@extends('layouts.welcome')

@section('title')
    Online Application
@endsection

@section('content')
    <div class="page-content-wrapper">
        <div class="page-content">
            <div class="page-bar">
                <div class="page-title-breadcrumb">
                    <ol class="breadcrumb page-breadcrumb pull-center">
                        <li class=""><strong>Personal Details</strong><i class="fa fa-angle-right"></i></li>
                        <li class="">Education Background <i class="fa fa-angle-right"></i></li>
                        <li class="">Programme <i class="fa fa-angle-right"></i></li>
                        <li class="">Confirm Details <i class="fa fa-angle-right"></i></li>
                        <li class="">Files</li>
                    </ol>
                </div>
            </div>
            @if (session('error'))
                <div class="alert alert-danger alert-dismissible show" role="alert">
                    <strong>{{ session('error') }}</strong><a href="#" class="alert-link"></a>
                    <button type="button" class="btn-close" data-bs-dismiss="alert" aria-label="Close">
                        <span aria-hidden="false"></span>
                    </button>
                </div>
            @endif
            <div style="margin-top: 30px" class="row">
                <div class="col-md-12 col-sm-12">
                    <div class="card card-box">
                        <div class="card-head">
                            <header>Personal Details</header>
                        </div>
                        <div class="card-body " id="bar-parent2">
                            <form method="post" action="{{ url('personal-details') }}" enctype="multipart/form-data"
                                id="form_sample_1" class="form-horizontal">
                                <div id="personalDet" class="row">

                                    {{-- column1 --}}
                                    <div class="col-md-4 col-sm-6">
                                        <!-- text input -->
                                        <div class="form-group">
                                            <label>First name</label>
                                            <input type="hidden" name="applicant_type_id" value="{{ $applicant_type_id }}">
                                            <input type="text" name="first_name" class="form-control"
                                                placeholder="First name"
                                                style="border-color: @error('first_name') red @enderror" value={{ old('first_name') }}>
                                            @error('first_name')
                                                <div class="invalid-feedback">
                                                    {{ $message }}
                                                </div>
                                            @enderror
                                        </div><br>
                                        <div class="form-group">
                                            <label>Last name</label>
                                            <input type="text" name="last_name" class="form-control"
                                                placeholder="Last name"
                                                style="border-color: @error('last_name') red @enderror" value={{ old('last_name') }}>
                                            @error('last_name')
                                                <div class="invalid-feedback">
                                                    {{ $message }}
                                                </div>
                                            @enderror
                                        </div><br>
                                        <div class="form-group">
                                            <label>NRC/Passport Number</label>
                                            <input type="text" name="nrc_passport" class="form-control"
                                                placeholder="NRC/Passport name"
                                                style="border-color: @error('nrc_passport') red @enderror" value={{ Session::get('nrc_passport') }} readonly>
                                            @error('nrc_passport')
                                                <div class="invalid-feedback">
                                                    {{ $message }}
                                                </div>
                                            @enderror
                                        </div> <br>

                                        <div class="form-group">
                                            <label>Email</label>
                                            <input type="email" name="email" class="form-control" placeholder="Email"
                                                style="border-color: @error('email') red @enderror" value={{ old('email') }}>
                                            @error('email')
                                                <div class="invalid-feedback">
                                                    {{ $message }}
                                                </div>
                                            @enderror
                                        </div> <br>
                                    </div>
                                    {{-- column1 --}}
                                    <div class="col-md-4 col-sm-6">
                                        <!-- text input -->
                                        <div class="form-group">
                                            <label>Date Of Birth</label>
                                            <input name="dob" type="date" class="form-control" placeholder="DOB"
                                                style="border-color: @error('dob') red @enderror" value={{ old('dob') }}>
                                            @error('dob')
                                                <div class="invalid-feedback">
                                                    {{ $message }}
                                                </div>
                                            @enderror
                                        </div><br>

                                        <div class="form-group">
                                            <label>Next of Kin</label>
                                            <input name="next_of_kin" type="text" class="form-control" placeholder="Name"
                                                style="border-color: @error('next_of_kin') red @enderror" value={{ old('next_of_kin') }}>
                                            @error('next_of_kin')
                                                <div class="invalid-feedback">
                                                    {{ $message }}
                                                </div>
                                            @enderror
                                        </div><br>

                                        <div class="form-group">
                                            <label>Next of Kin Contact</label>
                                            <input name="next_of_kin_phone" type="text" class="form-control"
                                                placeholder="phone"
                                                style="border-color: @error('next_of_kin_phone') red @enderror" value={{ old('next_of_kin_phone') }}>
                                            @error('next_of_kin_phone')
                                                <div class="invalid-feedback">
                                                    {{ $message }}
                                                </div>
                                            @enderror
                                        </div><br>

                                        <div class="form-group">
                                            <label>Phone</label>
                                            <input type="text" name="phone" class="form-control" placeholder="Phone"
                                                style="border-color: @error('phone') red @enderror" value={{ old('phone') }}>
                                            @error('phone')
                                                <div class="invalid-feedback">
                                                    {{ $message }}
                                                </div>
                                            @enderror
                                        </div> <br>
                                    </div>
                                    {{-- column3 --}}
                                    <div class="col-md-4 col-sm-6">
                                        <!-- textarea -->
                                        <div class="form-group">
                                            <label>Physical Address</label>
                                            <input name="address" type="text" class="form-control" placeholder="Address"
                                                style="border-color: @error('address') red @enderror" value={{ old('address') }}>
                                            @error('address')
                                                <div class="invalid-feedback">
                                                    {{ $message }}
                                                </div>
                                            @enderror
                                        </div><br>

