@extends('admin/layouts/default')

{{-- Page title --}}
@section('title')
Create New member
@parent
@stop

{{-- Page content --}}
@section('content')
<section class="content-header">
    <h1>Members Registration </h1>
    <ol class="breadcrumb">
        <li>
            <a href="{{ route('dashboard') }}"> <i class="livicon" data-name="home" data-size="16" data-color="#000"></i>
                Dashboard
            </a>
        </li>
        <li>members</li>
        <li class="active">Register member</li>
    </ol>
</section>

<!-- Main content -->
<section class="content">
    <div class="row">
        <div class="col-lg-10">
            <div class="panel panel-primary ">
                <div class="panel-heading">
                    <h4 class="panel-title"> <i class="livicon" data-name="plus-alt" data-size="16" data-loop="true" data-c="#fff" data-hc="white"></i>
                        Register new member
                    </h4>
                </div>
                <div class="panel-body">
                     @if ($errors->any())
                        <ul class="alert alert-danger">
                            @foreach ($errors->all() as $error)
                                <li>{{ $error }}</li>
                            @endforeach
                        </ul>
                    @endif


                         {!! Form::open(['url' => 'memberregistration','files'=>'true']) !!}

                         <div class="form-group">
                             {!! Form::label('idno', 'Idno: ') !!}
                             {!! Form::text('idno', null, ['class' => 'form-control', 'required' => 'required']) !!}
                             <small class="form-text text-muted">This field is required.</small>
                         </div>

					<div class="form-group">
                        {!! Form::label('firstname', 'Firstname: ') !!}
                        {!! Form::text('firstname', null, ['class' => 'form-control','required' => 'required']) !!}
                    </div>

					<div class="form-group">
                        {!! Form::label('middlename', 'Middlename: ') !!}
                        {!! Form::text('middlename', null, ['class' => 'form-control','required' => 'required']) !!}
                    </div>

					<div class="form-group">
                        {!! Form::label('lastname', 'Lastname: ') !!}
                        {!! Form::text('lastname', null, ['class' => 'form-control','required' => 'required']) !!}
                    </div>

					<div class="form-group">
                        {!! Form::label('mothername', 'Mother Name: ') !!}
                        {!! Form::text('mothername', null, ['class' => 'form-control','required' => 'required']) !!}
                    </div>

					<div class="form-group">
                        {!! Form::label('dateofbirth', 'Dateof Birth: ') !!}
                        {!! Form::date('dateofbirth', null, ['class' => 'form-control','required' => 'required']) !!}
                    </div>

					<div class="form-group">
                        {!! Form::label('placeogbirth', 'Placeogbirth: ') !!}
                        {!! Form::text('placeogbirth', null, ['class' => 'form-control','required' => 'required']) !!}
                    </div>

					<div class="form-group">
                        {!! Form::label('age', 'Age: ') !!}
                        {!! Form::number('age', null, ['class' => 'form-control','required' => 'required']) !!}
                    </div>

					<div class="form-group">
                        {!! Form::label('gender', 'Gender: ') !!}
                        {!! Form::text('gender', null, ['class' => 'form-control','required' => 'required']) !!}
                    </div>

					<div class="form-group">
                        {!! Form::label('nationality', 'Nationality: ') !!}
                        {!! Form::text('nationality', null, ['class' => 'form-control','required' => 'required']) !!}
                    </div>

					<div class="form-group">
                        {!! Form::label('kebele', 'Kebele: ') !!}
                        {!! Form::text('kebele', null, ['class' => 'form-control','required' => 'required']) !!}
                    </div>

					<div class="form-group">
                        {!! Form::label('occupation', 'Occupation: ') !!}
                        {!! Form::text('occupation', null, ['class' => 'form-control','required' => 'required']) !!}
                    </div>

					<div class="form-group">
                        {!! Form::label('emergencyaddress', 'Emergency Address: ') !!}
                        {!! Form::text('emergencyaddress', null, ['class' => 'form-control']) !!}
                    </div>

                         <div class="form-group">
                             {!! Form::label('regdate', 'Registration Date: ') !!}
                             {!! Form::text('regdate', date('Y-m-d'), [
                                 'class' => 'form-control',
                                 'required' => 'required',
                                 'readonly' => 'readonly'  // Optional: makes the field read-only to prevent user modification
                             ]) !!}
                             <small class="form-text text-muted">Current date will be set automatically.</small>
                         </div>
                         <div class="form-group">
                             {!! Form::label('phone', 'Phone: ') !!}
                             {!! Form::text('phone', null, [
                                 'class' => 'form-control',
                                 'required' => 'required',
                                 'pattern' => '^09[0-9]{8}$',
                                 'title' => 'Phone number must start with 09 and be 10 digits long.'
                             ]) !!}
                             <small class="form-text text-muted">Format: 09XXXXXXXX</small>
                         </div>

					<div class="form-group">
                        {!! Form::label('reason', 'Reason: ') !!}
                        {!! Form::text('reason', null, ['class' => 'form-control','required' => 'required']) !!}
                    </div>
                         <div class="form-group">
                             {!! Form::label('photo', 'Photo: ') !!}
                             {!! Form::file('photo', null, ['class' => 'form-control','required' => 'required']) !!}
                         </div>

                         <div class="form-group">
                             {!! Form::label('file', 'File: ') !!}
                             {!! Form::file('file', null, ['class' => 'form-control', 'accept' => 'image/*']) !!}
                             <small class="form-text text-muted">Please upload an image file.</small>
                         </div>
					

                    <div class="form-group">
                        <div class="col-sm-offset-2 col-sm-4">
                            <a class="btn btn-danger" href="{{ route('kebele.members.index') }}">
                                @lang('button.cancel')
                            </a>
                            <button type="submit" class="btn btn-success">
                                @lang('button.save')
                            </button>
                        </div>
                    </div>

                    {!! Form::close() !!}

                </div>
            </div>
        </div>
    </div>
    <!-- row-->
</section>

@stop