@extends('layouts.admin.index')
@section('content')
@php
$data = isset($data)?$data:null;
$info = isset($data->joint_applicant_information)?$data->joint_applicant_information:null;
$ninfo = isset($data->joint_nominee_information)?$data->nominee_information:null;
@endphp
<style>
    #joint_applicant_information_form input[type="file"] {
        display: block !important;
    }

    #joint_applicant_information_form select {
        width: 100% !important;
        border: 1px solid #ced4da !important;
        min-height: 35px !important;
    }

</style>
<div class="card">
    <div class="card-header">
        <h6>{{ __('cruds.joint_applicants') }}</h6>
    </div>
    <div class="px-4">
        <form action="{{ route('admin.joint.applicant.store') }}" method="POST" enctype="multipart/form-data">
            @csrf

            <input type="hidden" name="user_id" value="{{ $data->user_id??0 }}">
            <div class="row pt-3">

                <!-- 1st row  -->
                <div class="row">
                    <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                        <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                                <label for="firstname">{{ __('cruds.joint_applicants') }} {{ __('cruds.firstname') }} </label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                                <input type="text" class="form-control" id="firstname" name="firstname" value="{{ $info->firstname??'' }}">
                            </div>
                        </div>
                    </div>

                    <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                        <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                                <label for="lastname">{{ __('cruds.joint_applicants') }} {{ __('cruds.lastname') }} </label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                                <input type="text" class="form-control" id="lastname" name="lastname" value="{{ $info->lastname??'' }}">
                            </div>
                        </div>
                    </div>
                </div>
                <!-- 2nd row  -->
                <div class="row">
                    <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                        <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                                <label for="father_name">{{ __('cruds.father_name') }} </label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                                <input type="text" class="form-control" id="father_name" name="father_name" value="{{ $info->father_name??'' }}">
                            </div>
                        </div>
                    </div>

                    <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                        <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                                <label for="mother_name">{{ __('cruds.mother_name') }}</label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                                <input type="text" class="form-control" id="mother_name" name="mother_name" value="{{ $info->mother_name??'' }}">
                            </div>
                        </div>
                    </div>
                </div>
                <!-- 3rd row  -->
                <div class="row">
                    <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                        <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                                <label for="spouse_name">{{ __('cruds.spouse_name') }}</label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                                <input type="text" class="form-control" id="spouse_name" name="spouse_name" value="{{ $info->spouse_name??'' }}">
                            </div>
                        </div>
                    </div>

                    <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                        <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                                <label for="profession">{{ __('cruds.profession') }} </label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7  text-left">
                                <select name="profession" id="profession" class="form-control">
                                    {!! option(profession(),trans('cruds.select'),$info->profession??'') !!}
                                </select>
                            </div>
                        </div>
                    </div>
                </div>
                <!-- 4th row  -->
                <div class="row">
                    <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                        <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                                <label for="date_of_birth">{{ __('cruds.date_of_birth') }} </label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                                <input type="date" class="form-control" id="date_of_birth" name="date_of_birth" value="{{ $info->date_of_birth??'' }}">
                            </div>
                        </div>
                    </div>

                    <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                        <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                                <label for="id_type">{{ __('cruds.id_type') }}</label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                                <select name="id_type" id="id_type" class="form-control">
                                    {!! option(id_types(),trans('cruds.select'),$info->id_type??'') !!}
                                </select>
                                {{-- <input type="text" class="form-control" id="id_type" name="id_type" value="{{ $info->id_type??'' }}">
                                --}}
                            </div>
                        </div>
                    </div>
                </div>
                <!-- 5th row  -->
                <div class="row">
                    <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                        <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                                <label for="id_number">ID Number</label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                                <input type="text" class="form-control" id="id_number" name="id_number" value="{{ $info->id_number??'' }}">
                            </div>
                        </div>
                    </div>

                    <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                        <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                                <label for="religion">{{ __('cruds.religion') }} </label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                                <select name="religion" id="religion" class="form-control" required>
                                    {!! option(religion(),trans('cruds.select'),$info->religion??'') !!}
                                </select>
                            </div>
                        </div>
                    </div>
                </div>

