@extends('layout.localGov.master')
@section('content')
    <div class="content-wrapper">
        <!-- Content Header (Page header) -->
        <section class="content-header">
            <div class="container-fluid">
                <div class="row mb-2">
                    <div class="col-sm-6">

                    </div>
                    <div class="col-sm-6">
                        <ol class="breadcrumb float-sm-right">
                            <li class="breadcrumb-item"><a href="{{ url('gov-panel/home') }}">Home</a></li>
                            <li class="breadcrumb-item"><a href="{{ url('gov-panel/complianceagents') }}"> Compliance Officers </a></li>
                            <li class="breadcrumb-item"><a href="javascript:void(0)">Create</a></li>

                        </ol>
                    </div>
                </div>
            </div><!-- /.container-fluid -->
        </section>

        <!-- Main content -->
        <section class="content">
            <div class="container-fluid">
                <div class="row">
                    <div class="col-md-12">
                        <div class="callout callout-info">
                            <h5><i class="fas fa-info"></i> Compliance Officers :</h5>
                            Create
                        </div>
                        <div class="card card-secondary">
                            <div class="card-header">
                                <h2 class="card-title">Compliance Officers  Information : </h2>
                            </div>

                            <form id="myForm" method="POST" action="{{ url('gov-panel/complianceagents') }}"
                                enctype="multipart/form-data">
                                @csrf

                                <div class="card-body">
                                    <div class="row">
                                        <div class="col-md-4">
                                            <div class="form-group">
                                                <label for="exampleInputEmail1">Contact First Name <span
                                                        class="text-danger"> *
                                                    </span></label>
                                                <input type="text" class="form-control" name="contact_first_name"
                                                    value="{{ old('contact_first_name') }}">
                                                <span class="text-danger">
                                                    @if ($errors->has('contact_first_name'))
                                                        {{ $errors->first('contact_first_name') }}
                                                    @endif
                                                </span>
                                            </div>
                                        </div>
                                        <div class="col-md-4">
                                            <div class="form-group">
                                                <label for="exampleInputEmail1">Contact Last Name <span class="text-danger">
                                                        * </span></label>
                                                <input type="text" class="form-control" name="contact_last_name"
                                                    value="{{ old('contact_last_name') }}">
                                                <span class="text-danger">
                                                    @if ($errors->has('contact_last_name'))
                                                        {{ $errors->first('contact_last_name') }}
                                                    @endif
                                                </span>
                                            </div>
                                        </div>
                                        <div class="col-md-4">
                                            <div class="form-group">
                                                <label for="exampleInputEmail1">Contact Mobile Number <span
                                                        class="text-danger">
                                                        * </span></label>
                                                <input type="text" class="form-control" name="contact_mobile_number"
                                                    value="{{ old('contact_mobile_number') }}">
                                                <span class="text-danger">
                                                    @if ($errors->has('contact_mobile_number'))
                                                        {{ $errors->first('contact_mobile_number') }}
                                                    @endif
                                                </span>
                                            </div>
                                        </div>
                                        <div class="col-md-4">
                                            <div class="form-group">
                                                <label for="exampleInputEmail1">Email <span class="text-danger"> *
                                                    </span></label>
                                                <input type="text" class="form-control" name="email"
                                                    value="{{ old('email') }}">
                                                <span class="text-danger">
                                                    @if ($errors->has('email'))
                                                        {{ $errors->first('email') }}
                                                    @endif
                                                </span>
                                            </div>
                                        </div>
                                        <div class="col-md-4">
                                            <div class="form-group">
                                                <label for="exampleInputEmail1">Address <span class="text-danger"> *
                                                    </span></label>
                                                <input type="text" class="form-control" name="address"
                                                    value="{{ old('address') }}">
                                                <span class="text-danger">
                                                    @if ($errors->has('address'))
                                                        {{ $errors->first('address') }}
                                                    @endif
                                                </span>
                                            </div>
                                        </div>
                                        <div class="col-md-4">
                                            <div class="form-group">
                                                <label for="exampleInputEmail1">City <span class="text-danger"> *
                                                    </span></label>
                                                <input type="text" class="form-control" name="city"
                                                    value="{{ old('city') }}">
                                                <span class="text-danger">
                                                    @if ($errors->has('city'))
                                                        {{ $errors->first('city') }}
                                                    @endif
                                                </span>

                                            </div>
                                        </div>


                                    </div>
                                </div>
                            </form>
                        </div>
                        <div class="card-footer text-center">
                            <div class="text-center">
                                <button type="button" onclick="SubmitForm()" class="btn btn-primary btn-sm">
                                    <img class="imgIconSize" src="{{ asset('theme/icon/done.png') }}" alt="filter" />
                                    Submit</button>

                                <a href="{{ url('gov-panel/complianceagents') }}" class="btn btn-danger btn-sm">
                                    <img class="imgIconSize" src="{{ asset('theme/icon/back.png') }}" alt="Back" />
                                    Back</a>
                            </div>

                        </div>

                        </form>
                        <!-- /.card-body -->
                    </div>
                </div>
                <!-- /.col -->

            </div>



    </div><!-- /.container-fluid -->
    </section>
    <!-- /.content -->
    </div>

    <script src="https://ajax.googleapis.com/ajax/libs/jquery/3.5.1/jquery.min.js"></script>

    <script>
        function SubmitForm() {

            const swalWithBootstrapButtons = Swal.mixin({
                customClass: {
                    confirmButton: 'btn btn-success spacess',
                    cancelButton: 'btn btn-danger'
                },
                buttonsStyling: false
            })

            swalWithBootstrapButtons.fire({
                title: 'Do you really want to create Compliance Officers ?',
                icon: 'warning',
                showCancelButton: true,
                confirmButtonText: 'Yes!',
                cancelButtonText: 'No!',
                reverseButtons: true
            }).then((result) => {
                if (result.isConfirmed) {
                    document.getElementById("myForm").submit();
                }
            })



        }
    </script>
   
@endsection