@extends(env("CLIENT_PATH").".welcome")
@section("content")

<header>
    <div class="container">
        <img src="<?php echo site_url(); ?>pranjal/assets/images/office.jpg" alt="cover-image" class="img-fluid" />
    </div>
</header>

<section class="main">
    <div class="container">
        <div class="form-box">

            <form method="post" action="#" id="enquiry-form">
                @csrf
                <input type="hidden" name="sources_id" value="2" />
                <input type="hidden" name="campaigns_id" value="2" />


                <div class="titlebox">
                    <h2>
                        PERSONAL INFORMATION
                    </h2>
                </div>
                <div class="row">
                    <div class="col-lg-12 col-md-12">
                        <div class="form-row">

                            <div class="col-lg-2 col-md-3"><label for="from-name">Name:</label><span class="required-input">*</span></div>

                            <div class="col-lg-10 col-md-9">
                                <div class="form-group">
                                    <input class="form-control" type="text" id="from-name" name="name" required="">
                                </div>
                            </div>
                        </div>
                    </div>
                    <div class="col-lg-6 col-md-6">
                        <div class="row">
                            <div class="col-lg-4 col-md-4">
                                <label for="from-dob">Date of Birth:<span class="required-input">*</span></label>
                            </div>
                            <div class="col-lg-8 col-md-8">
                                <div class="form-group">
                                    <input class="form-control" type="text" id="from-dob" name="name" required="">
                                </div>
                            </div>
                        </div>
                    </div>
                    <div class="col-lg-6 col-md-6">
                        <div class="row">
                            <div class="col-lg-4"><label for="from-name">Gender:</label><span class="required-input">*</span></div>
                            <div class="col-lg-8">
                                <div class="form-check form-check-inline">
                                    <input class="form-check-input" type="radio" id="inlineCheckbox1" name="gender" value="male">
                                    <label class="form-check-label" for="inlineCheckbox1">Male</label>
                                </div>
                                <div class="form-check form-check-inline">
                                    <input class="form-check-input" type="radio" id="inlineCheckbox2" name="gender" value="female">
                                    <label class="form-check-label" for="inlineCheckbox2">Female</label>
                                </div>
                                <div class="form-check form-check-inline">
                                    <input class="form-check-input" type="radio" id="inlineCheckbox3" name="gender" value="others">
                                    <label class="form-check-label" for="inlineCheckbox3">Others</label>
                                </div>
                            </div>


                        </div>
                    </div>
                    <div class="col-lg-6 col-md-6">
                        <div class="row">
                            <div class="col-lg-4"><label for="from-name">Marital Status:</label><span class="required-input">*</span></div>
                            <div class="col-lg-8">
                                <div class="form-check form-check-inline">
                                    <input class="form-check-input" type="radio" id="married" name="marital_status" value="married">
                                    <label class="form-check-label" for="married">Married</label>
                                </div>
                                <div class="form-check form-check-inline">
                                    <input class="form-check-input" type="radio" id="unmarried" name="marital_status" value="unmarried">
                                    <label class="form-check-label" for="unmarried">Unmarried</label>
                                </div>
                                <div class="form-check form-check-inline">
                                    <input class="form-check-input" type="radio" id="divorced" name="marital_status" value="divorced">
                                    <label class="form-check-label" for="divorced">Divorced</label>
                                </div>
                            </div>


                        </div>
                    </div>
                    

                    <div class="col-lg-6 col-md-6">
                        <div class="row">
                            <div class="col-lg-4">
                                <label for="from-phone">Tel/Mob Number</label><span class="required-input">*</span>
                            </div>
                            <div class="col-lg-8">
                                <div class="form-group">
                                    <div class="input-group">
                                        <input class="form-control" type="text" id="from-phone" name="mobile" required="">
                                    </div>
                                </div>
                            </div>
                        </div>
                    </div>
                    <div class="col-lg-6 col-md-6">
                        <div class="row">
                            <div class="col-lg-4"><label for="from-email">Email:</label><span class="required-input">*</span></div>
                            <div class="col-lg-8">
                                <div class="form-group">
                                    <input class="form-control" type="email" id="from-email" name="email" required="">
                                </div>
                            </div>
                        </div>
                    </div>
                    <div class="col-lg-6 col-md-6">
                        <div class="row">
                            <div class="col-lg-4 col-md-4"> <label for="from-phone">Address</label><span class="required-input">*</span></div>
                            <div class="col-lg-8 col-md-8">
                                <div class="form-group">
                                    <input class="form-control" type="text" id="from-address" name="address" required="">
                                </div>
                            </div>
                        </div>

