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form.htm
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<!doctype html>
<html lang="zh-Hant" class="no-js">
<head>
<meta name="robots" content="noindex" /><!-- 使用 noindex 禁止 Google 搜尋建立索引，套版時請工程師刪掉這行 -->
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>外交部領事事務局護照預約申請</title>
<!--HTML5 Shim and Respond.js IE8 support of HTML5 elements and media queries [if lt IE 9]>
<script src="js/html5shiv.js"></script>
<script src="js/respond.min.js"></script>
<![endif]-->
<!-- slick css-->
<link rel="stylesheet" type="text/css" href="vendor/slick/slick.css" />
<link rel="stylesheet" type="text/css" href="vendor/slick/slick-theme.css" />
<!-- 燈箱facybox -->
<link rel="stylesheet" type="text/css" href="vendor/facybox/dist/jquery.fancybox.min.css">
<!-- CSS -->
<!-- <link rel="stylesheet" href="css/boca.css"> -->
<link rel="stylesheet" href="css/boca_personal.css">
<!-- <link rel="stylesheet" href="css/boca_personal.css"> -->
<!-- favicon -->
<link href="images/favicon.png" rel="icon" type="image/x-icon">
</head>
<body class="Page">
<!-- 視窗 -->
<div id="modal1" class="modal">
<h2>異動電子郵件須重新驗證</h2>
<div class="modal_content">
<!-- <p>Lorem, ipsum dolor sit amet <a href="#">超連結</a><b>一般粗體</b><b class="R">紅字</b><b class="B">藍字</b>consectetur elit. Blanditiis optio quasi consequatur repellendus, qui nisi itaque. Libero, fugit atque ea praesentium quo quidem itaque magnam eius, repudiandae? Vero, voluptate.</p>
<ol>
<li>有序清單</li>
<li>項目1</li>
<li>項目2</li>
</ol>
<ul>
<li>無序清單</li>
<li>項目1</li>
<li>Lorem ipsum dolor sit amet consectetur adipisicing elit. Quidem corrupti dolorum iure magni quia <a href="#">ratione cupiditate</a> fugit molestias perspiciatis quaerat a sequi modi qui consequuntur atque praesentium, odit quibusdam. Ab.</li>
<li><a href="#">Lorem ipsum dolor sit amet consectetur adipisicing elit. Quidem corrupti dolorum iure magni quia ratione cupiditate fugit molestias perspiciatis quaerat a sequi modi qui consequuntur atque praesentium, odit quibusdam. Ab.</a></li>
</ul> -->
<div class="flex-form form-column">
<div class="form_grp">
<label for="email" class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>電子郵件</label>
<div class="form_content">
<input name="email" type="email" id="email" placeholder="請輸入e-mail" value="readonly@hyweb.com.tw">
<div class="notice_info">包含.cn/163.com/qq.com等郵件網域無法正常發送，請改⽤其他信箱。</div>
<div class="notice_info">如未收到「驗證信」，請檢查垃圾信箱或確認電郵信箱是否輸入錯誤。如果仍無法排除問題，請洽客服專線(02)2343-2951。</div>
</div>
</div>
<div class="form_grp">
<div class="flex-col-equal-1">
<div class="form_grp">
<label for="" class="form_title" aria-required="true"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>電子郵件驗證碼：</label>
<div class="form_content">
<input type="text" id="" placeholder="請輸入電子郵件驗證碼">
</div>
</div>
</div>
</div>
</div>
<div class="btn_grp">
<button class="btn btn-reset">取消</button>
<button class="btn btn-submit">驗證送出</button>
</div>
<div class="flex-form form-column">
<!-- radio -->
<div class="form_grp" role="group" aria-labelledby="fake-legend">
<div class="radio_grp ">
<label><input type="radio" name="sampleRadio" value="" checked="">新北市</label>
<label><input type="radio" name="sampleRadio" value="">Lorem ipsum dolor sit amet consectetur adipisicing elit. Quidem corrupti dolorum iure magni quia ratione cupiditate fugit molestias perspiciatis</label>
<label><input type="radio" name="sampleRadio" value="">臺北市<input name="text" id="inputSample" type="text" placeholder=""></label>
<label><input type="radio" name="sampleRadio1" value="">
<span>
特殊情況，如果 radio 後面又要加 input，就整個再用 span 包起來。不包的話就會像上面一樣擠在一起。
<input name="text" id="inputSample" type="text" placeholder="">
</span>
</label>
</div>
</div>
<!-- checkbox-->
<div class="form_grp" role="group" aria-labelledby="fake-legend">
<div class="check_grp">
<label><input type="checkbox" name="" value="" checked="">全部</label>
<label><input type="checkbox" name="" value="">Lorem ipsum dolor sit amet consectetur adipisicing elit. Quidem corrupti dolorum iure magni quia ratione cupiditate fugit molestias perspiciatis quaerat a sequi modi qui consequunt</label>
<label><input type="checkbox" name="" value="">表演與節慶</label>
</div>
</div>
<!-- -->
