@extends('layouts.admin_template')
@section('content')
<!-- <section class="content-header">
	<h4 class="mainsection-title"><i class="fa fa-file-image-o"></i>&nbsp;&nbsp;Upload User Documents</h4>
</section> -->
<section class="content">
    <div class="container-fluid">
        <div class="flash-message">
            @foreach(['danger','warning','success','info'] as $msg)
            @if(Session::has('alert-'.$msg))
            <p class="alert alert-{{ $msg }}">{{ Session::get('alert-'.$msg) }} <a href="#" class="close"
                    data-dismiss="alert" aria-label="close">&times;</a></p>
            @endif
            @endforeach
        </div>
        <div class="row admindocup">
            <div class="col-xs-12 col-sm-12 col-md-12 col-lg-12">
                <div class="card  rounded-3 box-shadow">
                    <div class="card-header with-border bg-card-dark-blue">
                        <h3 class="card-title">Submit User Documents</h3>
                    </div>
                    <form class="" role="form" method="POST" action="{{ url('/admin/submitdoc') }}"
                        enctype="multipart/form-data">
                        {{ csrf_field() }}
                        <div class="card-body">
                            <div class="row">
                                <div class="col-md-6">
                                    <div class="form-group">
                                        <label class="cust-label" for="profile_name">Select User</label>
                                        <div>
                                            <select class="form-control  select2" name="userid">
                                                @foreach($clients as $user)
                                                <option value="{{$user->id}}">{{$user->name}} ({{ $user->email }})
                                                </option>
                                                @endforeach
                                            </select>
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-md-6">
                                    <div class="card  rounded-3 box-shadow">
                                        <div class="card-header black-background">
                                            <h3 class="card-title">Upload POI Document</h3>
                                        </div>
                                        <div class="card-body">
                                            <div class="form-group">
                                                <label class="cust-label" for="profile_name">Proof of Identity (POI)
                                                    *</label>
                                                <div class="">
                                                    <input type="file"
                                                        class="form-control  {{ $errors->has('poi') ? ' is-invalid' : '' }}"
                                                        id="poi" name="poi" value="" accept='image/*'>
                                                </div>
                                                @if($errors->has('poi'))
                                                <span class="invalid-feedback">
                                                    <strong>{{ $errors->first('poi') }}</strong>
                                                </span>
                                                @endif
                                            </div>

                                            <div class="form-group">
                                                <label for="expire_date" class="required cust-label">Date Of
                                                    Expiry</label>
                                                <input type="text" name="expire_date" id="expire_date"
                                                    class="form-control  @error('expire_date') is-invalid @enderror">

                                                @error('expire_date')
                                                <span class="invalid-feedback" role="alert">
                                                    <small>{{ $message }}</small>
                                                </span>
                                                @enderror
                                            </div>
                                            <div class="form-group {{ $errors->has('doc_no') ? ' has-error' : '' }}">
                                                <label for="doc_no" class="required cust-label">Document Number</label>
                                                <input type="text"
                                                    class="form-control  @error('doc_no') is-invalid @enderror"
                                                    id="doc_no" name="doc_no">
                                                @if ($errors->has('doc_no'))
                                                <span class="invalid-feedback">{{ $errors->first('doc_no') }}</span>
                                                @endif
                                            </div>
                                            <div
                                                class="form-group  {{ $errors->has('poi_doctype') ? ' has-error' : '' }}">
                                                <label for="poi_doctype" class="required cust-label">Type</label>
                                                <select name="poi_doctype"
                                                    class="form-control  @error('poi_doctype') is-invalid @enderror"
                                                    id="poi_doctype">
                                                    <option value="passport">Passport</option>
                                                    <option value="national id">National Id</option>
                                                </select>

                                                @if($errors->has('poi_doctype'))
                                                <span class="invalid-feedback">
                                                    <strong>{{ $errors->first('poi_doctype') }}</strong>
                                                </span>
                                                @endif
                                            </div>

                                            <div class="form-group  {{ $errors->has('country') ? ' has-error' : '' }}">
                                                <label for="country" class="cust-label control-label">Country</label>
                                                <select
                                                    class="form-control  select2 @error('country') is-invalid @enderror"
                                                    name="country" id="country">
                                                    @foreach($countries as $country)
                                                    <option value="{{ $country->name }}">{{ $country->name }}</option>
                                                    @endforeach
                                                </select>
                                                @if ($errors->has('bankcountry'))
                                                <span
                                                    class="invalid-feedback">{{ $errors->first('bankcountry') }}</span>
                                                @endif
                                            </div>
                                        </div>

                                    </div>
                                </div>
                                <div class="col-md-6">
                                    <div class="card  rounded-3 box-shadow">
                                        <div class="card-header black-background">
                                            <h3 class="card-title">Upload POA Document</h3>
                                        </div>
										<div class="card-body">
                                        <div class="form-group">
                                            <label class="cust-label" for="profile_name">Proof of Address (POA)
                                                *</label>
                                            <div class="">
                                                <input type="file"
                                                    class="form-control  {{ $errors->has('poa') ? ' is-invalid' : '' }}"
                                                    id="poa" name="poa" value="" accept='image/*'>
                                            </div>
                                            @if($errors->has('poa'))
                                            <span class="invalid-feedback">
                                                <strong>{{ $errors->first('poa') }}</strong>
                                            </span>
                                            @endif
                                        </div>


                                        <div class="form-group  {{ $errors->has('country') ? ' has-error' : '' }}">

                                            <label for="country" class="cust-label control-label">Country</label>

                                            <select
                                                class="form-control  select2 @error('country') is-invalid @enderror"
                                                name="country" id="country">
                                                @foreach($countries as $country)
                                                <option value="{{ $country->name }}">{{ $country->name }}</option>
                                                @endforeach
                                            </select>
                                            @if ($errors->has('bankcountry'))
                                            <span class="invalid-feedback">{{ $errors->first('bankcountry') }}</span>
                                            @endif

                                        </div>
                                        <div class="form-group  {{ $errors->has('city') ? ' has-error' : '' }}">
                                            <label for="city" class="required cust-label">City</label>

                                            <input type="text"
                                                class="form-control  @error('city') is-invalid @enderror" id="city"
                                                name="city">
                                            @if ($errors->has('city'))
                                            <span class="invalid-feedback">{{ $errors->first('city') }}</span>
                                            @endif
                                        </div>
                                        <div class="form-group  {{ $errors->has('address') ? ' has-error' : '' }}">
                                            <label for="address" class="required cust-label">Address</label>

                                            <input type="text"
                                                class="form-control  @error('address') is-invalid @enderror"
                                                id="address" name="address">
                                            @if ($errors->has('address'))
                                            <span class="invalid-feedback">{{ $errors->first('address') }}</span>
                                            @endif
                                        </div>
                                        <div class="form-group  {{ $errors->has('zip_code') ? ' has-error' : '' }}">
                                            <label for="zip_code" class="required cust-label">Postal Code</label>

                                            <input type="text"
                                                class="form-control  @error('zip_code') is-invalid @enderror"
                                                id="zip_code" name="zip_code">
                                            @if ($errors->has('zip_code'))
                                            <span class="invalid-feedback">{{ $errors->first('zip_code') }}</span>
                                            @endif
                                        </div>
										</div>

                                    </div>
                                </div>
                            </div>
                        </div>
                        <div class="card-footer text-center">
                            <button class="btn btn-primary" type="submit">Submit</button>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
</section>
@endsection