@extends('frontend.vendor_dashboard.dashboard.layouts.app')

@section('content')
    <script src="https://ajax.googleapis.com/ajax/libs/jquery/3.6.1/jquery.min.js"></script>
    <div class="page-content">
        <div class="page-breadcrumb d-none d-sm-flex align-items-center mb-3">
            <div class="breadcrumb-title pe-3">Tax Clearance</div>
            <div class="ps-3">
                <nav aria-label="breadcrumb">
                    <ol class="breadcrumb mb-0 p-0">
                        <li class="breadcrumb-item"><a href="javascript:;"><i class="bx bx-home-alt"></i></a>
                        </li>
                        <li class="breadcrumb-item active" aria-current="page">Edit Tax</li>
                    </ol>
                </nav>
            </div>
        </div>
        <div class="container">
            <div class="main-body">
                <div class="row">
                    <div class="col-lg-12">
                        <div class="card">
                            <div class="card-body">
                                <form method="post" action="{{ route('vendor.vendor-tax.update', $taxClearance->id) }}"
                                      class="needs-validation" novalidate="">
                                    @csrf
                                    @method('PUT')

                                    <div class="card-header">
                                        <h4>Edit Tax Clearance</h4>
                                    </div>
                                    <div class="card-body">
                                        <div class="row">
                                            <!-- Subject -->
                                            <div class="form-group col-md-6 col-6 mb-3">
                                                <label>विषय</label>
                                                <input type="text" class="form-control" name="subject"
                                                    value="{{ old('subject', $taxClearance->subject) }}">
                                                @error('subject')
                                                    <div class="invalid-feedback d-block">{{ $message }}</div>
                                                @enderror
                                            </div>
                                               <div class="form-group col-md-6 col-6 mb-3">
                                                <label>मिति</label>
                                                <input type="date" class="form-control" name="date"
                                                    value="{{ old('date', $taxClearance->date) }}">
                                                @error('date')
                                                    <div class="invalid-feedback d-block">{{ $message }}</div>
                                                @enderror
                                            </div>

                                            <!-- Previous Ward No -->
                                            <div class="form-group col-md-6 col-6 mb-3">
                                                <label>पहिलाकाे वडा नं</label>
                                                <input type="number" class="form-control" name="previous_ward_no"
                                                    value="{{ old('previous_ward_no', $taxClearance->previous_ward_no) }}">
                                                @error('previous_ward_no')
                                                    <div class="invalid-feedback d-block">{{ $message }}</div>
                                                @enderror
                                            </div>

                                            <!-- Municipality -->
                                            <div class="form-group col-md-6 col-6 mb-3">
                                                <label>नगरपालिका</label>
                                                <select name="municipality_id" class="form-control">
                                                    @foreach($municipalities as $municipality)
                                                        <option value="{{ $municipality->id }}"
                                                            {{ old('municipality_id', $taxClearance->municipality_id) == $municipality->id ? 'selected' : '' }}>
                                                            {{ $municipality->name }}
                                                        </option>
                                                    @endforeach
                                                </select>
                                                @error('municipality_id')
                                                    <div class="invalid-feedback d-block">{{ $message }}</div>
                                                @enderror
                                            </div>

                                            <!-- Ward No -->
                                            <div class="form-group col-md-6 col-6 mb-3">
                                                <label>वडा नं</label>
                                                <select name="ward_id" class="form-control">
                                                    @foreach($wards as $ward)
                                                        <option value="{{ $ward->id }}"
                                                            {{ old('ward_id', $taxClearance->ward_id) == $ward->id ? 'selected' : '' }}>
                                                            {{ $ward->name }}
                                                        </option>
                                                    @endforeach
                                                </select>
                                                @error('ward_id')
                                                    <div class="invalid-feedback d-block">{{ $message }}</div>
                                                @enderror
                                            </div>

                                            <!-- District -->
                                            <div class="form-group col-md-6 col-6 mb-3">
                                                <label>जिल्ला</label>
                                                <input type="text" class="form-control" name="district"
                                                    value="{{ old('district', $taxClearance->district) }}">
                                                @error('district')
                                                    <div class="invalid-feedback d-block">{{ $message }}</div>
                                                @enderror
                                            </div>

                                            <!-- Province -->
                                            <div class="form-group col-md-6 col-6 mb-3">
                                                <label>प्रदेश</label>
                                                <input type="text" class="form-control" name="provinance"
                                                    value="{{ old('provinance', $taxClearance->provinance) }}">
                                                @error('provinance')
                                                    <div class="invalid-feedback d-block">{{ $message }}</div>
                                                @enderror
                                            </div>

                                            <!-- Applicant Name -->
                                            <div class="form-group col-md-6 col-6 mb-3">
                                                <label>निवेदक</label>
                                                <input type="text" class="form-control" name="applicant_name"
                                                    value="{{ old('applicant_name', $taxClearance->applicant_name) }}" required>
                                                @error('applicant_name')
                                                    <div class="invalid-feedback d-block">{{ $message }}</div>
                                                @enderror
                                            </div>

