@extends('layouts.default')

@section('content')
   

<div class="nk-block nk-block-lg">
    <div class="nk-block-head">
        <div class="nk-block-head-content">
            <h4 class="title nk-block-title">Ajout d'un Ayant Droit / Apporteur d'affaires</h4>
            
        </div>
    </div>
    <div class="card card-bordered">
        <div class="card-inner">
            <form class="form-validate" method="post" action="{{ route('storeayantaffaire') }}" autocomplete="off">
                @csrf
                <div class="row g-gs">
                    <div class="col-md-6">
                        <div class="form-group">
                            <label class="form-label" for="fv-full-name">Nom</label>
                            <div class="form-control-wrap">
                                <input type="text" class="form-control" id="firstname" name="firstname" required>
                                @if ($errors->has('firstname'))
                                    <span class="invalid-feedback" role="alert">
                                        <strong>{{ $errors->first('firstname') }}</strong>
                                    </span>
                                @endif
                            </div>
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="form-group">
                            <label class="form-label" for="fv-email">Prénom</label>
                            <div class="form-control-wrap">
                                <div class="form-icon form-icon-right">
                                    <em class="icon ni ni-mail"></em>
                                </div>
                                <input type="text" class="form-control" id="lastname" name="lastname" required>
                                @if ($errors->has('lastname'))
                                    <span class="invalid-feedback" role="alert">
                                        <strong>{{ $errors->first('lastname') }}</strong>
                                    </span>
                                @endif
                            </div>
                        </div>
                    </div>

                    <div class="col-md-6">
                        <div class="form-group">
                            <label class="form-label" for="fv-phone">Civilité</label>
                            <div class="form-control-wrap">
                            <select class="form-control form-select" id="civility" name="civility" data-placeholder="Select a option" required>
                                <option label="empty" value=""></option>
                                <option value="Homme">Homme</option>
                                <option value="Femme">Femme</option>
                            </select>
                            </div>
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="form-group">
                            <label class="form-label" for="fv-phone">Phone</label>
                            <div class="form-control-wrap">
                                <div class="input-group">
                                    <div class="input-group-prepend">
                                        <span class="input-group-text" id="fv-phone">+33</span>
                                    </div>
                                    <input type="text" class="form-control" name="phone" id="phone">
                                    @if ($errors->has('phone'))
                                        <span class="invalid-feedback" role="alert">
                                            <strong>{{ $errors->first('phone') }}</strong>
                                        </span>
                                    @endif
                                </div>
                            </div>
                        </div>
                    </div>
                    
                    <div class="col-md-6">
                        <div class="form-group">
                            <label class="form-label" for="fv-subject">Email</label>
                            <div class="form-control-wrap">
                                <input type="text" class="form-control" id="email" name="email" required>
                                @if ($errors->has('email'))
                                        <span class="invalid-feedback" role="alert">
                                            <strong>{{ $errors->first('email') }}</strong>
                                        </span>
                                    @endif
                            </div>
                        </div>
                    </div>

                    <div class="col-md-6">
                        <div class="form-group">
                            <label class="form-label" for="fva-topics">Profil</label>
                            <div class="form-control-wrap ">
                                <select class="form-control form-select" id="profil" name="profil" data-placeholder="Select a option" required>
                                    <option label="empty" value=""></option>
                                    <option value="AD">Ayant Droit</option>
                                    <option value="AP">Apporteur d'affaires</option>
                                </select>
                            </div>
                        </div>
                    </div>

                    <div class="col-md-6">
                        <div class="form-group">
                            <label class="form-label" for="fv-subject">Entreprise</label>
                            <div class="form-control-wrap">
                                <input type="text" class="form-control" id="society" name="society">
                                @if ($errors->has('society'))
                                        <span class="invalid-feedback" role="alert">
                                            <strong>{{ $errors->first('society') }}</strong>
                                        </span>
                                    @endif
                            </div>
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="form-group">
                            <label class="form-label" for="fv-subject">Adresse</label>
                            <div class="form-control-wrap">
                                <input type="text" class="form-control" id="address" name="address">
                                @if ($errors->has('address'))
                                        <span class="invalid-feedback" role="alert">
                                            <strong>{{ $errors->first('address') }}</strong>
                                        </span>
                                    @endif
                            </div>
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="form-group">
                            <label class="form-label" for="fv-subject">Code postal</label>
                            <div class="form-control-wrap">
                                <input type="text" class="form-control" id="cp" name="cp">
                                @if ($errors->has('cp'))
                                        <span class="invalid-feedback" role="alert">
                                            <strong>{{ $errors->first('cp') }}</strong>
                                        </span>
                                    @endif
                            </div>
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="form-group">
                            <label class="form-label" for="fv-subject">Ville</label>
                            <div class="form-control-wrap">
                                <input type="text" class="form-control" id="ville" name="ville">
                                @if ($errors->has('ville'))
                                        <span class="invalid-feedback" role="alert">
                                            <strong>{{ $errors->first('ville') }}</strong>
                                        </span>
                                    @endif
                            </div>
                        </div>
                    </div>
                    <div class="col-md-6">
                        <div class="form-group">
                            <label class="form-label" for="fv-subject">Pays</label>
                            <div class="form-control-wrap">
                                <input type="text" class="form-control" id="pays" name="pays">
                                @if ($errors->has('pays'))
                                        <span class="invalid-feedback" role="alert">
                                            <strong>{{ $errors->first('pays') }}</strong>
                                        </span>
                                    @endif
                            </div>
                        </div>
                    </div>

                    <div class="col-md-6">
                        <div class="form-group">
                            <label class="form-label" for="fv-subject">RIB</label>
                            <div class="form-control-wrap">
                                <input type="text" class="form-control" id="rib" name="rib">
                                @if ($errors->has('rib'))
                                        <span class="invalid-feedback" role="alert">
                                            <strong>{{ $errors->first('rib') }}</strong>
                                        </span>
                                    @endif
                            </div>
                        </div>
                    </div>

                    <div class="col-md-6">
                        <div class="form-group">
                            <label class="form-label" for="fv-subject">ERC 20</label>
                            <div class="form-control-wrap">
                                <input type="text" class="form-control" id="erc20" name="erc20">
                                @if ($errors->has('erc20'))
                                        <span class="invalid-feedback" role="alert">
                                            <strong>{{ $errors->first('erc20') }}</strong>
                                        </span>
                                    @endif
                            </div>
                        </div>
                    </div>
                    
                    <div class="col-md-6">
                        <div class="form-group">
                            <label class="form-label" for="fv-subject">TVA (%)</label>
                            <div class="form-control-wrap">
                                <input type="text" class="form-control" id="tva" name="tva" required>
                                @if ($errors->has('tva'))
                                        <span class="invalid-feedback" role="alert">
                                            <strong>{{ $errors->first('tva') }}</strong>
                                        </span>
                                    @endif
                            </div>
                        </div>
                    </div>
                    
                    
                    <div class="col-md-12">
                        <div class="form-group">
                            <label class="form-label" for="fv-message">Description</label>
                            <div class="form-control-wrap">
                                <textarea class="form-control form-control-sm" id="description" name="description" placeholder="Tapez une description"></textarea>
                            </div>
                        </div>
                    </div>
                   
                    <div class="col-md-12">
                        <div class="form-group">
                            <button type="submit" class="btn btn-lg btn-primary">Enregistrer</button>
                        </div>
                    </div>
                </div>
            </form>
        </div>
    </div>
</div><!-- .nk-block -->
@endsection