new-sales-page-component 0.0.1 → 0.0.2

This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
package/dist/index.d.mts CHANGED
@@ -42,6 +42,24 @@ interface IEmployment {
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  sourceOfIncome?: string;
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  }
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+ interface AddressProps {
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+ value?: IAddress;
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+ onChange?: (value: IAddress) => void;
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+ }
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+ declare const Address: ({ value, onChange }: AddressProps) => react_jsx_runtime.JSX.Element;
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+
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+ interface PersonalInfoProps {
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+ value?: IPersonalInfo;
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+ onChange?: (value: IPersonalInfo) => void;
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+ }
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+ declare const PersonalInfo: ({ value, onChange }: PersonalInfoProps) => react_jsx_runtime.JSX.Element;
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+
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+ interface EmploymentProps {
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+ value?: IEmployment;
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+ onChange?: (value: IEmployment) => void;
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+ }
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+ declare const Employment: ({ value }: EmploymentProps) => react_jsx_runtime.JSX.Element;
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+
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  interface FloatingLabelInputProps extends InputProps {
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  label: React.ReactNode;
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  value?: string;
@@ -50,4 +68,4 @@ interface FloatingLabelInputProps extends InputProps {
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  }
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  declare const FloatingLabelInput: (props: FloatingLabelInputProps) => react_jsx_runtime.JSX.Element;
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- export { FloatingLabelInput, type IAddress, type IEmployment, type IPersonalInfo };
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+ export { Address, Employment, FloatingLabelInput, type IAddress, type IEmployment, type IPersonalInfo, PersonalInfo };
package/dist/index.d.ts CHANGED
@@ -42,6 +42,24 @@ interface IEmployment {
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  sourceOfIncome?: string;
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  }
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+ interface AddressProps {
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+ value?: IAddress;
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+ onChange?: (value: IAddress) => void;
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+ }
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+ declare const Address: ({ value, onChange }: AddressProps) => react_jsx_runtime.JSX.Element;
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+
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+ interface PersonalInfoProps {
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+ value?: IPersonalInfo;
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+ onChange?: (value: IPersonalInfo) => void;
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+ }
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+ declare const PersonalInfo: ({ value, onChange }: PersonalInfoProps) => react_jsx_runtime.JSX.Element;
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+
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+ interface EmploymentProps {
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+ value?: IEmployment;
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+ onChange?: (value: IEmployment) => void;
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+ }
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+ declare const Employment: ({ value }: EmploymentProps) => react_jsx_runtime.JSX.Element;
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+
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  interface FloatingLabelInputProps extends InputProps {
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  label: React.ReactNode;
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  value?: string;
@@ -50,4 +68,4 @@ interface FloatingLabelInputProps extends InputProps {
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  }
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  declare const FloatingLabelInput: (props: FloatingLabelInputProps) => react_jsx_runtime.JSX.Element;
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- export { FloatingLabelInput, type IAddress, type IEmployment, type IPersonalInfo };
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+ export { Address, Employment, FloatingLabelInput, type IAddress, type IEmployment, type IPersonalInfo, PersonalInfo };
package/dist/index.js CHANGED
@@ -20,14 +20,17 @@ var __toCommonJS = (mod) => __copyProps(__defProp({}, "__esModule", { value: tru
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  // src/index.ts
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  var index_exports = {};
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  __export(index_exports, {
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- FloatingLabelInput: () => FloatingLabelInput
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+ Address: () => Address_default,
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+ Employment: () => Employment_default,
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+ FloatingLabelInput: () => FloatingLabelInput,
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+ PersonalInfo: () => PersonalInfo_default
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  });
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  module.exports = __toCommonJS(index_exports);
