GET https://gors.boldrdev.nl/aanmelden

Forms

  • form
    • first_name
    • last_name
    • postal_code
    • street_number
    • street
    • city
    • birthdate
    • civil_state
    • bsn
    • email
    • phone_number
    • current_living_situation
    • current_living_situation_comment
    • representative_first_name
    • representative_last_name
    • representative_email
    • representative_phone_number
    • representative_relationship
    • representative_relationship_legal
    • who_to_contact
    • huisarts_name
    • huisarts_city
    • huisarts_phone
    • tandarts_name
    • tandarts_city
    • tandarts_phone
    • apotheek_name
    • apotheek_city
    • apotheek_phone
    • zorgverzekering
    • polisnummer
    • indication
    • indication_files
    • financing
    • financing_reason
    • desired_support_location
    • desired_support
    • additional_information
    • source
    • recaptcha
    • confirm
    • accept_privacy_policy
    • _token

form

Form type:
"Symfony\Component\Form\Extension\Core\Type\FormType"

Errors

This form has no errors.

Default Data

Property Value
Model Format same as normalized format
Normalized Format
App\Entity\SignUp {#845
  +id: null
  +first_name: ""
  +last_name: ""
  +postal_code: ""
  +street_number: ""
  +street: ""
  +city: ""
  +birthdate: null
  +civil_state: ""
  +bsn: ""
  +email: ""
  +phone_number: ""
  +current_living_situation: ""
  +current_living_situation_comment: ""
  +representative_first_name: ""
  +representative_last_name: ""
  +representative_email: ""
  +representative_phone_number: ""
  +representative_relationship: ""
  +representative_relationship_legal: ""
  +who_to_contact: ""
  +huisarts_name: ""
  +huisarts_city: ""
  +huisarts_phone: ""
  +tandarts_name: ""
  +tandarts_city: ""
  +tandarts_phone: ""
  +apotheek_name: ""
  +apotheek_city: ""
  +apotheek_phone: ""
  +zorgverzekering: ""
  +polisnummer: ""
  +indication: ""
  +indicationFiles: []
  +financing: ""
  +financing_reason: ""
  +desired_support_location: ""
  +desired_support: ""
  +additional_information: ""
  +source: ""
  +createdAt: DateTimeImmutable @1727540597 {#992
    date: 2024-09-28 18:23:17.915331 Europe/Amsterdam (+02:00)
  }
}
View Format same as normalized format

Submitted Data

This form was not submitted.

Passed Options

Option Passed Value Resolved Value
data
App\Entity\SignUp {#845
  +id: null
  +first_name: ""
  +last_name: ""
  +postal_code: ""
  +street_number: ""
  +street: ""
  +city: ""
  +birthdate: null
  +civil_state: ""
  +bsn: ""
  +email: ""
  +phone_number: ""
  +current_living_situation: ""
  +current_living_situation_comment: ""
  +representative_first_name: ""
  +representative_last_name: ""
  +representative_email: ""
  +representative_phone_number: ""
  +representative_relationship: ""
  +representative_relationship_legal: ""
  +who_to_contact: ""
  +huisarts_name: ""
  +huisarts_city: ""
  +huisarts_phone: ""
  +tandarts_name: ""
  +tandarts_city: ""
  +tandarts_phone: ""
  +apotheek_name: ""
  +apotheek_city: ""
  +apotheek_phone: ""
  +zorgverzekering: ""
  +polisnummer: ""
  +indication: ""
  +indicationFiles: []
  +financing: ""
  +financing_reason: ""
  +desired_support_location: ""
  +desired_support: ""
  +additional_information: ""
  +source: ""
  +createdAt: DateTimeImmutable @1727540597 {#992
    date: 2024-09-28 18:23:17.915331 Europe/Amsterdam (+02:00)
  }
}
same as passed value

