app/views/refunds/_applicant.html.slim
=f.fieldset label: t('.applicant_personal_information_usage_header')
hr class="govuk-section-break.govuk-section-break--visible govuk-!-margin-bottom-3"
span.govuk-body = t('.applicant_personal_information_usage_sub_header')
ul.govuk-list.govuk-list--bullet
- t('.applicant_personal_information_usage_html').each_line do |line|
li= line
p.govuk-body = t('.applicant_personal_information_usage_footer')
= f.collection_radio_buttons :has_name_changed, inline: true
= f.revealed_content :has_name_changed, values: [:false] do
= f.fieldset label: t('.legend_personal_details')
hr class="govuk-section-break.govuk-section-break--visible govuk-!-margin-bottom-3"
= f.collection_select :applicant_title
= f.text_field :applicant_first_name
= f.text_field :applicant_last_name
= f.date_field :applicant_date_of_birth, maxlength_enabled: true
= f.fieldset label: t('.legend_contact_details')
hr class="govuk-section-break.govuk-section-break--visible govuk-!-margin-bottom-3"
= f.text_field :applicant_address_building
= f.text_field :applicant_address_street
= f.text_field :applicant_address_locality
= f.text_field :applicant_address_county, optional: true
= f.text_field :applicant_address_post_code
= f.phone_field :applicant_address_telephone_number
= f.email_field :applicant_email_address, optional: true
= f.revealed_content :has_name_changed, values: [:true]
= f.fieldset label: t('.sorry_name_changed.header')
hr class="govuk-section-break.govuk-section-break--visible govuk-!-margin-bottom-3"
p.govuk-body
= t('.name_changed_cannot_continue_html')
- content_for(:javascripts)
javascript:
$(document).ready(function () {
Et.pages.refunds.ApplicantPage()
});