@extends('layouts.master')

@section('title', 'Group Insurance TU Add/Edit')

@section('style')

@endsection

@section('script')

@endsection

@section('content')

    @include('layouts.header')
    @include('layouts.header-sub')

    <section class="wrapper bg-light">
        <div class="container py-14 py-md-16">
            <div class="row gx-lg-8 gx-xl-12">

                <div class="col-md-12">
                    <h5 class="display-1 mb-3" style="font-size: 25px">@yield('title')</h5>
                    <p class="lead fs-lg pe-lg-15 pe-xxl-12"></p>
                </div>

                <div class="col-lg-12">
                    <div class="blog single">

                        <div class="card">
                            <div class="card-body">

                                <form action="{{ url('/group_insurance_tuedit') }}" method="post"
                                    enctype="multipart/form-data">
                                    @csrf
                                    <input type="hidden" name="group_insurance_tu_id"
                                        value="{{ $group_insurance_tu->group_insurance_tu_id ?? 0 }}">
                                    <input type="hidden" name="user_user_id" value="{{ $users->id }}">

                                    <div class="row">
                                        <div class="col-md-6">
                                            <div class="mb-3">
                                                <label class="form-label">Group Insurance TU Rate</label>
                                                <input type="text" name="group_insurance_tu_rate" class="form-control"
                                                    value="{{ $group_insurance_tu->group_insurance_tu_rate ?? '' }}" required>
                                            </div>
                                        </div>

                                        <div class="col-md-6">
                                            <div class="mb-3">
                                                <label class="form-label">Group Insurance TU Date</label>
                                                <input type="date" name="group_insurance_tu_date" class="form-control"
                                                    value="{{ $group_insurance_tu->group_insurance_tu_date ?? '' }}" required>
                                            </div>
                                        </div>

                                        <div class="col-md-6">
                                            <div class="mb-3">
                                                <select name="group_insurance_tu_status" class="form-select" required>
                                                    <option value="">-- Select Status --</option>
                                                    <option value="active"
                                                        {{ isset($group_insurance_tu->group_insurance_tu_status) && $group_insurance_tu->group_insurance_tu_status == 'active' ? 'selected' : '' }}>
                                                        Active
                                                    </option>
                                                    <option value="expired"
                                                        {{ isset($group_insurance_tu->group_insurance_tu_status) && $group_insurance_tu->group_insurance_tu_status == 'expired' ? 'selected' : '' }}>
                                                        Expired
                                                    </option>
                                                </select>
                                            </div>
                                        </div>

                                        <div class="col-md-6">
                                            <div class="mb-3">

                                            </div>
                                        </div>

                                        {{-- browse file --}}
                                        <div class="col-md-6">
                                            <div class="mb-3">
                                                <label class="form-label">Attachment</label>
                                                <input type="file" name="group_insurance_tu_file" class="form-control">
                                                @if (!empty($group_insurance_tu->group_insurance_tu_file))
                                                    <div class="mt-2">
                                                        <a href="{{ asset('group_insurance_tu_files/' . $group_insurance_tu->group_insurance_tu_file) }}"
                                                            target="_blank" class="text-primary">
                                                            <i class="uil uil-file"></i>
                                                            View Current File
                                                        </a>
                                                    </div>
                                                @endif
                                            </div>
                                        </div>

                                    </div>
                                    <br>

                                    <div class="col-12 text-center">
                                        <input type="submit" class="btn btn-primary rounded-pill btn-send mb-3"
                                            value="Submit">

                                        <a class="btn btn-danger rounded-pill btn-send mb-3"
                                            href="{{ url('/group_insurance_tulist', $users->id) }}">
                                            <i class="uil uil-back"></i> Back
                                        </a>

                                        <p class="text-muted"><strong>*</strong> These fields are required.</p>
                                    </div>
                                </form>

                            </div>
                        </div>

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


    @include('layouts.footer')

@endsection