                    </div>
                    <div class="col-lg-6 col-md-6">
                        <div class="row">
                            <div class="col-lg-4 col-md-4"> <label for="from-phone">Guardian's name</label><span class="required-input">*</span></div>
                            <div class="col-lg-8 col-md-8">
                                <div class="form-group">
                                    <input class="form-control" type="text" id="from-address" name="guardian_name" required="">
                                </div>
                            </div>
                        </div>
                    </div>


                    <div class="col-lg-6 col-md-6">
                        <div class="row">
                            <div class="col-lg-4 col-md-4"> <label for="from-phone">Contact:</label><span class="required-input">*</span></div>
                            <div class="col-lg-8 col-md-8">
                                <div class="form-group">
                                    <input class="form-control" type="text" id="from-address" name="address" required="">
                                </div>
                            </div>
                        </div>
                    </div>

                    <div class="col-lg-12 col-md-12">
                        <div class="row">
                            <div class="col-lg-3 col-md-3"> <label for="from-phone">Have you applied any country?</label></div>
                            <div class="col-lg-9 col-md-9">
                                <div class="form-group">
                                    <input class="form-control" type="text" id="from-address" name="applied_before">
                                </div>
                            </div>
                        </div>
                    </div>

                
                
                <div class="tabletitle">
                    <h2>
                        ACADEMIC DETAILS
                    </h2>
                
                </div>
                
                <table class="table table-bordered">
  <thead>
    <tr>
      <th scope="col">Degree Obtained</th>
      <th scope="col">Major</th>
      <th scope="col">Institution</th>
      <th scope="col">Score/GPA</th>
      <th scope="col">Passed Year</th>
    </tr>
  </thead>
  <tbody>
    <tr>
      <th scope="row">SLC / SEE</th>
      <td>  </td>
      <td>  <input class="form-control" type="text" id="from-address" name="see_school" ></td>
      <td>  <input class="form-control" type="text" id="from-address" name="see_grade" ></td>
      <td>  <input class="form-control" type="text" id="from-address" name="see_year" ></td>
    </tr>
    <tr>
      <th scope="row">10+2/CTEVT/PCT</th>
      <td>  <input class="form-control" type="text" id="from-address" name="plus2_stream" ></td>
      <td>  <input class="form-control" type="text" id="from-address" name="plus2_college" ></td>
      <td>  <input class="form-control" type="text" id="from-address" name="plus2_grade" ></td>
      <td>  <input class="form-control" type="text" id="from-address" name="plus2_year" ></td>
    </tr>
    <tr>
      <th scope="row">Bachelor</th>
      <td>  <input class="form-control" type="text" id="from-address" name="bachelors_stream" ></td>
      <td>  <input class="form-control" type="text" id="from-address" name="bachelors_college" ></td>
      <td>  <input class="form-control" type="text" id="from-address" name="bachelors_grade" ></td>
      <td>  <input class="form-control" type="text" id="from-address" name="bachelors_year" ></td>
    </tr>
    <tr>
      <th scope="row">Master</th>
      <td>  <input class="form-control" type="text" id="from-address" name="highest_stream" ></td>
      <td>  <input class="form-control" type="text" id="from-address" name="highest_college" ></td>
      <td>  <input class="form-control" type="text" id="from-address" name="highest_grade" ></td>
      <td>  <input class="form-control" type="text" id="from-address" name="highest_year" ></td>
    </tr>
  </tbody>
</table>
                
