<div class="row mb-2">
    <div class="col-12 col-md-6 col-lg-4 form-group">
        <label for="login_mobile"><?php echo lang("Localize.mobile") ?> <abbr class="required" title="Required field">*</abbr></label>
        <input type="text" name="login_mobile" id="login_mobile" class="form-control mobile_valid_check" value="<?php echo old('login_mobile') ?>" placeholder="<?php echo lang("Localize.mobile") ?>" aria-label="Mobile" autofocus required inputmode="numeric" maxlength="11" pattern="0[0-9]{10}" oninput="this.value = this.value.replace(/\D/g, '').slice(0, 11);">
    </div>
    
    <div class="col-12 col-md-6 col-lg-4 form-group">
        <label for="login_email"><?php echo lang("Localize.email") ?></label>
        <div class="inline-loader-wrapper">
            <input type="email" name="login_email" id="login_email" class="form-control" value="<?php echo old('login_email') ?>" placeholder="<?php echo lang("Localize.email") ?>" aria-label="Email" >
        </div>
    </div>
    
</div>

<div class="row mb-2">
    <div class="col-12 form-group">
        <label for="first_name">Full Name <abbr class="required" title="Required field">*</abbr></label>
        <input type="text" name="first_name" class="form-control" id="first_name" value="<?php echo old('first_name') ?>" placeholder="Full Name" aria-label="First name" required>
    </div>
   
        <input type="text" name="last_name" class="form-control" id="last_name" style='display:none;' value="<?php echo old('last_name') ?>" placeholder="Last name" aria-label="Last name" >
   
    
    <!--<div class="col-12 col-md-6 col-lg-4 form-group">-->
    <!--    <label for="id_type"><?php echo lang("Localize.id_type") ?></label>-->
    <!--    <input type="text" name="id_type" class="form-control" id="id_type" value="<?php echo old('id_type') ?>" placeholder="<?php echo lang("Localize.nid_passport") ?>" aria-label="Passport/Nid">-->
    <!--</div>-->
    
   
        <input type="text" name="id_number" style='display:none;' class="form-control" id="id_number" value="<?php echo old('id_number') ?>" placeholder="<?php echo lang("Localize.nid_passport_number") ?>" aria-label="Nid/Passport Number">
   

<div class="row mb-2" style='display:none;'>
        <label for="country_id"><?php echo lang("Localize.country_name") ?></label>
        <select class="form-select" style='display:none;' name="country_id" id="country_id" >
            <option value="">None</option>
    
            <?php foreach ($country as $countryvalue) : ?>
                <option selected value="<?php echo $countryvalue->id ?>"><?php echo $countryvalue->name ?></option>
            <?php endforeach ?>
    
        </select>
    
    <div class="col-12 col-md-6 col-lg-4 form-group" style='display:none;'>
        <label for="city mt-2"><?php echo lang("Localize.city_name") ?> </label>
        <input type="text" name="city"   class="form-control" id="city" value="<?php echo old('city') ?>" placeholder="City Name" aria-label="City Name">
    </div>
    
    <div class="col-12 col-md-6 col-lg-4 form-group" style='display:none;'>
        <label for="zip_code"><?php echo lang("Localize.zip_code") ?> </label>
        <input type="text" name="zip_code"  class="form-control" id="zip_code" value="<?php echo old('zip_code') ?>" placeholder="Zip Code" aria-label="Zip Code">
    </div>
</div>

<div class="row">
    <div class="col-12 form-group">
        <label for="address">Note </label>
        <textarea class="form-control" name="address" id="address" rows="3" ><?php echo old('address') ?></textarea>
    </div>
</div>