@extends('layouts.app')
@section('content')
    <style>
        .hr_select{
            border: none;
            width: 100%;
            font-size: 16px;
            box-sizing: content-box;
            padding: 5px 0;
        }

        .hr_option{
            padding-top: 3px;
        }
    </style>
    <section id="content_outer_wrapper">
        <div id="content_wrapper" class="card-overlay">
            <div id="header_wrapper" class="header-md">
                <div class="container-fluid">
                    <div class="row">
                        <div class="col-xs-12">
                            <header id="header">
                                <h1>ძირითადი ინფორმაცია</h1>
                            </header>
                        </div>
                    </div>
                </div>
            </div>
            <div id="content" class="container-fluid">
                <div class="content-body">
                    <div class="row">
                        <form class="form-horizontal" action="{{url('personals/store')}}" method="post">
                            @csrf
                            <div class="col-xs-12 col-sm-6">
                                <div class="card">
                                    <div class="card-body">
                                         <div class="form-group is-empty">
                                            <label class="{{$style['label']}}">სტატუსი *</label>
                                            <div class="{{$style['div_sm']}}">
                                                <select id="countryInput" name="status" class="form-control select" style="display: none;" aria-required="true">
                                                    @foreach($sta_sta as $_sta_sta)
                                                        <option value="{{$_sta_sta->id}}" class="withripple">{{$_sta_sta->name}}</option>
                                                    @endforeach
                                                </select>
                                            </div>
                                        </div>
                                         <div class="form-group is-empty">
                                            <label for="name" class="{{$style['label']}}">სახელი  *</label>
                                            <div class="{{$style['div_md']}}">
                                                <input id="nameInput" type="text" name="nameGeo" placeholder="სახელი"
                                                       data-rule-required="true" minlength="2"
                                                       class="form-control" name="nameGeo" value="{{ old('nameGeo') }}">
                                                @if ($errors->has('nameGeo'))
                                                    <span class="invalid-feedback small" role="alert" style="color: red;">
                           <strong>{{ $errors->first('nameGeo') }}</strong>
                           </span>
                                                @endif
                                            </div>
                                        </div>
                                        <div class="form-group is-empty">
                                            <label for="name" class="{{$style['label']}}">გვარი  *</label>
                                            <div class="{{$style['div_md']}}">
                                                <input id="nameInput" type="text" name="lastNameGeo"
                                                       placeholder="გვარი"
                                                       data-rule-required="true" minlength="2" class="form-control"
                                                       aria-required="true" value="{{ old('lastNameGeo') }}">
                                                @if ($errors->has('lastNameGeo'))
                                                    <span class="invalid-feedback small" role="alert" style="color: red;">
                           <strong>{{ $errors->first('lastNameGeo') }}</strong>
                           </span>
                                                @endif
                                            </div>
                                        </div>
                                        <div class="form-group is-empty">
                                            <label for="name" class="{{$style['label']}}">დაბადების თარიღი  *</label>
                                            <div class="{{$style['div_md']}}">
                                                <div data-format="DD/MM/YYYY" class="input-group">
                                                    <input type="text" name="birthday" class="form-control input-mask"
                                                           data-mask="00-00-0000" placeholder="dd-mm-yyyy"
                                                           autocomplete="off"
                                                           maxlength="100" value="{{ old('birthday') }}">
                                                    @if ($errors->has('birthday'))
                                                        <span class="invalid-feedback small" role="alert" style="color: red;">
                              <strong>{{ $errors->first('birthday') }}</strong>
                              </span>
                                                    @endif
                                                    <span class="input-group-addon"><i class="ion-calendar"></i></span>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="form-group is-empty">
                                            <label class="{{$style['label']}}">სქესი  *</label>
                                            <div class="{{$style['div_sm']}}">
                                                <div class="radio">
                                                    <label>
                                                        <input type="radio" name="gender" value="male"
                                                               data-rule-required="true" aria-required="true">
                                                        მამრობითი
                                                    </label>
                                                </div>
                                                <div class="radio">
                                                    <label>
                                                        <input type="radio" name="gender" value="female">
                                                        მდედრობითი
                                                    </label>
                                                </div>
                                                @if($errors->has('gender'))
                                                    <span class="invalid-feedback small" role="alert" style="color: red;">
                              <strong>{{ $errors->first('gender') }}</strong>
                              </span>