                <div class="col-lg-12 col-md-12">
                    <div class="row">
                            <div class="col-lg-3 col-md-4"> <label for="from-phone">Work Experience:</label></div>
                            <div class="col-lg-9 col-md-8">
                                <div class="form-group">
                                    <input class="form-control" type="text" id="from-address" name="experience" >
                                </div>
                            </div>
                        </div>
                </div>

                <div class="col-lg-12 col-md-12 mb20">
                        <div class="row">
                            <div class="col-lg-3 col-md-4"> <label for="from-phone">Your Country of Interest:</label></div>
                            <div class="col-lg-9 col-md-8">
                            <div class="select-group">
                        <select name="preferred_destination" class="form-control field-info" >
                            <option value="" selected="" disabled="">Preferred Study Destination</option>
                            <option value="study-in-australia">Study in Australia</option>
                            <option value="study-in-usa">Study in USA</option>
                            <option value="study-in-canada">Study in Canada</option>


                            <option value="other">Others</option>
                        </select>
                    </div>
                            </div>
                        </div>
                </div>

                <div class="col-lg-6 col-md-6">
                        <div class="row">
                            <div class="col-lg-6 col-md-6"> <label for="from-test">Test Taken:</label></div>
                            <div class="col-lg-6 col-md-6">
                                <div class="form-group">
                                    <input class="form-control" type="text" id="from-test" name="preparation_class" >
                                </div>
                            </div>
                        </div>
                </div>


                <div class="col-lg-6 col-md-6">
                    <div class="row">
                            <div class="col-lg-4 col-md-4"> <label for="from-score">Score:</label></div>
                            <div class="col-lg-8 col-md-8">
                                <div class="form-group">
                                    <input class="form-control" type="text" id="from-score" name="preparation_score" >
                                </div>
                            </div>
                    </div>
                </div>






                <div class="col-lg-6 col-md-6">
                <div class="row">
                            <div class="col-lg-6 col-md-6"> <label for="from-hdykau">How did you know about us?:</label></div>
                            <div class="col-lg-6 col-md-6">
                                <div class="form-group">
                                    <input class="form-control" type="text" id="from-hdykau" name="how_you_know">
                                </div>
                            </div>
                    </div>
                </div>
                <div class="col-lg-6 col-md-6">
                <div class="row">
                            <div class="col-lg-4 col-md-4"> <label for="from-ref">Reference:</label></div>
                            <div class="col-lg-8 col-md-8">
                                <div class="form-group">
                                    <input class="form-control" type="text" id="from-ref" name="reference" >
                                </div>
                            </div>
                    </div>
                </div>
                <div class="col-lg-6 col-md-6">
                <div class="row">
                            <div class="col-lg-6 col-md-6"> <label for="from-other">Other:</label></div>
                            <div class="col-lg-6 col-md-6">
                                <div class="form-group">
                                    <input class="form-control" type="text" id="from-other" name="other" >
                                </div>
                            </div>
                    </div>
                </div>
              
        </div>


        <div class="form-row">
            <div class="col-12 col-sm-12 col-md-12 col-lg-12">
                <div class="form-group"><label for="from-calltime">FOR OFFICIAL USE</label><span class="required-input">*</span>
                    <textarea name="message" class="form-control" rows="5" ></textarea>
                </div>
            </div>
        </div>
        <div class="form-group ">
            <div class="form-row">
                <input type="hidden" name="g-recaptcha-response" value="">

                <div class="col-3"><button class="btn btn-primary btn-block" type="submit" id="submitButton">Submit </button></div>
                
            </div>
        </div>
    </div>
    </form>


    <?php //pre(SITEVARS->Campaigns[0]); 
    ?>
    <div class="modal fade" id="success-modal" tabindex="-1" role="dialog" aria-labelledby="success-modal-label" aria-hidden="true">
        <div class="modal-dialog" role="document">
            <div class="modal-content">
                <div class="modal-header" style="display: none;">
                    <h5 class="modal-title" id="success-modal-label">Success</h5>
                    <button type="button" class="close" data-dismiss="modal" aria-label="Close">
                        <span aria-hidden="true">&times;</span>
                    </button>
                </div>
                <div class="modal-body">
                    <div id="modal-text-area">
                    </div>
                    <div id="success-modal-qr">
                    </div>
                    <div id="canvas-area">

