@extends('layouts.dashboard-app')

@section('main-content')
    <div class="content-body">
        <div class="container">
            <div class="row page-titles">
                <div class="col p-0">
                    <h4>Hello, <span>Welcome {{ auth()->user()->name }}</span></h4>

                </div>
                <div class="col p-0">
                    <ol class="breadcrumb">
                        <li class="breadcrumb-item"><a href="javascript:void(0)">From</a>
                        </li>
                        <li class="breadcrumb-item active">Basic</li>
                    </ol>
                </div>
            </div>
            <div class="row">
                <div class="col-lg-12">
                    <div class="card">
                        <div class="card-body">
                            @if ($errors->any())
                                <div class="alert alert-danger" role="alert">
                                    <button type="button" class="close" data-dismiss="alert" aria-label="Close">
                                        <span aria-hidden="true">×</span>
                                    </button>

                                    @foreach ($errors->all() as $error)
                                        {{ $error }}<br />
                                    @endforeach
                                </div>
                            @endif
                            <div class="container mb-10 pt-10" style="margin-bottom:50px;">
                                <div class="row">
                                    <div class="col-md-6">
                                        <form onsubmit="return false" method="post" enctype="multipart/form-data"
                                            id="FetchApiForm3">
                                            @csrf
                                            Emirates Front ID:
                                            <input type="file" name="front_img" id="front_img"
                                                onchange="NameApi('{{ route('ocr-name.submit') }}','FetchApiForm3')">
                                            <img src="" id="front_img_display" style="width:175px;"
                                                accept="image/*">
                                        </form>
                                    </div>
                                    <div class="col-md-6">

                                        <form onsubmit="return false" method="post" enctype="multipart/form-data"
                                            id="FetchApiForm">
                                            @csrf
                                            Emirates Back ID:
                                            <input type="file" name="front_img" id="back_img"
                                                onchange="SavingDataDeal('{{ route('ocr.submit') }}','FetchApiForm')">
                                            <img src="" id="back_img_display" style="width:175px;" accept="image/*">
                                        </form>
                                    </div>
                                </div>

                            </div>

                            <form class="form-horizontal form-label-left input_mask" method="post" id="update_form"
                                autocomplete="off">
                                @csrf

                                {{-- @dd($lead_sale->sale_type); --}}
                                {{-- @dd($lead_sale->id); --}}
                                {{--  --}}
                                {{-- <input type="hidden" name="sale_type" value="{{ $type . ' ' . $ptype }}"> --}}
                                <input type="hidden" name="sale_type" value="{{ $lead_sale->sale_type }}">
                                <input type="hidden" name="lead_id" value="{{ $lead_sale->id }}">
                                <div class="form-group audio_action row" id="klon_audio1">
                                    <div class="col-sm-4 col-xs-12 col-md-4">
                                        <label for="audio1">Document </label>
                                        <input type="file" name="documents[]" id="docs" class=""
                                            accept="image/*" required>
                                    </div>
                                    <div class="col-sm-4 col-xs-12 col-md-4">
                                        <label for="audio1">SR Documents </label>
                                        <input type="file" name="sr_documents" id="docs" class=""
                                            accept="image/*" required>
                                    </div>

                                    <div class="col-sm-4 col-xs-12 col-md-4">
                                        <label for="audio1">Service Description</label>
                                        <input type="file" name="service_description_image" id="docs" class=""
                                            accept="image/*" required>
                                    </div>

                                    <div class="col-sm-4 col-xs-12 col-md-4">
                                        <label for="audio1">SR Number </label>
                                        <input type="text" name="sr_number" id="docs" class="form-control" required>
                                    </div>
                                    <div class="col-sm-4 col-xs-12 col-md-4">
                                        <label for="audio1">Request Number </label>
                                        <input type="text" name="request_number" id="docs" class="form-control"
                                            required>
                                    </div>
                                </div>
                                <div class="row mt-10">
                                    <div class="col-md-6 col-sm-6 col-xs-6 form-group rajput">
                                        <a class="btn btn-primary" id="add_audio" style="color: white">
                                            Add New Document
                                        </a>
                                    </div>
                                </div>
                                {{--  --}}
                                <!-- Plan name -->
                                <div class="form-group">
                                    <div class="col-md-6 col-sm-6 col-xs-12 form-group ">
                                        <input class="form-control " id="leadno" name="leadno"
                                            value="{{ $lead_sale->lead_no }}" placeholder="Lead Number" type="text"
                                            readonly>
                                    </div>
                                    <div class="col-md-12 col-sm-12 col-xs-12">
                                        <label class="center">
                                            Personal Information
                                        </label>
                                    </div>
                                </div>


