@extends('master')
@section('title')
{{ $title}}
    
@endsection

@section('content')
    <div class="container">
        <h1>Edit application form</h1>

        <form action="{{ route('application_form.update', $application->id) }}" method="POST" enctype="multipart/form-data">
            @csrf
            @method('PUT')

            <div class="form-group">
                <label for="season">Season</label>
                <input type="text" class="form-control" id="season" name="season" value="{{ old('season', $application->season) }}" required>
            </div>
            <div class="form-group">
                <label for="year">Year</label>
                <input type="number" class="form-control" id="year" name="year"   min="1900" 
                max="2099" value="{{ old('year', $application->year) }}" required>
            </div>
            <div class="form-group">
                <label for="first_name">First Name</label>
                <input type="text" class="form-control" id="first_name" name="first_name" value="{{ old('first_name', $application->first_name) }}" required>
            </div>
            <div class="form-group">
                <label for="middle_name">Middle Name</label>
                <input type="text" class="form-control" id="middle_name" name="middle_name" value="{{ old('middle_name', $application->middle_name) }}">
            </div>
            <div class="form-group">
                <label for="last_name">Last Name</label>
                <input type="text" class="form-control" id="last_name" name="last_name" value="{{ old('last_name', $application->last_name) }}" required>
            </div>
            <div class="form-group">
                <label for="email">Email</label>
                <input type="email" class="form-control" id="email" name="email" value="{{ old('email', $application->email) }}" required>
            </div>
            <div class="form-group">
                <label for="dob">Date of Birth</label>
                <input type="date" class="form-control" id="dob" name="dob" value="{{ old('dob', $application->dob) }}" required>
            </div>
            <div class="form-group">
                <label for="gender">Gender</label>
                <select class="form-control" id="gender" name="gender" required>
                    <option value="1" {{ old('gender', $application->gender) == 1 ? 'selected' : '' }}>Male</option>
                    <option value="2" {{ old('gender', $application->gender) == 2 ? 'selected' : '' }}>Female</option>
                    <option value="3" {{ old('gender', $application->gender) == 3 ? 'selected' : '' }}>Other</option>
                </select>
            </div>
            <div class="form-group">
                <label for="contact">Contact</label>
                <input type="text" class="form-control" id="contact" name="contact" value="{{ old('contact', $application->contact) }}" required>
            </div>
            <div class="form-group">
                <label for="contact1">Contact1</label>
                <input type="text" class="form-control" id="contact1" name="contact1" value="{{ old('contact1', $application->contact1) }}" required>
            </div>
            <div class="form-group">
                <label for="ethic_group">Ethic Group</label>
                <input type="text" class="form-control" id="ethic_group" name="ethic_group" value="{{ old('ethic_group', $application->ethic_group) }}" required>
            </div>
            <div class="form-group">
                <label for="marital_status">Marital Status</label>
                <select class="form-control" id="marital_status" name="marital_status" required>
                    <option value="1" {{ old('marital_status', $application->marital_status) == 1 ? 'selected' : '' }}>Single</option>
                    <option value="2" {{ old('marital_status', $application->marital_status) == 2 ? 'selected' : '' }}>Married</option>
                    <option value="3" {{ old('marital_status', $application->marital_status) == 3 ? 'selected' : '' }}>Divorced</option>
                </select>
            </div>
            <div class="form-group">
                <label for="religion">Religion</label>
                <input type="text" class="form-control" id="religion" name="religion" value="{{ old('religion', $application->religion) }}" required>
            </div>
            <div class="form-group">
                <label for="citizenship">Citizenship</label>
                <input type="text" class="form-control" id="citizenship" name="citizenship" value="{{ old('citizenship', $application->citizenship) }}" required>
            </div>
            <div class="form-group">
                <label for="country">Country</label>
                <input type="text" class="form-control" id="country" name="country" value="{{ old('country', $application->country) }}" required>
            </div>
            <div class="form-group">
                <label for="pradesh">Pradesh</label>
                <input type="text" class="form-control" id="pradesh" name="pradesh" value="{{ old('pradesh', $application->pradesh) }}" required>
            </div>
            <div class="form-group">
                <label for="district">District</label>
                <input type="text" class="form-control" id="district" name="district" value="{{ old('district', $application->district) }}" required>
            </div>
            <div class="form-group">
                <label for="p_country">Permanent Country</label>
                <input type="text" class="form-control" id="p_country" name="p_country" value="{{ old('p_country', $application->p_country) }}" required>
            </div>
            <div class="form-group">
                <label for="p_district">Permanent District</label>
                <input type="text" class="form-control" id="p_district" name="p_district" value="{{ old('p_district', $application->p_district) }}" required>
            </div>
            <div class="form-group">
                <label for="p_mun_vdc">Permanent Municipality/VDC</label>
                <input type="text" class="form-control" id="p_mun_vdc" name="p_mun_vdc" value="{{ old('p_mun_vdc', $application->p_mun_vdc) }}" required>
            </div>
            <div class="form-group">
                <label for="ward">Ward</label>