                                        <div class="form-group">
                                            <label>City</label>
                                            <input name="city" type="text" class="form-control" placeholder="city"
                                                style="border-color: @error('city') red @enderror" value={{ old('city') }}>
                                            @error('city')
                                                <div class="invalid-feedback">
                                                    {{ $message }}
                                                </div>
                                            @enderror
                                        </div><br>

                                        <div class="form-group">
                                            <label>Gender</label>
                                            <select name="gender" class="form-select"
                                                style="border-color: @error('gender') red @enderror">
                                                {{-- <option selected>-- Select --</option> --}}
                                                <option value="male">Male</option>
                                                <option value="female">Female</option>
                                            </select>
                                            @error('gender')
                                                <div class="invalid-feedback">
                                                    {{ $message }}
                                                </div>
                                            @enderror
                                        </div>

                                        {{-- <div class="form-group">
                                            <label>ID (Front) </label>
                                            <input class="form-control" type="file" name="front_nrc_path"
                                                accept="image/*"
                                                style="border-color: @error('front_nrc_path') red @enderror" value={{ old('front_nrc_path') }}>
                                            @error('front_nrc_path')
                                                <div class="invalid-feedback">
                                                    {{ $message }}
                                                </div>
                                            @enderror
                                        </div>
                                        <div class="form-group">
                                            <label>ID (Back) </label>
                                            <input class="form-control" type="file" name="back_nrc_path"
                                                accept="image/*"
                                                style="border-color: @error('back_nrc_path') red @enderror" value={{ old('back_nrc_path') }}>
                                            @error('back_nrc_path')
                                                <div class="invalid-feedback">
                                                    {{ $message }}
                                                </div>
                                            @enderror
                                        </div>
                                        <div class="form-group">
                                            <label>Portrait Picture </label>
                                            <input class="form-control" type="file" name="size_photo_file_path"
                                                accept="image/*"
                                                style="border-color: @error('size_photo_file_path') red @enderror" value={{ old('size_photo_file_path') }}>
                                            @error('size_photo_file_path')
                                                <div class="invalid-feedback">
                                                    {{ $message }}
                                                </div>
                                            @enderror
                                        </div> --}}

                                    </div>
                                    <div class="col-md-12 col-sm-6">
                                        <button type="submit" class="btn btn-info m-r-20">Next</button>
                                    </div>
                                </div>

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

        </div>
    </div>
    <!-- end page content -->
    <script>
        var currentTab = 0; // Current tab is set to be the first tab (0)
        showTab(currentTab); // Display the current tab

        function showTab(n) {
            // This function will display the specified tab of the form...
            var x = document.getElementsByClassName("tab");
            x[n].style.display = "block";
            //... and fix the Previous/Next buttons:
            if (n == 0) {
                document.getElementById("prevBtn").style.display = "none";
            } else {
                document.getElementById("prevBtn").style.display = "inline";
            }
            if (n == (x.length - 1)) {
                document.getElementById("nextBtn").innerHTML = "Submit";
            } else {
                document.getElementById("nextBtn").innerHTML = "Next";
            }
            //... and run a function that will display the correct step indicator:
            fixStepIndicator(n)
        }

        function nextPrev(n) {
            // This function will figure out which tab to display
            var x = document.getElementsByClassName("tab");
            // Exit the function if any field in the current tab is invalid:
            if (n == 1 && !validateForm()) return false;
            // Hide the current tab:
            x[currentTab].style.display = "none";
            // Increase or decrease the current tab by 1:
            currentTab = currentTab + n;
            // if you have reached the end of the form...
            if (currentTab >= x.length) {
                // ... the form gets submitted:
                document.getElementById("regForm").submit();
                return false;
            }
            // Otherwise, display the correct tab:
            showTab(currentTab);
        }

        function validateForm() {
            // This function deals with validation of the form fields
            var x, y, i, valid = true;
            x = document.getElementsByClassName("tab");
            y = x[currentTab].getElementsByTagName("input");
            // A loop that checks every input field in the current tab:
            for (i = 0; i < y.length; i++) {
                // If a field is empty...
                if (y[i].value == "") {
                    // add an "invalid" class to the field:
                    y[i].className += " invalid";
                    // and set the current valid status to false
                    valid = false;
                }
            }
            // If the valid status is true, mark the step as finished and valid:
            if (valid) {
                document.getElementsByClassName("step")[currentTab].className += " finish";
            }
            return valid; // return the valid status
        }

        function fixStepIndicator(n) {
            // This function removes the "active" class of all steps...
            var i, x = document.getElementsByClassName("step");
            for (i = 0; i < x.length; i++) {
                x[i].className = x[i].className.replace(" active", "");
            }
            //... and adds the "active" class on the current step:
            x[n].className += " active";
        }
    </script>
@endsection