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- // src/NewSaleForm/PersonalInfo.tsx
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+ // src/NewSaleForm/Address.tsx
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  var import_react3 = require("@chakra-ui/react");
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- var import_react4 = require("react");
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  var import_st_peter_ui = require("st-peter-ui");
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+ var import_react4 = require("react");
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  // src/NewSaleForm/ui/floating-label-input.tsx
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  var import_react = require("react");
@@ -82,21 +85,10 @@ var floatingStyles = (0, import_react2.defineStyle)({
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  color: "fg"
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  }
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  });
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-
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- // src/NewSaleForm/PersonalInfo.tsx
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- var import_jsx_runtime2 = require("react/jsx-runtime");
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-
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- // src/NewSaleForm/Employment.tsx
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- var import_st_peter_ui2 = require("st-peter-ui");
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- var import_react5 = require("react");
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- var import_react6 = require("@chakra-ui/react");
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- var import_jsx_runtime3 = require("react/jsx-runtime");
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+ var floating_label_input_default = FloatingLabelInput;
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  // src/NewSaleForm/Address.tsx
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- var import_react7 = require("@chakra-ui/react");
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- var import_st_peter_ui3 = require("st-peter-ui");
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- var import_react8 = require("react");
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- var import_jsx_runtime4 = require("react/jsx-runtime");
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+ var import_jsx_runtime2 = require("react/jsx-runtime");
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  var provinceOptions = [
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  "Abra",
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  "Agusan del Norte",
@@ -196,23 +188,470 @@ var cityOptions = [
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  ].map((city) => ({ label: city, value: city }));
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  var districtOptions = cityOptions;
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  var barangayOptions = cityOptions;
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- var provinceCollection = (0, import_react7.createListCollection)({ items: provinceOptions });
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- var cityCollection = (0, import_react7.createListCollection)({ items: cityOptions });
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- var districtCollection = (0, import_react7.createListCollection)({ items: districtOptions });
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- var barangayCollection = (0, import_react7.createListCollection)({ items: barangayOptions });
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+ var provinceCollection = (0, import_react3.createListCollection)({ items: provinceOptions });
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+ var cityCollection = (0, import_react3.createListCollection)({ items: cityOptions });
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+ var districtCollection = (0, import_react3.createListCollection)({ items: districtOptions });
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+ var barangayCollection = (0, import_react3.createListCollection)({ items: barangayOptions });
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+ var Address = ({ value, onChange }) => {
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+ const [form, setForm] = (0, import_react4.useState)({
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+ lot: value?.lot ?? "",
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+ street: value?.street ?? "",
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+ city: value?.city ?? "",
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+ province: value?.province ?? "",
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+ district: value?.district ?? "",
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+ barangay: value?.barangay ?? ""
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+ });
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+ const update = (next) => {
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+ setForm(next);
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+ onChange?.(next);
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+ };
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+ return /* @__PURE__ */ (0, import_jsx_runtime2.jsxs)(import_jsx_runtime2.Fragment, { children: [
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+ /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.VStack, { align: "stretch", gap: 4, mb: 4, children: /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Box, { children: /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_st_peter_ui.Body, { children: /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Span, { fontWeight: "bold", children: "Residential Address" }) }) }) }),
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+ /* @__PURE__ */ (0, import_jsx_runtime2.jsxs)(import_react3.SimpleGrid, { columns: { base: 1, md: 2 }, gap: 4, children: [
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+ /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(
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+ floating_label_input_default,
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+ {
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+ id: "lotNumber",
