text: import React from "react"
  import {
    View,
    Image,
    ImageBackground,
    TouchableOpacity,
    Text,
    Button,
    Switch,
    TextInput,
    StyleSheet,
    ScrollView
  } from "react-native"
  import Icon from "react-native-vector-icons/FontAwesome"
  import { CheckBox } from "react-native-elements"
  import { connect } from "react-redux"
  import {
    widthPercentageToDP as wp,
    heightPercentageToDP as hp
  } from "react-native-responsive-screen"
  import { getNavigationScreen } from "@screens"
  export class Blank extends React.Component {
    constructor(props) {
      super(props)
  
      this.state = {}
    }
    render = () => (
      <ScrollView
        contentContainerStyle={{ flexGrow: 1 }}
        style={styles.ScrollView_1}
      >
        <View style={styles.View_2} />
        <View style={styles.View_58_359}>
          <View style={styles.View_I58_359_31_130}>
            <Text style={styles.Text_I58_359_31_130}>Submit</Text>
          </View>
        </View>
        <View style={styles.View_58_459}>
          <View style={styles.View_58_358}>
            <View style={styles.View_I58_358_31_78}>
              <ImageBackground
                source={{
                  uri:
                    "https://s3-us-west-2.amazonaws.com/figma-alpha-api/img/8081/98a5/97cfd807e9153fe4ba4e29b5df03b03d"
                }}
                style={styles.ImageBackground_I58_358_31_79}
              />
              <View style={styles.View_I58_358_31_80}>
                <Text style={styles.Text_I58_358_31_80}>Apply</Text>
              </View>
            </View>
          </View>
          <View style={styles.View_58_392}>
            <View style={styles.View_58_387}>
              <Text style={styles.Text_58_387}>
                2/3: SSN/Passport No, Address
              </Text>
            </View>
            <View style={styles.View_58_545}>
              <View style={styles.View_I58_545_58_401} />
              <View style={styles.View_I58_545_58_402} />
            </View>
          </View>
        </View>
        <View style={styles.View_105_751}>
          <View style={styles.View_58_351}>
            <View style={styles.View_105_741}>
              <Text style={styles.Text_105_741}>SSN/Passport No.</Text>
            </View>
            <View style={styles.View_58_354}>
              <View style={styles.View_I58_354_53_515}>
                <View style={styles.View_I58_354_53_516}>
                  <View style={styles.View_I58_354_53_517}>
                    <Text style={styles.Text_I58_354_53_517}>Passport No.</Text>
                  </View>
                </View>
                <ImageBackground
                  source={{
                    uri:
                      "https://s3-us-west-2.amazonaws.com/figma-alpha-api/img/3682/bc1b/833482c3d1cccdf9503c8482b6efadcf"
                  }}
                  style={styles.ImageBackground_I58_354_53_529}
                />
              </View>
            </View>
            <View style={styles.View_58_384}>
              <View style={styles.View_I58_384_31_110} />
            </View>
            <View style={styles.View_58_355}>
              <View style={styles.View_I58_355_31_134}>
                <Text style={styles.Text_I58_355_31_134}>03456785</Text>
              </View>
            </View>
          </View>
          <View style={styles.View_105_750}>
            <View style={styles.View_105_752}>
              <Text style={styles.Text_105_752}>Address</Text>
            </View>
            <View style={styles.View_105_753}>
              <View style={styles.View_I105_753_53_515}>
                <View style={styles.View_I105_753_53_516}>
                  <View style={styles.View_I105_753_53_517}>
                    <Text style={styles.Text_I105_753_53_517}>State</Text>
                  </View>
                </View>
                <ImageBackground
                  source={{
                    uri:
                      "https://s3-us-west-2.amazonaws.com/figma-alpha-api/img/3682/bc1b/833482c3d1cccdf9503c8482b6efadcf"
                  }}
                  style={styles.ImageBackground_I105_753_53_529}
