{{ config('app.name') }} - Generate Password

Enter Your UID

Please enter your unique identification number to proceed

Generate Password

For UID: {{ $prefill->reg_id ?? old('old_uid') }}

@csrf

First Name * first_name) && $prefill->first_name ? 'readonly' : '' }}> @error('fname') {{ $message }} @enderror

Middle Name @error('mname') {{ $message }} @enderror

Last Name last_name) && $prefill->last_name ? 'readonly' : '' }}> @error('lname') {{ $message }} @enderror

Date Of Birth * dob) && $prefill->dob ? '' : '' }}> @error('dob') {{ $message }} @enderror

Gender *

gender) && strtoupper($prefill->gender)==='MALE')) checked @endif> Male gender) && strtoupper($prefill->gender)==='FEMALE')) checked @endif> Female gender) && strtoupper($prefill->gender)==='OTHER')) checked @endif> Other

@error('gender') {{ $message }} @enderror

Email * email) && $prefill->email ? '' : '' }}> @error('email') {{ $message }} @enderror

New Password *

@error('password')

@enderror

Password must be at least 8 characters long and contain uppercase, lowercase, number, and special character.

Confirm Password *

@error('password_confirmation')

@enderror

@if ($errors->has('captcha')) {{ $errors->first('captcha') }} @endif

(*) Mandatory Fields.
Important Note:

Please make sure to enter a valid email address, as this will be used for communication and account verification purposes. If you enter an incorrect or invalid email address, you may not receive important notifications or be able to access your account.
One Email ID can only be used for only one UID.