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+ label: "Lot #",
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+ value: form.lot ?? "",
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+ onChange: (e) => update({ ...form, lot: e.target.value })
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+ }
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+ ) }),
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+ /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(
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+ floating_label_input_default,
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+ {
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+ id: "street",
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+ label: "Street",
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+ value: form.street ?? "",
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+ onChange: (e) => update({ ...form, street: e.target.value })
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+ }
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+ ) }),
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+ /* @__PURE__ */ (0, import_jsx_runtime2.jsxs)(
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+ import_react3.Select.Root,
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+ {
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+ value: form.province ? [form.province] : [],
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+ onValueChange: (details) => update({ ...form, province: details.value[0] ?? "" }),
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+ collection: provinceCollection,
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+ children: [
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+ /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.HiddenSelect, {}),
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+ /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.Control, { children: /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.Trigger, { children: /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.ValueText, { placeholder: "Select Province" }) }) }),
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+ /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Portal, { children: /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.Positioner, { children: /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.Content, { children: provinceCollection.items.map((item) => /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.Item, { item, children: item.label }, item.value)) }) }) })
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+ ]
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+ }
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+ ),
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+ /* @__PURE__ */ (0, import_jsx_runtime2.jsxs)(
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+ import_react3.Select.Root,
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+ {
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+ value: form.city ? [form.city] : [],
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+ onValueChange: (details) => update({ ...form, city: details.value[0] ?? "" }),
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+ collection: cityCollection,
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+ children: [
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+ /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.HiddenSelect, {}),
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+ /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.Control, { children: /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.Trigger, { children: /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.ValueText, { placeholder: "Select City" }) }) }),
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+ /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Portal, { children: /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.Positioner, { children: /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.Content, { children: cityCollection.items.map((item) => /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.Item, { item, children: item.label }, item.value)) }) }) })
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+ ]
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+ }
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+ ),
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+ /* @__PURE__ */ (0, import_jsx_runtime2.jsxs)(
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+ import_react3.Select.Root,
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+ {
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+ value: form.district ? [form.district] : [],
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+ onValueChange: (details) => update({ ...form, district: details.value[0] ?? "" }),
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+ collection: districtCollection,
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+ children: [
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+ /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.HiddenSelect, {}),
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+ /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.Control, { children: /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.Trigger, { children: /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.ValueText, { placeholder: "Select District" }) }) }),
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+ /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Portal, { children: /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.Positioner, { children: /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.Content, { children: districtCollection.items.map((item) => /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.Item, { item, children: item.label }, item.value)) }) }) })
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+ ]
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+ }
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+ ),
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+ /* @__PURE__ */ (0, import_jsx_runtime2.jsxs)(
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+ import_react3.Select.Root,
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+ {