                <!-- 6th row  -->
                <div class="row">
                    <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                        <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                                <label for="nationality">{{ __('cruds.nationality') }} </label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                                <input type="text" class="form-control" id="nationality" name="nationality" value="{{ $info->nationality??'Bangladeshi' }}">
                            </div>
                        </div>
                    </div>

                    <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                        <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                                <label for="gender">{{ __('cruds.gender') }} </label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                                <select name="gender" id="gender" class="form-control">
                                    {!! option(gender(),trans('cruds.select'),$info->gender??'') !!}
                                </select>
                            </div>
                        </div>
                    </div>
                </div>

                <!-- 7th row  -->
                <div class="row">
                    <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                        <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                                <label for="mobile_no">{{ __('cruds.mobile_no') }}</label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                                <input type="text" class="form-control" id="mobile_no" name="mobile_no" value="{{ $info->mobile_no??'' }}">
                            </div>
                        </div>
                    </div>

                    <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                        <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                                <label for="email">{{ __('cruds.email_address') }}</label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                                <input type="email" class="form-control" id="email" name="email" value="{{ $info->email??'' }}">
                            </div>
                        </div>
                    </div>
                </div>

                <!-- 8th row  -->
                <div class="row">
                    <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                        <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                                <label for="profile_photo">{{ __('cruds.profile_photo') }} </label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                                {!! uploadedFile(isset($info)?$info:'',isset($info)?$info->profile_photo:'','create','','profile_photo')
                                !!}
                                {{-- <input type="file" class="form-control" id="profile_photo" name="profile_photo" value="{{ $info->profile_photo??'' }}">
                                --}}
                            </div>
                        </div>
                    </div>

                </div>


                {{-- <div class="col-md-6">
        @if($info && $info->profile_photo)

            <img src="{{ $info->profile_photo }}" style="height: 150px; width:150px;" alt="">
                @endif
            </div> --}}



            <!-- address  -->
            <div class="row mt-5">
                <h4>Address</h4>
                <div class="col-md-6">
                    <!-- present address -->

                    <div class="row mt-3">
                        <div class="col-sm-12 col-md-12 col-xl-12 col-lg-12 ">
                            <!-- address -->
                            <div class="row d-flex align-items-center justify-content-start ">
                                <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                                    <label class="form-label">
                                        <!-- {{__('cruds.address')}} -->
                                        Present Address
                                    </label>
                                </div>
                                <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                                    <textarea type="text" class="form-control  {{ $errors->has('present_address') ? 'is-invalid' : '' }}" name="present_address" id="present_address" placeholder="{{__('cruds.address')}}">{{ isset($info)?$info->present_address:'' }}</textarea>
                                    @if($errors->has('present_address'))
                                    <em class="invalid-feedback">
                                        {{ $errors->first('present_address') }}
                                    </em>
                                    @endif
                                </div>
                            </div>

                        </div>
                    </div>
                </div>
                <div class="col-md-6">
                    <!-- permanent address  -->
                    <div class="row mt-3">
                        <div class="col-sm-12 col-md-12 col-xl-12 col-lg-12 ">
                            <!-- address -->
                            <div class="row d-flex align-items-center justify-content-start ">
                                <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                                    <label class="form-label">
                                        <!-- {{__('cruds.address')}} -->
                                        Permanent Address
                                    </label>
                                </div>
                                <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                                    <textarea type="text" class="form-control  {{ $errors->has('permanent_address') ? 'is-invalid' : '' }}" name="permanent_address" id="permanent_address" placeholder="{{__('cruds.address')}}">{{ isset($info)?$info->permanent_address:'' }}</textarea>
                                    @if($errors->has('permanent_address'))
                                    <em class="invalid-feedback">
                                        {{ $errors->first('permanent_address') }}
                                    </em>
                                    @endif
                                </div>
                            </div>

