@extends('backend.admin-withouterrmaster')
@section('site-title')
    {{__('Dashboard')}}
@endsection
@section('content')
 <!-- 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">Personal Loan /</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
              <div class="row">
                <div class="col-md-12">

                  <div class="card mb-4">

                    <hr class="my-0" />
                    <div class="card-body">
                     <form action="{{ route('superadmin.pldocumentsubmit') }}" 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 class="col-sm-2 col-form-label" for="basic-default-name">Type of Loan<sup style="color:red;">*</sup>  </label>
                          <div class="col-sm-10">
						  <select class="form-control" name="type_of_loan">
                               <option value="">Select</option>
                               <option value="Loan For Business Person">Loan For Business Person</option>
                               <option value="Loan For Salaried Person">Loan For Salaried Person</option>
                            </select>
							@if($errors->has('type_of_loan'))
									<div class="error">{{ $errors->first('type_of_loan') }}</div>
							@endif
						  </div>
                        </div>
                        <div class="row mb-3">
                          <label class="col-sm-2 col-form-label" for="basic-default-name">Full Name<sup style="color:red;">*</sup>  </label>
                          <div class="col-sm-10">
                            <input type="text" value="{{ old('full_name') ? old('full_name') : Session()->get('enquiry_username') }}" name="full_name" class="form-control" id="full_name" placeholder="" />
							@if($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>