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+ value: form.barangay ? [form.barangay] : [],
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+ onValueChange: (details) => update({ ...form, barangay: details.value[0] ?? "" }),
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+ collection: barangayCollection,
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+ children: [
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+ /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.HiddenSelect, {}),
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+ /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.Control, { children: /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.Trigger, { children: /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.ValueText, { placeholder: "Select Barangay" }) }) }),
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+ /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Portal, { children: /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.Positioner, { children: /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.Content, { children: barangayCollection.items.map((item) => /* @__PURE__ */ (0, import_jsx_runtime2.jsx)(import_react3.Select.Item, { item, children: item.label }, item.value)) }) }) })
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+ ]
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+ }
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+ )
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+ ] })
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+ ] });
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+ };
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+ var Address_default = Address;
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- // src/NewSaleForm/LifePlanApplicationFormWrapper.tsx
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- var import_react9 = require("@chakra-ui/react");
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- var import_io5 = require("react-icons/io5");
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- var import_bs = require("react-icons/bs");
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- var import_fa = require("react-icons/fa");
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- var import_react10 = require("react");
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- var import_jsx_runtime5 = require("react/jsx-runtime");
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+ // src/NewSaleForm/PersonalInfo.tsx
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+ var import_react5 = require("@chakra-ui/react");
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+ var import_react6 = require("react");
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+ var import_st_peter_ui2 = require("st-peter-ui");
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+ var import_jsx_runtime3 = require("react/jsx-runtime");
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+ var PersonalInfo = ({ value, onChange }) => {
292
+ const idCollection = (0, import_react5.createListCollection)({
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+ items: [
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+ { label: "Passport", value: "passport" },
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+ { label: "Driver's License", value: "driver_license" },
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+ { label: "Philippine Identification Card", value: "national_id" }
297
+ ]
298
+ });
299
+ const [formData, setFormData] = (0, import_react6.useState)({
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+ firstName: value?.firstName ?? "",
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+ middleName: value?.middleName ?? "",
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+ lastName: value?.lastName ?? "",
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+ suffix: value?.suffix ?? "",
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+ birthDate: value?.birthDate ?? "",
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+ idType: value?.idType ?? "",
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+ idNumber: value?.idNumber ?? "",
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+ height: value?.height ?? 0,
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+ weight: value?.weight ?? 0,
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+ gender: value?.gender ?? "",
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+ civilStatus: value?.civilStatus ?? "",
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+ nationality: value?.nationality ?? "",
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+ mobileNumber: value?.mobileNumber ?? "",
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+ emailAddress: value?.emailAddress ?? "",
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+ mailingAddress: value?.mailingAddress ?? "",
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+ landLineNumber: value?.landLineNumber ?? ""
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+ // addressLine1: initialData?.addressLine1 ?? "",
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+ });
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+ return /* @__PURE__ */ (0, import_jsx_runtime3.jsxs)(import_jsx_runtime3.Fragment, { children: [
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.VStack, { mb: 4, align: "stretch", children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_st_peter_ui2.Body, { fontWeight: "bold", children: "Identification" }) }),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsxs)(import_react5.VStack, { gap: 6, align: "stretch", w: "full", children: [
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Grid, { templateColumns: { base: "1fr", md: "repeat(2, 1fr)" }, gap: 8, children: /* @__PURE__ */ (0, import_jsx_runtime3.jsxs)(
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+ import_react5.Select.Root,
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+ {
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+ collection: idCollection,
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+ value: formData.idType ? [formData.idType] : [],
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+ onValueChange: (details) => setFormData({ ...formData, idType: details.value[0] ?? "" }),
