@extends('layouts.dashboard')

@section('content')
    
    <div class="container">
        <div class="card mt-3">
            <div class="card-header">Provide your personal information</div>
            <div class="card-body">
                <form action="{{route('dashboard.verify.personal-info.store')}}" method="post">
                    @csrf
                    <div class="form-group">
                      <label for="">First Name</label>
                      <input type="text" name="first_name" id="" class="form-control" placeholder="first name" aria-describedby="helpId" value="{{old('first_name')}}">
                      
                      @error('first_name')
                      <div class="error text-danger">{{$message}}</div>
                      @enderror
                    </div>
                    <div class="form-group">
                      <label for="">Last Name</label>
                      <input type="text" name="last_name" id="" class="form-control" placeholder="last name" aria-describedby="helpId" value="{{old('last_name')}}">
                      
                      @error('last_name')
                      <div class="error text-danger">{{$message}}</div>
                      @enderror
                    </div>
                    <div class="form-group">
                        <label for="">Place of birth</label>
                        <input type="text" name="birth_place" id="" class="form-control" placeholder="Place of birth" aria-describedby="helpId" value="{{old('birth_place')}}">
                        
                        @error('birth_place')
                        <div class="error text-danger">{{$message}}</div>
                        @enderror
                      </div>
                      <div class="form-group">
                        <label for="">Date of birth</label>
                        <input type="date" name="dob" id="" class="form-control" placeholder="last name" aria-describedby="helpId">
                        
                        @error('dob')
                        <div class="error text-danger">{{$message}}</div>
                        @enderror
                      </div>

                      <div class="form-group">
                        <label for="">Gender</label>
                        <select class="form-control" name="gender" id="gender">
                          <option disabled selected>Select ---</option>
                          <option value="Male">Male</option>
                          <option value="Female">Female</option>
                        </select>
                        @error('gender')
                        <div class="error text-danger">{{$message}}</div>
                        @enderror
                      </div>
                      <div class="form-group">
                        <label for="">Country</label>
                        <select class="form-control" name="country_id" id="">
                          <option selected disabled>Selct country..</option>
                          @foreach ($countries as $country)
                          <option value="{{$country->id}}">{{$country->name}}</option>    
                          @endforeach
                          
                          
                        </select>
                        @error('country_id')
                        <div class="error text-danger">{{$message}}</div>
                        @enderror
                      </div>
                      <button type="submit" class="btn btn-primary">
                          Submit <i class="fa fa-arrow-circle-o-right" aria-hidden="true"></i>
                      </button>
                    </form>
            </div>
        </div>
       
    </div>

@endsection