@extends('layouts.welcome')

@section('title')
    Online Application
@endsection

@push('custom-css')
    <style>
        .font-bold,
        .value{
            display: inline;
        }

        /* ul li{
            margin: 30px 0;
        } */

    </style>
@endpush

@section('content')
    <div class="page-content-wrapper">
        <div class="page-content">
            <div class="page-bar">
                <div class="page-title-breadcrumb">
                    <ol class="breadcrumb page-breadcrumb pull-center">
                        {{-- <li><i class="fa fa-home"></i>&nbsp;<a class="parent-item"
                                href="index.html">Home</a>&nbsp;<i class="fa fa-angle-right"></i>
                        </li> --}}
                        <li class="">Personal Details<i class="fa fa-angle-right"></i></li>
                        <li class="">Education Background <i class="fa fa-angle-right"></i></li>
                        <li class="">Programme <i class="fa fa-angle-right"></i></li>
                        <li class=""><strong>Confirm Details</strong> <i class="fa fa-angle-right"></i></li>
                        <li class="">Files</li>
                    </ol>
                </div>
            </div>

            <div style="margin-top: 30px" class="row">

                <div style="margin-top: 30px" class="row">
                    <div class="col-md-12 col-sm-12">
                        <div class="card card-box">
                            <div class="card-head">
                                <header>Personal Details</header>
                            </div>
                            <div class="card-body " id="bar-parent2">
                                <form method="post" action="" id="form_sample_1" class="form-horizontal">
                                    <div id="personalDet" class="row">

                                        {{-- column1 --}}
                                        <div class="col-md-4 col-sm-6">
                                            <!-- text input -->
                                            <div class="form-group">
                                                <label>First name</label>
                                                <input type="text" class="form-control"  value="{{ $personal_details['first_name'] }}" disabled>
                                            </div><br>
                                            <div class="form-group">
                                                <label>Last name</label>
                                                <input type="text" class="form-control"  value="{{ $personal_details['last_name'] }}" disabled>
                                            </div><br>
                                            <div class="form-group">
                                                <label>NRC/Passport Number</label>
                                                <input type="text" class="form-control" value="{{ $personal_details['nrc_passport'] }}" disabled>
                                            </div> <br>

                                            <div class="form-group">
                                                <label>Email</label>
                                                <input type="email" class="form-control" value="{{ $personal_details['email'] }}" disabled>
                                            </div> <br>

                                            <div class="form-group">
                                                <label>Phone</label>
                                                <input type="text" class="form-control" value="{{ $personal_details['phone'] }}" disabled>
                                            </div> <br>

                                            <!-- select -->
                                        </div>
                                        {{-- column1 --}}
                                        <div class="col-md-4 col-sm-6">
                                            <!-- text input -->
                                            <div class="form-group">
                                                <label>Date Of Birth</label>
                                                <input type="date" class="form-control" value="{{ $personal_details['dob'] }}" disabled>
                                            </div><br>

                                            <div class="form-group">
                                                <label>Next of Kin</label>
                                                <input type="text" class="form-control" value="{{ $personal_details['next_of_kin'] }}" disabled>
                                            </div><br>

                                            <div class="form-group">
                                                <label>Next of Kin Phone</label>
                                                <input type="text" class="form-control" value="{{ $personal_details['next_of_kin_phone'] }}" disabled>
                                            </div><br>

                                            <div class="form-group">
                                                <label>Physical Address</label>
                                                <input type="text" class="form-control"  value="{{ $personal_details['address'] }}" disabled>
                                            </div><br>

                                            @if (session('applicant_type_id') == 1)
                                                <div class="form-group">
                                                    <label>High School Name</label>
                                                    <input type="text" class="form-control"  value="{{ $high_school }}" disabled>
                                                </div><br>
                                            {{-- @else
                                                <div class="form-group">
                                                    <label>High School Name</label>
                                                    <input type="text" class="form-control"  value="{{ $high_school }}" disabled>
                                                </div><br> --}}
                                            @endif

                                        </div>
                                        <div class="col-md-4 col-sm-6">
                                            <!-- text input -->
                                            <div class="form-group">
                                                <label>Program</label>
                                                <input type="text" class="form-control" value="{{ $program }}" disabled>
                                            </div><br>
                                            @if (Session::get('applicant_type_id') == 2)
                                                <div class="form-group">
                                                    <label>Institution</label>
                                                    <input type="text" class="form-control" value="{{ $institution_name }}" disabled>
                                                </div><br>

                                                <div class="form-group">
                                                    <label>Highest Qualification </label>
                                                    <input type="text" class="form-control" value="{{ $highest_qualification }}" disabled>
                                                </div><br>

                                                <div class="form-group">
                                                    <label>Tertiary Complete Date </label>
                                                    <input type="text" class="form-control" value="{{ $tetiary_compl_date }}" disabled>
                                                </div><br>
                                            @endif

                                        </div>
                                    </div>

                                </form>
                            </div>
                        </div>
                    </div>
                </div>

            </div>
            <form action="{{ route('details-submission') }}" method="POST">
                @csrf
                {{-- <a href="{{ url('complete-application/'.Crypt::encrypt($applicant_info->id)) }}" class="btn btn-info m-r-20">Complete</a> --}}
                {{-- <input type="hidden" name="applicant_id" value="{{ $applicant_info->id }}"> --}}
                <button class="btn btn-info m-r-20" type="submit">Next</button>
            </form>
        </div>
    </div>
@endsection