@extends('layouts.default')

@section('title')
    Stakeholder Register
@endsection

@section('header-style')
    <!--Load custom style link or css-->
    <style>
        .profile-pic {
            max-width: 200px;
            max-height: 200px;
            display: block;
        }

        .box {
            overflow: hidden;
            width: 180px;
            height: 160px;
            border: 8px solid rgba(224, 224, 224, 0.7);
        }

        .box img {
            width: 100%;
            height: 100%;
        }

        .p-image {
            position: absolute;
            top: 167px;
            right: 30px;
            color: #666666;
            transition: all .3s cubic-bezier(.175, .885, .32, 1.275);
        }
    </style>
@endsection

@section('content')
    <div class="row">
        <div class="col-12">
            <div class="card">
                <div class="card-body"><h4 class="card-title">Stakeholder Register</h4>
                    <hr>
                    <form method="post" action="" enctype="multipart/form-data">
                        {!! csrf_field() !!}
                        <div class="row justify-content-center">
                            <div class="col-md-11">
                                <div class="row my-1">
                                    <div class="col-md-6">
                                        <div class="row">
                                            <div class="col-md-2"><label class="input-required">Person Name</label>
                                            </div>
                                            <div class="col-md-10">
                                                <input type="text" name="stakeholder_name" id="stakeholder_name"
                                                       placeholder="Name" maxlength="50"
                                                       value="{{ old('stakeholder_name') }}"
                                                       class="text-uppercase form-control">
                                                @if ($errors->has('stakeholder_name'))
                                                    <span
                                                        class="help-block">{{ $errors->first('stakeholder_name') }}</span>
                                                @endif
                                            </div>
                                            <div class="col-md-2 mt-2"><label class="input-required">Agency</label>
                                            </div>
                                            <div class="col-md-10 mt-2">
                                                <select class="select2 form-control" name="agency" id="agency">
                                                    <option value="">-- Please select an option --</option>
                                                    @foreach($agencies as $agency)
                                                        <option
                                                            value="{{$agency->agency_id}}" {{ old('agency') == $agency->agency_id ? 'selected' : '' }}>{{$agency->name}}</option>
                                                    @endforeach
                                                </select>
                                                @if ($errors->has('agency'))
                                                    <span class="help-block">{{ $errors->first('agency') }}</span>
                                                @endif
                                            </div>
                                             <div class="col-md-2 mt-3 mb-1"><label>Designation</label></div>
                                            <div class="col-md-10 mt-3 mb-1">
                                                <input type="text" name="designation" placeholder="Designation"
                                                       value="{{ old('designation') }}"
                                                       class="form-control">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-md-6">
                                        <div class="row">
                                            <div class="col-md-2"></div>
                                            <div class="col-md-4">
                                                <div class="row">
                                                    <div class="col-md-12">
                                                        <div class="box">
                                                            <img class="profile-pic"
                                                                 src="{{asset('assets/img/no-profile-img.jpg')}}">
                                                        </div>
                                                        <label>Profile Attachment</label>
                                                        <input class="file-upload" type="file"
                                                               name="profile_attachment_path" accept="image/*">
                                                        @if ($errors->has('profile_attachment_path'))
                                                            <span class="help-block">{{ $errors->first('profile_attachment_path') }}</span>
                                                        @endif
                                                    </div>
                                                </div>
                                            </div>
                                            <div class="col-md-4">
                                                <div class="row">
                                                    <div class="col-md-12">
                                                        <div class="box">
                                                            <img class="profile-pic2" src="{{asset('assets/img/signature.jpg')}}">
                                                        </div>
                                                        <label>Signature Attachment</label>
                                                        <input type="file" class="file-upload2" name="signature_attachment_path" accept="image/*">
                                                         @if ($errors->has('profile_attachment'))
                                                            <span class="help-block">{{ $errors->first('profile_attachment') }}</span>
                                                        @endif
                                                    </div>
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                </div>
                                <div class="row my-1 mt-2">
                                    <div class="col-md-1"><label style="white-space: nowrap;">Org. Name</label></div>
                                    <div class="col-md-5">
                                        <input type="text" name="organization" placeholder="Organization"
                                               value="{{ old('organization') }}"
                                               class="form-control">
                                    </div>
                                    <div class="col-md-1"><label class="input-required">Status</label></div>
                                            <div class="col-md-5">
                                                <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 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">
                                            </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" name="fax" placeholder="Fax"
                                                       class="form-control only-number" value="{{ old('fax') }}">
                                            </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" id="mobile"
                                                           value="{{ old('mobile') }}" placeholder="Mobile"
                                                           class="form-control only-number">
                                                </div>
                                                @if ($errors->has('mobile'))
                                                    <span class="help-block">{{ $errors->first('mobile') }}</span>
                                                @endif
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-md-6">
                                        <div class="row my-1">
                                            <div class="col-md-2"><label>Email</label></div>
                                            <div class="col-md-10">
                                                <input type="email" name="email" id="email" placeholder="Email"
                                                       value="{{ old('email') }}"
                                                       class="form-control">
                                            </div>
                                        </div>
                                    </div>
                                </div>
                                <div class="row">
                                    <div class="col-md-6">
                                        <div class="row my-1">
                                            <div class="col-md-2"><label>Division</label></div>
                                            <div class="col-md-10">
                                                <select class="select2 form-control getDistrict" name="division">
                                                    <option value="">-- Please select an option --</option>
                                                    @foreach($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>Web</label></div>
                                            <div class="col-md-10">
                                                <input type="text" name="web" placeholder="Web" value="{{ old('web') }}"
                                                       class="form-control">
                                            </div>
                                        </div>
                                    </div>
                                    <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" placeholder="Enter Your Address" rows="3"
                                                          wrap="soft" class="form-control">{{ old('address') }}</textarea>
                                            </div>
                                        </div>
                                    </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>
            <!-- List table -->
        @include('register.stakeholderList')
        <!--/ List table -->
        </div>
    </div>

@endsection