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

<header>
    <div class="container">
        <img src="<?php echo site_url(); ?>vira/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" />
                <input type="hidden" name="countries_id" value="4" />


                <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="dob" 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-mobile">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-mobile" 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-address">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-phone" name="phone" 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>
                                        @foreach(SITEVARS->Countries as $Country)

                                        <option value="{{$Country->country_id}}">{{$Country->title}}</option>
                                        @endforeach
                                    </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>
    </div>
</section>









@endsection

@push("js")
<script>
    $.registration_id = 0;

    $(document).ready(function() {
        $('#enquiry-form').submit(function(e) {
            e.preventDefault();
            var formData = $(this).serialize();

            $.ajax({
                type: 'POST',
                url: '<?php echo route("registration.submit"); ?>',
                data: formData,
                success: function(response) {
                    if (response.status == true) {
                        Swal.fire({
                            title: 'Success!',
                            text: 'Registration is successful',
                            icon: 'success',
                            html: '<p>' + response.message + '</p>' +
                                '<p>Registration ID: ' + response.registration_id + '</p>' 
                                // + '<img src="{{route('pass.generate')}}?id='+response.registration_id+'" alt="Registration Image" class="img-fluid" />'

                        });
                    } else {
                        Swal.fire({
                            title: 'Failed!',
                            text: 'Registration Can\'t Continue',
                            icon: 'error',
                            html: '<p>' + response.message + '</p>' +
                                '<p>Registration ID: ' + response.registration_id + '</p>'
                        });
                    }

                }
            });
        });
    });
</script>




@endpush

@push("css")
<style>
    * {
        box-sizing: border-box;
    }

    .mb10 {
        margin-bottom: 10px;
    }

    .mb20 {
        margin-bottom: 20px;
    }

    body {
        background: #d0e9fc;
    }

    header {
        background-color: #FFFFFF;
        width: 100%;
        padding-bottom: 20px;
    }

    .main {
        background-color: #d0e9fc;
        margin: 0;
        padding: 0;
    }

    .table {
        background-color: #FFFFFF;
    }

    .table thead {
        background: rgb(2,65,111);
        background: linear-gradient(90deg, rgba(2,65,111,1) 0%, rgba(0,102,177,1) 100%);
        color: #fff;
    }

    .titlebox h2 {
        background: rgb(2,65,111);
        background: linear-gradient(90deg, rgba(2,65,111,1) 0%, rgba(0,102,177,1) 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(2,65,111);
        background: linear-gradient(90deg, rgba(2,65,111,1) 0%, rgba(0,102,177,1) 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: #d0e9fc;
        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 #0066b1 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