@extends('layouts.main')

@section('title', 'Update Change Manage Form')

@section('breadcrumb')
  <div class="row">
      <div class="col-sm-12">
          <div class="page-title-box">
              <h4 class="page-title">Update Change Management Form</h4>
              <ol class="breadcrumb float-right">
                  <li class="breadcrumb-item"><a href="/">Home</a></li>
                  <li class="breadcrumb-item active">Settings</li>
                  <li class="breadcrumb-item active">UCMF</li>
              </ol>
              <div class="clearfix"></div>
          </div>
      </div>
  </div>

@endsection

@section('content')
    <div class="content-body">
        <div class="row">
            <div class="col-md-12">
                <section id="description" class="card bg-card">
                    <div class="card-header">
                        <h4 class="card-title">Details</h4>
                    </div>
                    <div class="card-body">
                        <div class="card-block">
                            <form class="form" action="" method="post">
                                {{ csrf_field() }}
                                <input type="hidden" name="client_id" value="{{ \Illuminate\Support\Facades\Auth::user()->getClientIdFromIntranet() }}" />
                                <div class="form-body">
                                    <div class="row">
                                        <div class="col-md-6">
                                            <div class="form-group {{ $errors->has('Company') ? ' has-error' : '' }}">
                                                <label for="Company">Company Name</label>
                                                <input type="text" id="Company" name="Company" class="form-control" placeholder="Company Name"
                                                       value="@if(old('Company')){{old('Company')}}@else{{ $form->Company }}@endif"/>
                                                @if ($errors->has('Company'))
                                                    <span class="help-block">
                                                        <strong>{{ $errors->first('Company') }}</strong>
                                                    </span>
                                                @endif
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="form-group {{ $errors->has('contactname') ? ' has-error' : '' }}">
                                                <label for="contactname">Contact Name</label>
                                                <input type="text" id="contactname" name="contactname" class="form-control" placeholder="Contact Name"
                                                       value="@if(old('contactname')){{old('contactname')}}@else{{ $form->contactname }}@endif"/>
                                                @if ($errors->has('contactname'))
                                                    <span class="help-block">
                                                        <strong>{{ $errors->first('contactname') }}</strong>
                                                    </span>
                                                @endif
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-6">
                                            <div class="form-group {{ $errors->has('phonenumber1') ? ' has-error' : '' }}">
                                                <label for="phonenumber1">Contact Phone Number (1st)</label>
                                                <input type="text" id="phonenumber1" class="form-control" placeholder="Phone Number" name="phonenumber1"
                                                       value="@if(old('phonenumber1')){{old('phonenumber1')}}@else{{ $form->phonenumber1  }}@endif"/>
                                                @if ($errors->has('phonenumber1'))
                                                    <span class="help-block">
                                                        <strong>{{ $errors->first('phonenumber1') }}</strong>
                                                    </span>
                                                @endif
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="form-group {{ $errors->has('phonenumber2') ? ' has-error' : '' }}">
                                                <label for="phonenumber2">Contact Phone Number (2st)</label>
                                                <input type="text" id="phonenumber2" class="form-control" placeholder="Phone Number" name="phonenumber2"
                                                       value="@if(old('phonenumber2')){{old('phonenumber2')}}@else{{ $form->phonenumber2 }}@endif"/>
                                                @if ($errors->has('phonenumber2'))
                                                    <span class="help-block">
                                                        <strong>{{ $errors->first('phonenumber2') }}</strong>
                                                    </span>
                                                @endif
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row">
                                        <div class="col-md-6">
                                            <div class="form-group {{ $errors->has('email1') ? ' has-error' : '' }}">
                                                <label for="email1">Contact Email Address (1st)</label>
                                                <input type="text" id="email1" class="form-control" placeholder="Email Address" name="email1"
                                                       value="@if(old('email1')){{old('email1')}}@else{{ $form->email1 }}@endif"/>
                                                @if ($errors->has('email1'))
                                                    <span class="help-block">
                                                        <strong>{{ $errors->first('email1') }}</strong>
                                                    </span>
                                                @endif
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="form-group {{ $errors->has('email2') ? ' has-error' : '' }}">
                                                <label for="email2">Contact Email Address (2st)</label>
                                                <input type="text" id="email2" class="form-control" placeholder="Email Address" name="email2"
                                                       value="@if(old('email2')){{old('email2')}}@else{{ $form->email2 }}@endif"/>
                                                @if ($errors->has('email2'))
                                                    <span class="help-block">
                                                        <strong>{{ $errors->first('email2') }}</strong>
                                                    </span>
                                                @endif
                                            </div>
                                        </div>
                                    </div>
                                    <div class="form-actions">
                                        <a class="btn btn-danger btn-custom waves-effect w-md m-b-5" href="{{ url('/') }}">
                                            <i class="mdi mdi-cancel"></i> Cancel
                                        </a>
                                        <button type="submit" class="btn btn-success btn-custom waves-effect w-md waves-light m-b-5">
                                            <i class="mdi mdi-content-save"></i> Save
                                        </button>
                                    </div>
                                </div>
                            </form>
                        </div>
                    </div>
                </section>
            </div>
        </div>
    </div>
@endsection