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






            <!-- <div class="col-md-12">
    <h4>{{ __('cruds.present_address') }}</h4>
</div> -->
            <!-- 1st row  -->
            <!-- <div class="row">
                        <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 "> -->
            <!-- address -->
            <!-- <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label class="form-label">{{__('cruds.address')}}</label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <input type="text" class="form-control  {{ $errors->has('present_address') ? 'is-invalid' : '' }}"
                            name="present_address" id="present_address" placeholder="{{__('cruds.address')}}"
                            value="{{ isset($info)?$info->present_address:'' }}">
                        @if($errors->has('present_address'))
                        <em class="invalid-feedback">
                            {{ $errors->first('present_address') }}
                        </em>
                        @endif
                            </div>
                            </div>

                        </div>
                        <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 "> -->
            <!-- country  -->
            <!-- <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label class="form-label">{{__('cruds.country')}} </label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <select class="form-control {{ $errors->has('present_country_id') ? 'is-invalid' : '' }}"
                                name="present_country_id" id="present_country_id">
                                {!! options('countries', [], [], 'id', 'nicename', 'name', 'asc',
                                trans('cruds.select'), isset($info)?$info->present_country_id:18) !!}
                            </select>
                            @if($errors->has('present_country_id'))
                            <em class="invalid-feedback">
                                {{ $errors->first('present_country_id') }}
                            </em>
                            @endif
                            </div>
                            </div> -->

            <!-- Division   -->
            <!-- <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label class="form-label">{{__('cruds.division')}}</label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <select class="form-control {{ $errors->has('present_division_id') ? 'is-invalid' : '' }}"
                            name="present_division_id" id="present_division_id"
                            onchange="loadChild('districts',[['division_id','=',this.value]],'id','district_name','id','asc','{{ trans('cruds.select') }}','','#j_present_district_id')">
                            {!! options('divisions', [], [], 'id', 'division_name', 'id', 'asc',
                            trans('cruds.select'), isset($info)?$info->present_division_id:0) !!}
                        </select>
                        @if($errors->has('present_division_id'))
                        <em class="invalid-feedback">
                            {{ $errors->first('present_division_id') }}
                        </em>
                        @endif
                            </div>
                            </div> -->

            <!-- District   -->
            <!-- <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label class="form-label">{{__('cruds.district')}}</label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <select class="form-control {{ $errors->has('present_district_id') ? 'is-invalid' : '' }}"
                                name="present_district_id" id="j_present_district_id"
                                onchange="loadChild('upazilas',[['district_id','=',this.value]],'id','upazila_name','id','asc','{{ trans('cruds.select') }}','','#j_present_upazila_id')">
                                {!! options('districts', [], [], 'id', 'district_name', 'id', 'asc',
                                trans('cruds.select'), isset($info)?$info->present_district_id:0) !!}
                            </select>
                            @if($errors->has('present_district_id'))
                            <em class="invalid-feedback">
                                {{ $errors->first('present_district_id') }}
                            </em>
                            @endif
                            </div>
                            </div> -->

            <!-- Upazila    -->
            <!-- <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label class="form-label">{{__('cruds.upazila')}}</label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <select class="form-control {{ $errors->has('present_upazila_id') ? 'is-invalid' : '' }}"
                                name="present_upazila_id" id="j_present_upazila_id">
                                {!! options('upazilas', [], [], 'id', 'upazila_name', 'id', 'asc',
                                trans('cruds.select'), isset($info)?$info->present_upazila_id:0) !!}
                            </select>
                            @if($errors->has('present_upazila_id'))
                            <em class="invalid-feedback">
                                {{ $errors->first('present_upazila_id') }}
                            </em>
                            @endif
                            </div>
                            </div>

                        </div> -->
            <!-- </div> -->




            <!-- <div class="col-md-12">
    <h4>{{ __('cruds.permanent_address') }}</h4>
</div> -->
            <!-- 1st row  -->
            <!-- <div class="row">
                        <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 "> -->
            <!-- address -->
            <!-- <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label class="form-label">{{__('cruds.address')}}</label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <input type="text" class="form-control  {{ $errors->has('permanent_address') ? 'is-invalid' : '' }}"
                                name="permanent_address" id="permanent_address" placeholder="{{__('cruds.address')}}"
                                value="{{ isset($info)?$info->permanent_address:'' }}">
                            @if($errors->has('permanent_address'))
                            <em class="invalid-feedback">
                                {{ $errors->first('permanent_address') }}
                            </em>
                            @endif
                            </div>
                            </div>