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+ children: [
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.HiddenSelect, {}),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsxs)(import_react5.Select.Control, { children: [
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsxs)(import_react5.Select.Trigger, { children: [
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.ValueText, { placeholder: "Select ID Type" }),
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+ formData.idType && /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Box, { fontSize: "sm", color: "fg.default", hidden: true, children: idCollection.items.find(
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+ (item) => item.value === formData.idType
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+ )?.label })
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+ ] }),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.IndicatorGroup, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.Indicator, {}) })
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+ ] }),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.Positioner, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.Content, { children: idCollection.items.map((item) => /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.Item, { item, children: item.label }, item.value)) }) })
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+ ]
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+ }
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+ ) }),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Separator, {}),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_st_peter_ui2.Body, { fontWeight: "bold", children: "Full Name" }),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsxs)(import_react5.Grid, { templateColumns: { base: "1fr", md: "repeat(2, 1fr)" }, gap: 8, children: [
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(
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+ floating_label_input_default,
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+ {
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+ id: "lastName",
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+ type: "text",
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+ label: "Last Name",
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+ value: formData.lastName || ""
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+ }
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+ ) }),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(
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+ floating_label_input_default,
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+ {
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+ id: "firstName",
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+ type: "text",
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+ label: "First Name",
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+ value: formData.firstName || ""
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+ }
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+ ) })
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+ ] }),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsxs)(import_react5.Grid, { templateColumns: { base: "1fr", md: "repeat(2, 1fr)" }, gap: 8, children: [
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(
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+ floating_label_input_default,
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+ {
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+ id: "middleName",
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+ type: "text",
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+ label: "Middle Name",
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+ value: formData.middleName || ""
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+ }
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+ ) }),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(
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+ floating_label_input_default,
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+ {
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+ id: "suffix",
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+ type: "text",
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+ label: "Suffix (Optional)",
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+ value: formData.suffix || ""
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+ }
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+ ) })
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+ ] }),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Separator, {}),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_st_peter_ui2.Body, { fontWeight: "bold", children: "Personal Details" }),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsxs)(import_react5.Grid, { templateColumns: { base: "1fr", md: "repeat(2, 1fr)" }, gap: 8, children: [
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsxs)(import_react5.Field.Root, { children: [
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Field.Label, { children: "Date of Birth" }),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(
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+ import_react5.Input,
391
+ {
392
+ id: "dateOfBirth",
393
+ type: "date",
394
+ value: formData.birthDate || "",
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+ onChange: (e) => setFormData({ ...formData, birthDate: e.target.value })
396
+ }
397
+ )
398
+ ] }),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsxs)(import_react5.Field.Root, { children: [
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Field.Label, { children: "Date of Neutralization" }),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Input, { id: "dateOfNeutralization", type: "date" })
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+ ] }),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(
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+ floating_label_input_default,
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+ {
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+ id: "height",
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+ label: "Height (ft)",
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+ onChange: (e) => setFormData({ ...formData, height: parseFloat(e.target.value) })