                                                @endif
                                            </div>
                                        </div>
                                        <div class="form-group is-empty">
                                            <label for="name" class="{{$style['label']}}">სახელი(ENG)</label>
                                            <div class="{{$style['div_md']}}">
                                                <input id="nameInput" type="text" name="nameEng" placeholder="Name"
                                                       data-rule-required="true" minlength="2" class="form-control"
                                                       aria-required="true" value="{{ old('nameEng') }}">
                                            </div>
                                        </div>
                                        <div class="form-group is-empty">
                                            <label for="name" class="{{$style['label']}}">გვარი(ENG)</label>
                                            <div class="{{$style['div_md']}}">
                                                <input id="nameInput" type="text" name="lastNameEng"
                                                       placeholder="LastName"
                                                       data-rule-required="true" minlength="2" class="form-control"
                                                       aria-required="true" value="{{ old('lastNameEng') }}">
                                            </div>
                                        </div>
                                        <div class="form-group is-empty">
                                            <label for="familystatus"
                                                   class="{{$style['label']}}">ოჯახური მდგომარეობა *</label>
                                            <div class="{{$style['div_sm']}}">
                                                <select id="familystatus" name="familystatus"
                                                        class="form-control select" style="display: none;"
                                                        aria-required="true">
                                                    @foreach($sta_familystatus as $_sta_familystatus)
                                                        <option value="{{$_sta_familystatus->id}}" class="withripple">{{$_sta_familystatus->name}}</option>
                                                    @endforeach
                                                </select>
                                            </div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div class="col-xs-12 col-sm-6">
                                <div class="card">
                                    <div class="card-body">
                                        <div class="form-group is-empty">
                                            <label for="country"
                                                   class="{{$style['label']}}">ქვეყანა *</label>
                                            <div class="{{$style['div_sm']}}">
                                                <select id="country" name="country"
                                                        class="form-control select" style="display: none;"
                                                        aria-required="true">
                                                    <option value="-1" class="withripple">არ აქვს</option>
                                                    @foreach($sta_cauntry as $_sta_cauntry)
                                                        <option value="{{$_sta_cauntry->id}}" class="withripple">{{$_sta_cauntry->name}}</option>
                                                    @endforeach
                                                </select>
                                            </div>
                                        </div>
                                        <div class="form-group is-empty">
                                            <label for="city" class="{{$style['label']}}">ქალაქი</label>
                                            <div class="{{$style['div_sm']}}">
                                                <select id="city" name="city"
                                                        class="form-control select" style="display: none;"
                                                        aria-required="true">
                                                    <option value="-1" class="withripple">არ აქვს</option>
                                                    @foreach($sta_city as $_sta_city)
                                                        <option value="{{$_sta_city->id}}" class="withripple">{{$_sta_city->name}}</option>
                                                    @endforeach
                                                </select>
                                            </div>
                                        </div>
                                        <div class="form-group is-empty">
                                            <label for="nameInput" class="{{$style['label']}}">მისამართი</label>
                                            <div class="{{$style['div_md']}}">
                                                <input id="address" type="text" name="address" placeholder="მისამართი"
                                                       data-rule-required="true" minlength="2" class="form-control"
                                                       aria-required="true" value="{{ old('adress') }}">
                                            </div>
                                        </div>
                                        <div class="form-group is-empty">
                                            <label class="{{$style['label']}}">მოქალაქეობა</label>
                                            <div class="{{$style['div_sm']}}">
                                                <select name="citizenship"
                                                        class="form-control select" style="display: none;"
                                                        aria-required="true">
                                                    <option value="-1" class="withripple">არ აქვს</option>
                                                    @foreach($sta_citizenship as $_sta_citizenship)
                                                        <option value="{{$_sta_citizenship->id}}" class="withripple">{{$_sta_citizenship->name}}</option>
                                                    @endforeach
                                                </select>
                                            </div>
                                        </div>
                                        <div class="form-group is-empty">
                                            <label for="name" class="{{$style['label']}}">პირადი ნომერი *</label>
                                            <div class="{{$style['div_md']}}">
