ICT Helpdesk Users Registration Form

{{-- Display validation errors if any --}} @if ($errors->any()) @endif @if(session('success')) @endif {{-- FORM START --}} {!! Form::open(['url' => 'traineeregister', 'files' => true, 'method' => 'POST', 'id' => 'registrationForm']) !!} {{-- CONTAINER 1: PERSONAL DETAILS --}}

Personal Information Details

First Name* {!! Form::text('first_name', null, ['class' => 'form-control', 'required', 'placeholder' => 'First Name']) !!}

Last Name* {!! Form::text('last_name', null, ['class' => 'form-control', 'required', 'placeholder' => 'Last Name']) !!}

HR ID Number* {!! Form::text('id_number', null, ['class' => 'form-control', 'required', 'placeholder' => 'ID Number']) !!}

Email (Your Username)* {!! Form::email('email', null, ['class' => 'form-control', 'required', 'placeholder' => 'E-Mail']) !!}

Phone* {!! Form::text('phone', null, [ 'class' => 'form-control', 'required', 'placeholder' => 'phone (e.g., 0912345678)', 'pattern' => '\d{10,15}', 'title' => 'Phone number must be between 10 and 15 digits' ]) !!}

Position* {!! Form::text('role', null, ['class' => 'form-control', 'required', 'placeholder' => 'Your Position']) !!}

{{-- CONTAINER 2: INSTITUTIONAL DETAILS --}}

Institutional Details

Institute/College/School/Directorates* -- Select College -- College of Agriculture and Natural Resource College of Business and Economics College of Health Sciences College of Natural and Computational Sciences College of Social Sciences and Humanities Institute of Education and Behavioral Science Institute of Land Administration Institute of Technology School of Law School of Medicine Sport Science Academy ICT Directorate Distance and Continoues Education DMU Community Radio Construction Project Office Transport Directorate Property Directorate Finance Directorate Human Resource Directorate Student Service Directorate Peace and Security Directorate Procuriment Directorate Strategic Plan Directorate President Main Campus Managing Directorate Library Directorate Research Directorate Community Directorate University Industry Linkage Directorate Ethics and Anti-Corruption Directorate International relations of Research and partnership directorate Gender HIV/AIDS and Disability Affairs Directorate Registrar Directorate HIV/AIDS and Reproduction Health Office Institutional Quality Assurance Directorate Internal Audit Directorate Legal Service Directorate Transformation & Good Governance Administration Directorate General Service Directorate Bure Campus

Department/Directorate * -- Select Department/Directorate --

{{-- CONTAINER 3: OFFICE INFORMATION --}}

Office Information

Building Number* {!! Form::text('building_no', null, ['class' => 'form-control', 'required']) !!}

Office Number* {!! Form::text('office_no', null, ['class' => 'form-control', 'required']) !!}

Floor* {!! Form::text('floor', null, ['class' => 'form-control', 'required', 'placeholder' => 'Floor Number']) !!}

{{-- CONTAINER 4: SECURITY INFORMATION --}}

Security Information

Password* {!! Form::password('password', ['class' => 'form-control', 'required', 'placeholder' => 'Password']) !!}

Confirm Password* {!! Form::password('password_confirmation', ['class' => 'form-control', 'required', 'placeholder' => 'Confirm Password']) !!}

{{-- CONTAINER 5: USER REGISTRATION DETAILS --}}

User Registration Details