<div class="form_grp">
<label for="email" class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>電子郵件</label>
<div class="form_content">
<input name="email" type="email" id="email" placeholder="請輸入e-mail">
<div class="notice_info">一般提醒訊息</div>
</div>
</div>
<div class="form_grp warn">
<label for="email" class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>再次確認電子郵件</label>
<div class="form_content">
<input name="email" type="email" id="email" placeholder="請輸入e-mail" class="error">
<div class="notice_error">錯誤</div>
</div>
</div>
</div>
<section class="center_box">
<p>送件地點</p>
<b>外交部領事事務局</b>
<p>預約日期/時段</p>
<b>10/15(五) 10:00~10:30</b>
</section>
<!-- 2023/07電子郵件 -->
<!-- <div class="flex-form">
<div class="form_grp">
<label for="email" class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>電子郵件</label>
<div class="form_content">
<input name="email" type="email" id="email" placeholder="請輸入e-mail">
</div>
<div class="form_grp">
<label for="email" class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>再次確認電子郵件</label>
<div class="form_content">
<input name="email" type="email" id="email" placeholder="請輸入e-mail">
</div>
</div> -->
<div class="btn_grp">
<button class="btn btn-reset">清除</button>
<button class="btn btn-submit">送出</button>
<!-- <button type="button" class="btn btn-primary">主要按鈕</button>
<button type="button" class="btn btn-secondary">次要按鈕</button>
<button type="button" class="btn btn-normal">一般按鈕</button> -->
</div>
</div>
</div>
<!-- 直接跳主內容區 -->
<a class="goCenter" href="#center" tabindex="1">按Enter到主內容區</a>
<!-- wrapper Start -->
<div class="wrapper">
<!-- header Start -->
<header class="header">
<div class="container">
<a class="accesskey" href="#aU" id="aU" accesskey="U" title="網站標題" tabindex="2">:::</a>
<!-- navigation Start -->
<nav class="navigation" role="navigation" aria-label="Site">
<!-- 新增div navlist -->
<div class="navlist">
<ul>
<li><a href="#">回首頁</a></li>
<li><a href="#">外交部領事事務局</a></li>
</ul>
</div>
</nav>
<!-- navigation End -->
<h1>
<a href="index.htm"><img src="images/logo.png" alt="外交部領事事務局護照預約申請" /><span>旅行社團件<b>申辦護照系統</b></span></a>
</h1>
<!-- noscript -->
<noscript> 您的瀏覽器不支援JavaScript語法，JavaScript語法並不影響內容的陳述。您可使用按鍵盤上的Ctrl鍵+ (+)鍵放大/(-)鍵縮小來改變字型大小；回到上一頁可使用瀏覽器提供的 Alt+左方向鍵(←) 快速鍵功能；列印可使用瀏覽器提供的(Ctrl+P)功能。您的瀏覽器，不支援script語法，若您的瀏覽器無法支援請點選此超連結 <a href="#">網站導覽</a>
</noscript>
<!-- menu Start -->
<nav class="menu" role="navigation" aria-label="About page">
<ul>
<li><a href="#">簡表資料填寫</a></li>
<li><a href="#">簡表批次匯入</a></li>
<li><a href="#">護照暫存清單</a></li>
<li><a href="#">護照送件清單</a></li>
</ul>
</nav>
<!-- menu End -->
<!-- user -->
<section class="user_login">
<span>XXX</span>，您好！登入時間：<span>2021/10/10</span>
<button type="button" class="btn btn-primary btn-logout">登出</button>
</section>
</div>
</header>
<!-- header End -->
<!-- main Start -->
<div id="center" class="main innerpage">
<!-- 內頁新增一個classname-->
<div class="container">
<!-- 主要內容區 -->
<div class="center_block">
<a class="accesskey" href="#aC" id="aC" accesskey="C" title="主要內容區">:::</a>
<!-- breadcrumb路徑 -->
<div class="breadcrumb">
<ul>
<li><a href="#">首頁</a></li>
<li><a href="#">節點</a></li>
<li>節點</li>
</ul>
</div>
<div class="white_zone">
<h2 class="title">Form 表單</h2>
<!-- Form Start -->
<section class="">
<!-- 202307 新增申請人 -->
<div class="applicant">
申請人 1<b>張大毛</b>
</div>
<!-- 202307 填表步驟 -->
<div class="fill_steps">
<a href="#" class="active"><b>1</b>簡表資料</a>
<a href="#"><b>2</b>辦理方式</a>
<a href="#"><b>3</b>上傳照片</a>
</div>
<!-- 說明事項 -->
<div class="caption">
<h3 class="title"><span>說明事項</span></h3>
<p>Lorem, ipsum dolor sit amet <a href="#">超連結</a><b>一般粗體</b><b class="R">紅字</b><b class="B">藍字</b>consectetur elit. Blanditiis optio quasi consequatur repellendus, qui nisi itaque. Libero, fugit atque ea praesentium quo quidem itaque magnam eius, repudiandae? Vero, voluptate.</p>
<ol>
<li>有序清單</li>
<li>項目1</li>
<li>項目2</li>
<li>項目3項目3<a href="#">連結</a>項目3項目3項目3項目3項目3項目3項目3項目3項目3項目3項目3項目3</li>
<li><a href="#">連結連結連結連結連結連結連結連結連結連結連結連結連結連結連結連結連結連結</a></li>
<li>項目4</li>
</ol>
<ul>
<li>無序清單</li>
<li>項目1</li>
<li>項目2</li>
<li>項目3項目3<a href="#">連結</a>項目3項目3項目3項目3項目3項目3項目3項目3項目3項目3項目3項目3</li>
<li><a href="#">連結連結連結連結連結連結連結連結連結連結連結連結連結連結連結連結連結連結</a></li>
