@extends('layouts.app',['page' => 'Register Reference', 'pageSlug' => 'reference', 'section' => 'reference'])
@section('content')
<div class="container-fluid mt--7">
    <div class="row">
        <div class="col-xl-12 order-xl-1">
            <div class="card">
                <div class="card-header">
                    <div class="row align-items-center">
                        <div class="col-8">
                            <h3 class="mb-0">Register Client</h3>
                        </div>
                        <div class="col-4 text-right">
                            <a href="{{ route('reference.index') }}" class="btn btn-sm btn-primary">Back to List</a>
                        </div>
                    </div>
                </div>
                <div class="card-body">
                    <form method="post" action="{{ route('reference.store') }}" autocomplete="off">
                        @csrf
                        <h6 class="heading-small text-muted mb-4">Reference Information</h6>
                        <div class="pl-lg-4">
                            <div class="form-group{{ $errors->has('name') ? ' has-danger' : '' }}">
                                <label class="form-control-label" for="input-name">Name</label>
                                <input type="text" name="name" id="input-name" class="form-control form-control-alternative{{ $errors->has('name') ? ' is-invalid' : '' }}" placeholder="Name" value="{{ old('name') }}" required autofocus>
                                @include('alerts.feedback', ['field' => 'name'])
                            </div>
                            <div class="row">
                                {{-- <div class="col-1">
                                    <label class="form-control-label" for="input-document_type">Type</label>
                                    <select name="document_type" id="input-document_type" class="form-control form-control-alternative{{ $errors->has('name') ? ' is-invalid' : '' }}" required>
                                        @foreach (['V', 'E', 'P', 'RIF'] as $document_type)
                                            @if($document_type == old('document_type'))
                                                <option value="{{$document_type}}" selected>{{$document_type}}</option>
                                            @else
                                                <option value="{{$document_type}}">{{$document_type}}</option>
                                            @endif
                                        @endforeach
                                    </select>
                                </div> --}}
                                {{-- <div class="col">
                                    <label class="form-control-label" for="input-document_id">Phone</label>
                                    <input type="number" name="name" id="input-document_id" class="form-control form-control-alternative{{ $errors->has('document_id') ? ' is-invalid' : '' }}" placeholder="Document Number" value="{{ old('document_id') }}" required>
                                    @include('alerts.feedback', ['field' => 'document_id'])

                                </div> --}}
                            </div>
                            {{-- <div class="form-group{{ $errors->has('email') ? ' has-danger' : '' }}">
                                <label class="form-control-label" for="input-email">Email</label>
                                <input type="email" name="email" id="input-email" class="form-control form-control-alternative{{ $errors->has('email') ? ' is-invalid' : '' }}" placeholder="Email" value="{{ old('email') }}" required>
                                @include('alerts.feedback', ['field' => 'email'])
                            </div> --}}
                            <div class="form-group{{ $errors->has('phone') ? ' has-danger' : '' }}">
                                <label class="form-control-label" for="input-phone">Telephone</label>
                                <input type="text" name="phone" id="input-phone" class="form-control form-control-alternative{{ $errors->has('phone') ? ' is-invalid' : '' }}" placeholder="Telephone" value="{{ old('phone') }}" required>
                                @include('alerts.feedback', ['field' => 'phone'])
                            </div>
                            <div class="form-group{{ $errors->has('area') ? ' has-danger' : '' }}">
                                <label class="form-control-label" for="input-phone">Area</label>
                                <input type="text" name="area" id="input-area" class="form-control form-control-alternative{{ $errors->has('area') ? ' is-invalid' : '' }}" placeholder="Area" value="{{ old('area') }}" required>
                                @include('alerts.feedback', ['field' => 'area'])
                            </div>


                            <div class="text-center">
                                <button type="submit" class="btn btn-success mt-4">Save</button>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
</div>
@endsection