                />
              </View>
            </View>
            <View style={styles.View_105_737}>
              <View style={styles.View_105_738}>
                <View style={styles.View_I105_738_31_134}>
                  <Text style={styles.Text_I105_738_31_134}>City</Text>
                </View>
              </View>
            </View>
            <View style={styles.View_105_759}>
              <View style={styles.View_105_760}>
                <View style={styles.View_I105_760_31_134}>
                  <Text style={styles.Text_I105_760_31_134}>Street</Text>
                </View>
              </View>
            </View>
            <View style={styles.View_105_764}>
              <View style={styles.View_105_765}>
                <View style={styles.View_I105_765_31_134}>
                  <Text style={styles.Text_I105_765_31_134}>Zip Code</Text>
                </View>
              </View>
            </View>
          </View>
        </View>
      </ScrollView>
    )
  }
  
  const styles = StyleSheet.create({
    ScrollView_1: { backgroundColor: "rgba(255, 255, 255, 1)" },
    View_2: { height: hp("111%") },
    View_58_359: {
      width: wp("79%"),
      minWidth: wp("79%"),
      height: hp("8%"),
      minHeight: hp("8%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("11%"),
      top: hp("100%"),
      backgroundColor: "rgba(255, 145, 77, 1)"
    },
    View_I58_359_31_130: {
      flexGrow: 1,
      width: wp("15%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("32%"),
      top: hp("2%"),
      justifyContent: "flex-start"
    },
    Text_I58_359_31_130: {
      color: "rgba(255, 255, 255, 1)",
      fontSize: 13,
      fontWeight: "700",
      textAlign: "left",
      fontStyle: "normal",
      letterSpacing: 0,
      textTransform: "none"
    },
    View_58_459: {
      width: wp("100%"),
      minWidth: wp("100%"),
      height: hp("22%"),
      minHeight: hp("22%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("0%"),
      backgroundColor: "rgba(0, 0, 0, 0)"
    },
    View_58_358: {
      width: wp("100%"),
      minWidth: wp("100%"),
      height: hp("14%"),
      minHeight: hp("14%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("0%"),
      backgroundColor: "rgba(246, 247, 249, 1)"
    },
    View_I58_358_31_78: {
      flexGrow: 1,
      width: wp("91%"),
      height: hp("9%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("4%"),
      top: hp("3%"),
      backgroundColor: "rgba(0, 0, 0, 0)"
    },
    ImageBackground_I58_358_31_79: {
      width: wp("7%"),
      height: hp("4%"),
      top: hp("0%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%")
    },
    View_I58_358_31_80: {
      width: wp("91%"),
      minWidth: wp("91%"),
      minHeight: hp("4%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("5%"),
      justifyContent: "flex-start"
    },
    Text_I58_358_31_80: {
      color: "rgba(54, 54, 54, 1)",
      fontSize: 16,
      fontWeight: "700",
      textAlign: "left",
      fontStyle: "normal",
      letterSpacing: 0,
      textTransform: "none"
    },
    View_58_392: {
      width: wp("91%"),
      minWidth: wp("91%"),
      height: hp("4%"),
      minHeight: hp("4%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("4%"),
      top: hp("18%"),
      backgroundColor: "rgba(0, 0, 0, 0)"
    },
    View_58_387: {
      width: wp("54%"),
      minWidth: wp("54%"),
      minHeight: hp("3%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("0%"),
      justifyContent: "flex-start"
    },
    Text_58_387: {
      color: "rgba(54, 54, 54, 1)",
      fontSize: 11,
      fontWeight: "400",
      textAlign: "left",
      fontStyle: "normal",
      letterSpacing: 0,
      textTransform: "none"
    },
    View_58_545: {
      width: wp("91%"),
      minWidth: wp("91%"),
      height: hp("1%"),
      minHeight: hp("1%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("3%"),
      backgroundColor: "rgba(0, 0, 0, 0)"
    },
    View_I58_545_58_401: {
      flexGrow: 1,
      width: wp("91%"),
      height: hp("1%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("0%"),
