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index.html
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<!DOCTYPE html>
<html>
<head>
<!-- Global site tag (gtag.js) - Google Analytics -->
<script async src="https://www.googletagmanager.com/gtag/js?id=UA-164396517-1"></script>
<script>
window.dataLayer = window.dataLayer || [];
function gtag(){dataLayer.push(arguments);}
gtag('js', new Date());
gtag('config', 'UA-164396517-1');
</script>
<title>COVID-19 FORM - Open Source, Secure and Client-Side COVID-19 Document for permitted movement for residents of Armenia</title>
<meta charset="UTF-8">
<meta property="og:title" content="COVID-19 FORM - Open Source, Secure and Client-Side COVID-19 Document for permitted movement for residents of Armenia - without server-side sensitive data processing" />
<meta property="og:desctiption" content="COVID-19 FORM - Open Source, Secure and Client-Side COVID-19 Document for permitted movement for residents of Armenia - without server-side sensitive data processing" />
<meta property="og:image" content="https://raw.githubusercontent.com/hosembafer/covid-form/master/cover.jpg" />
<meta name="viewport" content="width=device-width,initial-scale=1"/>
<link rel="stylesheet" href="https://stackpath.bootstrapcdn.com/bootstrap/4.4.1/css/bootstrap.min.css" />
<link rel="stylesheet" href="style.css" />
<script src="libs/signature_pad.min.js"></script>
<script src="libs/html2pdf.bundle.js"></script>
<script src="index.js"></script>
</head>
<body>
<h1 class="page_main_heading mt-4 mb-4">ԱՐՏԱԿԱՐԳ ԴՐՈՒԹՅԱՆ ԺԱՄԱՆԱԿԱՀԱՏՎԱԾՈՒՄ ՏԵՂԱՇԱՐԺՄԱՆ ԹԵՐԹԻԿ</h1>
<div class="container">
<div class="card">
<form class="card-body">
<div class="form-row">
<div class="form-group col-sm-8">
<label for="full_name">Անուն, Ազգանուն, Հայրանուն</label>
<input type="text" name="full_name" id="full_name" class="form-control" required>
</div>
<div class="form-group col-sm-4">
<label for="date">Օր</label>
<input name="date" id="date" type="date" required class="form-control">
</div>
</div>
<div class="form-row">
<div class="form-group col">
<label for="address_from">Ելքի Հասցե</label>
<input type="text" name="address_from" id="address_from" required class="form-control">
<button type="button" id="locate_start" onclick="getLocation();" class="btn btn-secondary btn-sm mt-2">
<span class="spinner-grow-sm"></span>
Տեղորոշել հասցեն
</button>
</div>
<div class="form-group col-sm-4">
<label for="time_from">Ելքի Ժամը</label>
<input name="time_from" id="time_from" type="time" required class="form-control">
</div>
</div>
<div class="form-row">
<div class="form-group col">
<label for="address_to">Այցելության վայրի հասցե և անվանում</label>
<input type="text" name="address_to" id="address_to" required class="form-control">
</div>
<div class="form-group col-sm-4">
<label for="time_to">Վերադարձի Ժամը</label>
<input name="time_to" id="time_to" type="time" required class="form-control">
</div>
</div>
<div class="form-group">
<label for="reason">Այցելության Նպատակը *</label>
<input type="text" name="reason" id="reason" required class="form-control">
<div class="mt-2 reason_options">
<span class="badge badge-light">Գնումների</span>
<span class="badge badge-light">Տուն</span>
<span class="badge badge-light">Բանկ</span>
<span class="badge badge-light">Աղբ թափել</span>
<span class="badge badge-light">Աշխատանքի</span>
<span class="badge badge-light">Բժիշկի</span>
<span class="badge badge-light">Մաքրել</span>
<span class="badge badge-light">Ֆիզիկական վարժություններ</span>
<span class="badge badge-light">Հոգեհանգիստ</span>
