@php
    $data = isset($data)?$data:null;
    $info = isset($data->nominee_information)?$data->nominee_information:null;
@endphp
<style>
    #nominee_information_form input[type="file"]{
        display:block !important;
    }
    #nominee_information_form select{
        width: 100% !important;
        border: 1px solid #ced4da !important;
        min-height: 35px !important;
    }
</style>
<form id="nominee_information_form" action="{{ route('admin.customer.store') }}" method="POST" enctype="multipart/form-data">
    @csrf
    <input type="hidden" name="user_id" value="{{ $data->id??0 }}">
    <input type="hidden" name="model" value="nominee_information">
    <input type="hidden" name="updated_id" value="{{ $info->id??0 }}">
    <div class="row pt-3">

        <div class="col-md-6">
            <div class="form-group">
                <label for="firstname">{{ __('cruds.nominees') }} {{ __('cruds.firstname') }}</label>
                <input type="text" class="form-control" id="firstname" name="firstname" value="{{ $info->firstname??'' }}">
            </div>
        </div>
        <div class="col-md-6">
            <div class="form-group">
                <label for="lastname">{{ __('cruds.nominees') }} {{ __('cruds.lastname') }} </label>
                <input type="text" class="form-control" id="lastname" name="lastname" value="{{ $info->lastname??'' }}">
            </div>
        </div>
         <div class="col-md-6">
            <div class="form-group">
                <label for="father_name">{{ __('cruds.father_name') }} </label>
                <input type="text" class="form-control" id="father_name" name="father_name" value="{{ $info->father_name??'' }}">
            </div>
        </div>
        <div class="col-md-6">
            <div class="form-group">
                <label for="mother_name">{{ __('cruds.mother_name') }}</label>
                <input type="text" class="form-control" id="mother_name" name="mother_name" value="{{ $info->mother_name??'' }}">
            </div>
        </div>
        <div class="col-md-6">
            <div class="form-group">
                <label for="spouse_name">{{ __('cruds.spouse_name') }}</label>
                <input type="text" class="form-control" id="spouse_name" name="spouse_name" value="{{ $info->spouse_name??'' }}">
            </div>
        </div>
        <div class="col-md-6">
            <div class="form-group">
                <label for="profession">{{ __('cruds.profession') }} </label>
                <input type="text" class="form-control" id="profession" name="profession" value="{{ $info->profession??'' }}">
            </div>
        </div>
        <div class="col-md-6">
            <div class="form-group">
                <label for="date_of_birth">{{ __('cruds.date_of_birth') }} </label>
                <input type="date" class="form-control" id="date_of_birth" name="date_of_birth" value="{{ $info->date_of_birth??'' }}">
            </div>
        </div>
        <div class="col-md-6">
            <div class="form-group">
                <label for="id_type">{{ __('cruds.id_type') }}</label>
                <input type="text" class="form-control" id="id_type" name="id_type" value="{{ $info->id_type??'' }}">
            </div>
        </div>
        <div class="col-md-6">
            <div class="form-group">
                <label for="id_number">{{ __('cruds.id_number') }} </label>
                <input type="text" class="form-control" id="id_number" name="id_number" value="{{ $info->id_number??'' }}">
            </div>
        </div>
        <div class="col-md-6">
            <div class="form-group">
                <label for="religion">{{ __('cruds.religion') }} </label>
                <select name="religion" id="religion" class="form-control select2">
                    {!! option(religion(),trans('cruds.select'),$info->religion??'') !!}
                </select>

            </div>
        </div>
        <div class="col-md-6">
            <div class="form-group">
                <label for="nationality">{{ __('cruds.nationality') }} </label>
                <input type="text" class="form-control" id="nationality" name="nationality" value="{{ $info->nationality??'' }}">
            </div>
        </div>
        <div class="col-md-6">
            <div class="form-group">
                <label for="gender">{{ __('cruds.gender') }} </label>
                <select name="gender" id="gender" class="form-control select2">
                    {!! option(gender(),trans('cruds.select'),$info->gender??'') !!}
                </select>
            </div>
        </div>
        <div class="col-md-6">
            <div class="form-group">
                <label for="mobile_no">{{ __('cruds.mobile_no') }}</label>
                <input type="text" class="form-control" id="mobile_no" name="mobile_no" value="{{ $info->mobile_no??'' }}">
            </div>
        </div>
        <div class="col-md-6">
            <div class="form-group">
                <label for="email">{{ __('cruds.email_address') }}</label>
                <input type="email" class="form-control" id="email" name="email" value="{{ $info->email??'' }}">
            </div>
        </div>
        <div class="col-md-6">
            <div class="form-group">
                <label for="profile_photo">{{ __('cruds.profile_photo') }} </label>
                {!! uploadedFile(isset($info)?$info:'',isset($info)?$info->profile_photo:'','create','','profile_photo') !!}
                {{-- <input type="file" class="form-control" id="profile_photo" name="profile_photo" value="{{ $info->profile_photo??'' }}"> --}}
            </div>
        </div>
        {{-- <div class="col-md-6">
            @if(isset($info))

