@extends('layouts.default')

@section('title')
	Agency Register
@endsection

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

@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="{{route('registerUpdateAgency',$data->agency_id)}}" enctype="multipart/form-data">
                        @method('PUT')
                        {!! csrf_field() !!}
						<div class="row justify-content-center">
							<div class="col-md-12">
								<div class="row my-1">
                                    <div class="col-md-6">
                                        <div class="row">
                                            <div class="col-md-2"><label class="input-required">Agency Name</label></div>
                                            <div class="col-md-10">
                                                <input type="text" name="agency_name" value="{{ old('agency_name',$data->name) }}" placeholder="Agency Name" class="text-uppercase form-control" autocomplete="off">
                                                @if ($errors->has('agency_name'))
                                                    <span class="help-block">{{ $errors->first('agency_name') }}</span>
                                                @endif
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-md-6">
                                        <div class="row">
                                            <div class="col-md-2"><label class="input-required">Status</label></div>
                                            <div class="col-md-10">
                                                <ul class="list-unstyled mb-0">
                                                      <li class="d-inline-block mr-2 mb-1">
                                                        <fieldset>
                                                          <div class="custom-control custom-radio">
                                                            <input type="radio" class="custom-control-input" value="A" name="status" id="customRadio1" {{isset($data->status) && $data->status == 'A' ? 'checked' : ''}}>
                                                            <label class="custom-control-label" for="customRadio1">Active</label>
                                                          </div>
                                                        </fieldset>
                                                      </li>
                                                      <li class="d-inline-block mr-2 mb-1">
                                                        <fieldset>
                                                          <div class="custom-control custom-radio">
                                                            <input type="radio" class="custom-control-input" value="I" name="status" id="customRadio2" {{isset($data->status) && $data->status == 'I' ? 'checked' : ''}}>
                                                            <label class="custom-control-label" for="customRadio2">Inactive</label>
                                                          </div>
                                                        </fieldset>
                                                      </li>
                                                    </ul>
                                                @if ($errors->has('status'))
                                                    <span class="help-block">{{ $errors->first('status') }}</span>
                                                @endif
                                            </div>
                                        </div>
                                    </div>
								</div>
                                <div class="row">
									<div class="col-md-6">
										<div class="row my-1">
											<div class="col-md-2"><label>Mobile No.</label></div>
											<div class="col-md-10">
                                                <div class="input-group">
                                                    <div class="input-group-prepend">
                                                        <span class="input-group-text">+88</span>
                                                    </div>
                                                    <input type="text" name="mobile_no" value="{{ old('mobile_no',$data->mobile_no) }}" placeholder="Mobile"  class="form-control only-number" autocomplete="off">
                                                </div>
                                               @if ($errors->has('mobile_no'))
                                                    <span class="help-block">{{ $errors->first('mobile_no') }}</span>
                                                @endif
                                            </div>
										</div>
									</div>
                                    <div class="col-md-6">
										<div class="row my-1">
											<div class="col-md-2"><label>Email</label></div>
											<div class="col-md-10">
                                                <input type="email" placeholder="Email" value="{{ old('email',$data->email_address) }}"  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" value="{{ old('phone_no',$data->phone_no) }}" placeholder="Phone"  class="form-control only-number" autocomplete="off">
                                            </div>
										</div>
									</div>
									<div class="col-md-6">
										<div class="row my-1">
											<div class="col-md-2"><label>Fax No.</label></div>
											<div class="col-md-10">
                                                <input type="text" maxlength="11" placeholder="Fax" value="{{ old('fax',$data->fax) }}" class="form-control only-number" 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}}" {{isset($data->division_id) && $data->division_id == $devision->geo_division_id ? 'selected' : ''}}>{{$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">
                                                    @php $districts = \App\Helpers\HelperClass::findDistrictByDivision($data->division_id) @endphp
                                                    @foreach($districts as $district)
													    <option  value="{{$district->geo_district_id}}" {{isset($data->district_id) && $data->district_id == $district->geo_district_id ? 'selected' : ''}}>{{$district->geo_district_name}}</option>
                                                    @endforeach
												</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" placeholder="Enter Your Address" rows="3" wrap="soft" class="form-control">{{isset($data->address) ? $data->address : ''}}</textarea>
                                            </div>
                                       </div>
									</div>
                                    <div class="col-md-6">
										<div class="row my-1">
											<div class="col-md-2"><label>Web</label></div>
											<div class="col-md-10">
                                                <input type="text" name="web_address" placeholder="Web" value="{{ old('web_address',$data->web_address) }}" class="form-control" autocomplete="off">
                                            </div>
										</div>
									</div>
								</div>

                                <div class="row mt-3">
                                    <div class="col">
                                        @include('register.shared.mediaDownload')

                                        <div class="row">
                                            <div class="d-flex justify-content-end col">
                                                <button type="submit" class="btn btn btn-dark shadow mr-1 mb-1">
                                                    Update
                                                </button> &nbsp;
                                                <a href="{{route('registerAgency')}}" class="btn btn btn-outline-dark  mb-1">
                                                    Cancel
                                                </a>
                                            </div>
                                        </div>
                                    </div>
                                </div>

							</div>
						</div>
					</form>
				</div>
			</div>

 <!-- List table -->
        @include('register.agencyList')
<!--/ List table -->
		</div>
	</div>

@endsection