                        </div> -->
            <!-- <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 "> -->
            <!-- country  -->
            <!-- <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label class="form-label">{{__('cruds.country')}}</label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <select class="form-control {{ $errors->has('permanent_country_id') ? 'is-invalid' : '' }}"
                name="permanent_country_id" id="permanent_country_id">
                {!! options('countries', [], [], 'id', 'nicename', 'name', 'asc',
                trans('cruds.select'), isset($info)?$info->permanent_country_id:0) !!}
            </select>
            @if($errors->has('permanent_country_id'))
            <em class="invalid-feedback">
                {{ $errors->first('permanent_country_id') }}
            </em>
            @endif
                            </div>
                            </div> -->

            <!-- Division   -->
            <!-- <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label class="form-label">{{__('cruds.division')}} </label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <select class="form-control {{ $errors->has('permanent_division_id') ? 'is-invalid' : '' }}"
                name="permanent_division_id" id="permanent_division_id"
                onchange="loadChild('districts',[['division_id','=',this.value]],'id','district_name','id','asc','{{ trans('cruds.select') }}','','#j_permanent_district_id')">
                {!! options('divisions', [], [], 'id', 'division_name', 'id', 'asc',
                trans('cruds.select'), isset($info)?$info->permanent_division_id:0) !!}
            </select>
            @if($errors->has('permanent_division_id'))
            <em class="invalid-feedback">
                {{ $errors->first('permanent_division_id') }}
            </em>
            @endif
                            </div>
                            </div> -->

            <!-- District   -->
            <!-- <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label class="form-label">{{__('cruds.district')}} </label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <select class="form-control {{ $errors->has('permanent_district_id') ? 'is-invalid' : '' }}"
                name="permanent_district_id" id="j_permanent_district_id"
                onchange="loadChild('upazilas',[['district_id','=',this.value]],'id','upazila_name','id','asc','{{ trans('cruds.select') }}','','#j_permanent_upazila_id')">
                {!! options('districts', [], [], 'id', 'district_name', 'id', 'asc',
                trans('cruds.select'), isset($info)?$info->permanent_district_id:0) !!}
            </select>
            @if($errors->has('permanent_district_id'))
            <em class="invalid-feedback">
                {{ $errors->first('permanent_district_id') }}
            </em>
            @endif
                            </div>
                            </div> -->

            <!-- Upazila    -->
            <!-- <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label class="form-label">{{__('cruds.upazila')}} </label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <select class="form-control {{ $errors->has('permanent_upazila_id') ? 'is-invalid' : '' }}"
                name="permanent_upazila_id" id="j_permanent_upazila_id">
                {!! options('upazilas', [], [], 'id', 'upazila_name', 'id', 'asc',
                trans('cruds.select'), isset($info)?$info->permanent_upazila_id:0) !!}
            </select>
            @if($errors->has('permanent_upazila_id'))
            <em class="invalid-feedback">
                {{ $errors->first('permanent_upazila_id') }}
            </em>
            @endif
                            </div>
                            </div>

                        </div>
                    </div> -->



            {{-- Nominee's Information start--}}
            <div class="row pt-3">
                <h5 class="text-left fw-500">Nominee Information</h5>
            </div>

            <!-- 1st row  -->
            <div class="row">
                <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                    <div class="row d-flex align-items-center justify-content-start ">
                        <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label for="nfirstname">{{ __('cruds.nominees') }} {{ __('cruds.firstname') }}</label>
                        </div>
                        <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <input type="text" class="form-control" id="nfirstname" name="nfirstname" value="{{ $ninfo->firstname??'' }}">
                        </div>
                    </div>
                </div>

                <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                    <div class="row d-flex align-items-center justify-content-start ">
                        <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label for="n_lastname">{{ __('cruds.nominees') }} {{ __('cruds.lastname') }} </label>
                        </div>
                        <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <input type="text" class="form-control" id="n_lastname" name="n_lastname" value="{{ $ninfo->lastname??'' }}">
                        </div>
                    </div>
                </div>
            </div>

