50 lines
1.9 KiB
JavaScript
50 lines
1.9 KiB
JavaScript
const LdpForm = (props) => {
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const { caseReference } = props;
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return (
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<>
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<div class="govuk-grid-row">
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<div class="govuk-grid-column-two-thirds">
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<h1 class="govuk-heading-m govuk-!-margin-top-5">
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Enter your appeal information
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</h1>
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<form>
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<div class="govuk-grid-column-full">
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<div class="govuk-grid-row">
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<div class="govuk-form-group">
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<label
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class="govuk-label "
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for="pinswg_name"
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>
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Name
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</label>
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<input
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type="text"
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name="pinswg_name"
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id="pinswg_name"
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component="[object Object]"
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class="govuk-input govuk-input--width-20"
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disabled
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value="CAS-00508-J6L1F0"
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/>
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</div>
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</div>
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</div>
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<div class="govuk-button-group">
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<button
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type="submit"
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class="govuk-button"
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data-module="govuk-button"
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>
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Submit
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</button>
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</div>
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</form>
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</div>
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</div>
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</>
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);
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};
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export default LdpForm;
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