                                            <!-- Gender -->
                                            <div class="form-group col-md-6 col-6 mb-3">
                                                <label>लिङ्ग</label>
                                                <select name="gender" class="form-control" required>
                                                    <option value="">--Select--</option>
                                                    <option value="Male" {{ old('gender', $taxClearance->gender) == 'Male' ? 'selected' : '' }}>
                                                        Male
                                                    </option>
                                                    <option value="Female" {{ old('gender', $taxClearance->gender) == 'Female' ? 'selected' : '' }}>
                                                        Female
                                                    </option>
                                                </select>
                                                @error('gender')
                                                    <div class="invalid-feedback d-block">{{ $message }}</div>
                                                @enderror
                                            </div>

                                            <!-- Marital Status -->
                                            <div class="form-group col-md-6 col-6 mb-3">
                                                <label>विवाहित</label>
                                                <select name="marital_status" class="form-control" required>
                                                    <option value="">--Select--</option>
                                                    <option value="Married" {{ old('marital_status', $taxClearance->marital_status) == 'Married' ? 'selected' : '' }}>
                                                        Married
                                                    </option>
                                                    <option value="Unmarried" {{ old('marital_status', $taxClearance->marital_status) == 'Unmarried' ? 'selected' : '' }}>
                                                        Unmarried
                                                    </option>
                                                </select>
                                                @error('marital_status')
                                                    <div class="invalid-feedback d-block">{{ $message }}</div>
                                                @enderror
                                            </div>

                                            <!-- Applicant Citizen -->
                                            <div class="form-group col-md-6 col-6 mb-3">
                                                <label>निवेदककाे नागरिकता नं</label>
                                                <input type="text" class="form-control" name="applicant_citizen"
                                                    value="{{ old('applicant_citizen', $taxClearance->applicant_citizen) }}" required>
                                                @error('applicant_citizen')
                                                    <div class="invalid-feedback d-block">{{ $message }}</div>
                                                @enderror
                                            </div>

                                            <!-- Applicant ID No -->
                                            <div class="form-group col-md-6 col-6 mb-3">
                                                <label>निवेदककाे राष्ट्रिय परिचय नं</label>
                                                <input type="text" class="form-control" name="applicant_id_no"
                                                    value="{{ old('applicant_id_no', $taxClearance->applicant_id_no) }}">
                                                @error('applicant_id_no')
                                                    <div class="invalid-feedback d-block">{{ $message }}</div>
                                                @enderror
                                            </div>

                                            <!-- Applicant Passport -->
                                            <div class="form-group col-md-6 col-6 mb-3">
                                                <label>निवेदककाे राहदानी नं</label>
                                                <input type="text" class="form-control" name="applicant_passport"
                                                    value="{{ old('applicant_passport', $taxClearance->applicant_passport) }}">
                                                @error('applicant_passport')
                                                    <div class="invalid-feedback d-block">{{ $message }}</div>
                                                @enderror
                                            </div>

                                            <!-- Applicant Grandfather -->
                                            <div class="form-group col-md-6 col-6 mb-3">
                                                <label>निवेदककाे हजुरबुवाको नाम</label>
                                                <input type="text" class="form-control" name="applicant_grandfather"
                                                    value="{{ old('applicant_grandfather', $taxClearance->applicant_grandfather) }}" required>
                                                @error('applicant_grandfather')
                                                    <div class="invalid-feedback d-block">{{ $message }}</div>
                                                @enderror
                                            </div>

                                            <!-- Applicant Father -->
                                            <div class="form-group col-md-6 col-6 mb-3">
                                                <label>निवेदककाे बुवाको नाम</label>
                                                <input type="text" class="form-control" name="applicant_father"
                                                    value="{{ old('applicant_father', $taxClearance->applicant_father) }}" required>
                                                @error('applicant_father')
                                                    <div class="invalid-feedback d-block">{{ $message }}</div>
                                                @enderror
                                            </div>

                                            <!-- Applicant Mother -->
                                            <div class="form-group col-md-6 col-6 mb-3">
                                                <label>निवेदककाे आमाको नाम</label>
                                                <input type="text" class="form-control" name="applicant_mother"
                                                    value="{{ old('applicant_mother', $taxClearance->applicant_mother) }}" required>
                                                @error('applicant_mother')
                                                    <div class="invalid-feedback d-block">{{ $message }}</div>
                                                @enderror
                                            </div>
                                        </div>
                                    </div>
                                    <div class="card-footer text-right">
                                        <button type="submit" class="btn btn-primary">अद्यावधिक गर्नुहोस्</button>
                                        <a href="{{ route('vendor.vendor-tax.show', $taxClearance->id) }}" class="btn btn-secondary">रद्द गर्नुहोस्</a>
                                    </div>
                                </form>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
@endsection