claims.html 3.7 KB

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  1. <fieldset class="border-top">
  2. <div class="form-group">
  3. <label class="col-md-2 control-label" for="username">{{:: 'username' | translate}}</label>
  4. <div class="col-md-6">
  5. <input ng-model="claims.username" name="username" id="username" onoffswitch on-text="{{:: 'onText' | translate}}" off-text="{{:: 'offText' | translate}}"/>
  6. </div>
  7. </div>
  8. <div class="form-group">
  9. <label class="col-md-2 control-label" for="claimName">{{:: 'name' | translate}}</label>
  10. <div class="col-md-6">
  11. <input ng-model="claims.name" name="claimName" id="claimName" onoffswitch on-text="{{:: 'onText' | translate}}" off-text="{{:: 'offText' | translate}}"/>
  12. </div>
  13. </div>
  14. <div class="form-group">
  15. <label class="col-md-2 control-label" for="email">{{:: 'email' | translate}}</label>
  16. <div class="col-md-6">
  17. <input ng-model="claims.email" name="email" id="email" onoffswitch on-text="{{:: 'onText' | translate}}" off-text="{{:: 'offText' | translate}}"/>
  18. </div>
  19. </div>
  20. <div class="form-group">
  21. <label class="col-md-2 control-label" for="gender">{{:: 'gender' | translate}}</label>
  22. <div class="col-md-6">
  23. <input ng-model="claims.gender" name="gender" id="gender" onoffswitch on-text="{{:: 'onText' | translate}}" off-text="{{:: 'offText' | translate}}"/>
  24. </div>
  25. </div>
  26. <div class="form-group">
  27. <label class="col-md-2 control-label" for="address">{{:: 'address' | translate}}</label>
  28. <div class="col-md-6">
  29. <input ng-model="claims.address" name="address" id="address" onoffswitch on-text="{{:: 'onText' | translate}}" off-text="{{:: 'offText' | translate}}"/>
  30. </div>
  31. </div>
  32. <div class="form-group">
  33. <label class="col-md-2 control-label" for="locale">{{:: 'locale' | translate}}</label>
  34. <div class="col-md-6">
  35. <input ng-model="claims.locale" name="locale" id="locale" onoffswitch on-text="{{:: 'onText' | translate}}" off-text="{{:: 'offText' | translate}}"/>
  36. </div>
  37. </div>
  38. <div class="form-group">
  39. <label class="col-md-2 control-label" for="phone">{{:: 'phone' | translate}}</label>
  40. <div class="col-md-6">
  41. <input ng-model="claims.phone" name="phone" id="phone" onoffswitch on-text="{{:: 'onText' | translate}}" off-text="{{:: 'offText' | translate}}"/>
  42. </div>
  43. </div>
  44. <div class="form-group">
  45. <label class="col-md-2 control-label" for="profile">{{:: 'profile-url' | translate}}</label>
  46. <div class="col-md-6">
  47. <input ng-model="claims.profile" name="profile" id="profile" onoffswitch on-text="{{:: 'onText' | translate}}" off-text="{{:: 'offText' | translate}}"/>
  48. </div>
  49. </div>
  50. <div class="form-group">
  51. <label class="col-md-2 control-label" for="picture">{{:: 'picture-url' | translate}}</label>
  52. <div class="col-md-6">
  53. <input ng-model="claims.picture" name="picture" id="picture" onoffswitch on-text="{{:: 'onText' | translate}}" off-text="{{:: 'offText' | translate}}"/>
  54. </div>
  55. </div>
  56. <div class="form-group">
  57. <label class="col-md-2 control-label" for="website">{{:: 'website' | translate}}</label>
  58. <div class="col-md-6">
  59. <input ng-model="claims.website" name="website" id="website" onoffswitch on-text="{{:: 'onText' | translate}}" off-text="{{:: 'offText' | translate}}"/>
  60. </div>
  61. </div>
  62. </fieldset>