@extends('web.layouts.layout')
@section('content')


    <main>

        <section class="login-pg">
            <div class="container">
                <div class="form-box col-lg-10 mx-auto">
                @include('web.pages.auth.merchant.header')

                    <!-- Step 3 Form -->
                    <form method="post" action="{{$action}}" onsubmit="formActionMerchant(this)" class="merchant-form">
                        @CSRF
                        <div class="row">
                            <div class="col-lg-6">
                                <div class="form-group mb-4">
                                    <label class="form-label">{{__('web.responsible_name')}}</label>
                                    <input type="text" name="responsible_name" class="form-control" placeholder="" value="{{ $check['responsible_name'] ?? '' }}">
                                </div>
                            </div>
                            <div class="col-lg-6">
                                <div class="form-group mb-4">
                                    <label class="form-label">{{__('web.commercial_number')}}</label>
                                    <input type="text" name="commercial_number" class="form-control" placeholder="" value="{{ $check['commercial_number'] ?? '' }}">
                                </div>
                            </div>
                            <div class="col-lg-6">
                                <div class="form-group mb-4">
                                    <label class="form-label">{{__('web.cr_start_date')}}</label>
                                    <input type="date" name="cr_start_date" class="form-control" placeholder="" value="{{ $check['cr_start_date'] ?? '' }}">
                                </div>
                            </div>
                            <div class="col-lg-6">
                                <div class="form-group mb-4">
                                    <label class="form-label">{{__('web.cr_expire_date')}}</label>
                                    <input type="date" name="cr_expire_date" class="form-control" placeholder="" value="{{ $check['cr_expire_date'] ?? '' }}">
                                </div>
                            </div>
                            <div class="col-lg-12">
                                <div class="form-group mb-4">
                                    <label class="form-label">{{__('web.vat_number')}}</label>
                                    <input type="text" name="vat_number" class="form-control" placeholder="" value="{{ $check['vat_number'] ?? '' }}">
                                </div>
                            </div>
                            <div class="col-lg-12">
                                <div class="form-group mb-4">
                                    <label class="form-label">{{__('web.upload_vat_verification')}}</label>
                                    <div class="upload-img">
                                        <div class="file-upload-container d-lg-flex">
                                            <div class="file-upload-preview mb-4 mb-lg-0">
                                                <div class="preview-image-container">
                                                    <img id="preview-image" src="{{url('')}}/assets/web/images/image.png" alt="Preview">
                                                </div>
                                                <div class="file-info">
                                                    <span class="file-name">{{__('web.no_file_selected')}}</span>
                                                    <span class="file-size"></span>
                                                </div>
                                            </div>
                                            <div class="upload-controls ms-auto">
                                                <button type="button" class="remove-btn" style="display: none;">
                                                    <i class="fal fa-times"></i>
                                                </button>
                                                <label for="vat-certificate" class="upload-btn">
                                                    <i class="fal fa-cloud-upload"></i>
                                                    <span>{{__('web.choose_file')}}</span>
                                                </label>
                                            </div>
                                            <input type="file" name="vat_verification" id="vat-certificate" class="file-input" accept=".jpg,.png,.pdf" style="display: none;">
                                        </div>
                                        <div class="upload-instructions">
                                            <p>{{__('web.file_format')}}</p>
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div class="col-12">
                                <div class="btns mt-5">
                                    <div class="row justify-content-center">
                                        <div class="col-lg-4">
                                            <button type="submit" class="butn border w-100 mt-2" >
                                                <span>{{__('web.regist')}} <i class="fal fa-check ms-2"></i></span>
                                            </button>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>
                    </form>

                </div>
            </div>
        </section>


    </main>

    <!-- Modal -->
    <div class="modal fade success-modal" id="merchant-modal" tabindex="-1" aria-labelledby="exampleModalLabel" aria-hidden="true">
        <div class="modal-dialog modal-dialog-centered modal-lg">
            <div class="modal-content">
                <!--<div class="modal-header">-->
                <!--  <h1 class="modal-title fs-5" id="exampleModalLabel">Modal title</h1>-->
                <!--  <button type="button" class="btn-close" data-bs-dismiss="modal" aria-label="Close"></button>-->
                <!--</div>-->
                <div class="modal-body text-center p-5">
                    <div class="title">
                        <!--<h2 class="lh-md col-lg-10 mx-auto"> Your account information has been sent successfully </h2>-->
                    </div>
                    <div class="icon">
                        <img src="{{url('')}}/assets/web/images/check.svg" alt="check">
                    </div>
                    <div class="text fs-4 mt-3">{{__('web.regist_success_desc')}} </div>
                    <a href="{{route('web.home')}}" class="butn border mt-5">
                        <span> <i class="fal fa-home me-2"></i> {{__('web.back_home')}} </span>
                    </a>
                </div>
                <!--<div class="modal-footer">-->
                <!--  <button type="button" class="btn btn-secondary" data-bs-dismiss="modal">Close</button>-->
                <!--  <button type="button" class="btn btn-primary">Save changes</button>-->
                <!--</div>-->
            </div>
        </div>
    </div>


@endsection
@section('inject_js')
    <script src="{{url('')}}/assets/web/js/custom/merchant.js"></script>
@endsection