409
+ }
410
+ ) }),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(
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+ floating_label_input_default,
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+ {
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+ id: "weight",
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+ label: "Weight (lbs)",
416
+ onChange: (e) => setFormData({ ...formData, weight: parseFloat(e.target.value) })
417
+ }
418
+ ) })
419
+ ] }),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Separator, {}),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_st_peter_ui2.Body, { fontWeight: "bold", children: "Demographics" }),
422
+ /* @__PURE__ */ (0, import_jsx_runtime3.jsxs)(import_react5.Grid, { templateColumns: { base: "1fr", md: "repeat(2 , 1fr)" }, gap: 8, children: [
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsxs)(
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+ {
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+ collection: (0, import_react5.createListCollection)({
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+ items: [
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+ { label: "Male", value: "male" },
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+ { label: "Female", value: "female" }
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+ ]
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+ }),
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+ children: [
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.HiddenSelect, { id: "gender" }),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsxs)(import_react5.Select.Control, { children: [
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.Trigger, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.ValueText, { placeholder: "Gender" }) }),
436
+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.IndicatorGroup, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.Indicator, {}) })
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+ ] }),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.Positioner, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.Content, { children: (0, import_react5.createListCollection)({
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+ items: [
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+ { label: "Male", value: "male" },
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+ { label: "Female", value: "female" }
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+ ]
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+ }).items.map((item) => /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.Item, { item, children: item.label }, item.value)) }) })
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+ ]
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+ }
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+ ) }),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsxs)(
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+ import_react5.Select.Root,
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+ {
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+ collection: (0, import_react5.createListCollection)({
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+ items: [
452
+ { label: "Single", value: "single" },
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+ { label: "Married", value: "married" },
454
+ { label: "Widowed", value: "widowed" },
455
+ { label: "Divorced", value: "divorced" },
456
+ { label: "Separated", value: "separated" },
457
+ { label: "Annulled", value: "annulled" }
458
+ ]
459
+ }),
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+ children: [
461
+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.HiddenSelect, { id: "civilStatus" }),
462
+ /* @__PURE__ */ (0, import_jsx_runtime3.jsxs)(import_react5.Select.Control, { children: [
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.Trigger, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.ValueText, { placeholder: "Civil Status" }) }),
464
+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.IndicatorGroup, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.Indicator, {}) })
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+ ] }),
466
+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.Positioner, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.Content, { children: (0, import_react5.createListCollection)({
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+ items: [
468
+ { label: "Single", value: "single" },
469
+ { label: "Married", value: "married" },
470
+ { label: "Widowed", value: "widowed" },
471
+ { label: "Divorced", value: "divorced" },
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+ { label: "Separated", value: "separated" },
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+ { label: "Annulled", value: "annulled" }
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+ ]
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+ }).items.map((item) => /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Select.Item, { item, children: item.label }, item.value)) }) })
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+ ]
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+ }
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+ ) }),
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+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(
480
+ floating_label_input_default,
481
+ {
482
+ id: "nationality",
483
+ type: "text",
484
+ label: "Nationality",
485
+ onChange: (e) => setFormData({ ...formData, nationality: e.target.value })
486
+ }
487
+ ) })
488
+ ] }),
489
+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Separator, {}),
490
+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_st_peter_ui2.Body, { fontWeight: "bold", children: "Contact Information" }),
491
+ /* @__PURE__ */ (0, import_jsx_runtime3.jsxs)(import_react5.Grid, { templateColumns: { base: "1fr", md: "repeat(2, 1fr)" }, gap: 8, children: [
492
+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(
493
+ floating_label_input_default,
494
+ {
495
+ id: "mobileNumber",
496
+ type: "text",
497
+ label: "Mobile Number",
498
+ onChange: (e) => setFormData({ ...formData, mobileNumber: e.target.value })
499
+ }
500
+ ) }),
501
+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(
502
+ floating_label_input_default,
503