                    </div>
                </div>
                <div class="modal-footer">
                    <button type="button" id="downloadButton" class="btn btn-success full-width" style="width: 100%;">Download QR</button>
                    <button type="button" id="downloadFormButton" class="btn btn-success full-width" style="width: 100%;">Download Form</button>
                </div>
            </div>
        </div>
    </div>

    <div class="modal fade" id="error-modal" tabindex="-1" role="dialog" aria-labelledby="error-modal-label" aria-hidden="true">
        <div class="modal-dialog" role="document">
            <div class="modal-content">
                <div class="modal-header">
                    <h5 class="modal-title" id="error-modal-label">Form Validation Errors</h5>
                    <button type="button" class="close" data-dismiss="modal" aria-label="Close">
                        <span aria-hidden="true">&times;</span>
                    </button>
                </div>
                <div class="modal-body">
                    <!-- Error messages will be displayed here -->
                </div>
                <div class="modal-footer">
                    <button type="button" class="btn btn-secondary" data-dismiss="modal">Close</button>
                </div>
            </div>
        </div>
    </div>
    </div>
    </div>
</section>









@endsection

@push("js")
<script>
    $.registration_id=0;
    $(document).ready(function() {
        $('#enquiry-form').submit(function(e) {
            e.preventDefault();
            var formData = $(this).serialize();
            var response = "";
            $.ajax({
                type: 'POST',
                url: '<?php echo route("registration.submit"); ?>',
                data: formData,
                success: function(response) {
                    // fbq('trackCustom', 'EventRegistration', {promotion: 'astro_solutions'});
                    //alert(response.registration_id);
                    fbq('track', 'PageView');
                    if (response.status) {
                        $('#registration-id').text(response.registration_id);
                        $.registration_id=response.registration_id;
                        $('#success-modal-label').text("Registration is successful");
                        $('#success-modal-qr').html("<p class='text-center' style='text-align: center!important;background-color: #830404;color: white;padding: 10px;font-weight: 600;'>Please download/save this PASS. </p><img src='" + response.qr_code + "' class='img-fluid' />");
                        var downloadLink = document.createElement('a');
                        downloadLink.href = response.qr_code;
                        downloadLink.download = 'pranjal_inquiry_form.png'; // Set the desired file name
                        //    downloadLink.click();
                        $('#success-modal').modal('show');
                        $form[0].reset();
                    } else if (response.message == 'Mobile number already exists. Returning existing data.') {
                        var existingRegistrationData = response.registration;
                        $.registration_id=response.registration_id;
                        //$('#modal-text-area').html(JSON.stringify(existingRegistrationData));
                        var downloadLink = document.createElement('a');
                        downloadLink.href = response.qr_code;
                        downloadLink.download = 'pranjal_inquiry_form.png'; // Set the desired file name
                        //downloadLink.click();
                        $('#success-modal-label').text(response.message);
                        $('#success-modal-qr').html("<img src='" + response.qr_code + "' class='img-fluid' />");
                        $('#success-modal').modal('show');
                    } else {
                        var errorMessages = '';
                        $.each(response.errors, function(field, errors) {
                            errorMessages += errors.join('<br>');
                        });
                        $('#error-modal .modal-body').html(errorMessages);
                        $('#error-modal').modal('show');
                    }
                }
            });
        });

        $('#success-modal').on('hidden.bs.modal', function() {
            $('#enquiry-form')[0].reset(); // Reset the form
        });
        $('#downloadButton').on('click', function() {
            // Trigger the download when the button is clicked
            var downloadLink = document.createElement('a');
            downloadLink.href = $('#success-modal-qr img').attr('src');
            downloadLink.download = 'pranjal_inquiry_form.png';
            downloadLink.click();
        });
        $('#downloadFormButton').on('click', function() {
            // Trigger the download when the button is clicked
            var downloadLink = document.createElement('a');
            downloadLink.href = '{{route("pdf.generate")}}?id='+$.registration_id;
            downloadLink.download = 'pranjal_inquiry_form.pdf';
            downloadLink.click();
          
