@extends('layouts.customer')

@section('title')
    Click & Get - Apply Rider
@endsection

@section('content')
<div class="card">
    <div class="py-5"></div>
    <div class="container p-2 my-2">
<a href="{{ url()->previous() }}" class="btn btn-secondary me-2">Back</a>

@if($errors->any())
            <div class="alert alert-danger">
                <ul>
                    @foreach ($errors->all() as $error)
                        <li>{{ $error }}</li>
                    @endforeach
                </ul>
            </div>
        @endif

        @if(session('success'))
    <div class="alert alert-success">
        {{ session('success') }}
    </div>
@endif

        <div class="card-header">
                    <div class="card-header bg-primary text-white">{{ __('Form to Apply as a rider || NOTE!!:A rider cannot be a seller/customer using this account' ) }}</div>

                    <div class="card-body">
                        <form method="POST" action="{{ route('apply-rider') }}" enctype="multipart/form-data">
                            @csrf



                            <div class="mb-3 row">
                                <div class="col-md-6">
                                    <input id="user_id" type="hidden" class="form-control @error('user_id') is-invalid @enderror"
                                        name="user_id"value="{{ Auth::id() }}" required autocomplete="user_id">
                                    @error('user_id')
                                        <span class="invalid-feedback" role="alert">
                                            <strong>{{ $message }}</strong>
                                        </span>
                                    @enderror
                                </div>
                            </div>

                            
                        
                          
                        <div class="mb-3 row">
                                <label for="name" class="col-md-4 col-form-label text-md-right">{{ __('Name') }}</label>
                                <div class="col-md-6">
                                    <input id="name" type="text" class="form-control @error('name') is-invalid @enderror"
                                        name="name"  value="{{ Auth::user()->name}}"  required autocomplete="name" readonly>
                                    @error('name')
                                        <span class="invalid-feedback" role="alert">
                                            <strong>{{ $message }}</strong>
                                        </span>
                                    @enderror
                                </div>
                            </div>
                            <div class="mb-3 row">
                                <label for="middle_name" class="col-md-4 col-form-label text-md-right">{{ __('Middle Name') }}</label>
                                <div class="col-md-6">
                                    <input id="middle_name" type="text" class="form-control @error('middle_name') is-invalid @enderror"
                                        name="middle_name"  value="{{ Auth::user()->middle_name}}"  required autocomplete="middle_name" readonly>
                                    @error('middle_name')
                                        <span class="invalid-feedback" role="alert">
                                            <strong>{{ $message }}</strong>
                                        </span>
                                    @enderror
                                </div>
                            </div>
                            <div class="mb-3 row">
                                <label for="last_name" class="col-md-4 col-form-label text-md-right">{{ __('Last Name') }}</label>
                                <div class="col-md-6">
                                    <input id="last_name" type="text" class="form-control @error('last_name') is-invalid @enderror"
                                        name="last_name"  value="{{ Auth::user()->last_name}}"  required autocomplete="last_name" readonly>
                                    @error('last_name')
                                        <span class="invalid-feedback" role="alert">
                                            <strong>{{ $message }}</strong>
                                        </span>
                                    @enderror
                                </div>
                            </div>


                            <div class="mb-3 row">
                                <label for="email" class="col-md-4 col-form-label text-md-right">{{ __('Email') }}</label>
                                <div class="col-md-6">
                                    <input id="email" type="email" class="form-control @error('email') is-invalid @enderror"
                                        name="email"   value="{{ Auth::user()->email}}" required autocomplete="email" readonly>
                                    @error('email')
                                        <span class="invalid-feedback" role="alert">
                                            <strong>{{ $message }}</strong>
                                        </span>
                                    @enderror
                                </div>
                            </div>

                            <div class="mb-3 row">
                                <label for="phone" class="col-md-4 col-form-label text-md-right">{{ __('Phone Number') }}</label>
                                <div class="col-md-6">
                                    <input id="phone" type="tel" class="form-control @error('phone') is-invalid @enderror"
                                        name="phone" value="{{ Auth::user()->phone}}" value="{{ old('phone') }}" required autocomplete="phone" readonly>
                                    @error('phone')
                                        <span class="invalid-feedback" role="alert">
                                            <strong>{{ $message }}</strong>
                                        </span>
                                    @enderror
                                </div>
                            </div>
<!-- Valid ID Images -->
<div class="form-outline mb-4">
    <label class="form-label" for="valid_id_images">Valid ID Images (required)</label>
    <input id="valid_id_images" type="file" class="form-control @error('images.*') is-invalid @enderror" name="images[]" multiple accept="image/*" />
    <input type="hidden" name="image_identifiers[]" value="1">
    @error('images.*')
        <span class="invalid-feedback" role="alert">
            <strong>{{ $message }}</strong>
        </span>
    @enderror
</div>

<!-- Driver's License Images -->
<div class="form-outline mb-4">
    <label class="form-label" for="driver_license_images">Driver's License Images (required)</label>
    <input id="driver_license_images" type="file" class="form-control @error('images.*') is-invalid @enderror" name="images[]" multiple accept="image/*" />
    <input type="hidden" name="image_identifiers[]" value="2">
    @error('images.*')
        <span class="invalid-feedback" role="alert">
            <strong>{{ $message }}</strong>
        </span>
    @enderror
</div>

<!-- Or Cr Images -->
<div class="form-outline mb-4">
    <label class="form-label" for="or_cr_images">Or Cr Images (required)</label>
    <input id="or_cr_images" type="file" class="form-control @error('images.*') is-invalid @enderror" name="images[]" multiple accept="image/*" />
    <input type="hidden" name="image_identifiers[]" value="2">
    @error('images.*')
        <span class="invalid-feedback" role="alert">
            <strong>{{ $message }}</strong>
        </span>
    @enderror
</div>

<!-- Other Document Images -->
<div class="form-outline mb-4">
    <label class="form-label" for="other_document_images">Other Document Images (required)</label>
    <input id="other_document_images" type="file" class="form-control @error('images.*') is-invalid @enderror" name="images[]" multiple accept="image/*" />
    <input type="hidden" name="image_identifiers[]" value="4">
    @error('images.*')
        <span class="invalid-feedback" role="alert">
            <strong>{{ $message }}</strong>
        </span>
    @enderror
</div>


<input type="hidden" name="image_identifiers[]" value="1">
<input type="hidden" name="image_identifiers[]" value="2">
<input type="hidden" name="image_identifiers[]" value="3">

<input type="hidden" name="image_identifiers[]" value="4">

                            <div class="mb-3 row">
                                <div class="col-md-6 offset-md-4">
                                    <button type="submit" class="btn btn-primary">
                                        {{ __('Submit') }}
                                    </button>
                                </div>
                            </div>
                        </form>
                    </div>
                </div>
        </div>
    </div>

@endsection