1 <?php
$form=$this->beginWidget(
'yii.web.CActiveForm',array(
2 'id'=>
'personal-info-form',
3 'enableAjaxValidation'=>
false,
6 <p
class=
"help-block">Fields with <span
class=
"required">*</span> are required.</p>
8 <?php echo
$form->errorSummary($model); ?>
10 <?php echo
$form->textFieldRow($model,
'custom_id',array(
'class'=>
'span5',
'maxlength'=>50)); ?>
12 <?php echo
$form->textFieldRow($model,
'first_name',array(
'class'=>
'span5',
'maxlength'=>40)); ?>
14 <?php echo
$form->textFieldRow($model,
'last_name',array(
'class'=>
'span5',
'maxlength'=>40)); ?>
16 <?php echo
$form->textFieldRow($model,
'phone_home',array(
'class'=>
'span5',
'maxlength'=>30)); ?>
18 <?php echo
$form->textFieldRow($model,
'phone_work',array(
'class'=>
'span5',
'maxlength'=>30)); ?>
20 <?php echo
$form->textFieldRow($model,
'phone_mobile',array(
'class'=>
'span5',
'maxlength'=>50)); ?>
22 <?php echo
$form->textFieldRow($model,
'fax',array(
'class'=>
'span5',
'maxlength'=>50)); ?>
24 <?php echo
$form->textFieldRow($model,
'email_primary',array(
'class'=>
'span5',
'maxlength'=>50)); ?>
26 <?php echo
$form->textFieldRow($model,
'email_secondary',array(
'class'=>
'span5',
'maxlength'=>50)); ?>
28 <?php echo
$form->textFieldRow($model,
'address_1',array(
'class'=>
'span5',
'maxlength'=>50)); ?>
30 <?php echo
$form->textFieldRow($model,
'address_2',array(
'class'=>
'span5',
'maxlength'=>50)); ?>
32 <?php echo
$form->textFieldRow($model,
'address_3',array(
'class'=>
'span5',
'maxlength'=>50)); ?>
34 <?php echo
$form->textFieldRow($model,
'country',array(
'class'=>
'span5',
'maxlength'=>30)); ?>
36 <?php echo
$form->textFieldRow($model,
'gender',array(
'class'=>
'span5',
'maxlength'=>10)); ?>
38 <?php echo
$form->textFieldRow($model,
'marital_status',array(
'class'=>
'span5',
'maxlength'=>20)); ?>
40 <?php echo
$form->textFieldRow($model,
'dob',array(
'class'=>
'span5')); ?>
42 <?php echo
$form->textFieldRow($model,
'date_joined',array(
'class'=>
'span5')); ?>
44 <?php echo
$form->textFieldRow($model,
'date_left',array(
'class'=>
'span5')); ?>
46 <?php echo
$form->textFieldRow($model,
'middle_name',array(
'class'=>
'span5',
'maxlength'=>40)); ?>
48 <?php echo
$form->textFieldRow($model,
'national_id',array(
'class'=>
'span5',
'maxlength'=>50)); ?>
50 <?php echo
$form->textFieldRow($model,
'passport_number',array(
'class'=>
'span5',
'maxlength'=>50)); ?>
52 <?php echo
$form->textFieldRow($model,
'drivers_license',array(
'class'=>
'span5',
'maxlength'=>50)); ?>
54 <?php echo
$form->textFieldRow($model,
'other_id',array(
'class'=>
'span5',
'maxlength'=>50)); ?>
56 <?php echo
$form->textFieldRow($model,
'other_id_2',array(
'class'=>
'span5',
'maxlength'=>50)); ?>
58 <?php echo
$form->textFieldRow($model,
'nationality',array(
'class'=>
'span5',
'maxlength'=>50)); ?>
60 <?php echo
$form->textFieldRow($model,
'ethnic_race',array(
'class'=>
'span5',
'maxlength'=>20)); ?>
62 <?php echo
$form->textFieldRow($model,
'smoker',array(
'class'=>
'span5',
'maxlength'=>5)); ?>
64 <?php echo
$form->textFieldRow($model,
'status',array(
'class'=>
'span5',
'maxlength'=>20)); ?>
66 <div
class=
"form-actions">
67 <?php $this->widget(
'bootstrap.widgets.TbButton', array(
68 'buttonType'=>
'submit',
70 'label'=>$model->isNewRecord ?
'Create' :
'Save',
74 <?php $this->endWidget(); ?>