Resolved Options

Option Value
action
""
allow_extra_fields
false
allow_file_upload
false
attr
[]
attr_translation_parameters
[]
auto_initialize
true
block_name
null
block_prefix
null
by_reference
true
compound
true
constraints
[]
csrf_field_name
"_token"
csrf_message
"The CSRF token is invalid. Please try to resubmit the form."
csrf_protection
true
csrf_token_id
null
csrf_token_manager
Symfony\Component\Security\Csrf\CsrfTokenManager {#137
  -generator: Symfony\Component\Security\Csrf\TokenGenerator\UriSafeTokenGenerator {#135 …}
  -storage: Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage {#132 …}
  -namespace: Closure() {#145 …}
}
data
App\Entity\SignUp {#845
  +id: null
  +first_name: ""
  +last_name: ""
  +postal_code: ""
  +street_number: ""
  +street: ""
  +city: ""
  +birthdate: null
  +civil_state: ""
  +bsn: ""
  +email: ""
  +phone_number: ""
  +current_living_situation: ""
  +current_living_situation_comment: ""
  +representative_first_name: ""
  +representative_last_name: ""
  +representative_email: ""
  +representative_phone_number: ""
  +representative_relationship: ""
  +representative_relationship_legal: ""
  +who_to_contact: ""
  +huisarts_name: ""
  +huisarts_city: ""
  +huisarts_phone: ""
  +tandarts_name: ""
  +tandarts_city: ""
  +tandarts_phone: ""
  +apotheek_name: ""
  +apotheek_city: ""
  +apotheek_phone: ""
  +zorgverzekering: ""
  +polisnummer: ""
  +indication: ""
  +indicationFiles: []
  +financing: ""
  +financing_reason: ""
  +desired_support_location: ""
  +desired_support: ""
  +additional_information: ""
  +source: ""
  +createdAt: DateTimeImmutable @1727540597 {#992
    date: 2024-09-28 18:23:17.915331 Europe/Amsterdam (+02:00)
  }
}
data_class
"App\Entity\SignUp"
disabled
false
empty_data
Closure(FormInterface $form) {#1068
  class: "Symfony\Component\Form\Extension\Core\Type\FormType"
  use: {
    $class: "App\Entity\SignUp"
  }
}
error_bubbling
true
error_mapping
[]
extra_fields_message
"This form should not contain extra fields."
form_attr
false
getter
null
help
null
help_attr
[]
help_html
false
help_translation_parameters
[]
inherit_data
false
invalid_message
"This value is not valid."
invalid_message_parameters
[]
is_empty_callback
null
label
null
label_attr
[]
label_format
null
label_html
false
label_translation_parameters
[]
mapped
true
method
"POST"
post_max_size_message
"The uploaded file was too large. Please try to upload a smaller file."
priority
0
property_path
null
required
true
row_attr
[]
setter
null
translation_domain
null
trim
true
upload_max_size_message
Closure() {#1066
  class: "Symfony\Component\Form\Extension\Validator\Type\UploadValidatorExtension"
  use: {
    $translator: Symfony\Component\Translation\DataCollectorTranslator {#339 …}
    $message: Closure() {#1067 …}
    $translationDomain: "validators"
  }
}
validation_groups
null

View Vars

Variable Value
action
""
attr
[]
attr_translation_parameters
[]
block_prefixes
[
  "form"
  "_form"
]
cache_key
"_form_form"
compound
true
data
App\Entity\SignUp {#845
  +id: null
  +first_name: ""
  +last_name: ""
  +postal_code: ""
  +street_number: ""
  +street: ""
  +city: ""
  +birthdate: null
  +civil_state: ""
  +bsn: ""
  +email: ""
  +phone_number: ""
  +current_living_situation: ""
  +current_living_situation_comment: ""
  +representative_first_name: ""
  +representative_last_name: ""
  +representative_email: ""
  +representative_phone_number: ""
  +representative_relationship: ""
  +representative_relationship_legal: ""
  +who_to_contact: ""
  +huisarts_name: ""
  +huisarts_city: ""
  +huisarts_phone: ""
  +tandarts_name: ""
  +tandarts_city: ""
  +tandarts_phone: ""
  +apotheek_name: ""
  +apotheek_city: ""
  +apotheek_phone: ""
  +zorgverzekering: ""
  +polisnummer: ""
  +indication: ""
  +indicationFiles: []
  +financing: ""
  +financing_reason: ""
  +desired_support_location: ""
  +desired_support: ""
  +additional_information: ""
  +source: ""
  +createdAt: DateTimeImmutable @1727540597 {#992
    date: 2024-09-28 18:23:17.915331 Europe/Amsterdam (+02:00)
  }
}
disabled
false
errors
Symfony\Component\Form\FormErrorIterator {#1471
  -errors: []
  -form: Symfony\Component\Form\Form {#1555 …}
}
form
Symfony\Component\Form\FormView {#1510 …5}
full_name
"form"
help
null
help_attr
[]
help_html
false
help_translation_parameters
[]
id
"form"
label
null
label_attr
[]
label_format
null
label_html
false
label_translation_parameters
[]
method
"POST"
multipart
true
name
"form"
priority
0
required
true
row_attr
[]
submitted
false
translation_domain
null
unique_block_prefix
"_form"
valid
true
value
App\Entity\SignUp {#845
  +id: null
  +first_name: ""
  +last_name: ""
  +postal_code: ""
  +street_number: ""
  +street: ""
  +city: ""
  +birthdate: null
  +civil_state: ""
  +bsn: ""
  +email: ""
  +phone_number: ""
  +current_living_situation: ""
  +current_living_situation_comment: ""
  +representative_first_name: ""
  +representative_last_name: ""
  +representative_email: ""
  +representative_phone_number: ""
  +representative_relationship: ""
  +representative_relationship_legal: ""
  +who_to_contact: ""
  +huisarts_name: ""
  +huisarts_city: ""
  +huisarts_phone: ""
  +tandarts_name: ""
  +tandarts_city: ""
  +tandarts_phone: ""
  +apotheek_name: ""
  +apotheek_city: ""
  +apotheek_phone: ""
  +zorgverzekering: ""
  +polisnummer: ""
  +indication: ""
  +indicationFiles: []
  +financing: ""
  +financing_reason: ""
  +desired_support_location: ""
  +desired_support: ""
  +additional_information: ""
  +source: ""
  +createdAt: DateTimeImmutable @1727540597 {#992
    date: 2024-09-28 18:23:17.915331 Europe/Amsterdam (+02:00)
  }
}