<div class="form-row">
    <div class="form-item">
        <label>Username</label>
        <input type="text" name="username" value="<%= customer.username %>">
    </div>
    <div class="form-item">
        <label>Password</label>
        <input type="password" name="password" value="<%= customer.password %>">
    </div>
</div>

<div class="form-row">
    <div class="form-item">
        <label>First Name</label>
        <input type="text" name="firstName" value="<%= customer.firstName %>">
    </div>
    <div class="form-item">
        <label>Last Name</label>
        <input type="text" name="lastName" value="<%= customer.lastName %>">
    </div>
</div>

<div class="form-row">
    <div class="form-item">
        <label>Gender</label>
        <select name="gender">
            <option value="Male">Male</option>
            <option value="Female">Female</option>
        </select>
    </div>
    <div class="form-item">
        <label>Email</label>
        <input type="email" name="email" value="<%= customer.email %>">
    </div>
</div>

<div class="form-row">
    <div class="form-item">
        <label>Phone</label>
        <input type="number" name="phone" value="<%= customer.phone %>">
    </div>
    <div class="form-item">
        <label>Street</label>
        <input type="text" name="street" value="<%= customer.street %>">
    </div>
</div>

<div class="form-row">
    <div class="form-item">
        <label>City</label>
        <input type="text" name="city" value="<%= customer.city %>">
    </div>
    <div class="form-item">
        <label>Zipcode</label>
        <input type="number" name="zipcode" value="<%= customer.zipcode %>">
    </div>
</div>

<div class="form-row">
    <div class="form-item">
        <label>State</label>
        <input type="text" name="state" value="<%= customer.state %>">
    </div>
    <div class="form-item">
        <label>Country</label>
        <input type="text" name="country" value="<%= customer.country %>">
    </div>
</div>

<div class="form-row">
    <div class="form-item">
        <label>Identification Type</label>
        <select name="identificationType">
            <option value="Passport">Passport</option>
            <option value="SSN">SSN</option>
            <option value="Driver License">Driver License</option>
        </select>
    </div>
    <div class="form-item">
        <label>Identification Number</label>
        <input type="text" name="identificationNumber" value="<%= customer.identificationNumber %>">
    </div>
</div>

<div class="form-row">
    <div class="form-item form-item-no-grow">
        <label>Upload Selfie</label>
        <input type="file" name="cover" class="book-cover filepond">
    </div>
</div>