@extends('layouts.adminapp')

@section('content')


   {{-- Member Registration --}}
   <x-app-flash />

   <form method="POST" action="{{ route('DivorceRegistration.update', $DivorceRegistration->id) }}" enctype='multipart/form-data'>
      @csrf
      @method('patch')
      <div class="card">
         <div class="card-header">
            <div class="d-flex align-items-center">
               <div class="p-2  flex-fill bd-highlight">
                  <h4>{{ __('lng.EditDivorceRegistration') }}</h4>
               </div>
            </div>
         </div>
         <div class="card-body">
             <div class="row">
            <div class="col-sm-6">
                <h6 class="my-3 mx-0 font-weight-bold text-primary"> {{ __('lng.GroomDetails') }}</h6>
                <div class="row">
                    <div class="col-sm-6 form-group">
                        <label for="txtContact">{{ __('lng.Name') }} *</label>
                        <input  type="text"  class="form-control" name="groom_name" value="{{$DivorceRegistration->groom_name}}" />
                    </div>
                    <div class="col-sm-6 form-group">
                        <label for="txtContact">{{ __('lng.FatherName') }} *</label>
                        <input type="text"  class="form-control" name="groom_father_name"  value="{{$DivorceRegistration->groom_father_name}}" />
                    </div>
                    <div class="col-sm-6 form-group">
                        <label for="txtContact">{{ __('lng.HouseName') }} *</label>
                        <input type="text" class="form-control" name="groom_house_name" value="{{$DivorceRegistration->groom_house_name}}" />
                    </div>
                    <div class="col-sm-6 form-group">
                        <label for="txtContact">{{ __('lng.DateOfBirth') }} *</label>
                        <input type="date" class="form-control" name="groom_dob" value="{{date('Y-m-d',strtotime($DivorceRegistration->groom_dob))}}" />
                    </div>
                
                    <div class="col-sm-6 form-group">
                        <label for="txtContact">{{ __('lng.Phone') }} *</label>
                        <input type="number" class="form-control" name="groom_phone" value="{{$DivorceRegistration->groom_phone}}" />
                    </div>
                
                    <div class="col-sm-6 form-group">
                        <label for="txtContact">{{ __('lng.Place') }} *</label>
                        <input type="text" class="form-control" name="groom_place" value="{{$DivorceRegistration->groom_place}}" />
                    </div>
                
                    <div class="col-sm-6 form-group">
                        <label for="txtContact">{{ __('lng.Post') }} *</label>
                        <input type="text" class="form-control" name="groom_post" value="{{$DivorceRegistration->groom_post}}" />
                    </div>
                
                    <div class="col-sm-6 form-group">
                        <label for="txtContact">{{ __('lng.Pin') }} *</label>
                        <input type="text" class="form-control" name="groom_pin" value="{{$DivorceRegistration->groom_pin}}" />
                    </div>
                
                </div>

            </div>
        <div class="col-sm-6">
            <h6 class="my-3 mx-0 font-weight-bold text-primary">{{ __('lng.BrideDetails') }}</h6>
            <div class="row">
                <div class="col-sm-6 form-group">
                    <label for="txtContact">{{ __('lng.Name') }} *</label>
                    <input  type="text"  class="form-control" name="bride_name" value="{{$DivorceRegistration->bride_name}}" />
                </div>
                <div class="col-sm-6 form-group">
                    <label for="txtContact">{{ __('lng.FatherName') }} *</label>
                    <input type="text"  class="form-control" name="bride_father_name"  value="{{$DivorceRegistration->bride_father_name}}" />
                </div>
                <div class="col-sm-6 form-group">
                    <label for="txtContact">{{ __('lng.HouseName') }} *</label>
                    <input type="text" class="form-control" name="bride_house_name" value="{{$DivorceRegistration->bride_house_name}}" />
                </div>
                <div class="col-sm-6 form-group">
                    <label for="txtContact">{{ __('lng.DateOfBirth') }} *</label>
                    <input type="date" class="form-control" name="bride_dob" value="{{date('Y-m-d',strtotime($DivorceRegistration->bride_dob))}}" />
                </div>
            
                <div class="col-sm-6 form-group">
                    <label for="txtContact">{{ __('lng.Phone') }} *</label>
                    <input type="number" class="form-control" name="bride_phone" value="{{$DivorceRegistration->bride_phone}}" />
                </div>
            
                <div class="col-sm-6 form-group">
                    <label for="txtContact">{{ __('lng.Place') }} *</label>
                    <input type="text" class="form-control" name="bride_place" value="{{$DivorceRegistration->bride_place}}" />
                </div>
            
