@extends('layouts.default')

@section('title')
	Agency Register
@endsection

@section('header-style')
	<!--Load custom style link or css-->
	<style>

	</style>

@endsection

@section('content')
	<div class="row">
		<div class="col-12">
			<div class="card">
				<div class="card-body"><h4 class="card-title">Agency Register</h4><!---->
					<hr>
					<form method="post" action="" enctype="multipart/form-data">
                        {!! csrf_field() !!}
						<div class="row justify-content-center">
							<div class="col-md-12">
								<div class="row my-1">
                                    <div class="col-md-6">
                                        <div class="row">
                                            <div class="col-md-2"><label class="input-required">Agency Name</label></div>
                                            <div class="col-md-10">
                                                <input type="text" name="agency_name" value="{{ old('agency_name') }}"  placeholder="Agency Name" class="form-control text-uppercase" autocomplete="off">
                                                @if ($errors->has('agency_name'))
                                                    <span class="help-block">{{ $errors->first('agency_name') }}</span>
                                                @endif
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-md-6">
                                        <div class="row">
                                            <div class="col-md-2"><label class="input-required">Status</label></div>
                                            <div class="col-md-10">
                                                <ul class="list-unstyled mb-0">
                                                      <li class="d-inline-block mr-2 mb-1">
                                                        <fieldset>
                                                          <div class="custom-control custom-radio">
                                                            <input type="radio" class="custom-control-input" value="{{ old('status','A') }}" name="status" id="customRadio1" {{ old('status') != 'I' ? 'checked' : ''}}>
                                                            <label class="custom-control-label" for="customRadio1">Active</label>
                                                          </div>
                                                        </fieldset>
                                                      </li>
                                                      <li class="d-inline-block mr-2 mb-1">
                                                        <fieldset>
                                                          <div class="custom-control custom-radio">
                                                            <input type="radio" class="custom-control-input" value="{{ old('status','I') }}" name="status" id="customRadio2" {{ old('status') == 'I' ? 'checked' : ''}}>
                                                            <label class="custom-control-label" for="customRadio2">Inactive</label>
                                                          </div>
                                                        </fieldset>
                                                      </li>
                                                    </ul>
                                                @if ($errors->has('status'))
                                                    <span class="help-block">{{ $errors->first('status') }}</span>
                                                @endif
                                            </div>
                                        </div>
                                    </div>
								</div>
                                <div class="row">
									<div class="col-md-6">
										<div class="row my-1">
											<div class="col-md-2"><label>Mobile No.</label></div>
											<div class="col-md-10">
												<div class="input-group">
													<div class="input-group-prepend">
														<span class="input-group-text">+88</span>
													</div>
													<input type="text" maxlength="11"   name="mobile_no" placeholder="Mobile" value="{{ old('mobile_no') }}" class="form-control mobile only-number" autocomplete="off">
                                                </div>
                                                @if ($errors->has('mobile_no'))
                                                    <span class="help-block">{{ $errors->first('mobile_no') }}</span>
                                                 @endif
                                            </div>
										</div>
									</div>
                                    <div class="col-md-6">
										<div class="row my-1">
											<div class="col-md-2"><label>Email</label></div>
											<div class="col-md-10">
                                                <input type="email" placeholder="Email" value="{{ old('email') }}"   class="form-control" name="email" autocomplete="off">
                                            </div>
										</div>
									</div>
								</div>
                                <div class="row">
									<div class="col-md-6">
										<div class="row my-1">
											<div class="col-md-2"><label>Phone No.</label></div>
											<div class="col-md-10">
                                                <input type="text" maxlength="11" name="phone" placeholder="Phone" value="{{ old('phone') }}"  class="form-control only-number" autocomplete="off"></div>
										</div>
									</div>
                                    <div class="col-md-6">
										<div class="row my-1">
											<div class="col-md-2"><label>Fax No.</label></div>
											<div class="col-md-10">
                                                <input type="text" maxlength="11" placeholder="Fax" class="form-control only-number" value="{{ old('fax') }}" name="fax" autocomplete="off">
                                            </div>
										</div>
									</div>

