@extends('layouts.admin')

@section('title', ($record ? 'Edit' : 'Create') . ' Applicants')

@section('content')
<x-ui.page-header
    :title="($record ? 'Edit' : 'Create') . ' Applicants'"
    :subtitle="$record ? 'Update record details.' : 'Add a new record.'"
    :breadcrumbs="[
        ['label' => 'Home', 'href' => route('dashboard')],
        ['label' => 'Student Admission', 'href' => route('admission.dashboard')],
        ['label' => 'Applicants', 'href' => route('admission.applicants.index')],
        ['label' => $record ? 'Edit' : 'Create'],
    ]"
/>

@include('institution.partials.flash')

<x-ui.card :title="$record ? 'Edit record' : 'New record'">
    <form method="POST" action="{{ $formAction }}" @if(str_contains('applicant', 'document')) enctype="multipart/form-data" @endif>
        @csrf
        @if(($formMethod ?? 'POST') !== 'POST')
            @method($formMethod)
        @endif

        <div class="row g-3">
            <input type="hidden" name="institution_id" value="{{ old('institution_id', $record->institution_id ?? \App\Models\Institution::current()?->id) }}">
            <div class="col-md-6">
                <div class="bv-form-group {{ $errors->has('first_name') ? 'is-invalid' : '' }}">
                    <div class="bv-form-group__field">
                        <i class="bv-form-group__icon bi bi-person"></i>
                        <div class="form-floating">
                            <input type="text" id="first_name" name="first_name" class="form-control bv-form-control" placeholder="First name" value="{{ old('first_name', $record->first_name ?? '') }}" required>
                            <label for="first_name">First name <span class="required">*</span></label>
                        </div>
                    </div>
                    @error('first_name')<div class="bv-form-error">{{ $message }}</div>@enderror
                </div>
            </div>
            <div class="col-md-6">
                <div class="bv-form-group {{ $errors->has('middle_name') ? 'is-invalid' : '' }}">
                    <div class="bv-form-group__field">
                        <i class="bv-form-group__icon bi bi-person"></i>
                        <div class="form-floating">
                            <input type="text" id="middle_name" name="middle_name" class="form-control bv-form-control" placeholder="Middle name" value="{{ old('middle_name', $record->middle_name ?? '') }}">
                            <label for="middle_name">Middle name</label>
                        </div>
                    </div>
                    @error('middle_name')<div class="bv-form-error">{{ $message }}</div>@enderror
                </div>
            </div>
            <div class="col-md-6">
                <div class="bv-form-group {{ $errors->has('last_name') ? 'is-invalid' : '' }}">
                    <div class="bv-form-group__field">
                        <i class="bv-form-group__icon bi bi-person"></i>
                        <div class="form-floating">
                            <input type="text" id="last_name" name="last_name" class="form-control bv-form-control" placeholder="Last name" value="{{ old('last_name', $record->last_name ?? '') }}" required>
                            <label for="last_name">Last name <span class="required">*</span></label>
                        </div>
                    </div>
                    @error('last_name')<div class="bv-form-error">{{ $message }}</div>@enderror
                </div>
            </div>
            <div class="col-md-6">
                <div class="bv-form-group {{ $errors->has('email') ? 'is-invalid' : '' }}">
                    <div class="bv-form-group__field">
                        <i class="bv-form-group__icon bi bi-envelope"></i>
                        <div class="form-floating">
                            <input type="email" id="email" name="email" class="form-control bv-form-control" placeholder="Email" value="{{ old('email', $record->email ?? '') }}" required>
                            <label for="email">Email <span class="required">*</span></label>
                        </div>
                    </div>
                    @error('email')<div class="bv-form-error">{{ $message }}</div>@enderror
                </div>
            </div>
            <div class="col-md-6">
                <div class="bv-form-group {{ $errors->has('phone') ? 'is-invalid' : '' }}">
                    <div class="bv-form-group__field">
                        <i class="bv-form-group__icon bi bi-telephone"></i>
                        <div class="form-floating">
                            <input type="text" id="phone" name="phone" class="form-control bv-form-control" placeholder="Phone" value="{{ old('phone', $record->phone ?? '') }}">
                            <label for="phone">Phone</label>
                        </div>
                    </div>
                    @error('phone')<div class="bv-form-error">{{ $message }}</div>@enderror
                </div>
            </div>
            <div class="col-md-6">
                <div class="bv-form-group {{ $errors->has('gender') ? 'is-invalid' : '' }}">
                    <div class="bv-form-group__field">
                        <i class="bv-form-group__icon bi bi-gender-ambiguous"></i>
                        <div class="form-floating">
                            <input type="text" id="gender" name="gender" class="form-control bv-form-control" placeholder="Gender" value="{{ old('gender', $record->gender ?? '') }}">
                            <label for="gender">Gender</label>
                        </div>
