> <div class="row"> <div class="col-12 col-md-8 col-lg-6 pb-5"> <!--Form with header--> <form action="#" th:action="@{/addUser}" th:object="${user}" method="post"> <div class="card border-primary rounded-0"> <div class="card-header p-0"> <div class="bg-info text-white text-center py-2"> <h3><i class="fa fa-envelope"></i> Have to break quarantine?</h3> <p class="m-0">Request your SafeConduct online</p> </div> </div> <div class="card-body p-3"> <!--Body--> <div class="form-group"> <div class="input-group mb-2"> <div class="input-group-prepend"> <div class="input-group-text"><i class="fa fa-user text-info"></i></div> </div> <input type="text" class="form-control" id="name" name="name" placeholder="Joaquin Copete" readonly th:field="*{name}"></input> </div> </div> <!--div class="form-group"> <div class="input-group mb-2"> <div class="input-group-prepend"> <div class="input-group-text"><i class="fa fa-envelope text-info"></i></div> </div> <input type="email" class="form-control" id="email" name="email" placeholder="example@gmail.com" required th:field="*{email}"></input> </div> </div--> <div class="form-group"> <div class="input-group mb-2"> <div class="input-group-prepend"> <div class="input-group-text">Reason</div> </div> <!-- input type="text" class="form-control" id="reason" name="reason" placeholder="Go shopping" required th:field="*{occupation}"></input--> <div class="col-md-6 form-group"> <!-- strong>Duration:</strong --> <div class="form-check form-check-inline"> <input class="form-check-input" type="radio" th:field="*{reason}" id="option1" value="BASIC_NEEDS" checked="checked"> <label class="form-check-label" for="option1">Basic needs shopping</label> </div> <div class="form-check form-check-inline"> <input class="form-check-input" type="radio" th:field="*{reason}" id="option2" value="MED_APP"> <label class="form-check-label" for="option2">Medical appointment</label> </div> <div class="form-check form-check-inline"> <input class="form-check-input" type="radio" th:field="*{reason}" id="option3" value="GO_TO_WORK"> <label class="form-check-label" for="option3">Go to work</label> </div> <div class="form-check form-check-inline"> <input class="form-check-input" type="radio" th:field="*{reason}" id="option4" value="RETURN_HOME"> <label class="form-check-label" for="option4">Return Home</label> </div> </div> </div> </div> <div class="form-group"> <div class="input-group mb-2"> <div class="input-group-prepend"> <div class="input-group-text">Dest. Address</div> </div> <input type="email" class="form-control" id="dAddress1" name="dAddress1" placeholder="BlueAppleTech oficina" required th:field="*{dAddress1}"></input> </div> </div> <div class="form-group"> <div class="input-group mb-2"> <div class="input-group-prepend"> <div class="input-group-text">Dest. Address</div> </div> <input type="email" class="form-control" id="dAddress2" name="dAddress2" placeholder="C/ Mahón nº8" required th:field="*{dAddress2}"></input> </div> </div> <div class="form-group"> <div class="input-group mb-2"> <div class="input-group-prepend"> <div class="input-group-text">Dest. City</div> </div> <input type="email" class="form-control" id="dCity" name="dCity" placeholder="Las Rozas de Madrid" required th:field="*{dCity}"></input> </div> </div> <div class="form-group"> <div class="input-group mb-2"> <div class="input-group-prepend"> <div class="input-group-text">Dest. Province</div> </div> <input type="email" class="form-control" id="dProvince" name="dProvince" placeholder="Madrid" required th:field="*{dProvince}"></input> </div> </div> <div class="text-center"> <input type="submit" value="Enviar" class="btn btn-info btn-block rounded-0 py-2"></input> </div> </div> </div> </form> <!--Form with header--> </div> </div> </div>
@charset "ISO-8859-1"; @import url("https://use.fontawesome.com/releases/v5.0.11/css/all.css"); .Button { height: 50px; position: relative; background: #ccc; padding-top: 10px; padding-bottom: 10px; padding-left: 0px; left: 0px; right: 0px; width: 100%; overflow: hidden; } .nav-side-menu { overflow: auto; font-family: verdana; font-size: 12px; font-weight: 200; background-color: rgb(23, 162, 184); position: fixed; top: 0px; padding-left: 0px; height: 100%; width: 17%; color: #e1ffff; } .nav-side-menu .brand { background-color: rgb(23, 162, 184); line-height: 50px; display: block; text-align: center; font-size: 14px; } .nav-side-menu .toggle-btn { display: none; } .nav-side-menu ul, .nav-side-menu li { list-style: none; padding: 0px; margin: 0px; line-height: 35px; cursor: pointer; } .nav-side-menu ul :not(collapsed) .arrow:before, .nav-side-menu li :not(collapsed) .arrow:before { font-family: 'Font Awesome 5 Free'; content: "\f13a"; display: inline-block; padding-left: 10px; padding-right: 10px; vertical-align: middle; float: right; font-weight: 900; } .nav-side-menu ul .active, .nav-side-menu li .active { border-left: 3px solid #d19b3d; background-color: rgb(23, 162, 184); } .nav-side-menu ul .sub-menu li.active, .nav-side-menu li .sub-menu li.active { color: #d19b3d; } .nav-side-menu ul .sub-menu li.active a, .nav-side-menu li .sub-menu li.active a { color: #d19b3d; } .nav-side-menu ul .sub-menu li, .nav-side-menu li .sub-menu li { background-color: rgb(23, 162, 184); border: none; line-height: 28px; border-bottom: 1px solid #23282e; margin-left: 0px; } .nav-side-menu ul .sub-menu li:hover, .nav-side-menu li .sub-menu li:hover { background-color: #020203; } .nav-side-menu ul .sub-menu li:before, .nav-side-menu li .sub-menu li:before { font-family: 'Font Awesome 5 Free'; content: "\f105"; display: inline-block; padding-left: 10px; padding-right: 10px; vertical-align: middle; font-weight: 900; } .nav-side-menu li { padding-left: 0px; border-left: 3px solid #84a3c6; border-bottom: 1px solid #23282e; } .nav-side-menu li a { text-decoration: none; color: #e1ffff; } .nav-side-menu li a i { padding-left: 10px; width: 20px; padding-right: 20px; } .nav-side-menu li:hover { border-left: 3px solid #d19b3d; background-color: rgb(23, 162, 184); -webkit-transition: all 1s ease; -moz-transition: all 1s ease; -o-transition: all 1s ease; -ms-transition: all 1s ease; transition: all 1s ease; } @media (max-width: 767px) { .nav-side-menu { position: relative; width: 100%; margin-bottom: 10px; } .nav-side-menu .toggle-btn { display: block; cursor: pointer; position: absolute; right: 10px; top: 10px; z-index: 10 !important; padding: 3px; background-color: #000000; color: #000; width: 40px; text-align: center; } .brand { text-align: left !important; font-size: 22px; padding-left: 20px; line-height: 50px !important; } } @media (min-width: 767px) { .nav-side-menu .menu-list .menu-content { display: block; } } body { margin: 0px; padding: 0px; }
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