								</div>
								<div class="row">
									<div class="col-md-6">
										<div class="row my-1">
											<div class="col-md-2"><label>Division</label></div>
											<div class="col-md-10">
                                                <select class="select2 form-control getDistrict"   name="division">
													<option  value="">-- Please select an option --</option>
													@foreach($divisions as $devision)
                                                        <option value="{{$devision->geo_division_id}}" {{ old('division') == $devision->geo_division_id ? 'selected' : '' }}>{{$devision->geo_division_name}}</option>
                                                    @endforeach
												</select>
                                            </div>
										</div>
									</div>
									<div class="col-md-6">
										<div class="row my-1">
											<div class="col-md-2"><label>District</label></div>
											<div class="col-md-10">
                                                <select class="select2 form-control" name="district" id="district">
													<option value="" >-- Please select an option --</option>
                                                    @if(old('district'))
                                                        @foreach(\App\Helpers\HelperClass::findDistrictByDivision(old('division'))  as $district)
													        <option value="{{$district->geo_district_id}}" {{$district->geo_district_id == old('district') ? 'selected' : ''}}>{{$district->geo_district_name}}</option>
                                                        @endforeach
                                                    @endif
												</select>
                                            </div>
										</div>
									</div>
								</div>
                                <div class="row">
									<div class="col-md-6">
                                        <div class="row my-1">
                                            <div class="col-md-2"><label>Address</label></div>
                                            <div class="col-md-10">
                                                <textarea id="textarea" name="address" value="{{ old('address') }}" placeholder="Enter Your Address" rows="3" wrap="soft" class="form-control" autocomplete="off">{{ old('address') }}</textarea>
                                            </div>
                                       </div>
									</div>
                                    <div class="col-md-6">
										<div class="row my-1">
											<div class="col-md-2"><label>Web</label></div>
											<div class="col-md-10">
                                                <input type="text" name="web_address" placeholder="Web" value="{{ old('web_address') }}" class="form-control" autocomplete="off">
                                            </div>
										</div>
									</div>
								</div>

                                <div class="row">
                                    <div class="col">
                                        @include('register.shared.mediaUpload')
                                    </div>
                                </div>
								<div class="row">
									<div class="d-flex justify-content-end col">

										<button type="submit" class="btn btn btn-dark shadow mr-1 mb-1">
											Submit
										</button> &nbsp;
										<button type="reset" class="btn btn btn-outline-dark  mb-1">
											Reset
										</button>
								</div>
                                </div>
							</div>
						</div>
					</form>
				</div>
			</div>
<!--agency list-->
            @include('register.agencyList')
		</div>
	</div>
    {{--<script>
        emailValidate(mail) {
            let status = (false);
            let re = /^(([^<>()[\]\\.,;:\s@\"]+(\.[^<>()[\]\\.,;:\s@\"]+)*)|(\".+\"))@((\[[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\])|(([a-zA-Z\-0-9]+\.)+[a-zA-Z]{2,}))$/;
            if(mail.match(re)){
                status = true;
            }
            // if (/^\w+([\.-]?\w+)*@\w+([\.-]?\w+)*(\.\w{2,3})+$/.test(mail)) {
            //     status = (true);
            // }
            return status;
        }
        mobileValidate(mobile) {
            let status = (false);
            let numberTemp;
            if (mobile.toString().length === 10){
                numberTemp = '0'+ mobile;
            } else{
                numberTemp = mobile;
            }
            let reg =  /(^(\+8801|8801|01|008801))[1|3-9]{1}(\d){8}$/;
            if (numberTemp.toString().match(reg)){
                status = true;
            }
            // if (/^\d{10}$/.test(mobile)) {
            //     status = (true);
            // }
            return status;
        }
    </script>--}}
@endsection