<li>項目4</li>
</ul>
</div>
<!-- 表單 -->
<form action="">
<div class="flex-form form-column">
<!-- input -->
<div class="form_grp">
<div class="flex-col-equal-1">
<div class="form_grp">
<label for="" class="form_title" aria-required="true"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>input 1：</label>
<div class="form_content">
<input type="text" id="" placeholder="請輸入文字">
</div>
</div>
</div>
</div>
<div class="form_grp">
<div class="flex-col-equal-1">
<div class="form_grp">
<label for="" class="form_title" aria-required="true"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>input 1：</label>
<div class="form_content">
<input type="text" id="" placeholder="請輸入文字" value="這裡有輸入文字">
</div>
</div>
</div>
</div>
<div class="form_grp">
<div class="flex-col-equal-1">
<div class="form_grp">
<label for="" class="form_title" aria-required="true">input 1：</label>
<div class="form_content">
<input type="text" id="" placeholder="請輸入文字" value="這裡有輸入文字但 readonly" readonly>
</div>
</div>
</div>
</div>
<div class="form_grp">
<div class="flex-col-equal-1">
<div class="form_grp">
<label for="" class="form_title" aria-required="true">input 1：</label>
<div class="form_content">
<input type="text" id="" placeholder="請輸入文字" value="這裡有輸入文字但 disabled" disabled>
</div>
</div>
</div>
</div>
<div class="form_grp">
<label for="email" class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>電子郵件</label>
<div class="form_content form_inline">
<input name="email" type="email" id="email" placeholder="請輸入e-mail">
<button type="button" class="btn btn-normal">編修</button>
</div>
</div>
<div class="form_grp">
<label for="email" class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>電子郵件</label>
<div class="form_content form_inline">
<input name="email" type="email" id="email" placeholder="請輸入e-mail" value="123@gmail.com" disabled>
<button type="button" class="btn btn-normal">編修</button>
</div>
</div>
<div class="form_grp">
<label for="email" class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>電子郵件</label>
<div class="form_content">
<input name="email" type="email" id="email" placeholder="請輸入e-mail" value="readonly@hyweb.com.tw" readonly>
</div>
</div>
<div class="form_grp">
<div class="flex-col-equal-2">
<div class="form_grp">
<label for="" class="form_title" aria-required="true"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>input 2-1：</label>
<div class="form_content">
<input type="text" id="" placeholder="請輸入文字">
</div>
</div>
<div class="form_grp">
<label for="" class="form_title" aria-required="true"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>input 2-2：</label>
<div class="form_content">
<input type="text" id="" placeholder="請輸入文字">
</div>
</div>
</div>
</div>
<div class="form_grp">
<div class="flex-col-equal-3">
<div class="form_grp">
<label for="" class="form_title" aria-required="true"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>input 3-1：</label>
<div class="form_content">
<input type="text" id="" placeholder="請輸入文字">
</div>
</div>
<div class="form_grp warn">
<label for="" class="form_title" aria-required="true"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>input 3-2：</label>
<div class="form_content">
<input type="text" id="" placeholder="請輸入文字" class="error">
<div class="notice_error">單ㄧ欄位的提示訊息，塞入『form_content』</div>
</div>
</div>
<div class="form_grp">
<label for="" class="form_title" aria-required="true"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>input 3-3：</label>
<div class="form_content">
<input type="text" id="" placeholder="請輸入文字">
</div>
</div>
</div>
</div>
<div class="form_grp">
<div class="flex-col-equal-3">
<div class="form_grp">
<label for="" class="form_title" aria-required="true"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>input 3-1：</label>
<div class="form_content">
<input type="text" id="" placeholder="請輸入文字">
</div>
</div>
<div class="form_grp warn">
<label for="" class="form_title" aria-required="true"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>input 3-2：</label>
<div class="form_content">
<input type="text" id="" placeholder="請輸入文字" class="error">
</div>
</div>
<div class="form_grp">
<label for="" class="form_title" aria-required="true"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>input 3-3：</label>