                <img src="{{ $info->profile_photo }}" style="height: 150px; width:150px;" alt="">
            @endif
        </div> --}}
        <div class="col-md-12">
            <h4>{{ __('cruds.present_address') }}</h4>
        </div>
        <div class="col-md-6">
            <label class="form-label">{{__('cruds.country')}} </label>
            <select class="form-control select2  {{ $errors->has('present_country_id') ? 'is-invalid' : '' }}"
                name="present_country_id" id="present_country_id">
                {!! options('countries', [], [], 'id', 'nicename', 'name', 'asc',
                trans('cruds.select'), isset($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 class="col-md-6">
            <label class="form-label">{{__('cruds.division')}}</label>
            <select class="form-control select2  {{ $errors->has('present_division_id') ? 'is-invalid' : '' }}"
                name="present_division_id" id="n_present_division_id"
                onchange="loadChild('districts',[['division_id','=',this.value]],'id','district_name','id','asc','{{ trans('cruds.select') }}','','#n_present_district_id')">
                {!! options('divisions', [], [], 'id', 'division_name', 'id', 'asc',
                trans('cruds.select'), isset($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 class="col-md-6">
            <label class="form-label">{{__('cruds.district')}}</label>
            <select class="form-control select2  {{ $errors->has('present_district_id') ? 'is-invalid' : '' }}"
                name="present_district_id" id="n_present_district_id"
                onchange="loadChild('upazilas',[['district_id','=',this.value]],'id','upazila_name','id','asc','{{ trans('cruds.select') }}','','#n_present_upazila_id')">
                {!! options('districts', [], [], 'id', 'district_name', 'id', 'asc',
                trans('cruds.select'), isset($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 class="col-md-6">
            <label class="form-label">{{__('cruds.upazila')}}</label>
            <select class="form-control select2  {{ $errors->has('present_upazila_id') ? 'is-invalid' : '' }}"
                name="present_upazila_id" id="n_present_upazila_id" >
                {!! options('upazilas', [], [], 'id', 'upazila_name', 'id', 'asc',
                trans('cruds.select'), isset($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 class="col-md-6">
            <label class="form-label">{{__('cruds.address')}}</label>
            <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 class="col-md-12">
            <h4>{{ __('cruds.permanent_address') }}</h4>
        </div>
        <div class="col-md-6">
            <label class="form-label">{{__('cruds.country')}}</label>
            <select class="form-control select2  {{ $errors->has('permanent_country_id') ? 'is-invalid' : '' }}"
                name="permanent_country_id" id="permanent_country_id">
                {!! options('countries', [], [], 'id', 'nicename', 'name', 'asc',
                trans('cruds.select'), isset($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 class="col-md-6">
            <label class="form-label">{{__('cruds.division')}} </label>
            <select class="form-control select2  {{ $errors->has('permanent_division_id') ? 'is-invalid' : '' }}"
                name="permanent_division_id" id="permanent_division_id"
                onchange="loadChild('districts',[['division_id','=',this.value]],'id','district_name','id','asc','{{ trans('cruds.select') }}','','#n_permanent_district_id')">
                {!! options('divisions', [], [], 'id', 'division_name', 'id', 'asc',
                trans('cruds.select'), isset($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 class="col-md-6">
            <label class="form-label">{{__('cruds.district')}} </label>
            <select class="form-control select2  {{ $errors->has('permanent_district_id') ? 'is-invalid' : '' }}"
                name="permanent_district_id" id="n_permanent_district_id"
                onchange="loadChild('upazilas',[['district_id','=',this.value]],'id','upazila_name','id','asc','{{ trans('cruds.select') }}','','#n_permanent_upazila_id')">
                {!! options('districts', [], [], 'id', 'district_name', 'id', 'asc',
                trans('cruds.select'), isset($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 class="col-md-6">
            <label class="form-label">{{__('cruds.upazila')}} </label>
            <select class="form-control select2  {{ $errors->has('permanent_upazila_id') ? 'is-invalid' : '' }}"
                name="permanent_upazila_id" id="n_permanent_upazila_id" >
                {!! options('upazilas', [], [], 'id', 'upazila_name', 'id', 'asc',
                trans('cruds.select'), isset($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 class="col-md-6">
            <label class="form-label">{{__('cruds.address')}}</label>
            <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 class="row pt-3">
        <div class="col-md-12 text-end">
            <button type="submit" class="btn btn-success">Save & Next</button>
        </div>
    </div>
</form>
<script>
    select2();
</script>
<script src="/assets/admin/js/fileupload.js"></script>
<script src="/assets/admin/js/file-upload.js"></script>