                    </div>
                    @error('gender')<div class="bv-form-error">{{ $message }}</div>@enderror
                </div>
            </div>
            <div class="col-md-6">
                <div class="bv-form-group {{ $errors->has('date_of_birth') ? 'is-invalid' : '' }}">
                    <div class="bv-form-group__field">
                        <i class="bv-form-group__icon bi bi-calendar"></i>
                        <div class="form-floating">
                            <input type="date" id="date_of_birth" name="date_of_birth" class="form-control bv-form-control" placeholder="Date of birth" value="{{ old('date_of_birth', $record->date_of_birth ?? '') }}">
                            <label for="date_of_birth">Date of birth</label>
                        </div>
                    </div>
                    @error('date_of_birth')<div class="bv-form-error">{{ $message }}</div>@enderror
                </div>
            </div>
            <div class="col-md-6">
                <div class="bv-form-group {{ $errors->has('nationality') ? 'is-invalid' : '' }}">
                    <div class="bv-form-group__field">
                        <i class="bv-form-group__icon bi bi-flag"></i>
                        <div class="form-floating">
                            <input type="text" id="nationality" name="nationality" class="form-control bv-form-control" placeholder="Nationality" value="{{ old('nationality', $record->nationality ?? '') }}">
                            <label for="nationality">Nationality</label>
                        </div>
                    </div>
                    @error('nationality')<div class="bv-form-error">{{ $message }}</div>@enderror
                </div>
            </div>
            <div class="col-md-6">
                <div class="bv-form-group {{ $errors->has('nrc_number') ? 'is-invalid' : '' }}">
                    <div class="bv-form-group__field">
                        <i class="bv-form-group__icon bi bi-card-text"></i>
                        <div class="form-floating">
                            <input type="text" id="nrc_number" name="nrc_number" class="form-control bv-form-control" placeholder="NRC number" value="{{ old('nrc_number', $record->nrc_number ?? '') }}">
                            <label for="nrc_number">NRC number</label>
                        </div>
                    </div>
                    @error('nrc_number')<div class="bv-form-error">{{ $message }}</div>@enderror
                </div>
            </div>
            <div class="col-md-6">
                <div class="bv-form-group {{ $errors->has('passport_number') ? 'is-invalid' : '' }}">
                    <div class="bv-form-group__field">
                        <i class="bv-form-group__icon bi bi-passport"></i>
                        <div class="form-floating">
                            <input type="text" id="passport_number" name="passport_number" class="form-control bv-form-control" placeholder="Passport number" value="{{ old('passport_number', $record->passport_number ?? '') }}">
                            <label for="passport_number">Passport number</label>
                        </div>
                    </div>
                    @error('passport_number')<div class="bv-form-error">{{ $message }}</div>@enderror
                </div>
            </div>
            <div class="col-12">
                <div class="bv-form-group {{ $errors->has('residential_address') ? 'is-invalid' : '' }}">
                    <div class="bv-form-group__field">
                        <i class="bv-form-group__icon bi bi-geo"></i>
                        <div class="form-floating">
                            <textarea id="residential_address" name="residential_address" class="form-control bv-form-control" placeholder="Residential address">{{ old('residential_address', $record->residential_address ?? '') }}</textarea>
                            <label for="residential_address">Residential address</label>
                        </div>
                    </div>
                    @error('residential_address')<div class="bv-form-error">{{ $message }}</div>@enderror
                </div>
            </div>
            <div class="col-md-4">
                <div class="bv-form-group {{ $errors->has('status') ? 'is-invalid' : '' }}">
                    <div class="bv-form-group__field">
                        <i class="bv-form-group__icon bi bi-toggle-on"></i>
                        <div class="form-floating">
                            <select id="status" name="status" class="form-select bv-form-control">
                                @foreach(\App\Enums\RecordStatus::cases() as $status)
                                    <option value="{{ $status->value }}" @selected(old('status', $record->status?->value ?? $record->status ?? \App\Enums\RecordStatus::Active->value) === $status->value)>{{ $status->label() }}</option>
                                @endforeach
                            </select>
                            <label for="status">Status</label>
                        </div>
                    </div>
                    @error('status')<div class="bv-form-error">{{ $message }}</div>@enderror
                </div>
            </div>
        </div>

        <div class="d-flex gap-2 mt-4">
            <x-ui.button type="submit" variant="primary" icon="bi-check-lg">{{ $record ? 'Update' : 'Create' }}</x-ui.button>
            <x-ui.button variant="ghost" :href="route('admission.applicants.index')">Cancel</x-ui.button>
        </div>
    </form>
</x-ui.card>
@endsection