      backgroundColor: "rgba(244, 244, 244, 1)"
    },
    View_I58_545_58_402: {
      flexGrow: 1,
      width: wp("30%"),
      height: hp("1%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("0%"),
      backgroundColor: "rgba(255, 145, 77, 1)"
    },
    View_105_751: {
      width: wp("91%"),
      minWidth: wp("91%"),
      height: hp("68%"),
      minHeight: hp("68%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("4%"),
      top: hp("25%"),
      backgroundColor: "rgba(0, 0, 0, 0)"
    },
    View_58_351: {
      width: wp("91%"),
      minWidth: wp("91%"),
      height: hp("24%"),
      minHeight: hp("24%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("0%"),
      backgroundColor: "rgba(0, 0, 0, 0)"
    },
    View_105_741: {
      width: wp("91%"),
      minWidth: wp("91%"),
      minHeight: hp("3%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("0%"),
      justifyContent: "flex-start"
    },
    Text_105_741: {
      color: "rgba(54, 54, 54, 1)",
      fontSize: 13,
      fontWeight: "700",
      textAlign: "left",
      fontStyle: "normal",
      letterSpacing: 0,
      textTransform: "none"
    },
    View_58_354: {
      width: wp("91%"),
      minWidth: wp("91%"),
      height: hp("8%"),
      minHeight: hp("8%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("5%"),
      backgroundColor: "rgba(255, 255, 255, 1)"
    },
    View_I58_354_53_515: {
      flexGrow: 1,
      width: wp("79%"),
      height: hp("3%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("6%"),
      top: hp("2%"),
      backgroundColor: "rgba(0, 0, 0, 0)"
    },
    View_I58_354_53_516: {
      width: wp("23%"),
      minWidth: wp("23%"),
      height: hp("3%"),
      minHeight: hp("3%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("0%"),
      backgroundColor: "rgba(0, 0, 0, 0)"
    },
    View_I58_354_53_517: {
      width: wp("23%"),
      minWidth: wp("23%"),
      minHeight: hp("3%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("0%"),
      justifyContent: "flex-start"
    },
    Text_I58_354_53_517: {
      color: "rgba(158, 157, 157, 1)",
      fontSize: 11,
      fontWeight: "400",
      textAlign: "left",
      fontStyle: "normal",
      letterSpacing: 0,
      textTransform: "none"
    },
    ImageBackground_I58_354_53_529: {
      width: wp("4%"),
      height: hp("2%"),
      top: hp("0%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("74%")
    },
    View_58_384: {
      width: wp("91%"),
      minWidth: wp("91%"),
      height: hp("0%"),
      minHeight: hp("0%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("14%"),
      backgroundColor: "rgba(0, 0, 0, 0)"
    },
    View_I58_384_31_110: {
      flexGrow: 1,
      width: wp("91%"),
      height: hp("0%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("0%"),
      backgroundColor: "rgba(229, 229, 229, 1)"
    },
    View_58_355: {
      width: wp("91%"),
      minWidth: wp("91%"),
      height: hp("8%"),
      minHeight: hp("8%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("16%"),
      backgroundColor: "rgba(255, 255, 255, 1)"
    },
    View_I58_355_31_134: {
      flexGrow: 1,
      width: wp("17%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("6%"),
      top: hp("2%"),
      justifyContent: "flex-start"
    },
    Text_I58_355_31_134: {
      color: "rgba(54, 54, 54, 1)",
      fontSize: 11,
      fontWeight: "400",
      textAlign: "left",
      fontStyle: "normal",
      letterSpacing: 0,
      textTransform: "none"
    },
    View_105_750: {
      width: wp("91%"),
      minWidth: wp("91%"),
      height: hp("41%"),
      minHeight: hp("41%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("27%"),
      backgroundColor: "rgba(0, 0, 0, 0)"
    },
    View_105_752: {
      width: wp("91%"),
      minWidth: wp("91%"),
      minHeight: hp("3%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("0%"),
      justifyContent: "flex-start"
    },
    Text_105_752: {
      color: "rgba(54, 54, 54, 1)",
      fontSize: 13,
      fontWeight: "700",
      textAlign: "left",
      fontStyle: "normal",
      letterSpacing: 0,
      textTransform: "none"
    },
