@extends('website.layouts.app')

@section('content')
    <div class="container">
        <div class="pb-5">
            <div class="back_page">
                <i class="fa-solid fa-arrow-left"></i>
                <a href="{{ route('form16.abstract') }}">Back to account overview</a>
            </div>

            <div class="mandatory-form-container">
                <div class="card">
                    <div class="card-header">
                        <div class="h5 mb-0">Existing Membership Detail</div>
                    </div>
                    <div class="card-body">
                        <form action="{{ route('form16.saveExistingMemberInfo') }}" class="form-horizontal" method="POST">
                            @csrf
                            <div class="form-group">
                                <div class="row">
                                    <div class="col-md-4">
                                        <label for="ex_member" class="form-label @error('ex_member') is-invalid @enderror">Whether an ex-member of the society</label>
                                    </div>
                                    <div class="col-md-4">
                                        <input type="checkbox" name="ex_member" id="ex_member" class="form-check-input @error('ex_member') is-invalid @enderror" value="1" {{ old('ex_member', $custMemberInfo['ex_member']) ? 'checked' : '' }}>
                                        @error('ex_member')
                                            <div class="invalid-feedback">{{ $message }}</div>
                                        @enderror
                                    </div>
                                </div>
                            </div>

                            <div class="form-group">
                                <div class="row">
                                    <div class="col-md-4">
                                        <label for="member_class_name" class="form-label @error('member_class_name') is-invalid @enderror">Name of the society</label>
                                    </div>
                                    <div class="col-md-4">
                                        <input type="text" name="member_class_name" id="member_class_name" class="form-control @error('member_class_name') is-invalid @enderror" value="{{ old('member_class_name', $custMemberInfo['member_class_name']) }}">
                                        @error('member_class_name')
                                            <div class="invalid-feedback">{{ $message }}</div>
                                        @enderror
                                    </div>
                                </div>
                            </div>

                            <div class="form-group">
                                <div class="row">
                                    <div class="col-md-4">
                                        <label for="reason_for_applying" class="form-label @error('reason_for_applying') is-invalid @enderror">Reason for Applying</label>
                                    </div>
                                    <div class="col-md-4">
                                        <textarea name="reason_for_applying" id="reason_for_applying" class="form-control @error('reason_for_applying') is-invalid @enderror" placeholder="Enter reason for applying">{{ old('reason_for_applying', $custMemberInfo['reason_for_applying']) }}</textarea>
                                        @error('reason_for_applying')
                                            <div class="invalid-feedback">{{ $message }}</div>
                                        @enderror
                                    </div>
                                </div>
                            </div>

                            <div class="form-group">
                                <div class="row">
                                    <div class="col-md-4">
                                        <label for="member_of_different_class" class="form-label @error('member_of_different_class') is-invalid @enderror">Whether a member in any other society of the same class</label>
                                    </div>
                                    <div class="col-md-4">
                                        <input type="checkbox" name="member_of_different_class" id="member_of_different_class" class="form-check-input @error('member_of_different_class') is-invalid @enderror" value="1" {{ old('member_of_different_class', $custMemberInfo['member_of_different_class']) ? 'checked' : '' }}>
                                        @error('member_of_different_class')
                                            <div class="invalid-feedback">{{ $message }}</div>
                                        @enderror
                                    </div>
                                </div>
                            </div>
                            <div class="form-group">
                                <div class="row">
                                    <div class="col-md-4">&nbsp;</div>
                                    <div class="col-md-4">
                                        <div class="text-center">
                                            <button type="submit" class="btn btn-primary">Submit</button>
                                            <a href="{{ route('form16.abstract') }}" class="btn btn-danger ms-2">Cancel</a>
                                        </div>
                                    </div>
                                </div>

                            </div>
                        </form>
                    </div>
                </div>
            </div>
        </div>
    </div>
@endsection