@extends('frontend.layouts.app')
@section('content')
<div class="panel panel-default" style="margin-top: 20px;">
	<div class="panel-heading bg-success">
		@include('frontend.become-member.membership-header')
		<h3 class="panel-title">Personal Information</h3>
	</div>
	<div class="panel-body">
		<form method="POST" action="{{route('become-member.personal-info.update', $editData->id)}}">		
			@csrf
			<div class="card">
				<div class="card-body">
					@php
					if(old('full_name')){
						$full_name = old('full_name');	
					}elseif($editData){
						$full_name = $editData->full_name;
					}else{
						$full_name = null;
					}

					if(old('father_name')){
						$father_name = old('father_name');	
					}elseif($editData){
						$father_name = $editData->father_name;
					}else{
						$father_name = null;
					}

					if(old('mother_name')){
						$mother_name = old('mother_name');	
					}elseif($editData){
						$mother_name = $editData->mother_name;
					}else{
						$mother_name = null;
					}

					if(old('gender')){
						$gender = old('gender');	
					}elseif($editData){
						$gender = $editData->gender;
					}else{
						$gender = null;
					}

					if(old('marital_status')){
						$marital_status = old('marital_status');	
					}elseif($editData){
						$marital_status = $editData->marital_status;
					}else{
						$marital_status = null;
					}

					if(old('dob')){
						$dob = old('dob');	
					}elseif($editData){
						$dob = $editData->dob;
					}else{
						$dob = null;
					}

					if(old('country_id')){
						$country_id = old('country_id');	
					}elseif($editData){
						$country_id = $editData->country_id;
					}else{
						$country_id = null;
					}

					if(old('member_category_id')){
						$member_category_id = old('member_category_id');	
					}elseif($editData){
						$member_category_id = $editData->member_category_id;
					}else{
						$member_category_id = null;
					}

					if(old('blood_group')){
						$blood_group = old('blood_group');	
					}elseif($editData){
						$blood_group = $editData->blood_group;
					}else{
						$blood_group = null;
					}

					if(old('additional_info')){
						$additional_info = old('additional_info');	
					}elseif($editData){
						$additional_info = $editData->additional_info;
					}else{
						$additional_info = null;
					}

