@extends('layouts.admin')
@section('pageTitle')
<title>Best Insurance | Affiliates</title>
@stop
@section('content')
<section class="content ">
  <div class="box">
    <!-- /.box-header -->
    <div class="box-body">
      {{Form::open(array('url' => '/account/branches/create-branch','id' => 'formValidation', 'method' => 'POST'))}}
      <div class="form-group  col-md-12 text-red">* Password will be automatically generated and will be sent to given email. </div>
     
    @if(Auth::user()->role!=4)
          <div class="form-group  col-md-6 required">
            <span class=" control-label "></span>
            {{Form::label('Select Affiliate Admin',array())}}
            {!!Form::select('affliate_admin', $affliate_admin, null, ['class' => 'form-control'])!!}
            @if($errors->has('affliate_admin'))
            <label id="email-error" class="error" for="affliate_admin">{{$errors->first('affliate_admin')}} </label>
            @endif
          </div>
      @endif

      @if(Auth::user()->role=="4")
          <input type="hidden" name="affliate_admin" id="affliate_admin" value={{$affliate_admin}}>
      @endif
      <!-- <div class="form-group  col-md-12"></div> -->
      <div class="form-group  col-md-6 required">
        <span class=" control-label "></span>
        {{Form::label('Branch Name',array())}}
        {{Form::text('branch_name','',array('required' => true,'class' =>'form-control'))}}

        @if($errors->has('branch_name'))
        <label id="email-error" class="error" for="branch_name">{{$errors->first('branch_name')}} </label>
        @endif
      </div>
      <!-- <div class="form-group  col-md-12"></div> -->
      <div class="form-group  col-md-6 required">
        <span class=" control-label "></span>
        {{Form::label('Branch code',array())}}
        {{Form::text('branch_code','',array('required' => true,'class' =>'form-control'))}}
         @if($errors->has('branch_code'))
          <label id="email-error" class="error" for="branch_code">{{$errors->first('branch_code')}} </label>
        @endif
      </div>
      <!-- <div class="form-group  col-md-12"></div> -->
      <div class="form-group  col-md-6 required">
        <span class=" control-label "></span>
        {{Form::label('Branch locality',array())}}
        {{Form::text('branch_locality','',array('required' => true,'class' =>'form-control'))}}
      </div>
      <!-- <div class="form-group  col-md-12"></div> -->
      <div class="form-group  col-md-6 required">
        <span class=" control-label "></span>
        {{Form::label('Branch Address',array())}}
        {{Form::text('branch_address','',array('required' => true,'class' =>'form-control'))}}
      </div>
      <!-- <div class="form-group  col-md-12"></div> -->
      <div class="form-group  col-md-6 required">
        <span class=" control-label "></span>
        {{Form::label('Manager Email',array())}}
        {{Form::email('branch_manager_email','',array('class' =>'form-control'))}}
        @if($errors->has('branch_manager_email'))
        <label id="email-error" class="error" for="branch_manager_email">{{$errors->first('branch_manager_email')}} </label>
        @endif
      </div>

      <div class="form-group  col-md-6">
        {{Form::label('Manager Fullname',array())}}
        {{Form::text('branch_manager_full_name','',array('class' =>'form-control'))}}
        @if($errors->has('branch_manager_full_name'))
        <label id="email-error" class="error" for="branch_manager_full_name">{{$errors->first('branch_manager_full_name')}} </label>
        @endif
      </div>

      
      <div class="form-group  col-md-12"></div>

      <!-- end of head office -->
      <div class="form-group  col-md-6">
        {{Form::submit('Submit',array('class' => 'btn btn-success'))}}


      </div>
      {{Form::close()}}

    </div>
    <!-- /.box-body -->
  </div>
  <!-- </div> -->

</section>

@stop
@section('pageBottomJs')
<style type="text/css">
/* for validation msg */
.error{
  color:red;
}
</style>
<script type="text/javascript">
 $(document).ready(function(){

    // trim blank spaces 
    $('#formValidation').submit( function(e){
      $(this).find('input:text').each(function(){
        $(this).val($.trim($(this).val()));
      });
    });
    $('#formValidation').validate({
      rules:{
        affliate_admin:{
          required:true
        },
        branch_name:{
          required:true,
          maxlength:255
        },
        branch_code:{
          required:true,
        },
        branch_locality:{
          required:true,
        },
        branch_address:{
          required:true,
          maxlength:255
        },
        branch_manager_email:{
          required:true,
          maxlength:255
        },
        branch_manager_full_name:{
          required:true,
        }
      },
      messages:{
        affliate_admin:'* Please enter Affiliate Admin',
        branch_name:'* Please enter Branch name',
        branch_code:'* Please enter branch code',
        branch_locality:'* Please enter Brqanch locality.',
        branch_address:'* Please enter Brqanch Address',
        branch_manager_email: "* Please enter Branch Manager Email",
      }
    });  
  });
</script>
@stop