@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)
                            {{ $error }}<br />
                            @endforeach
                        </div>
                        @endif
                        <form class="form-horizontal form-label-left input_mask" method="post" id="elife_form"
                            autocomplete="off">
                            @csrf
                            <!-- Plan name -->
                            <input type="hidden" name="sale_type" value="{{$type .' '. $ptype}}">
                            <div class="form-group">
                                <div class="col-md-6 col-sm-6 col-xs-12 form-group ">
                                    <input type="hidden" name="generic_id"
                                        value="{{$getfirst = empty($last)? 1 : $last->id}}">
                                    <input class="form-control " id="leadno"
                                        value="{{auth()->user()->agent_code .'-'. $getfirst .'-'. Carbon\Carbon::now()->format('M') .'-'.now()->year}}"
                                        placeholder="Lead Number" type="text" disabled>
                                    <input class="form-control " id="inputSuccess3" name="leadnumber"
                                        value="{{auth()->user()->agent_code .'-'. $getfirst .'-'. Carbon\Carbon::now()->format('M') .'-'.now()->year}}"
                                        placeholder="Lead Number" type="hidden">
                                    <input type="hidden" name="channel_type" id="type" value="{{$type}}">
                                    <input type="hidden" name="lead_type" id="type" value="{{$ptype}}">
                                    <!-- <span class="fa fa-lock form-control-feedback left" aria-hidden="true"></span> -->
                                </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>
                                    {{-- {{$id}} --}}
                                    <input class="form-control " id="cname" placeholder="Customer Name" name="cname"
                                        type="text" required value="{{$data->customer_name}}" autocomplete="off">

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

                                @php
                                $z = explode('-',$data->customer_number);

                                @endphp
                                {{-- <span class="required">*</span> --}}
                                <div class="col-md-2">
                                    <label for="cnumber" style="font-size: 12px;">Customer Number</label>

                                    <select name="code" id="" class="form-control">
                                        <option value="050" {{$z['0'] == '050' ? 'selected' : ''}}>050</option>
                                        <option value="052" {{$z['0'] == '052' ? 'selected' : ''}}>052</option>
                                        <option value="054" {{$z['0'] == '054' ? 'selected' : ''}}>054</option>
                                        <option value="055" {{$z['0'] == '055' ? 'selected' : ''}}>055</option>
                                        <option value="056" {{$z['0'] == '056' ? 'selected' : ''}}>056</option>
                                        <option value="058" {{$z['0'] == '058' ? 'selected' : ''}}>058</option>
                                    </select>

                                </div>
                                <div class="  col-md-4 col-sm-12 col-xs-12 form-group ">
                                    <label for=""></label>
                                    <!-- <input type="number" maxlength="1" max="9" min="1" size="1" > -->
                                    {{-- <input class="form-control " placeholder="Customer Number i.e 0551234567" name="cnumber" onkeypress="return isNumberKey(event)"  id="customer_number" value="{{old('cnumber')}}"
                                    /> --}}
                                    <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="{{$z['1']}}"
                                        data-mask="9999999" data-validate-length-range="6" data-validate-words="2" />
                                </div>
                                <!-- Customer number end -->
                            </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="{{ $country->name }}"
                                            {{$data->country == $country->name ? 'selected' : ''}}>{{ $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="{{$data->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 ($ptype == 'Postpaid')
                                        <option value="New" @if ($data->product_type=="New" ) {{ 'selected' }}
                                            @endif>New
                                        </option>
                                        <option value="MNP" @if ($data->product_type=="MNP" ) {{ 'selected' }}
                                            @endif>MNP
                                        </option>
                                        <option value="Migration" @if ($data->product_type=="Migration" )
                                            {{ 'selected' }}
                                            @endif>Migration</option>
                                        @elseif($ptype == 'ITProducts')
                                        @foreach ($itproducts as $itp)
                                        <option value="{{$itp->id}}" @if ($data->product_type==$itp->id)
                                            {{ 'selected' }}
                                            @endif>{{$itp->name}}</option>
                                        @endforeach
                                        @else
                                        <option value="Elife" @if ($data->product_type=="Elife" ) {{ 'selected' }}
                                            @endif>
                                            Elife</option>
                                        <option value="BitStream" @if ($data->product_type=="BitStream" )
                                            {{ 'selected' }}
                                            @endif>BitStream</option>
                                        @endif
                                    </select>