<div class="form_content">
<input type="text" id="" placeholder="請輸入文字">
</div>
</div>
<div class="notice_error">多欄的提示訊息，放在最後一個『form_grp』後面</div>
</div>
</div>
<!-- select -->
<div class="form_grp">
<div class="flex-col-equal-1">
<div class="form_grp">
<label for="" class="form_title" aria-required="true"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>select 1：</label>
<div class="form_content">
<select name="" id="">
<option value="">請選擇</option>
<option value="">項目1</option>
<option value="">項目2</option>
<option value="">項目3</option>
</select>
</div>
</div>
</div>
</div>
<div class="form_grp">
<div class="flex-col-equal-2">
<div class="form_grp">
<label for="" class="form_title" aria-required="true"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>select 2-1</label>
<div class="form_content">
<select name="" id="">
<option value="">請選擇</option>
<option value="">項目1</option>
<option value="">項目2</option>
<option value="">項目3</option>
</select>
</div>
</div>
<div class="form_grp">
<label for="inputSample2" class="form_title">select 2-2</label>
<div class="form_content">
<select name="" id="">
<option value="">請選擇</option>
<option value="">項目1</option>
<option value="">項目2</option>
<option value="">項目3</option>
</select>
</div>
</div>
</div>
</div>
<div class="form_grp">
<div class="flex-col-equal-3">
<div class="form_grp">
<label for="" class="form_title" aria-required="true"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>select 3-1</label>
<div class="form_content">
<select name="" id="">
<option value="">請選擇</option>
<option value="">項目1</option>
<option value="">項目2</option>
<option value="">項目3</option>
</select>
</div>
</div>
<div class="form_grp warn">
<label for="inputSample2" class="form_title">select 3-2</label>
<div class="form_content">
<select name="" id="" class="error">
<option value="">請選擇</option>
<option value="">項目1</option>
<option value="">項目2</option>
<option value="">項目3</option>
</select>
<div class="notice_error">錯誤</div>
</div>
</div>
<div class="form_grp">
<label for="inputSample2" class="form_title">select 3-3</label>
<div class="form_content">
<select name="" id="">
<option value="">請選擇</option>
<option value="">項目1</option>
<option value="">項目2</option>
<option value="">項目3</option>
</select>
</div>
</div>
</div>
</div>
<!-- 多筆欄位 -->
<div class="form_grp">
<div class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>多筆欄位標題 1</div>
<div class="form_content">
<div class="flex-col-equal-2">
<div class="form_grp">
<label for="" class="form_title" aria-required="true">2-1 input 電話樣式2</label>
<div class="form_content">
<div class="flex-3-6-3 tel_type2">
<div class="form_grp">
<div class="form_content">
<input name="username" id="inputSample" type="text" placeholder="區碼">
<div class="notice">一般提醒訊息</div>
</div>
</div>
<div class="form_grp">
<div class="form_content">
<input name="username" id="inputSample" type="text" placeholder="號碼">
<div class="notice">一般提醒訊息</div>
</div>
</div>
<div class="form_grp">
<div class="form_content extension" >
<input name="username" id="inputSample" type="text" placeholder="分機">
<div class="notice">一般提醒訊息</div>
</div>
</div>
</div>
</div>
</div>
<div class="form_grp">
<label for="inputSample2" class="form_title">2-2 input</label>
<div class="form_content">
<input name="username" id="inputSample2" type="text" placeholder="請輸入文字">
<div class="notice">一般提醒訊息</div>
</div>
</div>
<div class="form_grp">
<label for="" class="form_title" aria-required="true">2-3 select</label>
<div class="form_content">
<select name="" id="">
<option value="">請選擇</option>
<option value="">項目1</option>
<option value="">項目2</option>
<option value="">項目3</option>
</select>
<div class="notice">一般提醒訊息</div>
</div>
</div>
<div class="form_grp">
<label for="inputSample2" class="form_title">2-4 select</label>
<div class="form_content">
<select name="" id="">
<option value="">請選擇</option>
<option value="">項目1</option>
<option value="">項目2</option>
<option value="">項目3</option>
</select>
<div class="notice">一般提醒訊息</div>
</div>
</div>
</div>
<div class="notice_info">多欄的提示訊息，放在最後一個『form_grp』後面</div>
<div class="checkbox gaze">
<label><input type="checkbox"><span>同紙本簡表</span></label>