                                <!-- form group start -->
                                <!-- Customer name start -->
                                <div class="form-group row">

                                    <div class="col-md-6 col-sm-12 col-xs-12 form-group ">
                                        <label for="cname">Customer Name</label>
                                        {{-- {{$id}} --}}
                                        <input class="form-control " id="name" placeholder="Customer Name"
                                            name="cname" type="text" required
                                            value="{{ $lead_sale->customer_name }}" autocomplete="off">

                                    </div>


                                    <div class="col-md-3">
                                        <label for="cnumber">Customer Number</label>

                                        <input class="form-control" placeholder="Customer Number i.e 1234567"
                                            name="cnumber" maxlength="7" required type="tel"
                                            oninput="javascript: if (this.value.length > this.maxLength) this.value = this.value.slice(0, this.maxLength);"
                                            onkeypress="return isNumberKey(event)" id="customer_number"
                                            value="{{ $lead_sale->customer_number }}" data-mask="9999999"
                                            data-validate-length-range="6" data-validate-words="2" />


                                    </div>



                                </div>
                                <!-- form-group end -->
                                <!--  #2 end -->
                                <!--  #2 nationality and age-->

                                <!-- form group start -->
                                <!-- Customer name start -->
                                <div class="form-group row">

                                    <div class="col-md-6 col-sm-12 col-xs-12 form-group ">
                                        <label for="c_select">Country</label>

                                        <select name="nation" id="c_select" class="form-control" required>
                                            @foreach ($countries as $country)
                                                <option value="{{ $country->name }}"
                                                    @if ($lead_sale->nationality == $country->name) selected @endif>
                                                    {{ $country->name }}
                                                </option>
                                            @endforeach
                                        </select>

                                    </div>
                                    <!-- </div>
                                        <div class="item form-group"> -->
                                    <!-- required -->

                                    {{-- <span class="required">*</span> --}}
                                    <div class=" item col-md-6 col-sm-12 col-xs-12 form-group ">
                                        <label for="age">Customer Age</label>
                                        <input class="form-control" id="age"
                                            placeholder="Customer Age not less than 21" name="age" required
                                            type="number" required onkeypress="return isNumberKey(event)"
                                            oninput="javascript: if (this.value.length > this.maxLength) this.value = this.value.slice(0, this.maxLength);"
                                            maxlength="2" value="{{ $lead_sale->age }}">
                                    </div>
                                    <!-- Customer number end -->
                                </div>
                                <!-- form-group end -->
                                <!--  #2 end -->
                                <!--  #3 start -->

                                <!-- form group start -->
                                <!-- Customer name start -->
                                <div class="form-group row">

                                    <div class="col-md-6 col-sm-6 col-xs-12 form-group ">
                                        <label for="simtype">Product Type</label>

                                        <select name="simtype" id="simtype" class="sim_type form-control" required
                                            onchange="check_elife_package(this,'{{ route('elife.plan') }}')">
                                            <option value="">-- Product Type --</option>

                                            @if ($ptype == 'Telesales')
                                                @php
                                                    $selectedSimType = old('simtype', $lead_sale->sim_type);
                                                @endphp

                                                <option value="New" {{ $selectedSimType == 'New' ? 'selected' : '' }}>
                                                    New</option>
                                                <option value="MNP" {{ $selectedSimType == 'MNP' ? 'selected' : '' }}>
                                                    MNP</option>
                                            @endif
                                        </select>





                                    </div>










                                    <div class="col-md-3 col-sm-3 col-xs-12 form-group ">
                                        <label for="gender">Gender</label>



                                        <select name="gender" id="gender" class="gender form-control" required>
                                            <option value=""
                                                @if ($lead_sale->gender == '') {{ 'selected' }} @endif>-- Select
                                                Gender --</option>
                                            <option value="Male"
                                                @if ($lead_sale->gender == 'Male') {{ 'selected' }} @endif>Male
                                            </option>
                                            <option value="Female"
                                                @if ($lead_sale->gender == 'Female') {{ 'selected' }} @endif>Female
                                            </option>
                                            <option value="Other"
                                                @if ($lead_sale->gender == 'Other') {{ 'selected' }} @endif>Other
                                            </option>
                                        </select>