            <!-- 2nd row  -->
            <div class="row">
                <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                    <div class="row d-flex align-items-center justify-content-start ">
                        <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label for="n_father_name">{{ __('cruds.father_name') }} </label>
                        </div>
                        <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <input type="text" class="form-control" id="n_father_name" name="n_father_name" value="{{ $ninfo->father_name??'' }}">
                        </div>
                    </div>
                </div>

                <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                    <div class="row d-flex align-items-center justify-content-start ">
                        <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label for="n_mother_name">{{ __('cruds.mother_name') }}</label>
                        </div>
                        <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <input type="text" class="form-control" id="n_mother_name" name="n_mother_name" value="{{ $ninfo->mother_name??'' }}">
                        </div>
                    </div>
                </div>
            </div>
            <!-- 3rd row  -->
            <div class="row">
                <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                    <div class="row d-flex align-items-center justify-content-start ">
                        <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label for="n_spouse_name">{{ __('cruds.spouse_name') }}</label>
                        </div>
                        <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <input type="text" class="form-control" id="n_spouse_name" name="n_spouse_name" value="{{ $ninfo->spouse_name??'' }}">
                        </div>
                    </div>
                </div>

                <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                    <div class="row d-flex align-items-center justify-content-start ">
                        <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label for="n_profession">{{ __('cruds.profession') }} </label>
                        </div>
                        <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7  text-left">
                            <select name="n_profession" id="n_profession" class="form-control">
                                {!! option(profession(),trans('cruds.select'), $ninfo->profession??'') !!}
                            </select>
                        </div>
                    </div>
                </div>
            </div>
            <!-- 4th row  -->
            <div class="row">
                <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                    <div class="row d-flex align-items-center justify-content-start ">
                        <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label for="n_date_of_birth">{{ __('cruds.date_of_birth') }} </label>
                        </div>
                        <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <input type="date" class="form-control" id="n_date_of_birth" name="n_date_of_birth" value="{{ $ninfo->date_of_birth??'' }}">
                        </div>
                    </div>
                </div>

                <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                    <div class="row d-flex align-items-center justify-content-start ">
                        <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label for="n_id_type">{{ __('cruds.id_type') }}</label>
                        </div>
                        <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <select name="n_id_type" id="n_id_type" class="form-control">
                                {!! option(id_types(),trans('cruds.select'), $ninfo->id_type??'') !!}
                            </select>

                            {{-- <input type="text" class="form-control" id="n_id_type" name="n_id_type"
                            value="{{ $ninfo->id_type??'' }}"> --}}
                        </div>
                    </div>
                </div>
            </div>
            <!-- 5th row  -->
            <div class="row">
                <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                    <div class="row d-flex align-items-center justify-content-start ">
                        <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label for="n_id_number">ID Number </label>
                        </div>
                        <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <input type="text" class="form-control" id="n_id_number" name="n_id_number" value="{{ $ninfo->id_number??'' }}">
                        </div>
                    </div>
                </div>

                <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                    <div class="row d-flex align-items-center justify-content-start ">
                        <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label for="n_religion">{{ __('cruds.religion') }} </label>
                        </div>
                        <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <select name="n_religion" id="n_religion" class="form-control">
                                {!! option(religion(),trans('cruds.select'),$ninfo->religion??'') !!}
                            </select>
                        </div>
                    </div>
                </div>
            </div>
            <!-- 6th row  -->
            <div class="row">
                <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                    <div class="row d-flex align-items-center justify-content-start ">
                        <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label for="n_nationality">{{ __('cruds.nationality') }} </label>
                        </div>
                        <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <input type="text" class="form-control" id="n_nationality" name="n_nationality" value="{{ $ninfo->nationality??'Bangladeshi' }}">
                        </div>
                    </div>
                </div>

