1 | @model db_tsh.Models.Osi
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2 | @{
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3 | ViewData["Title"] = "Travel Health Policy";
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4 | }
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5 |
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6 | <div class="container mt-5">
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7 | <div class="row justify-content-center">
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8 | <div class="col-md-6">
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9 | <div class="card">
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10 | <div class="card-header bg-primary text-white">
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11 | <h3 class="card-title">Buy Travel Health Policy</h3>
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12 | </div>
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13 | <div class="card-body">
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14 | <form asp-action="Travel" method="post">
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15 | <div class="form-group">
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16 | <label for="OEmbg">OEmbg</label>
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17 | <input type="text" class="form-control" id="OEmbg" name="OEmbg" placeholder="Enter your id" required>
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18 | </div>
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19 | <div class="form-group">
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20 | <label for="name">Name</label>
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21 | <input type="text" class="form-control" id="name" name="name" placeholder="Enter your name" required>
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22 | </div>
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23 | <div class="form-group">
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24 | <label for="surname">Surname</label>
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25 | <input type="text" class="form-control" id="surname" name="surname" placeholder="Enter your surname" required>
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26 | </div>
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27 | <div class="form-group">
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28 | <label for="birthdate">Birthdate</label>
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29 | <input type="date" class="form-control" id="birthdate" name="birthdate" required>
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30 | </div>
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31 | <div class="form-group">
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32 | <label for="kontakt">Contact</label>
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33 | <input type="text" class="form-control" id="kontakt" name="kontakt" placeholder="Enter your contact information" required>
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34 | </div>
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35 | <div class="form-group">
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36 | <label for="startDate">Start Date</label>
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37 | <input type="date" class="form-control" id="startDate" name="startDate" required>
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38 | </div>
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39 | <div class="form-group">
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40 | <label for="numberOfDays">Number of Days</label>
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41 | <input type="number" class="form-control" id="numberOfDays" name="numberOfDays" placeholder="Enter the number of days" required>
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42 | </div>
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43 | <div class="form-group">
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44 | <label for="package">Package</label>
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45 | <select class="form-control" id="package" name="package" required>
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46 | <option value="">Select Package</option>
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47 | @if (ViewBag.Packages != null)
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48 | {
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49 | foreach (var package in ViewBag.Packages)
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50 | {
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51 | <option value="@package.Code">@package.Title</option>
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52 | }
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53 | }
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54 | </select>
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55 | </div>
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56 | <button type="submit" class="btn btn-primary btn-block">Submit</button>
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57 | </form>
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58 | </div>
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59 | </div>
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60 | </div>
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61 | </div>
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62 | </div>
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