@extends('layouts.master')
@section('content')
<div class="h">
@include('inc.header-nav')
<div class="mx-auto container-fluid align-items-center pt-150">
    @include('inc.header-profile')
    <div class="d-flex flex-column flex-lg-row" style="margin-bottom: 100px">
        <div class="flex-column flex-lg-row-auto w-200 w-lg-500px w-xl-600px mb-10 mb-lg-0">
            <div class="card px-0 pt-3 card-flush">
                <div class="card-header px-0" id="kt_chat_contacts_header">
                    <div class="card-title">
                        <div class="d-flex justify-content-center flex-column me-3">
                            <h3 class="px-6"> Visa</h3>
                            <span class="text-muted mt-1 fw-bold ps-6 fs-7">Last date of visa proccess</span>
                        </div>
                    </div>
                </div>
                <div class="card-body px-7 pt-5" id="kt_chat_contacts_body">
                    <div class="mb-10">
                        <form  class="row g-3 needs-validation"  method="POST" action="/me/visa" enctype="multipart/form-data" novalidate>
                            @csrf
                            <div class="row">
                                <div class="col-12">
                                </div>
                                <div class="col-12 col-md-12 d-flex flex-column mb-5 fv-row fv-plugins-icon-container">
                                    <label class="d-flex align-items-center fs-6 fw-semibold mb-2">
                                        <span class="required">Visa Type</span>
                                    </label>
                                    <select name="visa_type" class="form-control" required>
                                        <option value="">Select visa type</option>
                                        <option value="renewal" @if (optional($visa)->visa_type  == 'renewal') {{'selected'}} @endif>
                                            Renewal
                                        </option>
                                        <option value="conversion" @if (optional($visa)->visa_type  == 'conversion') {{'selected'}} @endif>
                                            Conversion
                                        </option>
                                    </select>
                                </div>
        
                                <div class="col-12 col-md-12 d-flex flex-column mb-5 fv-row fv-plugins-icon-container">
                                    <label class="d-flex align-items-center fs-6 fw-semibold mb-2">
                                        <span class="required">Visa Category</span>
                                    </label>
                                    <select name="visa_category" class="form-control" required>
                                        <option value="">Select visa category</option>
                                        <option value="9A" @if (optional($visa)->visa_category  === '9a') {{'selected'}} @endif>
                                            9A
                                        </option>
                                        <option value="9F" @if (optional($visa)->visa_category  === '9f') {{'selected'}} @endif>
                                            9F
                                        </option>
                                    </select>
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-12 col-md-6 d-flex flex-column mb-5 fv-row fv-plugins-icon-container">
                                    <label class="d-flex align-items-center fs-6 fw-semibold mb-2">
                                        <span>Date Expiry</span>
                                    </label>
                                    <input type="date" name="date_of_expiry"  value="{{$visa && $visa->date_of_expiry ?  date('Y-m-d', strtotime(optional($visa)->date_of_expiry)): ''}}"  class="form-control form-control-solid">
                                </div>
                                <div class="col-12 col-md-6 d-flex flex-column mb-5 fv-row fv-plugins-icon-container">
                                    <label class="d-flex align-items-center fs-6 fw-semibold mb-2">
                                        <span>Date of Issue</span>
                                    </label>
                                    <input type="date" name="date_of_issue" value="{{$visa && $visa->date_of_issue ?  date('Y-m-d', strtotime(optional($visa)->date_of_issue)) : ''}}"  class="form-control form-control-solid">
                                </div>
                            </div>
                            
                            <div class="row">
                                <div class="col-12 col-md-12 d-flex flex-column mb-5 fv-row fv-plugins-icon-container">
                                    <h5 class="mb-4 pt-5"><strong>ACR CARD APPLICATION</strong></h5>
                                    <div class="d-flex flex-column mb-5 fv-row fv-plugins-icon-container">
                                        <label class="d-flex align-items-center fs-6 fw-semibold mb-2">
                                            <span>ACR Card No</span>
                                        </label>
                                        <input type="text" name="acr_card_no"  value="{{optional($visa)->acr_card_no}}" class="form-control form-control-solid">
                                    </div>
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-12 col-md-6  d-flex flex-column mb-5 fv-row fv-plugins-icon-container">
                                    <label class="d-flex align-items-center fs-6 fw-semibold mb-2">
                                        <span>Date of Issue</span>
                                    </label>
                                    <input type="date" name="acr_date_of_issue" value="{{ $visa && $visa->acr_date_of_issue ?  date('Y-m-d', strtotime(optional($visa)->acr_date_of_issue)) : '' }}" class="form-control form-control-solid">
                                </div>
        
                                <div class="col-12 col-md-6 d-flex flex-column mb-5 fv-row fv-plugins-icon-container">
                                    <label class="d-flex align-items-center fs-6 fw-semibold mb-2">
                                        <span>Date of Expiry</span>
                                    </label>
                                    <input type="date" name="acr_date_of_expiry"  value="{{ $visa && $visa->acr_date_of_expiry ? date('Y-m-d', strtotime(optional($visa)->acr_date_of_expiry)) : ''}}"  class="form-control form-control-solid">
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-12 col-md-12  d-flex flex-column mb-5 fv-row fv-plugins-icon-container">
                                    <div class="d-flex flex-column mb-5 fv-row fv-plugins-icon-container">
                                        <label class="d-flex align-items-center fs-6 fw-semibold mb-2">
                                            <span>Address</span>
                                        </label>
                                        <input type="text" name="acr_place_of_issue"  value="{{optional($visa)->acr_place_of_issue}}"  class="form-control form-control-solid" style="height: 80px !important;">
                                    </div>
                                </div>
                            </div>
                            <div class="row">
                                <div class="col-12 col-md-12  d-flex flex-column mb-5 fv-row fv-plugins-icon-container">
                                    <div class="d-flex flex-stack pt-15">
                                        <div class="mr-2">
                                        </div>
                                        <div>
                                            <button type="submit" class="btn btn-sm btn-success" >
                                                <span >
                                                    Submit
                                                    <i class="ki-duotone ki-arrow-right fs-4 ms-1">
                                                        <span class="path1"></span>
                                                        <span class="path2"></span>
                                                    </i>
                                                </span>
                                            </button>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </form>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>
@endsection
@push('scripts')
@endpush