					@endphp
					<div class="row">
						<div class="col-sm-6">
							<div class="form-group">
								<label class="control-label">Member Category <span class="text-danger">*</span></label>
								<select class="form-control" name="member_category_id" required="">
									<option value="">Select Member Category</option>
									@foreach($member_categories as $category)
									<option value="{{$category->id}}" @if($category->id == $member_category_id) selected @endif>{{$category->name}}</option>
									@endforeach
								</select>
							</div>
						</div>
						<div class="col-sm-6">
							<div class="form-group">
								<label class="control-label">Password</label>
								<input type="password" name="password" class="form-control {{$errors->has('password')?'is-invalid':''}}" />
								@if($errors->has('password'))
								<div class="invalid-feedback">
									{{$errors->first('password')}}
								</div>
								@endif
								<span class="text-info">Please keep blank if you don't want to change</span>
							</div>
						</div>
					</div>
					<div class="row">
						<div class="col-sm-6">
							<div class="form-group">
								<label class="control-label">Full Name <span class="text-danger">*</span></label>
								<input type="text" name="full_name" value="{{$full_name}}" class="form-control {{$errors->has('full_name')?'is-invalid':''}}" placeholder="Full Name" />
								@if($errors->has('full_name'))
								<div class="invalid-feedback">
									{{$errors->first('full_name')}}
								</div>
								@endif
							</div>
							<div class="form-group">
								<label class="control-label">Father's Name</label>
								<input type="text" name="father_name" value="{{$father_name}}" class="form-control {{$errors->has('father_name')?'is-invalid':''}}" placeholder="Father's Name" />
								@if($errors->has('father_name'))
								<div class="invalid-feedback">
									{{$errors->first('father_name')}}
								</div>
								@endif
							</div>
							<div class="form-group">
								<label class="control-label">Mother's Name</label>
								<input type="text" name="mother_name" value="{{$mother_name}}" class="form-control {{$errors->has('mother_name')?'is-invalid':''}}" placeholder="Mother's Name" />
								@if($errors->has('mother_name'))
								<div class="invalid-feedback">
									{{$errors->first('mother_name')}}
								</div>
								@endif
							</div>
							<div class="form-group">
								<label class="control-label">Gender</label>
								<select class="form-control {{$errors->has('gender')?'is-invalid':''}}" name="gender">
									<option value="">Select Gender</option>
									<option value="Male" {{$gender == 'Male'?'selected':''}}>Male</option>
									<option value="Female" {{$gender == 'Female'?'selected':''}}>Female</option>
								</select>
								@if($errors->has('gender'))
								<div class="invalid-feedback">
									{{$errors->first('gender')}}
								</div>
								@endif
							</div>
						</div>
						<div class="col-sm-6">
							<div class="form-group">
								<label class="control-label">Marital Status</label>
								<select class="form-control {{$errors->has('marital_status')?'is-invalid':''}}" name="marital_status">
									<option value="">Select Marital Status</option>
									<option value="Married" {{$marital_status == 'Married'?'selected':''}}>Married</option>
									<option value="Single" {{$marital_status == 'Single'?'selected':''}}>Single</option>
									<option value="Widowed" {{$marital_status == 'Widowed'?'selected':''}}>Widowed</option>
									<option value="Separated" {{$marital_status == 'Separated'?'selected':''}}>Separated</option>
								</select>
								@if($errors->has('marital_status'))
								<div class="invalid-feedback">
									{{$errors->first('marital_status')}}
								</div>
								@endif
							</div>
							<div class="form-group">
								<label class="control-label">Date of Birth</label>
								<input type="text" name="dob" value="{{$dob}}" class="form-control single-date-picker {{$errors->has('dob')?'is-invalid':''}}" />
								@if($errors->has('dob'))
								<div class="invalid-feedback">
									{{$errors->first('dob')}}
								</div>
								@endif
							</div>
							<div class="form-group">
								<label class="control-label">Nationality</label>
								<select name="country_id" class="form-control select2 {{$errors->has('country_id')?'is-invalid':''}}">
									{!! nationalityDropDown($country_id) !!}
								</select>
								@if($errors->has('country_id'))
								<div class="invalid-feedback">
									{{$errors->first('country_id')}}
								</div>
								@endif
							</div>
							<div class="form-group">
								<label class="control-label">Blood Group</label>
								<select class="form-control {{$errors->has('blood_group')?'is-invalid':''}}" name="blood_group">
									<option value="">Select Blood Group</option>
									<option value="A Positive" {{$blood_group == 'A Positive'?'selected':''}}>A Positive</option>
									<option value="A Negative" {{$blood_group == 'A Negative'?'selected':''}}>A Negative</option>
									<option value="B Positive" {{$blood_group == 'B Positive'?'selected':''}}>B Positive</option>
									<option value="B Negative" {{$blood_group == 'B Negative'?'selected':''}}>B Negative</option>
									<option value="AB Positive" {{$blood_group == 'AB Positive'?'selected':''}}>AB Positive</option>
									<option value="AB Negative" {{$blood_group == 'AB Negative'?'selected':''}}>AB Negative</option>
									<option value="O Positive" {{$blood_group == 'O Positive'?'selected':''}}>O Positive</option>
									<option value="O Negative" {{$blood_group == 'O Negative'?'selected':''}}>O Negative</option>
								</select>
								@if($errors->has('blood_group'))
								<div class="invalid-feedback">
									{{$errors->first('blood_group')}}
								</div>
								@endif
							</div>
						</div>
					</div>
					<div class="row">
						<div class="col-sm-12">
							<div class="form-group">
								<label class="control-label">Additional Information</label>
								<textarea class="form-control {{$errors->has('additional_info')?'is-invalid':''}}" rows="5" name="additional_info">{{$additional_info}}</textarea>
								@if($errors->has('additional_info'))
								<div class="invalid-feedback">
									{{$errors->first('additional_info')}}
								</div>
								@endif
							</div>
						</div>
					</div>				
				</div>
				<div class="card-footer text-right">				
					<input type="submit" name="action" value="Next" class="btn btn-warning">					
				</div>
			</div>			
		</form>	
	</div>
	<div class="panel-footer">

	</div>
</div>
@endsection
@section('page_script')
<script type="text/javascript">
	$(function(){								
		$('.single-date-picker').daterangepicker({
			singleDatePicker: true,
			showDropdowns: true,
			locale: {
				format: 'YYYY-MM-DD'
			}
		});								
	});
</script>
@endsection