                <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                    <div class="row d-flex align-items-center justify-content-start ">
                        <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label for="n_gender">{{ __('cruds.gender') }} </label>
                        </div>
                        <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <select name="n_gender" id="n_gender" class="form-control">
                                {!! option(gender(),trans('cruds.select'),$ninfo->gender??'') !!}
                            </select>
                        </div>
                    </div>
                </div>
            </div>
            <!-- 7th row  -->
            <div class="row">
                <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                    <div class="row d-flex align-items-center justify-content-start ">
                        <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label for="n_mobile_no">{{ __('cruds.mobile_no') }}</label>
                        </div>
                        <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <input type="text" class="form-control" id="n_mobile_no" name="n_mobile_no" value="{{ $ninfo->mobile_no??'' }}">
                        </div>
                    </div>
                </div>

                <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                    <div class="row d-flex align-items-center justify-content-start ">
                        <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label for="n_email">{{ __('cruds.email_address') }}</label>
                        </div>
                        <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <input type="email" class="form-control" id="n_email" name="n_email" value="{{ $ninfo->email??'' }}">
                        </div>
                    </div>
                </div>
            </div>

            <!-- 8th row  -->
            <div class="row">
                <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 ">
                    <div class="row d-flex align-items-center justify-content-start ">
                        <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label for="n_profile_photo">{{ __('cruds.profile_photo') }} </label>
                        </div>
                        <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            {!!
                            uploadedFile(isset($ninfo)?$ninfo:'',isset($ninfo)?$ninfo->profile_photo:'','create','','n_profile_photo')
                            !!}
                            {{-- <input type="file" class="form-control" id="profile_photo" name="profile_photo" value="{{ $info->profile_photo??'' }}">
                            --}}
                        </div>
                    </div>
                </div>

            </div>




            <div class="row pt-3">

                {{-- <div class="col-md-6">
        @if(isset($info))

            <img src="{{ $info->profile_photo }}" style="height: 150px; width:150px;" alt="">
                @endif
            </div> --}}


            <!-- Address -->
            <div class="row mt-5">
                <h4>Address</h4>
                <div class="col-md-6">
                    <!-- present address -->

                    <div class="row mt-3">
                        <div class="col-sm-12 col-md-12 col-xl-12 col-lg-12 ">
                            <!-- address -->
                            <div class="row d-flex align-items-center justify-content-start ">
                                <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                                    <label class="form-label">
                                        <!-- {{__('cruds.address')}} -->
                                        Present Address
                                    </label>
                                </div>
                                <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                                    <textarea type="text" class="form-control  {{ $errors->has('n_present_address') ? 'is-invalid' : '' }}" name="n_present_address" id="n_present_address" placeholder="{{__('cruds.address')}}">{{ isset($ninfo)?$ninfo->present_address:'' }}</textarea>
                                    @if($errors->has('n_present_address'))
                                    <em class="invalid-feedback">
                                        {{ $errors->first('n_present_address') }}
                                    </em>
                                    @endif
                                </div>
                            </div>

                        </div>
                    </div>
                </div>
                <div class="col-md-6">
                    <!-- permanent address  -->
                    <div class="row mt-3">
                        <div class="col-sm-12 col-md-12 col-xl-12 col-lg-12 ">
                            <!-- address -->
                            <div class="row d-flex align-items-center justify-content-start ">
                                <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                                    <label class="form-label">
                                        <!-- {{__('cruds.address')}} -->
                                        Permanent Address
                                    </label>
                                </div>
                                <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                                    <textarea type="text" class="form-control  {{ $errors->has('permanent_address') ? 'is-invalid' : '' }}" name="n_permanent_address" id="n_permanent_address" placeholder="{{__('cruds.address')}}">{{ isset($ninfo)?$ninfo->permanent_address:'' }}</textarea>
                                    @if($errors->has('n_permanent_address'))
                                    <em class="invalid-feedback">
                                        {{ $errors->first('n_permanent_address') }}
                                    </em>
                                    @endif
                                </div>
                            </div>

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


            <!-- <div class="col-md-12">
    <h4>{{ __('cruds.present_address') }}</h4>
</div> -->

            <!-- 1st row  -->
            <!-- <div class="row">
                        <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 "> -->
            <!-- address -->
            <!-- <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label class="form-label">{{__('cruds.address')}}</label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <input type="text" class="form-control  {{ $errors->has('n_present_address') ? 'is-invalid' : '' }}"
                                name="n_present_address" id="n_present_address" placeholder="{{__('cruds.address')}}"
                                value="{{ isset($ninfo)?$ninfo->present_address:'' }}">
                            @if($errors->has('n_present_address'))
                            <em class="invalid-feedback">
                                {{ $errors->first('n_present_address') }}
                            </em>
                            @endif
                            </div>
                            </div>