                <div class="col-sm-6 form-group">
                    <label for="txtContact">{{ __('lng.Post') }} *</label>
                    <input type="text" class="form-control" name="bride_post" value="{{$DivorceRegistration->bride_post}}" />
                </div>
            
                <div class="col-sm-6 form-group">
                    <label for="txtContact">{{ __('lng.Pin') }} *</label>
                    <input type="text" class="form-control" name="bride_pin" value="{{$DivorceRegistration->bride_pin}}" />
                </div>
            
            </div>

        </div>
    </div>
    <h6 class="my-3 mx-0 font-weight-bold text-primary"> {{ __('lng.DetailsForMarriage') }}</h6>
    <div class="row">
        <div class="col-sm-4 form-group">
            <label for="txtRegisterNumber">{{ __('lng.RegisterNumber') }} *</label>
            <input type="text" class="form-control" name="register_number" value="{{$DivorceRegistration->register_number}}" id="txtRegisterNumber" required />
        </div>
        <div class="col-sm-4 form-group">
            <label for="txtContact">{{ __('lng.MarriageDate') }} *</label>
            <input type="date" class="form-control" name="date_of_marriage" value="{{$DivorceRegistration->date_of_marriage}}" />
        </div>
        <div class="col-sm-4 form-group">
            <label for="txtContact">{{ __('lng.MarriagePlace') }} *</label>
            <input type="text" class="form-control" name="marriage_place" value="{{$DivorceRegistration->marriage_place}}" />
        </div>
    
    </div>
    <h6 class="my-3 mx-0 font-weight-bold text-primary"> {{ __('lng.DetailsForDivorce') }}</h6>
    <div class="row">
        <div class="col-sm-6 form-group">
            <label for="txtContact">{{ __('lng.Date') }} *</label>
            <input type="date" class="form-control" name="date_of_divorce" value="{{$DivorceRegistration->date_of_divorce}}"  required/>
        </div>
        <div class="col-sm-6 form-group">
            <label for="txtContact">{{ __('lng.DivorceReason') }} *</label>
            <input type="text" class="form-control" name="reason_of_divorce" value="{{$DivorceRegistration->reason_of_divorce}}" />
        </div>
    
    </div>
    <div class="row">
        <div class="col-sm-6">
            <h6 class="my-3 mx-0 font-weight-bold text-primary"> {{ __('lng.WitnessDetails') }}</h6>
            <div class="row">
                <div class="col-sm-12 form-group">
                    <label for="txtContact">{{ __('lng.Name') }} *</label>
                    <input type="text" class="form-control" name="witness_1"  value="{{$DivorceRegistration->witness_1}}" required/>
                </div>
                <div class="col-sm-12 form-group">
                    <label for="txtContact">{{ __('lng.Address') }} *</label>
                    <input type="text" class="form-control" name="witness_1_address" value="{{$DivorceRegistration->witness_1_address}}" required/>
                </div>
            </div>
        </div>
        <div class="col-sm-6">
            <h6 class="my-3 mx-0 font-weight-bold text-primary"> {{ __('lng.WitnessDetails') }}</h6>
            <div class="row">
                <div class="col-sm-12 form-group">
                    <label for="txtContact">{{ __('lng.Name') }} *</label>
                    <input type="text" class="form-control" name="witness_2" value="{{$DivorceRegistration->witness_2}}"  required/>
                </div>
                <div class="col-sm-12 form-group">
                    <label for="txtContact">{{ __('lng.Address') }} *</label>
                    <input type="text" class="form-control" name="witness_2_address" value="{{$DivorceRegistration->witness_2_address}}" required/>
                </div>
            </div>
        </div>
    </div>

            
            
         </div>
         <div class="card-footer">
            <div class="d-flex  justify-content-start p-2" style="width:50%;float:left;">
               <a class="btn btn-primary btn-icon-split" href="{{ route('DivorceRegistration.index') }}">
                  <span class="icon text-white-50">
                     <i class="fas fa-arrow-left"></i>
                  </span>
                  <span class="text">{{ __('lng.Back') }}</span>
               </a>
            </div>
            <div class="d-flex  justify-content-end p-2">
               <button type="reset" class="btn btn-secondary btn-icon-split mr-2" name="btnSave">
                  <span class="icon text-white-50">
                     <i class="fas fa-trash"></i>
                  </span>
                  <span class="text">{{ __('lng.Clear') }}</span>
               </button>
               <button type="submit" class="btn btn-success btn-icon-split">
                  <span class="icon text-white-50">
                     <i class="fas fa-check"></i>
                  </span>
                  <span class="text">{{ __('lng.Update') }}</span>
               </button>
            </div>
         </div>
      </div>
   </form>


@endsection