Agent Registration
Booking: {{ $bookingNo }}
@if(session('success'))
{{ session('success') }}
@endif @if(session('error'))
{{ session('error') }}
@endif
@csrf
Basic Information
Full Name *
@error('name')
{{ $message }}
@enderror
Email *
@error('email')
{{ $message }}
@enderror
Phone *
@error('phone')
{{ $message }}
@enderror
Bank Account Number
@error('bank_no')
{{ $message }}
@enderror
Account Information
Type *
Perseorangan
Institusi
@error('type')
{{ $message }}
@enderror
Company Information
Brand
@error('brand')
{{ $message }}
@enderror
Website
@error('website')
{{ $message }}
@enderror
Address
{{ old('address') }}
@error('address')
{{ $message }}
@enderror
PIC Information
PIC Name
@error('pic_name')
{{ $message }}
@enderror
PIC Email
@error('pic_email')
{{ $message }}
@enderror
PIC Phone
@error('pic_phone')
{{ $message }}
@enderror
PIC Position
@error('pic_position')
{{ $message }}
@enderror
Finance Contact
Finance Name
@error('fin_name')
{{ $message }}
@enderror
Finance Email
@error('fin_email')
{{ $message }}
@enderror
Finance Phone
@error('fin_phone')
{{ $message }}
@enderror
Register as Agent
After registration, return to the booking page and click the refresh button to auto-fill your information.