                        </div> -->
            <!-- <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 "> -->
            <!-- country  -->
            <!-- <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label class="form-label">{{__('cruds.country')}} </label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <select class="form-control {{ $errors->has('n_present_country_id') ? 'is-invalid' : '' }}"
                                name="n_present_country_id" id="n_present_country_id">
                                {!! options('countries', [], [], 'id', 'nicename', 'name', 'asc',
                                trans('cruds.select'), isset($ninfo)?$ninfo->present_country_id:18) !!}
                            </select>
                            @if($errors->has('n_present_country_id'))
                            <em class="invalid-feedback">
                                {{ $errors->first('n_present_country_id') }}
                            </em>
                            @endif
                            </div>
                            </div> -->

            <!-- Division   -->
            <!-- <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label class="form-label">{{__('cruds.division')}}</label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <select class="form-control {{ $errors->has('n_present_division_id') ? 'is-invalid' : '' }}"
                                name="n_present_division_id" id="n_present_division_id"
                                onchange="loadChild('districts',[['division_id','=',this.value]],'id','district_name','id','asc','{{ trans('cruds.select') }}','','#n_present_district_id')">
                                {!! options('divisions', [], [], 'id', 'division_name', 'id', 'asc',
                                trans('cruds.select'), isset($ninfo)?$ninfo->present_division_id:0) !!}
                            </select>
                            @if($errors->has('n_present_division_id'))
                            <em class="invalid-feedback">
                                {{ $errors->first('n_present_division_id') }}
                            </em>
                            @endif
                            </div>
                            </div> -->

            <!-- District   -->
            <!-- <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label class="form-label">{{__('cruds.district')}}</label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <select class="form-control {{ $errors->has('n_present_district_id') ? 'is-invalid' : '' }}"
                name="n_present_district_id" id="n_present_district_id"
                onchange="loadChild('upazilas',[['district_id','=',this.value]],'id','upazila_name','id','asc','{{ trans('cruds.select') }}','','#n_present_upazila_id')">
                {!! options('districts', [], [], 'id', 'district_name', 'id', 'asc',
                trans('cruds.select'), isset($ninfo)?$ninfo->present_district_id:0) !!}
            </select>
            @if($errors->has('n_present_district_id'))
            <em class="invalid-feedback">
                {{ $errors->first('n_present_district_id') }}
            </em>
            @endif
                            </div>
                            </div> -->

            <!-- Upazila    -->
            <!-- <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label class="form-label">{{__('cruds.upazila')}}</label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <select class="form-control {{ $errors->has('n_present_upazila_id') ? 'is-invalid' : '' }}"
                name="n_present_upazila_id" id="n_present_upazila_id">
                {!! options('upazilas', [], [], 'id', 'upazila_name', 'id', 'asc',
                trans('cruds.select'), isset($ninfo)?$ninfo->present_upazila_id:0) !!}
            </select>
            @if($errors->has('n_present_upazila_id'))
            <em class="invalid-feedback">
                {{ $errors->first('n_present_upazila_id') }}
            </em>
            @endif
                            </div>
                            </div>

                        </div>
                    </div> -->


            <!-- <div class="col-md-12">
    <h4>{{ __('cruds.permanent_address') }}</h4>
</div> -->
            <!-- 1st row  -->
            <!-- <div class="row">
                        <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 "> -->
            <!-- address -->
            <!-- <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label class="form-label">{{__('cruds.address')}}</label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <input type="text" class="form-control  {{ $errors->has('permanent_address') ? 'is-invalid' : '' }}"
                                name="n_permanent_address" id="n_permanent_address" placeholder="{{__('cruds.address')}}"
                                value="{{ isset($ninfo)?$ninfo->permanent_address:'' }}">
                            @if($errors->has('n_permanent_address'))
                            <em class="invalid-feedback">
                                {{ $errors->first('n_permanent_address') }}
                            </em>
                            @endif
                            </div>
                            </div>

