@extends("agentportal.layouts.layout")

@section("title",  __('message_lang.LBL_ADD_REFERRAL_CODE'))
@section("content")
<div class="content d-flex flex-column flex-column-fluid" id="kt_content">
    <!--begin::Entry-->
    <div class="d-flex flex-column-fluid">
        <!--begin::Container-->
        <div class="container">
            <div class="row">
                <div class="col-lg-12">
                    <!--begin::Card-->
                    <div class="card card-custom gutter-b">
                        <div class="card-header">
                            <div class="card-title">
                                <h3 class="card-label">
                                    {{ __('message_lang.LBL_ADD_REFERRAL_CODE') }}
                                </h3>
                            </div>
                        </div>
                        <form method="post" name="frm_crud_user" id="frm_crud_user" action="{!! url('agentportal/referral_codes') !!}" enctype="multipart/form-data">
                        @csrf
                        <div class="card-body">
                            <!--begin::Example-->
                                <div class="example-preview">
                                        <div class="form-group">
                                            <label class="" for="country_code">{{ __('message_lang.LBL_COUNTRY') }} <span style="color:red;">*</span></label>
                                            <select class="form-control @error('country_code') is-invalid @enderror custom-field" name="country_code" id="country_code" autocomplete="country_code">
                                                <option value="" @if(old('country_code') == "") selected @endif>{{ __('message_lang.PLACEHOLDER_SELECT_COUNTRY') }}</option>
                                                @foreach($countries as $key => $value)
                                                    <option value="{{ $value->country_code }}">{{ $value->country_name }}</option>
                                                @endforeach
                                            </select>
                                            @error('country_code')
                                                <span class="invalid-feedback" style="display: block;" role="alert">
                                                    <strong>{{ $message }}</strong>
                                                </span>
                                            @enderror
                                        </div>

                                        <div class="form-group">
                                            <label class="" for="code">{{ __('message_lang.LBL_REFERRAL_CODE') }} <span style="color:red;">*</span></label>
                                            <input class="form-control @error('code') is-invalid @enderror custom-field" id="code" type="text" value="{{ old('code') }}" name="code" placeholder="{{ __('message_lang.LBL_REFERRAL_CODE') }}" >
                                            @error('code')
                                                <span class="invalid-feedback" role="alert">
                                                    <strong>{{ $message }}</strong>
                                                </span>
                                            @enderror
                                        </div>

                                        <div class="form-group">
                                            <label class="" for="name">{{ __('message_lang.LBL_NAME') }} <span style="color:red;">*</span></label>
                                            <input class="form-control @error('name') is-invalid @enderror custom-field" id="name" type="text" value="{{ old('name') }}" name="name" placeholder="{{ __('message_lang.LBL_NAME') }}" >
                                            @error('name')
                                                <span class="invalid-feedback" role="alert">
                                                    <strong>{{ $message }}</strong>
                                                </span>
                                            @enderror
                                        </div>

                                        <div class="form-group">
                                            <label class="" for="email">{{ __('message_lang.PLACEHOLDER_EMAIL_ADDRESS') }}</label>
                                            <input class="form-control @error('email') is-invalid @enderror custom-field" id="email" name="email" value="{{ old('email') }}" type="email" placeholder="{{ __('message_lang.PLACEHOLDER_EMAIL_ADDRESS') }}" >
                                            @error('email')
                                                <span class="invalid-feedback" role="alert">
                                                    <strong>{{ $message }}</strong>
                                                </span>
                                            @enderror
                                        </div>

                                        <div class="form-group">
                                            <label class="" for="phone">{{ __('message_lang.PLACEHOLDER_PHONE_NUMBER') }} <span style="color:red;">*</span></label>
                                            <input class="form-control @error('phone') is-invalid @enderror custom-field" id="phone" name="phone" value="{{ old('phone') }}" type="text" placeholder="{{ __('message_lang.PLACEHOLDER_PHONE_NUMBER') }}" >
                                            @error('phone')
                                                <span class="invalid-feedback" role="alert">
                                                    <strong>{{ $message }}</strong>
                                                </span>
                                            @enderror
                                        </div>
                                        <div class="form-group">
                                            <label for="status">Status <span style="color:red;">*</span></label>
                                            <select class="form-control  custom-field" name="status" id="status" autocomplete="status" aria-invalid="false">
                                                <option value="1" selected="">Active</option>
                                                <option value="0">Inactive</option>
                                            </select>
                                        </div>
                                </div>
                            <!--end::Example-->
                        </div>
                        <div class="card-footer">
                            <button type="submit" class="btn btn-primary mr-2">{{ __('message_lang.BTN_SUBMIT') }}</button>
                            <a href="{{ url('agentportal/referral_codes') }}" class="btn btn-secondary">{{ __('message_lang.BUTTON_CANCEL') }}</a>
                        </div>
                    </form>
                    </div>
                    <!--end::Card-->
                </div>
            </div>
        </div>
        <!--end::Container-->
    </div>
    <!--end::Entry-->
</div>
@endsection