1+ {% set serviceHome = '/live/start' %}
2+ {% set servicePhase = 'beta' %}
3+ {% set feedbackType = 'step' %}
4+ {% set section = '2' %}
5+
6+ {% extends 'layout.html' %}
7+
8+ {% if (data['who-is-being-registered'] === "dependant") %}
9+ {% set heading = 'What are the contact details of the person caring for ' + data['name-first-name'] + '?' %}
10+ {% set hintText = 'The NHS and GP surgery can use these details to call, text or email about health care services for the person you are registering.' %}
11+ {% else %}
12+ {% set heading = 'What are your contact details?' %}
13+ {% set hintText = 'The NHS and your GP surgery can use these details to call, text or email you about health care services.' %}
14+ {% endif %}
15+
16+ {% block pageTitle %}
17+ {{ heading }} - {{ data.presets[0].servicename }} - NHS
18+ {% endblock %}
19+
20+ {% if (data['user-auth'] === 'p9') %}
21+ {% set link = 'confirm-contact-details' %}
22+ {% elif (data['have-current-uk-address'] === "No") %}
23+ {% set link = 'do-you-current-address' %}
24+ {% else %}
25+ {% if (data['select-current-address']) %}
26+ {% set link = 'what-is-your-current-address-selection' %}
27+ {% else %}
28+ {% set link = 'what-is-your-current-address-manual' %}
29+ {% endif %}
30+ {% endif %}
31+
32+ {% if (data['under-18-years'] === "true") %}
33+ {% set action = 'what-schooling-do-you-have' %}
34+ {% else %}
35+ {% set action = 'what-is-your-sex' %}
36+ {% endif %}
37+
38+ {% block outerContent %}
39+ {{ backLink({
40+ "href": link,
41+ "text": "Go back",
42+ "classes": "nhsuk-u-margin-top-4 nhsuk-u-margin-bottom-0"
43+ }) }}
44+ {% endblock %}
45+
46+ {% block content %}
47+
48+ < div class ="nhsuk-grid-row ">
49+ < div class ="nhsuk-grid-column-two-thirds ">
50+
51+ < form action ="{{ action }} " method ="post ">
52+
53+ {% include 'live/includes/step.html' %}
54+
55+ {% call fieldset({
56+ legend: {
57+ text: heading,
58+ classes: "nhsuk-fieldset__legend--l",
59+ isPageHeading: true
60+ }
61+ }) %}
62+
63+ {{ hint({
64+ "text": hintText,
65+ "classes": "nhsuk-u-margin-bottom-2"
66+ }) }}
67+
68+ {{ input({
69+ label: {
70+ "text": "Home telephone number (optional)"
71+ },
72+ "classes": "nhsuk-input nhsuk-input--width-20",
73+ "id": "contact-home-phone",
74+ "name": "contact-home-phone",
75+ "spellcheck": false,
76+ "value": data['contact-home-phone']
77+ }) }}
78+
79+ {{ input({
80+ label: {
81+ "text": "Mobile telephone number (optional)"
82+ },
83+ "classes": "nhsuk-input nhsuk-input--width-20",
84+ "id": "contact-mobile",
85+ "name": "contact-mobile",
86+ "spellcheck": false,
87+ "value": data['contact-mobile']
88+ }) }}
89+
90+ {{ input({
91+ label: {
92+ "text": "Email address (optional)"
93+ },
94+ "id": "contact-email",
95+ "name": "contact-email",
96+ "spellcheck": false,
97+ "value": data['contact-email']
98+ }) }}
99+
100+ {% endcall %}
101+
102+ {{ button({
103+ "text": "Continue"
104+ }) }}
105+
106+ </ form >
107+
108+ </ div >
109+ </ div >
110+
111+ {# DEVMODE SCENARIOS #}
112+ {% if data['devMode'] === 'true' %}
113+ < details class ="nhsuk-details dev-mode dev-mode--routing " role ="group ">
114+ < summary class ="nhsuk-details__summary " role ="button " aria-controls ="details-content-0 " aria-expanded ="true ">
115+ < span class ="nhsuk-details__summary-text ">
116+ Routing choices
117+ </ span >
118+ </ summary >
119+ < div class ="nhsuk-details__text ">
120+ < h4 > Routes</ h4 >
121+ < ul class ="govuk-list govuk-list--bullet ">
122+ < li >
123+ < a href ="how-can-we-contact-inputs-prompt "> Email and mobile are left blank</ a >
124+ </ li >
125+ </ ul >
126+ </ div >
127+ </ details >
128+ {% endif %}
129+
130+ {% include 'live/includes/devmode.html' %}
131+
132+ {% endblock %}
133+
134+ {% block footer %}
135+ {% include 'live/includes/footer.html' %}
136+ {% endblock %}
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