                                    </div>
                                    <div class="col-md-3 col-sm-3 col-xs-12 form-group ">
                                        <label for="emirate">Select Emirate</label>

                                        {{-- @dd($lead_sale); --}}

                                        <select name="emirates" id="emirate" class="emirates form-control" required>
                                            <option value="">Select Emirates</option>
                                            @foreach ($emirates as $emirate)
                                                <option value="{{ $emirate->name }}"
                                                    @if ($lead_sale->emirates == $emirate->name) {{ 'selected' }} @endif>
                                                    {{ $emirate->name }}
                                                </option>
                                            @endforeach
                                        </select>


                                    </div>

                                    <!-- Customer number end -->
                                    <div class=" item col-md-6 col-sm-12 col-xs-12 form-group ">
                                        <!-- <input class="form-control " id="inputSuccess3" placeholder="Customer Number" data-inputmask="'mask' : '(999) 999-9999'" data-validate-length-range="6" data-validate-words="2" name="name" placeholder="both name(s) e.g Jon Doe" required="required" type="num"> -->
                                        <label for="emirate_id">Document Type</label>

                                        <select name="emirate_id" class="form-control " required id="emirate_id">
                                            <option value="">-- Original Emirate Id --</option>
                                            <option value="Yes, Customer has original Emirates Id" id="" selected
                                                @if (old('emirate_id') == 'Yes, Customer has original Emirates Id') {{ 'selected' }} @endif>
                                                Yes, Customer
                                                has original Emirates Id</option>
                                            <option value="No" id=""
                                                @if (old('emirate_id') == 'No') {{ 'selected' }} @endif>No
                                            </option>
                                            <!-- <option value="24">24 Months</option> -->
                                        </select>


                                    </div>

                                    <div class="col-md-6 col-sm-6 col-xs-12 form-group" style="display: ;"
                                        id="show_emirate_id">
                                        <label for="emirate_number">Emirate ID # </label>
                                        <input class="form-control " id="emirate_number" data-mask="999-9999-9999999-9"
                                            data-validate-length-range="6" data-validate-words="2" name="emirate_number"
                                            placeholder="Emirate ID" type="tel"
                                            value="{{ $lead_sale->emirate_num }}">
                                    </div>
                                    <div class="col-md-6 col-sm-6 col-xs-12 form-group" style="display: none;"
                                        id="show_passport">
                                        <label for="emirate_number">Passport ID #</label>
                                        <input class="form-control " id="passport_number" data-mask="999-9999-9999999-9"
                                            data-validate-length-range="6" data-validate-words="2" name="passport_number"
                                            placeholder="Emirate ID" type="tel"
                                            value="{{ $lead_sale->passport_num }}">
                                    </div>
                                    <!-- Customer Identity End -->


                                    <div class="item col-md-6 col-sm-12 col-xs-12 form-group" style="display:block;">
                                        <label for="hideme_document">Document Details</label>

                                        <select name="additional_document" class="form-control" id="hideme_document" {{ $ptype == 'elife' ? '' : 'required' }}>
                                            <option value="" selected disabled>Document Details</option>

                                            @php
                                                $additional_document = old('additional_document', $lead_sale->additional_document);
                                            @endphp

