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@@ -1,8 +1,110 @@
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<template>
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+<div>
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+ <div class="mui-content vongi-fx">
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+ <div class="mui-content-padded">
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+ <h1 class="mui-text-center color4fc5f7">返乡人员登记</h1>
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+ <p>目前,疫情防控形势仍严峻复杂,您家或亲戚朋友家有亲人欲返荆过春节,请您尽量劝其减少流动风险、留在原地过春节。请您出行一定记得戴口罩、与他人保持安全距离(- 米以上) :非必要不出境、不去国内中、高风险区域若邻居家有外地返荆人员,请帮忙提醒他与社区联系报备。请您记住:少聚集、少聚餐、勤洗手、红事缓办、白事简办,聚会不办。
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+ </p>
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+ </div>
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+ <form class="mui-input-group vongi-editme">
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+ <div class="mui-input-row">
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+ <label><i class="colorfe616c">*</i> 您的姓名</label>
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+ <input type="text" class="mui-input-clear" placeholder="请填写您的姓名 ">
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+ </div>
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+ <div class="mui-input-row">
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+ <label><i class="colorfe616c">*</i> 身份证号码</label>
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+ <input type="text" class="mui-input-clear" placeholder="请填写身份证号码 ">
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+ </div>
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+ <div class="mui-input-row">
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+ <label><i class="colorfe616c">*</i> 手机号码</label>
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+ <input type="text" class="mui-input-clear" placeholder="请输入手机号码 ">
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+ </div>
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+ <div class="mui-input-row vongi-fx-yzm">
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+ <label><i class="colorfe616c">*</i> 验证码</label>
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+ <input type="text" class="mui-input-clear" placeholder="请填写验证码 " >
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+ <a href="">发送验证码</a>
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+ </div>
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+ <div class="mui-input-row">
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+ <label style="width:50%"><i class="colorfe616c">*</i> 居住所在地</label>
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+ <button class="mui-btn mui-btn-block mui-navigate-right" type='button' style="width:50%">
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+ 请选择
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+ </button>
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+ </div>
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+ <div class="mui-input-row">
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+ <label style="width:100%"><i class="colorfe616c">*</i> 详细地址</label>
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+ <textarea id="textarea" rows="2" placeholder="请填写详细地址信息"></textarea>
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+ </div>
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+ <div class="mui-input-row">
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+ <label><i class="colorfe616c">*</i> 始发地</label>
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+ <button class="mui-btn mui-btn-block mui-navigate-right" type='button' style="width:65%">
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+ 请选择
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+ </button>
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+ </div>
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+ <div class="mui-input-row">
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+ <label style="width:100%"><i class="colorfe616c">*</i> 始发地详细地址</label>
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+ <textarea id="textarea" rows="2" placeholder="请填写始发地详细地址"></textarea>
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+ </div>
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+ <div class="mui-input-row">
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+ <label><i class="colorfe616c">*</i> 途径地</label>
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+ <textarea id="textarea" rows="2" placeholder="请填写详细途径地信息"></textarea>
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+ </div>
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+ <div class="mui-input-row">
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+ <label style="width:100%"><i class="colorfe616c">*</i> 返乡乘坐(或使用)交通工具情况(飞机航班、动车车次、汽车车牌号)</label>
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+ <textarea id="textarea" rows="2" placeholder="请填写详细返乡交通工具信息"></textarea>
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+ </div>
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+ <div class="mui-input-row">
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+ <label style="width:60%"><i class="colorfe616c">*</i> 返乡时间(已到/预计)</label>
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+ <button class="mui-btn mui-btn-block mui-navigate-right" type='button' style="width:40%">
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+ 请选择
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+ </button>
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+ </div>
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+ <div class="mui-input-row vongi-fx-yzm">
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+ <label style="width:70%;padding:11px 0 11px 15px"><i class="colorfe616c">*</i> 是否有7日内核酸检测阴性证明</label>
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+ <div class="mui-radio mui-left">
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+ <label>是</label>
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+ <input name="radio2" type="radio">
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+ </div>
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+ <div class="mui-radio mui-left" style="margin-right:15px">
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+ <label>否</label>
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+ <input name="radio2" type="radio" checked>
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+ </div>
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+ </div>
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+ <div class="mui-input-row">
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+ <label>备注</label>
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+ <textarea id="textarea" rows="2" placeholder=""></textarea>
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+ </div>
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+ <div class="mui-input-row">
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+ <label style="width:75%;padding:11px 0 11px 15px">如有7日内核酸检测报告请上传照片</label>
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+ <button class="mui-btn mui-btn-block mui-navigate-right" type='button' style="width:25%">
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+ <img src="~$project/assets/img/audit1.png" />
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+ </button>
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+ </div>
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+ <div class="mui-input-row">
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+ <label style="width:50%">上传“行程卡”截图</label>
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+ <button class="mui-btn mui-btn-block mui-navigate-right" type='button' style="width:50%">
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+ 点击上传
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+ </button>
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+ </div>
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+ <div class="mui-input-row">
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+ <label style="width:50%">上传本人健康码截图</label>
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+ <button class="mui-btn mui-btn-block mui-navigate-right" type='button' style="width:50%">
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+ 点击上传
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+ </button>
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+ </div>
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+ </form>
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+ <div class="vongi-btn vongi-login-btn">
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+ <button class="mui-btn mui-btn-primary" style="border-radius: 30px;">
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+ 提交
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+ </button>
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+ </div>
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+ </div>
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+</div>
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</template>
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<script>
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</script>
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+<style scoped src="$project/assets/css/xpwyfyy.css"></style>
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+<style src="$project/assets/css/iconfont.css"></style>
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<style>
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</style>
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