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import React from 'react'
import Header from '../../../components/Header/Header'
import Input from '../../../components/Input/Input'
import LabelCard from '../../../components/LabelCard/LabelCard'
import styles from './FormOne.module.css'
const FormOne = ({ formData, setFormData }) => {
console.log(formData.indianResident, formData.name, formData.dob, formData.gender)
const handleSubmit = () => {
}
return (
<><Header subheading="Enrollment" /><form onSubmit={() => handleSubmit()}>
<div className={styles.formone}>
<div className={styles.formone__radio}>
<span className={styles.formone__resident}>
<input
type="radio"
id="indian"
name="resident"
value={formData.indianResident}
onChange={() => {
setFormData({
...formData,
indianResident: true
})
}}
required />
<label htmlFor="indian">Indian Resident</label>
</span>
<span className={styles.formone__resident}>
<input
type="radio"
id="indian"
name="resident"
value={formData.indianResident}
onChange={() => {
setFormData({
...formData,
indianResident: false
})
}}
required />
<label htmlFor="indian">Non-Residential Indian</label>
</span>
</div>
<Input
type="text"
id="fullName"
label="Full Name"
value={formData.name}
onChange={(e) => {
setFormData({
...formData,
name: e.target.value
})
}}
placeholder="Enter your full name"
pattern="[a-zA-z]+" />
<div className={styles.formone__gender}>
<LabelCard
id="male"
name="gender"
title="Male"
value={formData.gender}
onChange={() => {
setFormData({
...formData,
gender: 'Male'
})
}}
image={`${process.env.PUBLIC_URL}/assets/images/male.svg`} />
<LabelCard
id="female"
name="gender"
value={formData.gender}
title="Female"
onChange={() => {
setFormData({
...formData,
gender: 'Female'
})
}}
image={`${process.env.PUBLIC_URL}/assets/images/female.svg`} />
<LabelCard
id="trans"
name="gender"
value={formData.gender}
title="Transgender"
onChange={() => {
setFormData({
...formData,
gender: 'Transgender'
})
}}
image={`${process.env.PUBLIC_URL}/assets/images/trans.svg`} />
</div>
<div className={styles.formone__dob}>
<label htmlFor="dob">Date of Birth</label>
<input
className={styles.formone__dob_input}
type="date"
id="dob"
name="dob"
value={formData.dob}
onChange={(e) => {
setFormData({
...formData,
dob: e.target.value
})
}}
required />
</div>
</div>
</form></>
)
}
export default FormOne
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