@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" action="{{route('lead.store')}}" autocomplete="off"> --}}
                            <form class="form-horizontal form-label-left input_mask" method="post" id="ActiveForm"
                                autocomplete="off">
                                @csrf
                                {{--  --}}
                                <input type="hidden" name="sale_type" value="{{ $type . ' ' . $ptype }}">
                                <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">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 type="hidden" name="sale_type" value="{{ $my->sale_type }}">
                                        <input type="hidden" name="lead_id" value="{{ $my->id }}">
                                        <input class="form-control " id="leadno" name="leadno"
                                            value="{{ $my->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="cname" placeholder="Customer Name"
                                            name="cname" type="text" required value="{{ $my->customer_name }}">

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


                                    {{-- <span class="required">*</span> --}}



                                    <div class="col-md-6">
                                        <label for="cnumber">Customer Number</label>
                                        <input class="form-control" placeholder="Customer Number i.e 0551234" name="cnumber"
                                            maxlength="10" required type="tel"
                                            oninput="javascript: if (this.value.length > this.maxLength) this.value = this.value.slice(0, this.maxLength);"
                                            onkeypress="return isNumberKey(event)" onkeyup="TestNumber()"
                                            id="customer_number" value="{{ $my->customer_number }}"
                                            data-validate-length-range="10" data-validate-words="1" />
                                        <input type="hidden" name="number_test" value="" id="number_tester">
                                        <p style="color:red;display:none;" id="dpExist">
                                            Number Already Exist
                                        </p>
                                    </div>

                                    <div class=" item col-md-6 col-sm-6 col-xs-12 form-group">
                                        <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="{{ $my->emirate_num }}">

                                    </div>
                                    <!-- Customer number end -->
                                    <div class=" item col-md-5 col-sm-6 col-xs-12 form-group">
                                        <label for="email">Email</label>
                                        <input class="form-control " id="email" name="email" placeholder="Email #"
                                            type="email" value="{{ $my->email }}">

                                    </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 }}">{{ $country->name }}</option> --}}
                                                <option value="{{ $country->name }}"
                                                    @if ($my->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="{{ $my->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>
                                            <option value="HomeWifiTelesales"
                                                @if ($my->sim_type == '') {{ 'selected' }} @endif>
                                                HomeWifiTelesales</option>
                                            {{-- <option value="HomeWifiTelesales">Home Wifi Telesales</option> --}}
                                        </select>
                                    </div>
                                    <div class="col-md-3 col-sm-3 col-xs-12 form-group ">
                                        <label for="gender">Gender</label>
                                        <select name="gender" id="gender" class="gender form-control" required>
                                            <option value=""
                                                @if ($my->gender == '') {{ 'selected' }} @endif>-- Select
                                                Gender --</option>
                                            <option value="Male"
                                                @if ($my->gender == 'Male') {{ 'selected' }} @endif>Male
                                            </option>
                                            <option value="Female"
                                                @if ($my->gender == 'Female') {{ 'selected' }} @endif>Female
                                            </option>
                                            <option value="Other"
                                                @if ($my->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="{{ $emirate->name }}"
                                                    @if ($my->emirates == $emirate->name) {{ 'selected' }} @endif>
                                                    {{ $emirate->name }}
                                                </option>
                                            @endforeach
                                        </select>

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

                                        <input type="text" name="area" id="area_name" class="form-control" value="{{$my->area}}">

                                    </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">Select Emirate ID</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>

                                    <!-- Customer Identity End -->


                                    {{--  --}}
                                    <div class="col-md-6 col-sm-12 col-xs-12 form-group ">
                                        <label for="hideme_document">Language</label>
                                        <select name="language" class="form-control " required id="language">
                                            <option value="">Select Language</option>
                                            <option value="English"
                                                {{ $my->language == 'English' ? 'selected' : '' }}>
                                                English
                                            </option>
                                            <option value="Arabic"
                                                {{ $my->language == 'Arabic' ? 'selected' : '' }}>
                                                Arabic
                                            </option>
                                            <option value="Hindi/Urdu"
                                                {{ $my->language == 'Hindi/Urdu' ? 'selected' : '' }}>
                                                Hindi / Urdu
                                            </option>
                                        </select>
                                    </div>


                                    <!-- </div>
                                                        <div class="item form-group"> -->
                                    <!-- required -->
                                    <div id="number_commit" style="display:none;">
                                        <span class="required">*</span>
                                        <div class=" item col-md-12 col-sm-12 col-xs-12 form-group ">
                                            <select name="numcommit" class="form-control " id="commitment_">
                                                <option value="">-- Select Number Commitment --</option>
                                                <option value="Regular Commitment">Regular Commitment</option>
                                                <option value="Special Commitment">Special Commitment</option>
                                                <!-- <option value="New Special">New Special</option> -->
                                                <option value="Bronze Commitment">Bronze Commitment</option>
                                                <option value="Silver Commitment">Silver Commitment</option>
                                                <option value="Gold Commitment">Gold Commitment</option>
                                                <option value="Gold Plus Commitment">Gold Plus Commitment</option>
                                            </select>
                                            <!--                         <input class="form-control " id="inputSuccess3" placeholder="Number Commitment" data-inputmask="'mask' : '(999) 999-9999'" data-validate-length-range="6" data-validate-words="2" name="numcommit" placeholder="both name(s) e.g Jon Doe" required="required" type="num"> -->