                        </div>
                        <div class="col-sm-12 col-md-6 col-xl-6 col-lg-6 "> -->
            <!-- country  -->
            <!-- <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label class="form-label">{{__('cruds.country')}}</label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <select class="form-control {{ $errors->has('n_permanent_country_id') ? 'is-invalid' : '' }}"
                name="n_permanent_country_id" id="n_permanent_country_id">
                {!! options('countries', [], [], 'id', 'nicename', 'name', 'asc',
                trans('cruds.select'), isset($ninfo)?$ninfo->permanent_country_id:0) !!}
            </select>
            @if($errors->has('n_permanent_country_id'))
            <em class="invalid-feedback">
                {{ $errors->first('n_permanent_country_id') }}
            </em>
            @endif
                            </div>
                            </div> -->

            <!-- Division   -->
            <!-- <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label class="form-label">{{__('cruds.division')}} </label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <select class="form-control {{ $errors->has('permanent_division_id') ? 'is-invalid' : '' }}"
                name="n_permanent_division_id" id="n_permanent_division_id"
                onchange="loadChild('districts',[['division_id','=',this.value]],'id','district_name','id','asc','{{ trans('cruds.select') }}','','#n_permanent_district_id')">
                {!! options('divisions', [], [], 'id', 'division_name', 'id', 'asc',
                trans('cruds.select'), isset($ninfo)?$ninfo->permanent_division_id:0) !!}
            </select>
            @if($errors->has('n_permanent_division_id'))
            <em class="invalid-feedback">
                {{ $errors->first('n_permanent_division_id') }}
            </em>
            @endif
                            </div>
                            </div> -->

            <!-- District   -->
            <!-- <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label class="form-label">{{__('cruds.district')}} </label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <select class="form-control {{ $errors->has('n_permanent_district_id') ? 'is-invalid' : '' }}"
                name="n_permanent_district_id" id="n_permanent_district_id"
                onchange="loadChild('upazilas',[['district_id','=',this.value]],'id','upazila_name','id','asc','{{ trans('cruds.select') }}','','#n_permanent_upazila_id')">
                {!! options('districts', [], [], 'id', 'district_name', 'id', 'asc',
                trans('cruds.select'), isset($ninfo)?$ninfo->permanent_district_id:0) !!}
            </select>
            @if($errors->has('n_permanent_district_id'))
            <em class="invalid-feedback">
                {{ $errors->first('n_permanent_district_id') }}
            </em>
            @endif
                            </div>
                            </div> -->

            <!-- Upazila    -->
            <!-- <div class="row d-flex align-items-center justify-content-start ">
                            <div class="col-md-5 col-sm-12 col-lg-5 col-xl-5 text-left">
                            <label class="form-label">{{__('cruds.upazila')}} </label>
                            </div>
                            <div class="col-md-7 col-sm-12 col-lg-7 col-xl-7 text-left">
                            <select class="form-control {{ $errors->has('n_permanent_upazila_id') ? 'is-invalid' : '' }}"
                name="n_permanent_upazila_id" id="n_permanent_upazila_id">
                {!! options('upazilas', [], [], 'id', 'upazila_name', 'id', 'asc',
                trans('cruds.select'), isset($ninfo)?$ninfo->permanent_upazila_id:0) !!}
            </select>
            @if($errors->has('n_permanent_upazila_id'))
            <em class="invalid-feedback">
                {{ $errors->first('n_permanent_upazila_id') }}
            </em>
            @endif
                            </div>
                            </div>

                        </div>
                    </div> -->





    </div>
    {{-- Nominee's Information End--}}
</div>
<div class="row pt-5 pb-4">
    <div class="col-md-12 text-center">
        <button type="submit" class="btn btn-success">{{ __('cruds.save') }}</button>
    </div>
</div>
</form>
</div>

</div>
{{-- <script>
    select2();
</script> --}}
<script src="/assets/admin/js/fileupload.js"></script>
<script src="/assets/admin/js/file-upload.js"></script>
@include('admin.common.select2')
@endsection