<label><input type="checkbox"><span>同戶籍地址</span></label>
</div>
</div>
</div>
<div class="form_grp">
<div class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>多筆欄位標題 1 - 第二層無標題</div>
<div class="form_content">
<div class="flex-col-equal-2">
<div class="form_grp">
<!-- <label for="" class="form_title" aria-required="true">2-1 input</label> -->
<div class="form_content">
<input name="username" id="inputSample" type="text" placeholder="請輸入文字">
<div class="notice">一般提醒訊息</div>
</div>
</div>
<div class="form_grp">
<!-- <label for="inputSample2" class="form_title">2-2 input</label> -->
<div class="form_content">
<input name="username" id="inputSample2" type="text" placeholder="請輸入文字">
<div class="notice">一般提醒訊息</div>
</div>
</div>
<div class="form_grp">
<!-- <label for="" class="form_title" aria-required="true">2-3 select</label> -->
<div class="form_content">
<select name="" id="">
<option value="">請選擇</option>
<option value="">項目1</option>
<option value="">項目2</option>
<option value="">項目3</option>
</select>
<div class="notice">一般提醒訊息</div>
</div>
</div>
<div class="form_grp">
<!-- <label for="inputSample2" class="form_title">2-4 select</label> -->
<div class="form_content">
<select name="" id="">
<option value="">請選擇</option>
<option value="">項目1</option>
<option value="">項目2</option>
<option value="">項目3</option>
</select>
<div class="notice">一般提醒訊息</div>
</div>
</div>
</div>
<div class="notice_info">多欄的提示訊息，放在最後一個『form_grp』後面</div>
<div class="checkbox gaze">
<label><input type="checkbox"><span>同紙本簡表</span></label>
<label><input type="checkbox"><span>同戶籍地址</span></label>
</div>
</div>
</div>
<div class="form_grp">
<div class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>多筆欄位標題 2</div>
<div class="form_content">
<div class="flex-col-equal-3">
<div class="form_grp">
<label for="" class="form_title" aria-required="true">3-1 input</label>
<div class="form_content">
<input name="username" id="inputSample" type="text" placeholder="請輸入姓氏，範例：WANG">
<div class="notice">一般提醒訊息</div>
</div>
</div>
<div class="form_grp warn">
<label for="inputSample2" class="form_title">3-2 input</label>
<div class="form_content">
<input name="username" id="inputSample2" type="text" placeholder="請輸入名，範例：HSIAO-MING" class="error">
<div class="notice_error">錯誤</div>
</div>
</div>
<div class="form_grp">
<label for="" class="form_title" aria-required="true">3-3 input</label>
<div class="form_content">
<select name="" id="">
<option value="">請選擇</option>
<option value="">項目1</option>
<option value="">項目2</option>
<option value="">項目3</option>
</select>
<div class="notice">一般提醒訊息</div>
</div>
</div>
</div>
<div class="notice_info">多欄的提示訊息，放在最後一個『form_grp』後面</div>
<div class="checkbox gaze">
<label><input type="checkbox"><span>同紙本簡表</span></label>
<label><input type="checkbox"><span>同戶籍地址</span></label>
</div>
</div>
</div>
<!-- 應用 -->
<div class="form_grp">
<label for="username" class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>帳號</label>
<div class="form_content">
<input type="text" id="username" placeholder="請輸入帳號" value="">
</div>
</div>
<div class="form_grp">
<label for="password" class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>密碼：</label>
<div class="form_content">
<div class="labelEffect password_toggle">
<input name="password" type="password" placeholder="請輸入密碼" value="1234">
<button type="button" class="btn btn-icon"><i class="i_hide"></i></button>
</div>
</div>
</div>
<div class="form_grp">
<label for="username" class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>密碼修改</label>
<div class="form_content">
<div class="btn_grp">
<button type="button" class="btn btn-primary">重設密碼</button>
</div>
</div>
</div>
<!-- 地址 -->
<div class="form_grp">
<label for="" class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>地址 1</label>
<div class="form_content form_inline address">
<select name="" id="">
<option value="">台北市</option>
<option value="">新北市</option>
<option value="">桃園市</option>
<option value="">新竹市</option>
<option value="">...</option>
</select>
<select name="" id="">
<option value="">中正區</option>
<option value="">大安區</option>
<option value="">信義區</option>
<option value="">北投區</option>
<option value="">...</option>