                                        </div>
                                    </div>
                                    <!-- Customer number end -->
                                    <!--  #7-->
                                    {{-- <div class="col-sm-8"> --}}
                                    <div class="form-group col-sm-8 col-md-8">
                                        <label for="shared_with">Shared With</label>
                                        <select name="shared_with" id="shared_with" class="form-control">
                                            <option value="">Select Option</option>
                                            @foreach ($users as $user)
                                                <option value="{{ $user->id }}"
                                                    {{ old('shared_with') == $user->id ? 'selected' : '' }}>
                                                    {{ $user->name }}</option>
                                            @endforeach

                                        </select>
                                    </div>

                                    <div class=" item col-md-1 col-sm-12 col-xs-12 form-group d-none hidden">
                                        <span>OR</span>
                                    </div>
                                    <div class=" item col-md-5 col-sm-6 col-xs-12 form-group d-none hidden">
                                        <label for="etisalat_number">Etisalat Number # (Optional)</label>
                                        <input class="form-control " id="etisalat_number" data-mask="999-9999999"
                                            data-validate-length-range="6" data-validate-words="2" name="etisalat_number"
                                            placeholder="Etisalat ID" type="tel"
                                            value="{{ old('emirate_number') }}">

                                    </div>
                                    <div class="container">
                                        <div class="row hidden d-none">
                                            <div class="col-md-6">
                                                <div class="form-group">
                                                    <label for="lead_date">Lead Date:</label>
                                                    <input type="date" name="lead_date" id="lead_date">
                                                </div>
                                                <div class="col-md-6">
                                                    <div class="form-group">
                                                        <label for="lead_date">Existing Lead:</label>
                                                        <input type="checkbox" name="existing_lead" id="existing_lead"
                                                            value="1">
                                                    </div>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="form-group">
                                            <label for="customer_provider" style="color:red;">Customer Will Provide
                                                Location to Agent</label>
                                            <input type="checkbox" name="customer_provider" id="customer_provider"
                                                checked>
                                        </div>
                                        <div class="container-fluid" style="border:1px solid black; padding:20px 30px;">

                                            <div class="container-fluid">
                                                <div class="row">
                                                    <div id="location_error"></div>
                                                </div>
                                            </div>
                                            <div class="row">
                                                <div class="col-md-6">
                                                    <div class="input-group mb-3">
                                                        <input type="text" class="form-control"
                                                            placeholder="Customer Location Url" name="add_location"
                                                            id="add_location" onkeyup="check_location_url()"
                                                            value="https://maps.google.com?q=0,0">
                                                        <div class="input-group-append">
                                                            <button class="btn btn-outline-secondary" type="button"
                                                                onclick="check_location_url()" id="checker">Fetch
                                                                Location</button>
                                                        </div>
                                                    </div>
                                                </div>

                                            </div>
                                            <div class="row">
                                                <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="{{ $my->lat }} , {{ $my->lng }}">
                                                    </div>
                                                </div>
                                            </div>
                                            <div class="row">
                                                <div class="col-md-12">
                                                    <span class="red" style="color:green"
                                                        onclick="ConfirmLocationURL()">Confirm Location URL</span>
                                                </div>
                                            </div>
                                            <h6>Choose Schedule Time </h6>
                                            {{--  --}}
                                            <div class="row">
                                                <div class="col-md-6">
                                                    <div class="fom-group">
                                                        <label for="add_location">Start Date</label>
                                                        <input type="text" class="form-control" name="start_date"
                                                            id="start_date" readonly value="{{ date('d/m/Y') }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-6">
                                                    <div class="fom-group">
                                                        <label for="add_location">Start Time</label>
                                                        <input type="time" class="form-control" name="start_time"
                                                            id="start_date">
                                                    </div>
                                                </div>
                                            </div>
                                            <span class="red" style="color:red;text-center">System Automatically Add 2
                                                Hrs from choosen time</span>

                                            <div class="row hidden d-none">
                                                <div class="col-md-6">
                                                    <div class="fom-group">
                                                        <label for="add_location">Allocate To:</label>

                                                        <select name="assing_to" id="assing_to" class="form-control">
                                                            <option value="">Allocate to</option>
                                                            <option value="136"
                                                                {{ old('assign_to') == '136' ? 'selected' : 'selected' }}>
                                                                Hassan</option>
                                                        </select>
                                                    </div>
                                                </div>
                                            </div>

                                            <br>
                                            {{-- <div class="row">
                                    <div class="container-fluid">
                                        <button class="btn btn-success" type="button" name="submit" onclick="VerifyLead('{{route('lead-location.store')}}','pre-verification-form','{{route('all.pending','AllCord')}}')">Proceed</button>
                                        <button class="btn btn-success" type="button" name="follow" id="follow_up" data-toggle="modal" data-target="#myModal">Follow</button>
                                        <button class="btn btn-success" type="button" name="follow" id="follow_up" data-toggle="modal" data-target="#myModalVer">Re Verification</button>
                                        <button class="btn btn-info" type="button" data-toggle="modal" data-target="#RejectModalNew">Reject</button>
                                    </div>
                                </div> --}}
                                        </div>
                                        {{-- @include('dashboard.include.mnp') --}}
                                        {{-- @include('dashboard.include.new-package') --}}
                                        @include('dashboard.include.processor-wifi-package')
                                        {{-- @include('dashboard.include.itp') --}}
                                    </div>

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




                            </form>

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

            </div>

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