{{-- {{ dd(Auth::user()->user_type) }} --}}
@extends('layouts.app')

@section('content')
<div class="page-breadcrumb">
    <div class="row">
        <div class="col-5 align-self-center">
            <h4 class="page-title">COC Issuance</h4>
            <div class="d-flex align-items-center">
                <nav aria-label="breadcrumb">
                    <ol class="breadcrumb">
                        <li class="breadcrumb-item"><a href="#">Home</a></li>
                        <li class="breadcrumb-item active" aria-current="page">Issuance</li>
                    </ol>
                </nav>
            </div>
        </div>
    </div>
</div>

<div class="container-fluid">
    <!-- Row -->
    <div class="row">
        <div class="col-12">
            @if ($message = Session::get('error'))
                <div class="alert alert-danger">
                    <strong>{{ $message }}</strong>
                </div>
            @endif
            
           
            <div class="card">
                <div class="card-header">
                    <h4 class="card-title">Issuance</h4>
                    <small>Fields with <span class="text-danger">*</span> are required.</small>
                </div>
                
                <form class="form-horizontal" method="POST" action="{{route('issuance.update', ['auth' => $auth,'transaction_id' => $data->policy_id ])}}" onsubmit="return confirm('Do you really want to submit the form?');">
                    @csrf
                    <div class="card-body">
                        <div class="form-group row">
                            <div class="col-sm-6">
                                <label for="pname" class="text-right control-label col-form-label">
                                    <span class="text-danger">*</span>Insurer / Borrower Name: </label>
                                <input type="text" class="form-control" id="iname" name="insurer_name" value="{{ $data->insurer_name }}">
                                @if ($errors->has('insurer_name'))
                                    <span class="text-danger">
                                        <strong>{{ $errors->first('insurer_name') }}</strong>
                                    </span>
                                @endif
                            </div>
                             <div class="col-sm-6">
                                <label for="ename" class="text-right control-label col-form-label">
                                    <span class="text-danger">*</span>Address: </label>
                                <input type="text" class="form-control" id="iaddress" name="insurer_address" value="{{ $data->insurer_address }}">
                                @if ($errors->has('insurer_address'))
                                    <span class="text-danger">
                                        <strong>{{ $errors->first('insurer_address') }}</strong>
                                    </span>
                                @endif
                            </div>
                        </div>
                        <div class="form-group row">
                            <div class="col-sm-6">
                                <label for="pname" class="text-right control-label col-form-label">
                                    <span class="text-danger">*</span>Contact No:</label>
                                <input type="text" class="form-control" id="contact" name="contact_no" value="{{ $data->contact_no }}">
                                @if ($errors->has('contact_no'))
                                    <span class="text-danger">
                                        <strong>{{ $errors->first('contact_no') }}</strong>
                                    </span>
                                @endif
                            </div>
                            <div class="col-sm-6">
                                <label for="pname" class="text-right control-label col-form-label">
                                    <span class="text-danger">*</span>Email:</label>
                                <input type="text"class="form-control" id="email" name="email" value="{{ $data->email }}">
                                @if ($errors->has('email'))
                                    <span class="text-danger">
                                        <strong>{{ $errors->first('email') }}</strong>
                                    </span>
                                @endif
                            </div>
                        </div>
                        <div class="form-group row">
                            <div class="col-sm-6">
                                <label for="pname" class="text-right control-label col-form-label">
                                    <span class="text-danger">*</span>Location of Risk: </label>
                                <input type="text" class="form-control" id="loc" name="location_pagibig" value="{{ $data->location_pagibig  }}">
                                @if ($errors->has('location_pagibig'))
                                    <span class="text-danger">
                                        <strong>{{ $errors->first('location_pagibig') }}</strong>
                                    </span>
                                @endif
                            </div>
                            <div class="col-sm-6">
                                <label for="pname" class="text-right control-label col-form-label">
                                    <span class="text-danger">*</span>Occupancy:</label>
                                <input type="text" class="form-control" id="res" name="residential_desc" value="{{ $data->residential_desc  }}">
                                @if ($errors->has('residential_desc'))
                                    <span class="text-danger">
                                        <strong>{{ $errors->first('residential_desc') }}</strong>
                                    </span>
                                @endif
                            </div>
                        </div>
                        <div class="form-group row">
                            {{-- <div class="col-sm-6">
                                <label for="pname" class="text-right control-label col-form-label">
                                    <span class="text-danger">*</span>Policy Type: </label>
                                <input type="text" class="form-control" id="type" name="policy_type" value="{{ old('policy_type') }}">
                                @if ($errors->has('policy_type'))
                                    <span class="text-danger">
                                        <strong>{{ $errors->first('policy_type') }}</strong>
                                    </span>
                                @endif
                            </div> --}}
                            <div class="col-sm-4">
                                <label for="pname" class="text-right control-label col-form-label">
                                    <span class="text-danger">*</span>Monthly Amortization:</label>
                                <input type="text"class="form-control" id="month" name="monthly_amort"  value="{{ $data->monthly_amort }}">
                                @if ($errors->has('monthly_amort'))
                                    <span class="text-danger">
                                        <strong>{{ $errors->first('monthly_amort') }}</strong>
                                    </span>
                                @endif
                            </div>
                           <div class="col-sm-4">
                                <label for="pname" class="text-right control-label col-form-label">
                                    <span class="text-danger">*</span>Inception Date: </label>
                                <input type="date" class="form-control" id="inception_date" name="inception_date" value="{{ date('Y-m-d')}}">
                                @if ($errors->has('inception_date'))
                                    <span class="text-danger">
                                        <strong>{{ $errors->first('inception_date') }}</strong>
                                    </span>
                                @endif
                            </div>
                            <div class="col-sm-4">
                                <label for="pname" class="text-right control-label col-form-label">
                                    <span class="text-danger">*</span>Expiry Date:</label>
                                <input type="date" class="form-control" id="expiry_date" name="expiry_date" value="{{ date('Y-m-d',strtotime('+1 year')) }}"></textarea>
                                @if ($errors->has('expiry_date'))
                                    <span class="text-danger">
                                        <strong>{{ $errors->first('expiry_date') }}</strong>
                                    </span>
                                @endif
                            </div>
                        </div>
                    </div>
                    <hr>
                    <div class="card-footer">
                        <div class="form-group mb-0 text-right">
                            <button type="submit" class="btn btn-info waves-effect waves-light">Save</button>
                            <button type="submit" class="btn btn-dark waves-effect waves-light">Cancel</button>
                        </div>
                    </div>
                </form>
            </div>
            
        </div>
    </div>
    <!-- End Row -->
</div>

<script src="{{ asset('assets/libs/jquery/dist/jquery.min.js') }}"></script>
<script type="text/javascript">
$(document).ready(function(){
    $('#birthdate').on('change',function(){
        $('#years').prop('disabled',false);

    });
    $('#years , #birthdate').on('change',function(){
        
        var numOfYears = $('#years').val();

        var str = $("#inceptiondate").val();
        var birthdate = $('#birthdate').val();
        var birthmonth = ("0" + (new Date(birthdate).getMonth() + 1)).slice(-2);
        var birthday = ("0" + (new Date(birthdate).getDate())).slice(-2);
        console.log(str);
        var year = new Date(str).getFullYear();
        var month =  ("0" + (new Date(str).getMonth())).slice(-2);
        var day =  ("0" + (new Date(str).getDate())).slice(-2);
        year = (year * 1) + (numOfYears * 1);
        var c =  year+"-"+birthmonth+"-"+birthday;

        console.log(c);
   
       $('#expirydate').val( c) ;
    });
});
</script>

@endsection