Add Member

Fill in the details step by step
{{-- Step indicator --}}
@foreach(['Basic Info', 'Physical Details', 'Emergency Contact', 'Plan & Access'] as $i => $stepLabel) @php $n = $i + 1; @endphp
✓ {{ $n }}
@if($i < 3)
@endif
@endforeach
{{-- Validation errors --}} @if($errors->any())

Please fix the following errors:

    @foreach($errors->all() as $error)
  • {{ $error }}
    • @endforeach
@endif
@csrf @if(request('lead_id')) @endif {{-- Card --}}
{{-- ── Step 1: Basic Info ── --}}

Basic Information

{{-- Photo upload --}} @error('photo_data')

{{ $message }}

@enderror
@error('name')

{{ $message }}

@enderror
@error('phone')

{{ $message }}

@enderror
@error('email')

{{ $message }}

@enderror
{{-- ── Step 2: Physical Details ── --}}

Physical Details

Physical details are optional and can be updated later.

{{-- ── Step 3: Emergency Contact ── --}}

Emergency Contact

{{-- ── Step 4: Plan & Access ── --}}

Plan Assignment

@foreach($plans as $plan) @endforeach

Plan period: → ()

@error('portal_password')

{{ $message }}

@enderror
{{-- Footer nav --}}