<span class="badge badge-light">Հուղարկավորության</span>
</div>
</div>
<div class="form-group">
<label for="sign">Ստորագրություն *</label>
<div style="clear: both;"></div>
<div id="sign-wrapper">
<canvas id="sign" width="280" height="200"></canvas>
</div>
<button type="button" class="btn btn-secondary btn-sm mt-1" onclick="undoSignPad();">Ետ</button>
<button type="button" class="btn btn-secondary btn-sm mt-1" onclick="clearSignPad();">Մաքրել</button>
</div>
<div class="clearfix"></div>
<button type="submit" class="btn btn-primary btn-block btn-lg">Ներբեռնել թերթիկը</button>
</form>
</div>
</div>
<div id="output">
<h3>
ԱՐՏԱԿԱՐԳ ԴՐՈՒԹՅԱՆ ԺԱՄԱՆԱԿԱՀԱՏՎԱԾՈՒՄ ՏԵՂԱՇԱՐԺՄԱՆ ԹԵՐԹԻԿ<br />
STATE OF EMERGENCY - DOCUMENT FOR PERMITED MOVEMENT<br />
ДОКУМЕНТ ПЕРЕДВИЖЕНИЯ ВO ВРЕМЯ ЧРЕЗВЫЧАЙНОЙ СИТУАЦИИ
</h3>
<div id="out-date"></div>
<table border=1 cellpadding=10 cellspacing=0>
<tbody>
<tr>
<td>Ազգանուն Անուն Հայրանուն<br />
First Name, Last Name<br />
Фамилия Имя Отчество</td>
<td id="out-full_name"></td>
</tr>
<tr>
<td>Ելքի Ժամը<br />
Time of Departure<br />
Время Выхода/Выезда</td>
<td id="out-time_from"></td>
</tr>
<tr>
<td>Ելքի Հասցե<br />
Address of Departure<br />
Адрес Выхода/Выезда</td>
<td id="out-address_from"></td>
</tr>
<tr>
<td>Այցելության վայրի հասցե և անվանում<br />
Name аnd Address оf Destination<br />
Адрес и Название Места Посещения</td>
<td id="out-address_to"></td>
</tr>
<tr>
<td>Այցելության Նպատակը<br />
Purpose of Visit to Destination<br />
Цель Посещения</td>
<td id="out-reason"></td>
</tr>
<tr>
<td>Վերադարձի Ակնկալվող Ժամը<br />
Expected Time of Return<br />
Ожидаемое Время Возвращение</td>
<td id="out-time_to"></td>
</tr>
</tbody>
</table>
<div id="out-sign-wrapper">
<div style="margin-top: 20px;">Ստորագրություն</div>
<div id="out-sign"></div>
</div>
</div>
<div class="my-3 text-center">
<a href="https://github.com/hosembafer/covid-form" target="_blank" class="btn btn-linkfor-details">Մանրամասն այստեղ</a>
</div>
<a target="_blank" href="https://github.com/hosembafer/covid-form" class="github-corner" aria-label="View source on GitHub"><svg width="80" height="80" viewBox="0 0 250 250" style="fill:#151513; color:#eeeeee; position: absolute; top: 0; border: 0; right: 0;" aria-hidden="true"><path d="M0,0 L115,115 L130,115 L142,142 L250,250 L250,0 Z"></path><path d="M128.3,109.0 C113.8,99.7 119.0,89.6 119.0,89.6 C122.0,82.7 120.5,78.6 120.5,78.6 C119.2,72.0 123.4,76.3 123.4,76.3 C127.3,80.9 125.5,87.3 125.5,87.3 C122.9,97.6 130.6,101.9 134.4,103.2" fill="currentColor" style="transform-origin: 130px 106px;" class="octo-arm"></path><path d="M115.0,115.0 C114.9,115.1 118.7,116.5 119.8,115.4 L133.7,101.6 C136.9,99.2 139.9,98.4 142.2,98.6 C133.8,88.0 127.5,74.4 143.8,58.0 C148.5,53.4 154.0,51.2 159.7,51.0 C160.3,49.4 163.2,43.6 171.4,40.1 C171.4,40.1 176.1,42.5 178.8,56.2 C183.1,58.6 187.2,61.8 190.9,65.4 C194.5,69.0 197.7,73.2 200.1,77.6 C213.8,80.2 216.3,84.9 216.3,84.9 C212.7,93.1 206.9,96.0 205.4,96.6 C205.1,102.4 203.0,107.8 198.3,112.5 C181.9,128.9 168.3,122.5 157.7,114.1 C157.9,116.9 156.7,120.9 152.7,124.9 L141.0,136.5 C139.8,137.7 141.6,141.9 141.8,141.8 Z" fill="currentColor" class="octo-body"></path></svg></a><style>.github-corner:hover .octo-arm{animation:octocat-wave 560ms ease-in-out}@keyframes octocat-wave{0%,100%{transform:rotate(0)}20%,60%{transform:rotate(-25deg)}40%,80%{transform:rotate(10deg)}}@media (max-width:500px){.github-corner:hover .octo-arm{animation:none}.github-corner .octo-arm{animation:octocat-wave 560ms ease-in-out}}</style>
</body>
</html>