                                </div>
                                <input type="hidden" id="elife_addon_url" value="{{route('elife.addon')}}">
                                <div class="col-md-6 col-sm-6 col-xs-12 form-group ">
                                    <label for="zonetype">Select Plan</label>
                                    <select name="plan_elife" id="c__select" class="form-control elife_plan" style=""
                                        onchange="elife_plan_month($(this).val(),'ElifePlanFetch','{{ route('ajaxRequest.post') }}')">
                                        <option value="">{{$data->plan}}</option>
                                    </select>
                                </div>
                                <div class="col-md-6 col-sm-6 col-xs-12 form-group ">
                                    <label for="zonetype">Select Addon</label>
                                    <select name="addon" id="addon_fetch" class="form-control elife_plan" style="">
                                        <option value="">{{$data->addon}}</option>
                                    </select>
                                </div>


                                <div class="col-md-6 col-sm-6 col-xs-12 form-group " id="zone" style="display:none;">
                                    <label for="zonetype">Zone</label>
                                    <select name="zone" id="zonetype" class="sim_type form-control" required>
                                        <option value="">-- Select Zone --</option>
                                        <option value="Defender" @if ($data->zone=="Defender" ) {{ 'selected' }} @endif>
                                            Defender</option>
                                        <option value="Non Defender" @if ($data->zone=="Non Defender" ) {{ 'selected' }}
                                            @endif>Non Defender</option>
                                        <option value="Shared Zone" @if ($data->zone=="Shared Zone" ) {{ 'selected' }}
                                            @endif>Shared Zone</option>
                                    </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="">-- Select Gender --</option>
                                        <option value="Male" @if ($data->gender=="Male" ) {{ 'selected' }} @endif>Male
                                        </option>
                                        <option value="Female" @if ($data->gender=="Female" ) {{ 'selected' }} @endif>
                                            Female</option>
                                        <option value="Other" @if ($data->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>

                                    <select name="emirates" id="emirate" class="emirates form-control" required>
                                        <option value="">Select Emirates</option>
                                        @foreach($emirates as $emirate)
                                        <option value="{{ $emirate->name }}" @if ($data->emirate==$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="">-- Document Type --</option>
                                        <option value="Emirate ID" id="" @if ($data->document_type=="Emirate ID" )
                                            {{ 'selected' }} @endif>Emirate ID</option>
                                        <option value="Passport" id="" @if ($data->document_type=="Passport" )
                                            {{ 'selected' }} @endif>Passport</option>
                                        <!-- <option value="24">24 Months</option> -->
                                    </select>

                                </div>

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

                                <div class=" item col-md-6 col-sm-12 col-xs-12 form-group"
                                    style="display:{{$ptype == 'elife' ? 'block' : 'block'}}">

                                    <label for="hideme_document">Document Details</label>

                                    <select name="additional_document" class="form-control " id="hideme_document"
                                        style="display:block" {{$ptype == 'elife' ? '' : 'required'}}>
                                        <option value="Salary Certificate" id="" class="hideonelife"
                                            {{old('additional_document') == 'Salary Certificate ' ? 'selected' : ''}}>
                                            Salary Certificate</option>
                                        <option value="Tenancy Contract" id=""
                                            {{old('additional_document') == 'Renancy Contract' ? 'selected' : ''}}>
                                            Tenancy Contract</option>

                                        <!-- <option value="24">24 Months</optio n> -->
                                    </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" {{$data->language == 'English' ? 'selected' : ''}}>
                                            English</option>
                                        <option value="Arabic" {{$data->language == 'Arabic' ? 'selected' : ''}}>Arabic
                                        </option>
                                        <option value="Hindi/Urdu">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="{{$data->vila}}">
                                </div>
                                <div class=" item col-md-4 col-sm-6 col-xs-12 form-group">
                                    <label for="emirate_number">Street</label>
                                    <input class="form-control " id="flat_no" name="street" type="text"
                                        placeholder="Address" value="{{$data->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="{{$data->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="{{$data->makani}}">
                                </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="{{$data->location_name}}">

                                    </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="{{$data->lat . ',' . $data->lng}}">
                                    </div>
                                </div>
                                <div class="container">
                                    <div id="map"></div>
                                    <style>
                                        #map {
                                            height: 100%;
                                        }

                                    </style>
                                </div>
                                <div class="container-fluid">
                                    {{-- <div class="form-group">
                                        <label for="runner">Activation Date</label>
                                        <input type="datetime-local" class="form-control" name="activation_date"
                                            id="activation_date">
                                    </div> --}}
                                    <div class="row">
                                        <input type="hidden" name="front_doc_old" value="{{$data->front_document}}">
                                        <input type="hidden" name="back_doc_old" value="{{$data->back_document}}">
                                        <input type="hidden" name="sr_doc_old" value="{{$data->sr_doc}}">
                                        <label for="sr_number_old">Sr Number:</label>
                                        <input type="text" name="sr_number_old" value="{{$data->sr_number}}" readonly class="form-control">

