Application for Pet Renewal License

@csrf @if (Auth::guard('petregistereduser')->check()) @elseif(Auth::guard('web')->check()) @endif
Name of Applicant / ( अर्जदाराचे नाव ) : *
Name of Owner's / ( मालकाचे नाव ) : *
Residential Address of Owner's / ( मालकाचा निवासी पत्ता )
Note :
1. Please fill all the Pet details below, Vaccination Date should be in (dd/mm/yyyy) format only E.g. 20/01/2018 .
2. If Pet breed is not found in dropdown then select other Breed and enter datails
3. Vaccination Certificate of size upto 5 MB to be Uploaded as attachment .
नोंद :
1. कृपया खाली सर्व पाळीव प्राण्याचे तपशील भरा,लसीकरणाची तारीख फक्त (dd/mm/yyyy) स्वरूपात असावी उदा. 20/01/2018 .
2. जातीतील इतर निवडा आणि ड्रॉप डाउन असल्यास डॉग ब्रीड आढळले नसल्यास तपशील प्रविष्ट करा.
3. संलग्नक म्हणून अपलोड करण्यासाठी 5 MB पर्यंत आकाराचे लसीकरण प्रमाणपत्र.
@error('date_of_birth') {{ $message }} @enderror
@error('dog_age') {{ $message }} @enderror
@error('dog_month') {{ $message }} @enderror
@php if (!empty($data)) { $is_rabies_vaccinated = old('is_rabies_vaccinated') ?? ($data->is_rabies_vaccinated ?? ($data->dog_renewal_date_of_rabies_vaccination ?? null ? 'yes' : 'no')); $is_laptospirosis_vaccinated = old('is_laptospirosis_vaccinated') ?? ($data->is_laptospirosis_vaccinated ?? ($data->dog_renewal_date_of_laptospirosis_vaccination ?? null ? 'yes' : 'no')); $is_foot_and_mouth_disease_vaccinated = old('is_foot_and_mouth_disease_vaccinated') ?? ($data->is_foot_and_mouth_disease_vaccinated ?? ($data->dog_renewal_date_of_foot_and_mouth_disease_vaccination ?? null ? 'yes' : 'no')); $is_brucellosis_vaccinated = old('is_brucellosis_vaccinated') ?? ($data->is_brucellosis_vaccinated ?? ($data->dog_renewal_date_of_brucellosis_vaccination ?? null ? 'yes' : 'no')); } else { $is_rabies_vaccinated = old('is_rabies_vaccinated') ?? ''; $is_laptospirosis_vaccinated = old('is_laptospirosis_vaccinated') ?? ''; $is_foot_and_mouth_disease_vaccinated = old('is_foot_and_mouth_disease_vaccinated') ?? ''; $is_brucellosis_vaccinated = old('is_brucellosis_vaccinated') ?? ''; } @endphp
@if ($errors->has('is_rabies_vaccinated')) {{ $errors->first('is_rabies_vaccinated') }} @endif
@if ($errors->has('is_laptospirosis_vaccinated')) {{ $errors->first('is_laptospirosis_vaccinated') }} @endif
@if ($errors->has('is_foot_and_mouth_disease_vaccinated')) {{ $errors->first('is_foot_and_mouth_disease_vaccinated') }} @endif
@if ($errors->has('is_brucellosis_vaccinated')) {{ $errors->first('is_brucellosis_vaccinated') }} @endif
Note : Only files in .jpg, .jpeg, .png, .pdf format can be uploaded .

@error('address_proof_doc') {{ $message }} @enderror


@error('dog_profile_photo') {{ $message }} @enderror
Note : Only files in .jpg, .jpeg, .png, .pdf format can be uploaded .

@error('applicant_signature') {{ $message }} @enderror
Note: Only files in .jpg, .jpeg, .png, .pdf format can be uploaded.
@php $docs = []; if (!empty($data) && !empty($data->renewal_vaccination_card_doc)) { $decoded = json_decode($data->renewal_vaccination_card_doc, true); if (is_array($decoded)) { $docs = array_filter($decoded); } elseif (!empty($decoded)) { $docs = [$decoded]; } } @endphp
@if (count($docs) > 0) @foreach ($docs as $doc) @php $ext = pathinfo($doc, PATHINFO_EXTENSION); @endphp
@if (in_array(strtolower($ext), ['jpg', 'jpeg', 'png', 'gif'])) Rabies Vaccination Certificate @elseif (strtolower($ext) === 'pdf') View File @endif
@endforeach @else

No Document Uploaded

@endif
@error('vaccination_card_doc') {{ $message }} @enderror @foreach ($errors->get('vaccination_card_doc.*') as $fileErrors) @if (count($fileErrors) > 0) {{ $fileErrors[0] }} @endif @endforeach
Note : The file should be less than 2MB .
Note : Only files in .jpg, .jpeg, .png, .pdf format can be uploaded .
@error('old_licence') {{ $message }} @enderror
Document Not Uploaded
I confirm that the information provided is true and I agree to the Terms and Conditions. / ( मी दिलेली माहिती खरी आहे याची खात्री देतो/देते आणि अटी व शर्ती मान्य करतो/करते. ) : *
@error('confirm') {{ $message }} @enderror
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