    View_105_753: {
      width: wp("91%"),
      minWidth: wp("91%"),
      height: hp("8%"),
      minHeight: hp("8%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("5%"),
      backgroundColor: "rgba(255, 255, 255, 1)"
    },
    View_I105_753_53_515: {
      flexGrow: 1,
      width: wp("79%"),
      height: hp("3%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("6%"),
      top: hp("2%"),
      backgroundColor: "rgba(0, 0, 0, 0)"
    },
    View_I105_753_53_516: {
      width: wp("9%"),
      minWidth: wp("9%"),
      height: hp("3%"),
      minHeight: hp("3%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("0%"),
      backgroundColor: "rgba(0, 0, 0, 0)"
    },
    View_I105_753_53_517: {
      width: wp("9%"),
      minWidth: wp("9%"),
      minHeight: hp("3%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("0%"),
      justifyContent: "flex-start"
    },
    Text_I105_753_53_517: {
      color: "rgba(158, 157, 157, 1)",
      fontSize: 11,
      fontWeight: "400",
      textAlign: "left",
      fontStyle: "normal",
      letterSpacing: 0,
      textTransform: "none"
    },
    ImageBackground_I105_753_53_529: {
      width: wp("4%"),
      height: hp("2%"),
      top: hp("0%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("74%")
    },
    View_105_737: {
      width: wp("91%"),
      minWidth: wp("91%"),
      height: hp("8%"),
      minHeight: hp("8%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("14%"),
      backgroundColor: "rgba(0, 0, 0, 0)"
    },
    View_105_738: {
      width: wp("91%"),
      minWidth: wp("91%"),
      height: hp("8%"),
      minHeight: hp("8%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("0%"),
      backgroundColor: "rgba(255, 255, 255, 1)"
    },
    View_I105_738_31_134: {
      flexGrow: 1,
      width: wp("7%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("6%"),
      top: hp("2%"),
      justifyContent: "flex-start"
    },
    Text_I105_738_31_134: {
      color: "rgba(158, 157, 157, 1)",
      fontSize: 11,
      fontWeight: "400",
      textAlign: "left",
      fontStyle: "normal",
      letterSpacing: 0,
      textTransform: "none"
    },
    View_105_759: {
      width: wp("91%"),
      minWidth: wp("91%"),
      height: hp("8%"),
      minHeight: hp("8%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("24%"),
      backgroundColor: "rgba(0, 0, 0, 0)"
    },
    View_105_760: {
      width: wp("91%"),
      minWidth: wp("91%"),
      height: hp("8%"),
      minHeight: hp("8%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("0%"),
      backgroundColor: "rgba(255, 255, 255, 1)"
    },
    View_I105_760_31_134: {
      flexGrow: 1,
      width: wp("11%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("6%"),
      top: hp("2%"),
      justifyContent: "flex-start"
    },
    Text_I105_760_31_134: {
      color: "rgba(158, 157, 157, 1)",
      fontSize: 11,
      fontWeight: "400",
      textAlign: "left",
      fontStyle: "normal",
      letterSpacing: 0,
      textTransform: "none"
    },
    View_105_764: {
      width: wp("91%"),
      minWidth: wp("91%"),
      height: hp("8%"),
      minHeight: hp("8%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("33%"),
      backgroundColor: "rgba(0, 0, 0, 0)"
    },
    View_105_765: {
      width: wp("91%"),
      minWidth: wp("91%"),
      height: hp("8%"),
      minHeight: hp("8%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("0%"),
      top: hp("0%"),
      backgroundColor: "rgba(255, 255, 255, 1)"
    },
    View_I105_765_31_134: {
      flexGrow: 1,
      width: wp("15%"),
      marginLeft: 0,
      marginTop: 0,
      position: "absolute",
      left: wp("6%"),
      top: hp("2%"),
      justifyContent: "flex-start"
    },
    Text_I105_765_31_134: {
      color: "rgba(158, 157, 157, 1)",
      fontSize: 11,
      fontWeight: "400",
      textAlign: "left",
      fontStyle: "normal",
      letterSpacing: 0,
      textTransform: "none"
    }
  })
  
  const mapStateToProps = state => {
    return {}
  }
  const mapDispatchToProps = () => {
    return {}
  }
  export default connect(mapStateToProps, mapDispatchToProps)(Blank)
  