+ {
504
+ id: "landlineNumber",
505
+ type: "text",
506
+ label: "Landline Number",
507
+ onChange: (e) => setFormData({ ...formData, landLineNumber: e.target.value })
508
+ }
509
+ ) })
510
+ ] }),
511
+ /* @__PURE__ */ (0, import_jsx_runtime3.jsxs)(import_react5.Grid, { templateColumns: { base: "1fr", md: "repeat(2, 1fr)" }, gap: 8, children: [
512
+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(
513
+ floating_label_input_default,
514
+ {
515
+ id: "email",
516
+ type: "email",
517
+ label: "Email Address",
518
+ onChange: (e) => setFormData({ ...formData, emailAddress: e.target.value })
519
+ }
520
+ ) }),
521
+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(
522
+ floating_label_input_default,
523
+ {
524
+ id: "mailingAddress",
525
+ type: "text",
526
+ label: "Mailing Address",
527
+ onChange: (e) => setFormData({ ...formData, mailingAddress: e.target.value })
528
+ }
529
+ ) })
530
+ ] }),
531
+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Separator, {}),
532
+ /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Grid, { templateColumns: { base: "1fr", md: "repeat(2, 1fr)" }, gap: 8, children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(import_react5.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime3.jsx)(
533
+ floating_label_input_default,
534
+ {
535
+ id: "insurability",
536
+ type: "text",
537
+ label: "Insurability",
538
+ value: "Insurable",
539
+ readOnly: true
540
+ }
541
+ ) }) })
542
+ ] })
543
+ ] });
544
+ };
545
+ var PersonalInfo_default = PersonalInfo;
211
546
 
212
- // src/NewSaleForm/LifePlanApplicationMainWrapper.tsx
213
- var import_jsx_runtime6 = require("react/jsx-runtime");
547
+ // src/NewSaleForm/Employment.tsx
548
+ var import_st_peter_ui3 = require("st-peter-ui");
549
+ var import_react7 = require("react");
550
+ var import_react8 = require("@chakra-ui/react");
551
+ var import_jsx_runtime4 = require("react/jsx-runtime");
552
+ var Employment = ({ value }) => {
553
+ const [formData, setFormData] = (0, import_react7.useState)({
554
+ occupation: value?.occupation ?? "",
555
+ employerName: value?.employerName ?? "",
556
+ employmentStatus: value?.employmentStatus ?? "",
557
+ officeAddress: value?.officeAddress ?? "",
558
+ TIN: value?.TIN ?? "",
559
+ SSS: value?.SSS ?? "",
560
+ sourceOfIncome: value?.sourceOfIncome ?? ""
561
+ });
562
+ return /* @__PURE__ */ (0, import_jsx_runtime4.jsxs)(import_jsx_runtime4.Fragment, { children: [
563
+ /* @__PURE__ */ (0, import_jsx_runtime4.jsx)(import_react8.VStack, { align: "stretch", gap: 4, mb: 4, children: /* @__PURE__ */ (0, import_jsx_runtime4.jsx)(import_st_peter_ui3.Body, { children: /* @__PURE__ */ (0, import_jsx_runtime4.jsx)(import_react8.Span, { fontWeight: "bold", children: "Employment" }) }) }),
564
+ /* @__PURE__ */ (0, import_jsx_runtime4.jsxs)(import_react8.SimpleGrid, { columns: { base: 1, md: 2 }, gap: 4, mb: 4, children: [
565
+ /* @__PURE__ */ (0, import_jsx_runtime4.jsx)(import_react8.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime4.jsx)(
566
+ floating_label_input_default,
567
+ {
568
+ id: "occupation",
569
+ label: "Occupation",
570
+ value: formData.occupation ?? "",
571
+ onChange: (e) => {
572
+ setFormData({ ...formData, occupation: e.target.value });
573
+ }
574
+ }
575
+ ) }),
576
+ /* @__PURE__ */ (0, import_jsx_runtime4.jsx)(import_react8.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime4.jsx)(
577
+ floating_label_input_default,
578
+ {
579
+ id: "employerName",
580
+ label: "Employer Name",
581
+ value: formData.employerName ?? "",
582
+ onChange: (e) => {
583
+ setFormData({ ...formData, employerName: e.target.value });
584
+ }
585
+ }
586
+ ) })
587
+ ] }),
588
+ /* @__PURE__ */ (0, import_jsx_runtime4.jsxs)(import_react8.SimpleGrid, { columns: { base: 1, md: 2 }, gap: 4, mb: 4, children: [
589
+ /* @__PURE__ */ (0, import_jsx_runtime4.jsx)(import_react8.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime4.jsx)(
590
+ floating_label_input_default,
591
+ {
592
+ id: "employmentStatus",
593
+ label: "Employment Status",
594
+ value: formData.employmentStatus ?? "",
595
+ onChange: (e) => {
596
+ setFormData({ ...formData, employmentStatus: e.target.value });
597
+ }
598
+ }
599
+ ) }),
600
+ /* @__PURE__ */ (0, import_jsx_runtime4.jsx)(import_react8.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime4.jsx)(
601
+ floating_label_input_default,
602
+ {
603
+ id: "officeAddress",
604
+ label: "Office Address",
605
+ value: formData.officeAddress ?? "",
606
+ onChange: (e) => {
607
+ setFormData({ ...formData, officeAddress: e.target.value });
608
+ }
609
+ }
610
+ ) })
611
+ ] }),
612
+ /* @__PURE__ */ (0, import_jsx_runtime4.jsxs)(import_react8.SimpleGrid, { columns: { base: 1, md: 2 }, gap: 4, mb: 4, children: [
613
+ /* @__PURE__ */ (0, import_jsx_runtime4.jsx)(import_react8.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime4.jsx)(
614
+ floating_label_input_default,
615
+ {
616
+ id: "tin",
617
+ label: "TIN",
618
+ value: formData.TIN ?? "",
619
+ onChange: (e) => {
620
+ setFormData({ ...formData, TIN: e.target.value });
621
+ }
622
+ }
623
+ ) }),
624
+ /* @__PURE__ */ (0, import_jsx_runtime4.jsx)(import_react8.Field.Root, { children: /* @__PURE__ */ (0, import_jsx_runtime4.jsx)(
625
+ floating_label_input_default,
626
+ {
627
+ id: "sssGsis",
628
+ label: "SSS",
629
+ value: formData.SSS ?? "",
630
+ onChange: (e) => {
631
+ setFormData({ ...formData, SSS: e.target.value });
632
+ }
633
+ }
634
+ ) })
635
+ ] }),
636
+ /* @__PURE__ */ (0, import_jsx_runtime4.jsx)(import_react8.SimpleGrid, { columns: { base: 1, md: 2 }, gap: 4, mb: 4, children: /* @__PURE__ */ (0, import_jsx_runtime4.jsx)(import_react8.Field.Root, { w: "100%", children: /* @__PURE__ */ (0, import_jsx_runtime4.jsx)(
637
+ floating_label_input_default,
638
+ {
639
+ id: "otherSourceOfFund",
640
+ label: "Other Source of Fund",
641
+ value: formData.sourceOfIncome ?? "",
642
+ onChange: (e) => {
643
+ setFormData({ ...formData, sourceOfIncome: e.target.value });
644
+ }
645
+ }
646
+ ) }) })
647
+ ] });
648
+ };
649
+ var Employment_default = Employment;
214
650
  // Annotate the CommonJS export names for ESM import in node:
215
651
  0 && (module.exports = {
216
- FloatingLabelInput
652
+ Address,
653
+ Employment,
654
+ FloatingLabelInput,
655
+ PersonalInfo
217
656
  });
218
657
  //# sourceMappingURL=index.js.map