claims.html
Home
/
forms /
common-themes /
src /
main /
resources /
theme /
base /
admin /
resources /
partials /
claims.html
<fieldset class="border-top">
<div class="form-group">
<label class="col-sm-2 control-label" for="username">Username</label>
<div class="col-sm-4">
<input ng-model="claims.username" name="username" id="username" onoffswitch />
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label" for="claimName">Name</label>
<div class="col-sm-4">
<input ng-model="claims.name" name="claimName" id="claimName" onoffswitch />
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label" for="email">Email</label>
<div class="col-sm-4">
<input ng-model="claims.email" name="email" id="email" onoffswitch />
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label" for="gender">Gender</label>
<div class="col-sm-4">
<input ng-model="claims.gender" name="gender" id="gender" onoffswitch />
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label" for="address">Address</label>
<div class="col-sm-4">
<input ng-model="claims.address" name="address" id="address" onoffswitch />
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label" for="locale">Locale</label>
<div class="col-sm-4">
<input ng-model="claims.locale" name="locale" id="locale" onoffswitch />
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label" for="phone">Phone</label>
<div class="col-sm-4">
<input ng-model="claims.phone" name="phone" id="phone" onoffswitch />
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label" for="profile">Profile URL</label>
<div class="col-sm-4">
<input ng-model="claims.profile" name="profile" id="profile" onoffswitch />
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label" for="picture">Picture URL</label>
<div class="col-sm-4">
<input ng-model="claims.picture" name="picture" id="picture" onoffswitch />
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label" for="website">Website</label>
<div class="col-sm-4">
<input ng-model="claims.website" name="website" id="website" onoffswitch />
</div>
</div>
</fieldset>