@extends('backend.admin-withouterrmaster')
@section('site-title')
    {{__('Dashboard')}}
@endsection
@section('content')

<style>
.error {
    color: red;
}
</style>


		 <!-- Content wrapper -->
          <div class="content-wrapper">
            <!-- Content -->

            <div class="container-xxl flex-grow-1 container-p-y">
              <h4 class="fw-bold py-3 mb-4"><span class="text-muted fw-light"> Credit Card  /</span> Document Process</h4>
			 @if(session('success'))
			<div class="alert alert-success alert-dismissable custom-success-box">
				 <a href="#" class="close" data-dismiss="alert" aria-label="close">&times;</a>
				 <strong> {{session('success')}} </strong>
			  </div>
			@endif

              <!-- Horizontal -->
             <div class="col-lg-12">

                  <div class="nav-align-top mb-4">

                    <div class="tab-content">

                      <div class="tab-pane fade active show" id="navs-pills-justified-messages" role="tabpanel">

					 <form action="{{ route('superadmin.ccdocumentsubmit') }}" enctype="multipart/form-data" method="POST" >
					  @csrf
					  <input type="hidden" class="form-control"  name="userid" id="userid"  value="{{$user_details->id}}" />
					  <input type="hidden" class="form-control"  name="query_for" id="query_for"  value="Self" />



					 <div class="row mb-3">
                            <label for="firstName" class="form-label col-sm-2">Descriptions<sup style="color:red;">*</sup> </label>
                            <div class="col-sm-10">
								<textarea name="description" id="basic-default-message" class="form-control" placeholder="Details / Steps">{{ old('description') }}</textarea>
								@if($errors->has('description'))
										<div class="error">{{ $errors->first('description') }}</div>
								@endif
								</div>
                          </div>


			<div style="display:none;">
				<input
					  class="form-check-input"
					  type="radio"
					  name="loan_type"
					  id="inlineRadio1"
					  value="Salaried"
					  onclick="showhide('Salaried');"
					  {{ ( old('loan_type')=='Salaried' || old('loan_type')=='' ) ? 'checked' : '' }}
					/>
					<input
					  class="form-check-input"
					  type="radio"
					  name="loan_type"
					  id="inlineRadio2"
					  value="Self Employed"
					  onclick="showhide('Self Employed');"
					  {{ ( old('loan_type')=='Self Employed' ) ? 'checked' : '' }}
					/>
			</div>
			<div class="col-xl-12">
                  <div class="nav-align-top mb-4">
                    <ul class="nav nav-tabs" role="tablist">
                      <li class="nav-item">
                        <button
                          id="salaried_tab"
						  type="button"
                          class="nav-link {{ ( old('loan_type')=='Salaried' || old('loan_type')=='') ? 'active' : '' }}"
                          role="tab"
						  onclick="showchk('Salaried');"
                          data-bs-toggle="tab"
                          data-bs-target="#navs-top-home"
                          aria-controls="navs-top-home"
                          aria-selected="{{ ( old('loan_type')=='Salaried' ) ? 'true' : 'false' }}"

                        >
                          Salaried
                        </button>
                      </li>
                      <li class="nav-item">
                        <button
                          id="self_tab"
						  type="button"
                          class="nav-link {{ ( old('loan_type')=='Self Employed' ) ? 'active' : '' }}"
                          role="tab"
						  onclick="showchk('Self Employeed');"
                          data-bs-toggle="tab"
                          data-bs-target="#navs-top-profile"
                          aria-controls="navs-top-profile"
                          aria-selected="{{ ( old('loan_type')=='Self Employed' ) ? 'true' : 'false' }}"
                        >
                          Self Employeed
                        </button>
                      </li>

                    </ul>
                    <div class="tab-content">


					  <div class="tab-pane fade {{ ( old('loan_type')=='Salaried' || old('loan_type')=='') ? 'show active' : '' }}" id="navs-top-home" role="tabpanel">

                        <div class="row mb-3">
                          <label class="col-sm-2 col-form-label" for="basic-default-name">Full Name<sup style="color:red;">*</sup>  </label>
                         <div class="col-sm-10">
                            <input type="text" value="{{ old('full_name_') ? old('full_name') : Session()->get('enquiry_username') }}" name="full_name_" class="form-control" id="full_name" placeholder="" />
							@if($errors->has('full_name_'))
									<div class="error">{{ $errors->first('full_name_') }}</div>
							@endif
						  </div>
                        </div>

                         <div class="row mb-3">
                          <label class="col-sm-2 col-form-label" for="basic-default-name">Email id<sup style="color:red;">*</sup>  </label>
                          <div class="col-sm-10">
                            <input type="email" name="email_" class="form-control" value="{{ old('email_') ? old('email') : Session()->get('enquiry_useremail') }}"  id="emailid" placeholder="" />
							@if($errors->has('email_'))
									<div class="error">{{ $errors->first('email_') }}</div>
							@endif
						  </div>
                        </div>

                        <div class="row mb-3">
                          <label class="col-sm-2 col-form-label" for="basic-default-phone">Contact No.<sup style="color:red;">*</sup> </label>
                         <div class="col-sm-10">
                            <input
                              type="tel"
                              id="contact_no"
							  name="contact_no_"
							  value="{{ old('contact_no') ? old('contact_no') : Session()->get('enquiry_userphone') }}"
                              class="form-control phone-mask"
                              placeholder=""
                            />
							@if($errors->has('contact_no_'))
									<div class="error">{{ $errors->first('contact_no_') }}</div>
							@endif
                          </div>
                        </div>

						 <div class="row mb-3">
                          <label class="col-sm-2 col-form-label" for="basic-default-phone">Address<sup style="color:red;">*</sup> </label>
                          <div class="col-sm-10">
                            <input
                              type="tel"
                              id="address"
							  name="address_"
							  value="{{ old('address_') }}"
                              class="form-control phone-mask"
                              placeholder=""
                            />
							@if($errors->has('address_'))
									<div class="error">{{ $errors->first('address_') }}</div>
							@endif
                          </div>
                        </div>
                        <div class="row mb-3">
                            <label class="col-sm-2 col-form-label" for="country">Country<sup style="color:red;">*</sup></label>
                            <div class="col-sm-10">
                              <select onchange="getstate(this.value);" id="country" class="select2 form-select" name="country_id">
                                <option disabled selected>Select country</option>
                                @foreach($country as $list)

                                  <option {{ old('country_id')==$list->country_id ? "selected":"" }} value="{{$list->country_id}}">{{$list->country_name}}</option>

                                @endforeach
                              </select>
                              @if($errors->has('country_id'))
                                      <div class="error">{{ $errors->first('country_id') }}</div>
                              @endif
                            </div>
                          </div>