        });
    });
</script>
@endpush

@push("css")
<style>
    * {
        box-sizing: border-box;
    }
    .mb10{ margin-bottom: 10px;}
    .mb20{ margin-bottom: 20px;}

    body {
        background: #fde6e7;
    }

    header {
        background-color: #FFFFFF;
        width: 100%;
        padding-bottom: 40px;
    }

    .main {
        background-color: #fde6e7;
        margin: 0;
        padding: 0;
    }

    .table {
        background-color: #FFFFFF;
    }
    .table thead {
        background: rgb(2, 0, 36);
        background: linear-gradient(90deg, rgba(2, 0, 36, 1) 0%, rgba(139, 23, 26, 1) 0%, rgba(236, 31, 40, 1) 100%);
        color: #fff;
    }
    .titlebox h2 {
        background: rgb(2, 0, 36);
        background: linear-gradient(90deg, rgba(2, 0, 36, 1) 0%, rgba(139, 23, 26, 1) 0%, rgba(236, 31, 40, 1) 100%);
        color: #fff;
        text-align: left;
        margin: 10px 0px 20px 0;
        text-transform: capitalize;
        padding: 10px 20px;
        font-size: 24px;
        font-weight: 600;
    }
    .tabletitle h2 {
        background: rgb(2, 0, 36);
        background: linear-gradient(90deg, rgba(2, 0, 36, 1) 0%, rgba(139, 23, 26, 1) 0%, rgba(236, 31, 40, 1) 100%);
        color: #fff;
        text-align: left;
        margin: 10px 0px 0px 0;
        text-transform: capitalize;
        padding: 10px 20px;
        font-size: 20px;
        font-weight: 600;
    }

    .form-box {
        display: block;
        margin: 0 auto;
        /* margin-top: 5%; */
        /* margin-bottom: 5%; */
        background-color: #fde6e7;
        width: 98%;
        /* border-radius: 5px;
  box-shadow: 10px 10px 0 0 #9c1e5b; */
    }

    .boximage {
        width: 100%;
        height: auto;

        background-size: cover;
        border-radius: 5px 5px 0 0;
    }

    .infotext {
        width: 100%;
        padding: 3%;
        text-align: center;
        color: #162c38;
        font-family: sans-serif;
    }

    h1 {
        font-family: 'Roboto Slab', serif;
        font-size: 1.1em;
        color: #162c38;
        text-transform: uppercase;
    }

    .infotext p {
        line-height: 1.5em;
        letter-spacing: 0.05em;
    }

    form {
        width: 100%;
        padding: 5%;
    }

    .required-input {
        color: #f00;
    }

    input {
        display: block;
        width: 100%;
        border: solid 1px #ec1f28;
        border-radius: 5px;
        /* margin-bottom: 15px; */
        padding: 2%;
        font-size: 0.8em;
        font-family: sans-serif;
        letter-spacing: 0.1em;
        color: #888;
        text-align: left;
    }

    input[type=submit] {
        border: none;
        border-radius: 5px;
        background-color: #a82d2d;
        color: #fff;
        text-align: center;
    }

    input[type=submit]:hover {
        background-color: #711616;
        cursor: pointer;
    }

    .form-control {
        height: 30px;
        background: #fff;
        border: 1px #ef373e solid;
        padding: 0 15px;
        font-size: 16px;
        -webkit-transition: all 0.3s ease-in-out;
        -moz-transition: all 0.3s ease-in-out;
        -o-transition: all 0.3s ease-in-out;
        transition: all 0.3s ease-in-out;
    }

    .form-control:focus {
        border-color: #00bcd9;
        -webkit-box-shadow: 0px 0px 20px rgba(0, 0, 0, .1);
        -moz-box-shadow: 0px 0px 20px rgba(0, 0, 0, .1);
        box-shadow: 0px 0px 20px rgba(0, 0, 0, .1);
    }

    textarea.form-control {
        height: 160px;
        padding-top: 15px;
        resize: none;
    }


    .content-column ul li {

        list-style-type: disc;

        margin-left: 20px;

    }
</style>
@endpush