</select>
<input name="username" type="text" class="user_typing" placeholder="請輸入詳細地址">
<label>郵遞區號</label>
<input name="username" type="text" value="" placeholder="系統判斷帶入">
<input name="username" type="text" value="" placeholder="請輸入後2碼">
<div class="checkbox">
<label><input type="checkbox"><span>同上聯絡地址</span></label>
</div>
<div class="notice_info">詳細地址：user_typing</div>
</div>
</div>
<div class="form_grp">
<div class="flex-col-equal-1">
<div class="form_grp">
<label for="" class="form_title" aria-required="true"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>地址 2</label>
<div class="form_content">
<input type="text" id="" placeholder="請輸入文字">
<div class="notice">一般提醒訊息</div>
</div>
</div>
</div>
<div class="checkbox gaze">
<label><input type="checkbox"><span>同紙本簡表</span></label>
<label><input type="checkbox"><span>同戶籍地址</span></label>
</div>
</div>
<div class="form_grp">
<label for="" class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>地址 3</label>
<div class="form_content form_inline address_type2">
<div>
<select name="" id="">
<option value="">台北市</option>
<option value="">新北市</option>
<option value="">桃園市</option>
<option value="">新竹市</option>
<option value="">...</option>
</select>
<select name="" id="">
<option value="">中正區</option>
<option value="">大安區</option>
<option value="">信義區</option>
<option value="">北投區</option>
<option value="">...</option>
</select>
<select name="" id="">
<option value="">ＯＯ村</option>
<option value="">ＸＸ里</option>
<option value="">...</option>
</select>
<input name="username" type="text" class="Vil" placeholder="村/里">
<input name="username" type="text" class="Neighborhood" placeholder="">鄰
<input name="username" type="text" class="user_typing" placeholder="地址">
</div>
<div class="notice_info">詳細地址：user_typing</div>
</div>
</div>
<!-- checkbox -->
<div class="form_grp" role="group" aria-labelledby="fake-legend">
<label class="form_title">checkbox 1</label>
<div class="form_content" id="fake-legend">
<div class="check_grp form_inline">
<label><input type="checkbox" name="" value="" checked="">全部</label>
<label><input type="checkbox" name="" value="">展覽</label>
<label><input type="checkbox" name="" value="">表演與節慶</label>
<label><input type="checkbox" name="" value="">演講／講座／研討會</label>
<label><input type="checkbox" name="" value="">綜合</label>
</div>
</div>
</div>
<div class="form_grp" role="group" aria-labelledby="fake-legend">
<label class="form_title">checkbox 2</label>
<div class="form_content" id="fake-legend">
<div class="check_grp">
<label><input type="checkbox" name="" value="" checked="">全部</label>
<label><input type="checkbox" name="" value="">展覽</label>
<label><input type="checkbox" name="" value="">表演與節慶</label>
<label><input type="checkbox" name="" value="">演講／講座／研討會</label>
<label><input type="checkbox" name="" value="">綜合</label>
</div>
</div>
</div>
<div class="form_grp" role="group" aria-labelledby="fake-legend">
<label class="form_title">checkbox 2-2 僅可點選框框+文字（HTML架構有異動）</label>
<div class="form_content" id="fake-legend">
<div class="check_grp">
<div>
<input type="checkbox" name="" value="" id="cbox1-1" checked="">
<label for="cbox1-1">全部</label>
</div>
<div>
<input type="checkbox" name="" value="" id="cbox1-2">
<label for="cbox1-2">展覽</label>
</div>
<div>
<input type="checkbox" name="" value="" id="cbox1-3">
<label for="cbox1-3">表演與節慶</label>
</div>
<div>
<input type="checkbox" name="" value="" id="cbox1-4">
<label for="cbox1-4">演講／講座／研討會</label>
</div>
<div>
<input type="checkbox" name="" value="" id="cbox1-5">
<label for="cbox1-5">綜合</label>
</div>
<div>
<input type="checkbox" name="" value="" id="cbox1-6">
<label for="cbox1-6">Lorem ipsum, dolor sit amet, consectetur adipisicing elit. Nisi nulla quos eligendi deserunt voluptatem tempora fugiat earum totam quasi in, magni quam possimus. Quasi maxime ratione iure! Beatae, magnam, quos.</label>
</div>
</div>
</div>
</div>
<div class="form_grp" role="group" aria-labelledby="fake-legend">
<label class="form_title">checkbox 3</label>
<div class="form_content" id="">
<div class="check_grp">
<label><input type="checkbox" name="" value="" checked="">項目1<span>（備註文字）</span></label>
<label><input type="checkbox" name="" value="">項目2<span>（備註文字）</span></label>