                                            <option value="No Additional Document Required" {{ $additional_document == "No Additional Document Required" ? 'selected' : '' }}>
                                                No Additional Document Required
                                            </option>
                                            <option value="Salary Certificate" {{ $additional_document == "Salary Certificate" ? 'selected' : '' }}>
                                                Salary Certificate
                                            </option>
                                            <option value="Tenancy Contract" {{ $additional_document == "Tenancy Contract" ? 'selected' : '' }}>
                                                Tenancy Contract
                                            </option>
                                            <option value="Utility Bill" {{ $additional_document == "Utility Bill" ? 'selected' : '' }}>
                                                Utility Bill (Current)
                                            </option>
                                            <option value="Credit Card" {{ $additional_document == "Credit Card" ? 'selected' : '' }}>
                                                Credit Card
                                            </option>
                                            <option value="Pay Slip From Exchange" {{ $additional_document == "Pay Slip From Exchange" ? 'selected' : '' }}>
                                                Pay Slip From Exchange
                                            </option>
                                            <option value="Title Deeds" {{ $additional_document == "Title Deeds" ? 'selected' : '' }}>
                                                Title Deeds
                                            </option>
                                            <option value="Car Registration" {{ $additional_document == "Car Registration" ? 'selected' : '' }}>
                                                Car Mulkiya
                                            </option>
                                            <option value="Labour Contract" {{ $additional_document == "Labour Contract" ? 'selected' : '' }}>
                                                Labour Contract
                                            </option>
                                            <option value="Etisalat Postpaid/Elife Account" {{ $additional_document == "Etisalat Postpaid/Elife Account" ? 'selected' : '' }}>
                                                Etisalat Postpaid/Elife Account
                                            </option>
                                            <option value="Bank Statement Last 3 Months" {{ $additional_document == "Bank Statement Last 3 Months" ? 'selected' : '' }}>
                                                Bank Statement Last 3 Months
                                            </option>
                                            <option value="Customer has Existing billing (account 6 months old)" {{ $additional_document == "Customer has Existing billing (account 6 months old)" ? 'selected' : '' }}>
                                                Customer has Existing billing (account 6 months old)
                                            </option>
                                            <option value="DU Bill Last 3 Months" {{ $additional_document == "DU Bill Last 3 Months" ? 'selected' : '' }}>
                                                DU Bill Last 3 Months
                                            </option>
                                            <option value="None Of These" {{ $additional_document == "None Of These" ? 'selected' : '' }}>
                                                None Of These
                                            </option>
                                        </select>
                                    </div>




                                    <div class="col-md-12 col-sm-12 col-xs-12 form-group ">
                                        <label for="language">Language</label>


                                        <select name="language" class="form-control" required id="language">
                                            <option value="">Select Language</option>
                                            <option value="English"
                                                {{ $lead_sale->language == 'English' ? 'selected' : '' }}>
                                                English
                                            </option>
                                            <option value="Arabic"
                                                {{ $lead_sale->language == 'Arabic' ? 'selected' : '' }}>
                                                Arabic
                                            </option>
                                            <option value="Hindi/Urdu"
                                                {{ $lead_sale->language == 'Hindi/Urdu' ? 'selected' : '' }}>
                                                Hindi / Urdu
                                            </option>
                                        </select>


                                    </div>



                                    <div class=" item col-md-4 col-sm-6 col-xs-12 form-group">
                                        <label for="emirate_number">Vila/Flat No</label>
                                        <input class="form-control " id="flat_no" name="flat" type="text"
                                            placeholder="Address" value="{{ $lead_sale->flat }}">
                                    </div>
                                    <div class=" item col-md-4 col-sm-6 col-xs-12 form-group">
                                        <label for="emirate_number">Street</label>
                                        <input class="form-control " id="flat_no" name="street" type="text"
                                            placeholder="Address" value="{{ $lead_sale->street }}">

                                    </div>
                                    <div class=" item col-md-4 col-sm-6 col-xs-12 form-group">
                                        <label for="emirate_number">Area</label>
                                        <input class="form-control " id="flat_no" name="area" type="text"
                                            placeholder="Address" value="{{ $lead_sale->area }}">

                                    </div>
                                    <div class="col-md-6 col-sm-6 col-xs-12 form-group ">
                                        <label for="zonetype">Eid / Makani #</label>

                                        <input type="text" name="elife_makani_number" id="elife_makani_number"
                                            class="form-control" placeholder="Eid / Makani #"
                                            value="{{ $lead_sale->elife_makani_number }}">
                                    </div>


                                    <div class="col-md-6 col-sm-6 col-xs-12 form-group ">
                                        <label for="zonetype">Lead Refrence Number</label>

                                        <input type="text" name="lead_refrence_number" id="lead_refrence_number"
                                            class="form-control" placeholder="Lead Refrence Number"
                                            value="{{ $lead_sale->lead_refrence_number }}">
                                    </div>

                                    <div class="col-md-6 col-sm-6 col-xs-12 form-group ">
                                        <label for="zonetype">Email ID</label>

                                        <input type="text" name="email_id" id="email_id" class="form-control"
                                            placeholder="Email ID" value="{{ $lead_sale->email_id }}">
                                    </div>

                                    <div class="col-md-6 col-sm-6 col-xs-12 form-group ">
                                        <label for="zonetype">Additional Requirements</label>