                                                <input id="ccInput" type="text" name="idNumber"
                                                       placeholder="000 000 000 00"
                                                       data-rule-required="true" data-rule-creditcard="true"
                                                       class="form-control input-mask" data-mask="000 000 000 00" autocomplete="off"
                                                       aria-required="true" value="{{ old('idNumber') }}">
                                                @if ($errors->has('idNumber'))
                                                    <span class="invalid-feedback small" role="alert" style="color: red;">
                           <strong>{{ $errors->first('idNumber') }}</strong>
                           </span>
                                                @endif
                                            </div>
                                        </div>
                                        <div class="form-group is-empty">
                                            <label for="nameInput" class="{{$style['label']}}">მობილურის
                                                ნომერი</label>
                                            <div class="{{$style['div_md']}}">
                                                <input id="mobilePhone" type="text" name="mobilePhone"
                                                       placeholder="000 00 00 00" data-mask="000 00 00 00" data-rule-required="true" minlength="2"
                                                       class="form-control" aria-required="true"
                                                       value="{{ old('mobilePhone') }}">
                                                @if ($errors->has('mobilePhone'))
                                                    <span class="invalid-feedback" role="alert" style="color: red;">
                              <strong>{{ $errors->first('mobilePhone') }}</strong>
                              </span>
                                                @endif
                                            </div>
                                        </div>
                                        <div class="form-group is-empty">
                                            <label for="nameInput" class="{{$style['label']}}">დამატებითი მობილურის
                                                ნომერი</label>
                                            <div class="{{$style['div_md']}}">
                                                <input id="addMobilePhone" type="text" name="addMobilePhone"
                                                       placeholder="000 00 00 00" data-mask="000 00 00 00" data-rule-required="true" minlength="2"
                                                       class="form-control"
                                                       value="{{ old('mobilePhone') }}">
                                            </div>
                                        </div>
                                        <div class="form-group is-empty">
                                            <label for="emailInput" class="{{$style['label']}}">სახლის
                                                ნომერი</label>
                                            <div class="{{$style['div_md']}}">
                                                <input id="phone" type="text" name="phone" data-mask="000 000 00 00" placeholder="032 200 00 00"
                                                       data-rule-required="true" data-rule-rangelength="[10,30]"
                                                       data-rule-email="true" class="form-control"
                                                       aria-required="true" value="{{ old('phone') }}">
                                            </div>
                                        </div>
                                        <div class="form-group is-empty">
                                            <label for="emailInput" class="{{$style['label']}}">სამსახურის შიდა ნომერი</label>
                                            <div class="{{$style['div_md']}}">
                                                <input id="innerPhone" type="text" name="innerPhone" data-mask="000" placeholder="000"
                                                       data-rule-required="true" data-rule-rangelength="[10,30]"
                                                       data-rule-email="true" class="form-control"
                                                       aria-required="true" value="{{ old('innerPhone') }}">
                                            </div>
                                        </div>
                                        <div class="form-group is-empty">
                                            <label for="name" class="{{$style['label']}}">ელ. ფოსტა(ეუ)</label>
                                            <div class="{{$style['div_md']}}">
                                                <input id="emailInput" type="text" name="primaryEmail" placeholder="ელ. ფოსტა (ეუ)"
                                                       data-rule-required="true" data-rule-rangelength="[10,30]"
                                                       data-rule-email="true" class="form-control" aria-required="true"
                                                       value="{{ old('primaryEmail') }}">
                                            </div>
                                        </div>
                                        <div class="form-group is-empty">
                                            <label for="name" class="{{$style['label']}}">ელ. ფოსტა</label>
                                            <div class="{{$style['div_md']}}">
                                                <input id="emailInput" type="text" name="email" placeholder="ელ. ფოსტა"
                                                       data-rule-required="true" data-rule-rangelength="[10,30]"
                                                       data-rule-email="true" class="form-control" aria-required="true"
                                                       value="{{ old('email') }}">
                                            </div>
                                        </div>
                                       <div class="form-group is-empty">
                                            <div class="col-sm-offset-2 col-sm-10">
                                                @if(Auth::user()->rule!=3 && Auth::user()->rule!=4)
                                                    <button type="submit" class="btn btn-primary">დამატება</button>
                                                @endif
                                            </div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </form>
                    </div>
                </div>
            </div>
        </div>
    </section>


    @push('custom-scripts')

    @endpush
@endsection