<div class="form_content" id="fake-legend">
<div class="radio_grp">
<label><input type="radio" name="sampleRadio11" value="" checked="">radio 文字串1</label>
<label><input type="radio" name="sampleRadio11" value="">radio 文字串2</label>
</div>
</div>
<label><input type="checkbox" name="" value="">項目3<span>（備註文字）</span></label>
<div class="form_content">
<input type="text" id="" placeholder="請輸入文字">
</div>
<label><input type="checkbox" name="" value="">項目4 Lorem ipsum, dolor sit amet, consectetur adipisicing elit. Nisi nulla quos eligendi deserunt voluptatem tempora fugiat earum totam quasi in, magni quam possimus. Quasi maxime ratione iure! Beatae, magnam, quos.<span>（備註文字）</span></label>
<div class="form_content">
<select name="" id="">
<option value="">請選擇</option>
<option value="">項目1</option>
<option value="">項目2</option>
<option value="">項目3</option>
</select>
</div>
<label><input type="checkbox" name="" value="">項目5<span>（備註文字）</span></label>
<label><input type="checkbox" name="" value="" disabled="">項目5<span>（備註文字）</span></label>
<label><input type="checkbox" name="" value="" checked="" disabled="">項目5<span>（備註文字）</span></label>
</div>
</div>
</div>
<div class="form_grp" role="group" aria-labelledby="fake-legend">
<label class="form_title">checkbox 3-2 僅可點選框框+文字（HTML架構有異動）</label>
<div class="form_content" id="">
<div class="check_grp">
<div>
<input type="checkbox" name="" value="" id="cbox2-1" checked="">
<label for="cbox2-1">項目1<span>（備註文字）</span></label></div>
<div>
<input type="checkbox" name="" value="" id="cbox2-2">
<label for="cbox2-2">項目2<span>（備註文字）</span></label></div>
<div class="form_content" id="fake-legend">
<div class="radio_grp">
<div>
<input type="radio" name="sampleRadio12" value="" id="cbox2-3" checked="">
<label for="cbox2-3">radio 文字串1</label>
</div>
<div>
<input type="radio" name="sampleRadio12" value="" id="cbox2-4">
<label for="cbox2-4">radio 文字串2</label>
</div>
</div>
</div>
<div>
<input type="checkbox" name="" value="" id="cbox2-5">
<label for="cbox2-5">項目3<span>（備註文字）</span></label>
</div>
<div class="form_content">
<input type="text" id="" placeholder="請輸入文字">
</div>
<div>
<input type="checkbox" name="" value="" id="cbox2-6">
<label for="cbox2-6">項目4<span>（備註文字）</span></label>
</div>
<div class="form_content">
<select name="" id="">
<option value="">請選擇</option>
<option value="">項目1</option>
<option value="">項目2</option>
<option value="">項目3</option>
</select>
</div>
<div>
<input type="checkbox" name="" value="" id="cbox2-7">
<label for="cbox2-7">項目5<span>（備註文字）</span></label>
</div>
<div>
<input type="checkbox" name="" value="" id="cbox2-8" disabled="">
<label for="cbox2-8">項目5<span>（備註文字）</span></label>
</div>
<div>
<input type="checkbox" name="" value="" id="cbox2-9" checked="" disabled="">
<label for="cbox2-9">項目5<span>（備註文字）</span></label>
</div>
<div>
<input type="checkbox" name="" value="" id="cbox2-10">
<label for="cbox2-10">Lorem ipsum, dolor sit amet, consectetur adipisicing elit. Nisi nulla quos eligendi deserunt voluptatem tempora fugiat earum totam quasi in, magni quam possimus. Quasi maxime ratione iure! Beatae, magnam, quos.<span>（備註文字）</span></label>
</div>
</div>
</div>
</div>
<!-- 日期 -->
<div class="form_grp">
<div class="flex-col-equal-1">
<div class="form_grp">
<label for="" class="form_title" aria-required="true"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>日期 1（type="date"）</label>
<div class="form_content">
<input type="date" id="" placeholder="請輸入出生日期">
<div class="notice">請輸入8碼西元年出生日期(YYYYMMDD)，範例 ：1980/01/01</div>
</div>
</div>
</div>
</div>
<div class="form_grp">
<div class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>日期 2（type="date"）</div>
<div class="form_content form_inline">
<div class="datepick">
<input name="" type="date" value="" class="calendar" placeholder="開始日期">
</div>
<select id="selectSample" name="">
<option value="">請選擇</option>
<option value="">項目一</option>
<option value="">項目二</option>
<option value="">項目三</option>
</select>
<div class="notice_info">一般提醒訊息</div>
</div>
</div>
<div class="form_grp">
<label for="phone" class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>標題 9</label>
<div class="form_content form_inline">
