@extends('layouts.admin')
@section('pageTitle')
  <title>Best Insurance | Affiliates</title>
@stop
@section('content')
<section class="content ">
  <div class="box col-md-12">
        <div class="box-header">
          <h3 class="box-title">Edit Affiliate</h3>
        </div>
        <!-- /.box-header -->
         <div class="box-body col-md-6">
        {{Form::open(array('url' => '/account/edit-affiliate-user', 'method' => 'post', 'id' => 'editForm'))}}
         
          <div class="form-group ">
            {{Form::label('email',array())}}
            {{Form::text('email',$request->email,array('required' => true,'class' =>'form-control','readOnly' => 'true'))}}
            {{Form::hidden('id',$request->id,array('required' => true,'class' =>'form-control'))}}
          </div>
          <div class="form-group ">
            {{Form::label('first_name',array())}}
            {{Form::text('first_name',$request->first_name,array('required' => true,'class' =>'form-control'))}}
          </div>
          <div class="form-group ">
            {{Form::label('last_name',array())}}
            {{Form::text('last_name',$request->last_name,array('required' => true,'class' =>'form-control'))}}
          </div>
          <div class="form-group">
            {{Form::label('designation',array())}}
            {{Form::text('designation',$request->designation,array('class' =>'form-control'))}}
          </div>
          <div class="form-group">
            {{Form::label('phone number',array())}}
            {{Form::text('phone_no',$request->phone_no,array('class' =>'form-control'))}}
          </div>
          <div class="form-group">
            {{Form::label('address',array())}}
            {{Form::text('address',$request->address,array('class' =>'form-control'))}}
          </div>
          <div class="form-group ">
            {{Form::label('profile picture',array())}}
            {{Form::file('profile_pic',null,array('id' => 'password','class' =>'form-control'))}}
            
          </div>
          <div class=" form-group  ">
              <img src="{{URL::asset('uploads/users/'.$request->profile_pic.'')}}" width="150px" />
            </div>
          <div class="form-group">
            {{Form::label('Status',[])}}
            {{Form::checkbox('status',null,$request->status)}}
          </div>
           <div class="form-group ">
            {{Form::submit('Submit',array('class' => 'btn btn-success'))}}
          </div>
        {{Form::close()}}
        </div>
        <!-- /.box-body -->
        </div>
        <!-- </div> -->
</section>

@stop
@section('pageBottomJs')
<style type="text/css">
  
  .error{
    color :red;
  }
</style>
  
<script type="text/javascript">
$(document).ready(function(){
    $('#editForm').validate({
       rules:{
            uid:{
              required:true
            },
            confirm_password:{
              equalTo:"#password"
            },
            name:{
              required:true
            },
            Legal_Entity:{
              required:true
            },

        },
        messages: {
            uid: {
               required: "Please enter UID",
             },
            confirm_password: "Password doesn't match",
            name:"Please Enter name",
            Legal_Entity:"Please Enter Legal Entity"
        }

    });
});

  </script>
@stop