                                        @if(empty($data->front_document))
                                        <div class="col-md-6 col-sm-12 col-xs-12 form-group">
                                            <label for="front_img">Emirates Front ID:</label>
                                            <input type="file" name="front_img" id="front_img">
                                            <img src="" id="front_img_display" style="width:175px;" accept="image/*">
                                        </div>
                                        @endif
                                        @if(empty($data->back_document))
                                        <div class="col-md-6 col-sm-12 col-xs-12 form-group">
                                            <label for="front_img">Emirates Back ID:</label>
                                            <input type="file" name="back_img" id="back_img">
                                            <img src="" id="front_img_display" style="width:175px;" accept="image/*">
                                        </div>
                                        @endif
                                        @if(empty($data->sr_doc))
                                        <div class="col-sm-6 col-xs-12 col-md-6">
                                            <label for="audio1">SR Documents </label>
                                            <input type="file" name="sr_documents" id="docs" class="" accept="image/*">
                                        </div>
                                        @endif
                                        @if(empty($data->sr_number))
                                        <div class="col-sm-6 col-xs-12 col-md-6">
                                            <label for="audio1">SR Number </label>
                                            <input type="text" name="sr_number" id="docs" class="form-control" >
                                        </div>
                                        @endif
                                    </div>
                                    @if(empty($data->sr_number))
                                    <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/*">
                                        </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>
                                    @endif

                                </div>
                                <input type="hidden" name="leadid" value="{{$data->id}}">
                                {{-- @include('dashboard.include.mnp') --}}
                                {{-- @include('dashboard.include.new-package') --}}
                                {{-- @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>Remarks *</h4>

                                    <div class="form-group">
                                        <textarea name="remarks_process_elife" id="remarks_process" cols="30" rows="10"
                                            class="form-control remarks_elife">{{$data->remarks}}</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="VerifyLead('{{route('elife.active.submit')}}','elife_form','{{route('home')}}')"> --}}
                                    <input type="button" value="Final"
                                        class="btn btn-success  submit_mnp submit_button_on_no" name="upload"
                                        id="submit_button"
                                        onclick="VerifyLead('{{route('elife.complete.submit')}}','elife_form','{{route('home')}}')">
                                    <input type="button" value="Follow Up"
                                        class="btn btn-success  submit_mnp submit_button_on_no" name="upload"
                                        id="submit_button"
                                        onclick="VerifyLead('{{route('elife.active.submit')}}','elife_form','{{route('home')}}')">
                                    {{-- <input value="Follow Up" class="btn btn-success follow_up_mnp follow_up_new"
                                            data-toggle="modal" data-target="#myModalElife" id="follow_up_new"> --}}
                                    <button class="btn btn-info" type="button" data-toggle="modal" data-target="#RejectModalNew">Reject</button>


                                    {{-- </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 id="RejectModalNew" class="modal fade" role="dialog" data-backdrop="static" data-keyboard="false" style="margin-top:10%;">
              <div class="modal-dialog">
            {{ Form::open([ 'method'  => 'post', 'route' => [ 'elife.lead.rejected', $data->id ], 'files' => true, 'id' => 'RejectMyLead' ]) }}
                <input type="hidden" name="lead_id" value="{{$data->lead_no}}">
                <input type="hidden" name="ver_id" id="ver_id" value="{{$data->id}}" class="dont_hide">

                <!-- Modal content-->
                <div class="modal-content">
                  <div class="modal-header">
                    <button type="button" class="close" data-dismiss="modal" onclick="close_modal()">&times;</button>
                    <h4 class="modal-title">Modal Header</h4>
                  </div>
                  <div class="modal-body">
                    <!-- <p>Some text in the modal.</p> -->
                    <div class="form-group" style="display:block;" id="Reject_New">
                      <select name="reject_comment_new" id="reject_comment" class="form-control">
                        <option value="">Select Reject Reason</option>
                        <option value="Already Active">Already Active</option>
                        <option value="No Need">No Need</option>
                        <option value="Not Interested">Not Interested</option>
                        <option value="Emriate ID Expired">Emriate ID Expired</option>
                        <option value="Cap Limit">Cap Limit</option>
                        <option value="Less Salary">Less Salary</option>
                        <option value="Bill Pending">Bill Pending</option>
                        <option value="dont have valid docs">dont have valid docs</option>
                      </select>
                    </div>
                  </div>
                  <div class="modal-footer">
                    <input type="button" value="Reject" class="btn btn-success reject" name="reject_new" id="reject_ew" style="display:;" onclick="test_reject()">
                    <!-- <button type="button" class="btn btn-default" data-dismiss="modal">Close</button> -->
                  </div>
                </div>
    {!! Form::close() !!}

              </div>
            </div>

        </div>

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