<input name="text" type="text" value="" placeholder="一般狀態">
<select id="selectSample" name="">
<option value="">請選擇</option>
<option value="">項目一</option>
<option value="">項目二</option>
<option value="">項目三</option>
</select>
<button type="button" class="btn btn-primary">button按鈕</button>
<div class="notice_info">一般提醒訊息</div>
</div>
</div>
<div class="form_grp">
<label for="" class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>標題 10 送件單位</label>
<div class="form_content form_inline incr_dec">
<section class="item">
<select id="selectSample" name="">
<option value="">請選擇</option>
<option value="">項目一</option>
<option value="">項目二</option>
<option value="">項目三</option>
</select>
<!-- <button type="button" class="btn btn-primary">button按鈕</button> -->
</section>
<section class="item">
<select id="selectSample" name="">
<option value="">請選擇</option>
<option value="">項目一</option>
<option value="">項目二</option>
<option value="">項目三</option>
</select>
<button type="button" class="btn btn-delete"><i class="i_close"></i>移除</button>
</section>
<section class="item">
<select id="selectSample" name="">
<option value="">請選擇</option>
<option value="">項目一</option>
<option value="">項目二</option>
<option value="">項目三</option>
</select>
<button type="button" class="btn btn-delete"><i class="i_close"></i>移除</button>
</section>
</div>
<div class="btn_grp">
<button type="button" class="btn btn-primary">新增送件單位</button>
</div>
<div class="btn_grp">
<button type="button" class="btn btn-primary">按鈕文字很長很長123按鈕文字很長很長按456鈕文字很長很長789</button>
</div>
</div>
<!-- 檔案上傳 -->
<div class="form_grp">
<label for="" class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>單檔上傳</label>
<div class="form_content">
<div class="upload_grp">
<input class="upload_file" type="text" placeholder="請上傳檔案" readonly="">
<div class="upload_btn">
<span>上傳檔案</span>
<input type="file" class="check_file">
</div>
</div>
</div>
</div>
<div class="form_grp">
<label for="" class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>多檔上傳</label>
<div class="form_content">
<div class="upload_grp">
<input class="upload_file" type="text" placeholder="請上傳檔案" readonly="">
<div class="upload_btn">
<span>上傳多個檔案</span>
<input type="file" class="check_file" multiple="">
</div>
</div>
</div>
</div>
<!-- switch 啟用按鈕 -->
<div class="form_grp">
<label for="selectSample" class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>啟用狀態</label>
<!-- <div class="form_title">開關格式</div> -->
<div class="form_content">
<div class="checkSwitch_wrap">
<div class="checkSwitch">
<label>
<input name="checkboxSample1" type="checkbox" value="">
<div class="checkSwitch_switch"></div>
</label>
</div>
<!-- 資訊文字 -->
<span>說明文字</span>
</div>
</div>
</div>
<!-- 驗證碼 -->
<div class="form_grp">
<div class="form_title"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>驗證碼</div>
<div class="form_content form_inline">
<input name="" type="text" value="">
<img src="images/basic/captcha.gif" alt="" class="captcha">
<button class="btn"><i class="i_reflash"></i>重新整理</button>
<button class="btn"><i class="i_play"></i>語音播放</button>
</div>
</div>
<!-- 選取項目 -->
<div class="form_grp">
<div class="flex-col-equal-1">
<label for="" class="form_title" aria-required="true"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>選取項目 1</label>
<div class="form_content">
<div class="btn_grp">
<input type="button" class="btn btn-check" value="項目1">
<input type="button" class="btn btn-check checked" value="項目2（checked）">
<input type="button" class="btn btn-check" value="項目3（disable）" disabled>
<input type="button" class="btn btn-check" value="法定代理人無法陪同（須繳驗法定代理人國民身分證正本）">
<input type="button" class="btn btn-check" value="項目5">
<input type="button" class="btn btn-check" value="項目6">
</div>
<div class="notice_info">一般提醒訊息</div>
</div>
</div>
</div>
<div class="form_grp">
<div class="flex-col-equal-1">
<label for="" class="form_title" aria-required="true"><abbr class="necessary" title="為必填(選)欄位,不能為空白。">必填</abbr>選取項目 1</label>
<div class="form_content">
<div class="btn_grp">
<input type="button" class="btn btn-check" value="項目1">
<input type="button" class="btn btn-check checked" value="項目2（checked）">
</div>
<div class="notice_info">一般提醒訊息</div>
</div>
</div>
</div>