@extends('layout.master2')

  @section('page_title','Personal Detail')
 
 
@section('head')
 <link rel="stylesheet" media="all" href="{{url('/public/css/partner.css')}}" />
 
@endsection
 

@section('container')
   




<div class="pt-5 pb-5 container  partner_page "  >
 
	
	
	 <div class="row justify-content-center pt-4 pb-4">
	 <div class="col-md-4">
	 

 @if(Session::has('message'))
    <div class="alert alert-success">
        {{ Session::get('message') }}
    </div>
@endif
				 
				 
				 
				 
				 @if (Session::has('errors'))
    <div class="alert alert-danger">
       @foreach ($errors->all() as $error)
            {{ $error }}<br/>
        @endforeach
    </div>
@endif

<br />

 


	  	<form id="personal_detail_form" action="{{url('/partner/personal_details_submit')}}" method="post" enctype="multipart/form-data">
		{{csrf_field()}}
		
 
	
			 <h1 class="page_heading text-left "><a href="{{url('/partner/finance_details')}}"><i class="fas fa-long-arrow-alt-left"></i></a>    </h1>

	    
		
				<div class="form-row" >
					<div class="col">
					<h5 class="text-black">Personal Information</h5>
 					</div>
				</div>
 
	
				<div class="form-row" >
					<div class="col">
						 <input data-validation="required" type="text" class="partner_txt_fld1" name="father_mother_name"   placeholder="Father's or Mother's Name " 
						 @if($PersonalDetail) value="{{$PersonalDetail->father_mother_name}}" @endif 
						  />
					</div>
				</div>
				
				<div class="form-row" >
					<div class="col">
						 <select data-validation="required" name="gender" class="partner_txt_fld1 ">
						 	<option value="" selected="selected" disabled="disabled">Gender</option>
							<option  @if($PersonalDetail) @if($PersonalDetail->gender=='male') {{'selected'}} @endif   @endif   value="male">Male</option>
							<option @if($PersonalDetail) @if($PersonalDetail->gender=='female') {{'selected'}} @endif  @endif value="female">Female</option>
						 </select>
					</div>
				</div>
	
	
				 
	
				<div class="form-row" >
					<div class="col">
						 <input data-validation="required" type="date" class="partner_txt_fld1" name="dob"   placeholder="Date of birth" 
						 @if($PersonalDetail) value="{{$PersonalDetail->dob}}" @endif  
						 />
					</div>
				</div>
 	
	


				<div class="form-row pt-2" >
					<div class="col">
					<h5 class="text-black">Permanent Address</h5>
 					</div>
				</div>
 
 
 
 			<div class="form-row" >
					<div class="col">
						 <input data-validation="required" type="text" class="partner_txt_fld1" name="permanent_address_house_no"   placeholder="House/Flat No."
						 @if($PersonalDetail) value="{{$PersonalDetail->permanent_address_house_no}}" @endif  
						  />
					</div>
				</div>
 
 
 
 
 			<div class="form-row" >
					<div class="col">
						 <input data-validation="required" type="text" class="partner_txt_fld1" name="permanent_address_locality"   placeholder="Street/Locality/Colony" 
							 @if($PersonalDetail) value="{{$PersonalDetail->permanent_address_locality}}" @endif  
						 />
					</div>
				</div>
				
				
				<div class="form-row" >
					<div class="col">
						 <input data-validation="required" type="text" class="partner_txt_fld1" name="permanent_address_pincode"   placeholder="Pincode" 
						 @if($PersonalDetail) value="{{$PersonalDetail->permanent_address_pincode}}" @endif  
						 />
					</div>
				</div>
				
				
				
				
				<div class="form-row" >
					<div class="col-6">
						 <input data-validation="required" type="text" class="partner_txt_fld1" name="city"   placeholder="City" 
						 @if($PersonalDetail) value="{{$PersonalDetail->city}}" @endif  
						 />
					</div>
					
					
					<div class="col-6">
						 <input data-validation="required" type="text" class="partner_txt_fld1" name="state"   placeholder="State" 
						 @if($PersonalDetail) value="{{$PersonalDetail->state}}" @endif  
						 />
					</div>
					
				</div>
 
 
 
	  <div class="form-row pt-2 mt-2">
		<div class="col">
			<button   name="submit" class="btn btn_submit col-12 btn-primary">Confirm</button>
			<input type="hidden" name="tid" value="{{$technician->tid}}" />
			
 			
			<input type="hidden" name="submit" />
		</div>
	</div> 
		
		
	</form>	
	</div>	
		
	</div>
	
	
 	
	
	 
	
	
	

</div>






</div>	
	
	
	
 
	
	
	
	
	 
	 

 

 
 	
	
	
	

<script>
 $(document).ready(function(){
 
 //http://www.formvalidator.net
    // setup validate
    $.validate({
		  ignore: [],
		  form : '#personal_detail_form',
		  //onSuccess:review_submit,
		  validateHiddenInputs:true,
		 
	
	});
	
	
 
	  
 
 
 });
 </script> 



@endsection