{{ trans('sendingagency.overview_edit') }}

{{ trans('sendingagency.avatar') }}

(( err ))

{{ trans('sendingagency.name') }}

(( err ))

{{ trans('sendingagency.nationality_id') }}

(( err ))

{{ trans('sendingagency.address') }}

(( err ))

{{ trans('sendingagency.url') }}

(( err ))

{{ trans('sendingagency.direct_name_tel') }}

(( err ))

{{ trans('sendingagency.direct_name_email') }}

(( err ))

{{ trans('sendingagency.direct_name') }}

(( err ))

{{ trans('sendingagency.japan_contact_name') }}

(( err ))

{{ trans('sendingagency.japan_contact_address') }}

(( err ))

{{ trans('sendingagency.japan_contact_tel') }}

(( err ))

{{ trans('sendingagency.japan_contact_email') }}

(( err ))

{{ trans('sendingagency.approved_date') }}

(( err ))

{{ trans('sendingagency.otit_no') }}

(( err ))

{{ trans('sendingagency.is_nurse') }}

is_nurse == 1 ? 'checked' : '' }}>

(( err ))

{{ trans('sendingagency.note') }}

(( err ))

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{{ trans('label.cancel') }}