                <input type="number" class="form-control" id="ward" name="ward" value="{{ old('ward', $application->ward) }}" required>
            </div>
            <div class="form-group">
                <label for="locality">Locality</label>
                <input type="text" class="form-control" id="locality" name="locality" value="{{ old('locality', $application->locality) }}">
            </div>
            <div class="form-group">
                <label for="tel_no">Telephone Number</label>
                <input type="text" class="form-control" id="tel_no" name="tel_no" value="{{ old('tel_no', $application->tel_no) }}">
            </div>
            <div class="form-group">
                <label for="t_country">Temporary Country</label>
                <input type="text" class="form-control" id="t_country" name="t_country" value="{{ old('t_country', $application->t_country) }}" required>
            </div>
            <div class="form-group">
                <label for="t_district">Temporary District</label>
                <input type="text" class="form-control" id="t_district" name="t_district" value="{{ old('t_district', $application->t_district) }}" required>
            </div>
            <div class="form-group">
                <label for="t_mun_vdc">Temporary Municipality/VDC</label>
                <input type="text" class="form-control" id="t_mun_vdc" name="t_mun_vdc" value="{{ old('t_mun_vdc', $application->t_mun_vdc) }}" required>
            </div>
            <div class="form-group">
                <label for="t_ward_no">Temporary Ward Number</label>
                <input type="number" class="form-control" id="t_ward_no" name="t_ward_no" value="{{ old('t_ward_no', $application->t_ward_no) }}" required>
            </div>
            <div class="form-group">
                <label for="t_locality">Temporary Locality</label>
                <input type="text" class="form-control" id="t_locality" name="t_locality" value="{{ old('t_locality', $application->t_locality) }}" required>
            </div>
            <div class="form-group">
                <label for="t_telno">Temporary telno</label>
                <input type="text" class="form-control" id="t_telno" name="t_telno" value="{{ old('t_telno', $application->t_telno) }}" required>
            </div>
            <div class="form-group">
                <label for="father_name">Father's Name</label>
                <input type="text" class="form-control" id="father_name" name="father_name" value="{{ old('father_name', $application->father_name) }}" required>
            </div>
            <div class="form-group">
                <label for="father_mobile">Father's Mobile</label>
                <input type="text" class="form-control" id="father_mobile" name="father_mobile" value="{{ old('father_mobile', $application->father_mobile) }}" required>
            </div>
            <div class="form-group">
                <label for="mother_name">Mother's Name</label>
                <input type="text" class="form-control" id="mother_name" name="mother_name" value="{{ old('mother_name', $application->mother_name) }}" required>
            </div>
            <div class="form-group">
                <label for="mother_mobile">Mother's Mobile</label>
                <input type="text" class="form-control" id="mother_mobile" name="mother_mobile" value="{{ old('mother_mobile', $application->mother_mobile) }}" required>
            </div>
            <div class="form-group">
                <label for="guardian_name">Guardian's Name</label>
                <input type="text" class="form-control" id="guardian_name" name="guardian_name" value="{{ old('guardian_name', $application->guardian_name) }}" required>
            </div>
            <div class="form-group">
                <label for="g_mobile">Guardian's Mobile</label>
                <input type="text" class="form-control" id="g_mobile" name="g_mobile" value="{{ old('g_mobile', $application->g_mobile) }}" required>
            </div>
            <div class="form-group">
                <label for="occupation">Occupation</label>
                <input type="text" class="form-control" id="occupation" name="occupation" value="{{ old('occupation', $application->occupation) }}">
            </div>
            <div class="form-group">
                <label for="user_id">User ID</label>
                <input type="number" class="form-control" id="user_id" name="user_id" value="{{ old('user_id', $application->user_id) }}" required>
            </div>
            <div class="form-group">
                <label for="application_id">Application ID</label>
                <input type="number" class="form-control" id="application_id" name="application_id" value="{{ old('application_id', $application->application_id) }}" required>
            </div>
            <div class="form-group">
                <label for="program">Program</label>
                <select name="program" class="form-control" required>
                    <option value="">Select Program</option>
                    @foreach($programs as $program)
                        <option value="{{ $program->id }}" {{ $application->program == $program->id ? 'selected' : '' }}>
                            {{ $program->program_name }}
                        </option>
                    @endforeach
                </select>
            </div>   
              
        <div class="form-group">
            <label for="citizenship_photo" class="form-label">citizenship photo</label>
            <input type="file" name="citizenship_photo" id="citizenship_photo"  class="form-control">
            @if($application->citizenship_photo)
                <img src="{{ asset('citizenshipPhoto/' . $application->citizenship_photo) }}" alt="citizenship_photo"  style="max-width: 100px;">
            @endif
        </div>
        <div class="form-group">
            <label for="student_photo" class="form-label">student photo</label>
            <input type="file" name="student_photo"  id="student_photo" class="form-control">
            @if($application->student_photo)
                <img src="{{ asset('studentPhoto/' . $application->student_photo) }}" alt="student_photo"  style="max-width: 100px;">
            @endif
        </div>
            

            <button type="submit" class="btn btn-primary">Update</button>
        </form>
    </div>
@endsection