@extends('layouts.master')

@section('title',  __('tr.Request Certificate'))
@section('titleicon', "icon-file-text")

@section('content')

    <div class="main-content">
        <form id="submit_form" autocomplete="off"
              action="{{ route('save_certificate_request', ['userRequest' => (($userRequest->id!=0)?$userRequest->id:null)]) }}"
              method="POST" enctype="multipart/form-data">
            {{ csrf_field() }}

            <input type="hidden" name="request_type" value="2">
            <input type="hidden" name="delivery_fees" id="delivery_fees" value="0">

            <div class="row">

                <div class="col-lg-7 col-xs-12 col-md-12 col-sm-12">
                    <div class="card">
                        <div class="card-header">@lang('tr.General Information')</div>

                        @if($errors->any())
                            <div class="alert alert-danger text-white bg-danger">
                                <button type="button" class="close" data-dismiss="alert" aria-label="Close">
                                    <span aria-hidden="true">×</span>
                                </button>
                                <ul>
                                    @foreach($errors->all() as $error)
                                        <li>{{ $error }}</li>
                                    @endforeach
                                </ul>
                            </div>
                        @endif

                        <div class="card-body">

                            <div class="form-group">
                                <label>@lang('tr.English Name') <span class="required_field">*</span></label>
                                <input name="en_name" value="{{dataField($userRequest, 'en_name')}}" type="text"
                                       class="form-control" required maxlength="256" style="direction: ltr;"/>
                            </div>

                            <div class="form-group">
                                <label>@lang('tr.Mobile') <span class="required_field">*</span></label>
                                <input name="mobile" value="{{dataField($userRequest, 'mobile')}}" type="text"
                                       class="form-control" required maxlength="256"/>
                            </div>

                        </div>
                    </div>

                    <div class="card">
                        <div class="card-header">@lang('tr.Request Information')</div>
                        <div class="card-body">
                            <div class="form-group">
                                <label>@lang('tr.Provided to') <span class="required_field">*</span></label>
                                <input id="apply_to" name="apply_to" value="{{dataField($userRequest, 'apply_to')}}"
                                       type="text" class="form-control" required maxlength="256"/>
                            </div>

                            @include('system.components.documents', ['showTitle'=>false])
                        </div>
                    </div>

                    @if($userRequest->order_status=="EMPTY")
                        <div class="card">
                            <div class="card-header">@lang('tr.Certificates')</div>
                            <div class="card-body">
                                @include('system.components.certificates')
                            </div>
                        </div>

                        @if($currency == "EGP" && $isDeliveryOn)
                            <div class="card">
                                <div class="card-header">@lang('tr.delivery')</div>
                                <div class="card-body">
                                    @include('system.components.delivery')
                                </div>
                            </div>
                        @endif
                    @endif

                    <hr/>
                    <button type="submit" id="btnSubmitRequest" class="btn btn-primary btn-md"
                            style="float: {{right()}}"> @lang('tr.Submit')</button>
                </div>

            </div>

            <br/>
            <br/>

        </form>
    </div>

    <script type="text/javascript">
        $(document).ready(function () {
        });
    </script>
@endsection