                                        <select name="additional_requirements" class="form-control" required
                                            id="additional_requirements">
                                            <option value="">Select Additional Requirements</option>
                                            <option value="Postpaid {{ $lead_sale->additional_requirements == 'Postpaid' ? 'selected' : '' }}">Postpaid</option>
                                            <option value="Smart Living {{ $lead_sale->additional_requirements == 'Smart Living' ? 'selected' : '' }}">Smart Living</option>
                                            <option value="Wireless {{ $lead_sale->additional_requirements == 'Wireless' ? 'selected' : '' }}">Wireless</option>
                                            <option value="Business Connection {{ $lead_sale->additional_requirements == 'Business Connection' ? 'selected' : '' }}">Business Connection</option>
                                            <option value="Non Of The Abbove {{ $lead_sale->additional_requirements == 'Non Of The Abbove' ? 'selected' : '' }}">Non Of The Abbove</option>
                                            <option value="Others {{ $lead_sale->additional_requirements == 'Others' ? 'selected' : '' }}">Others</option>
                                        </select>

                                        <div id="other-requirement-input" style="display: none;">
                                            <label for="other_requirement">Please specify:</label>
                                            <input type="text" id="other_requirement" name="other_requirement"
                                                class="form-control">
                                        </div>


                                    </div>


                                    <div class="container-fluid">
                                        <div class="row">
                                            <div id="location_error"></div>
                                        </div>
                                    </div>
                                    <div class="col-md-6">
                                        <label for="add_location">Search Location</label>
                                        <div class="input-group mb-3">
                                            <input id="pac-input" class="controls form-control" type="text"
                                                placeholder="Enter a location" name="location" value="{{$lead_sale->area}}">
                                        </div>
                                    </div>
                                    <div class="col-md-6">
                                        <div class="fom-group">
                                            <label for="add_location">Add Latitude and Langitude</label>
                                            <input type="text" class="form-control" id="add_lat_lng"
                                                name="add_lat_lng" value="{{ $lead_sale->lat }} , {{ $lead_sale->lng}}">
                                        </div>
                                    </div>
                                    <div class="container">
                                        <div id="map"></div>
                                        <style>
                                            #map {
                                                height: 100%;
                                            }
                                        </style>
                                    </div>
                                    <div class="container-fluid">
                                    </div>
                                    @include('dashboard.include.postpaid-mnp-new')
                                    @include('dashboard.include.postpaid-package-new')
                                    {{-- @include('dashboard.include.elife-package') --}}
                                    {{-- @include('dashboard.include.itp') --}}

                                    {{-- <div class="item col-md-12 col-sm-12 col-xs-12 form-group ">
                                        <!-- <h3>Remarks</h3> -->
                                        <h4>Reference *</h4>

                                        <div class="form-group">
                                            <input name="reference" id="reference" class="form-control"
                                                placeholder="Reference"></input>
                                        </div>
                                    </div> --}}


                                    {{-- <div class="item col-md-12 col-sm-12 col-xs-12 form-group ">
                                        <!-- <h3>Remarks</h3> -->
                                        <h4>Remarks *</h4>

                                        <div class="form-group">
                                            <textarea name="remarks_process_elife" id="remarks_process" cols="30" rows="10"
                                                class="form-control remarks_elife">Please Verify</textarea>
                                            <!-- <input type="text" name="remarks_process" id="remarks_process" class="form-control"> -->
                                        </div>
                                    </div> --}}

                                    {{-- <div class="form-group"> --}}
                                    {{-- <div class="col-md-9 col-sm-9 col-xs-12 col-md-offset-3">
                                        <input type="button" value="Submit"
                                            class="btn btn-success  submit_mnp submit_button_on_no" name="upload"
                                            id="submit_button"
                                            onclick="UpdateFeild('{{ route('coordinator_verify') }}','update_form' ,'{{ url('/admin/leadtype/AllCordPostPaid') }}')">
                                        <input value="Follow Up" class="btn btn-success follow_up_mnp follow_up_new"
                                            data-toggle="modal" data-target="#myModalElife" id="follow_up_new">
                                        <input type="reset" value="Reset" class="btn btn-primary reset"
                                            name="reset" id="reset">


                                        </div>
                                    </div> --}}
                                </div>

                                <div class="ln_solid"></div>
                                {{-- lorem --}}
                                <div class="alert alert-danger print-error-msg" style="display:none">
                                    <ul></ul>
                                </div>
                                {{-- lorem --}}

                            </form>

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

            </div>


        </div>
        <!-- #/ container -->
    </div>
@endsection