@extends('layouts.app')

@section('content')
<section class="page-header row">
	<h2> {{ $pageTitle }} </h2>
	<ol class="breadcrumb">
		<li><a href="{{ url('') }}"> Dashboard </a></li>
		<li><a href="{{ url('/manage/'.$pageModule) }}"> {{ $pageTitle }} </a></li>
		<li class="active"> Form  </li>		
	</ol>
</section>
<div class="page-content row">
	<div class="page-content-wrapper no-margin">
	
	{!! Form::open(array('url'=>'/manage/partnerrequests?return='.$return, 'class'=>'form-horizontal validated','files' => true )) !!}
	<input type="hidden" name="status_type" value="{{ $pageTitle }}" />
	
		<div class="sbox-title clearfix">
			<div class="sbox-tools pull-right" >
				<a href="{{ url('/manage/'.$pageModule.'?return='.$return) }}" class="tips btn btn-sm "  title="{{ __('core.btn_back') }}" ><i class="fa  fa-times"></i></a> 
			</div>
			<div class="sbox-tools1 pull-left1" >
				<button name="apply" class="btn btn-sm btn-primary  "  title="{{ __('core.btn_back') }}" ><i class="fa  fa-check"></i> {{ __('core.sb_apply') }} </button>
				<button name="save" class="btn btn-sm btn-success"  title="{{ __('core.btn_back') }}" ><i class="fa  fa-paste"></i> {{ __('core.sb_save') }} </button> 
				<?php if($frontendSlug!='') {
				$fsconfig = explode('@',$frontendSlug);
				if( ($row[$fsconfig[1]]) ) 
				echo '<a  class="btn btn-sm btn-outline-primary" target="_blank"  title="FrontEnd" href="'. (config('website.cnf_appurl') .'/'.config('website.cnf_lang') . str_replace('//','/',('/'.$fsconfig[0].'/'.$row[$fsconfig[1]]))).'"><i class="fa  fa-desktop"></i> FrontEnd</a>';
				 } ?>
			</div>
		</div>	
		<div class="sbox1">
		<div class="sbox-content clearfix row">
		<div class="col-xs-12">
	<ul class="parsley-error-list">
		@foreach($errors->all() as $error)
			<li>{{ $error }}</li>
		@endforeach
	</ul>		

	<?php $curTime = time();?>

<div class="sbox1"><div class="col-md-12">
						<fieldset class="sbox" style="border-top:0; border-radius: 5px;"><legend> Partner Requests</legend>
				<?php if( !isset($row['id']))  $row['id'] = null;   ?>
		<input  type='hidden' name='id' id='id' value='{{$row['id']}}' />
									
									  <div class="form-group depen- wrap-store_name  " >
										<label for="Store Name" class=" control-label col-md-3 text-left"> Store Name <span class="asterix"> * </span></label>
										
										
										<div class="col-md-9">
										  <?php if( !isset($row['store_name']))  $row['store_name'] = null;   ?>
		<input  type='text' name='store_name' id='store_name' value='{{ $row['store_name'] }}' 
						required   data-parsley-maxlength="255"    class='form-control input-sm ' /> 
										 </div> 
										 <div class="col-md-2">
										 	
										 </div>
									  </div> 					
									  <div class="form-group depen- wrap-product_category  " >
										<label for="Product Category" class=" control-label col-md-3 text-left"> Product Category <span class="asterix"> * </span></label>
										
										
										<div class="col-md-9">
										  <?php if( !isset($row['product_category']))  $row['product_category'] = null;   ?>
		<input  type='text' name='product_category' id='product_category' value='{{ $row['product_category'] }}' 
						required   data-parsley-maxlength="255"    class='form-control input-sm ' /> 
										 </div> 
										 <div class="col-md-2">
										 	
										 </div>
									  </div> 					
									  <div class="form-group depen- wrap-platform  " >
										<label for="Platform" class=" control-label col-md-3 text-left"> Platform <span class="asterix"> * </span></label>
										
										
										<div class="col-md-9">
										  <?php if( !isset($row['platform']))  $row['platform'] = null;   ?>
		<input  type='text' name='platform' id='platform' value='{{ $row['platform'] }}' 
						required   data-parsley-maxlength="255"    class='form-control input-sm ' /> 
										 </div> 
										 <div class="col-md-2">
										 	
										 </div>
									  </div> 					
									  <div class="form-group depen- wrap-name  " >
										<label for="Name" class=" control-label col-md-3 text-left"> Name <span class="asterix"> * </span></label>
										
										
										<div class="col-md-9">
										  <?php if( !isset($row['name']))  $row['name'] = null;   ?>
		<input  type='text' name='name' id='name' value='{{ $row['name'] }}' 
						required   data-parsley-maxlength="255"    class='form-control input-sm ' /> 
										 </div> 
										 <div class="col-md-2">
										 	
										 </div>
									  </div> 					
									  <div class="form-group depen- wrap-job_title  " >
										<label for="Job Title" class=" control-label col-md-3 text-left"> Job Title <span class="asterix"> * </span></label>
										
										
										<div class="col-md-9">
										  <?php if( !isset($row['job_title']))  $row['job_title'] = null;   ?>
		<input  type='text' name='job_title' id='job_title' value='{{ $row['job_title'] }}' 
						required   data-parsley-maxlength="255"    class='form-control input-sm ' /> 
										 </div> 
										 <div class="col-md-2">
										 	
										 </div>
									  </div> 					
									  <div class="form-group depen- wrap-email  " >
										<label for="Email" class=" control-label col-md-3 text-left"> Email <span class="asterix"> * </span></label>
										
										
										<div class="col-md-9">
										  <?php if( !isset($row['email']))  $row['email'] = null;   ?>
		<input  type='text' name='email' id='email' value='{{ $row['email'] }}' 
						required   data-parsley-maxlength="255"    class='form-control input-sm ' /> 
										 </div> 
										 <div class="col-md-2">
										 	
										 </div>
									  </div> 					
									  <div class="form-group depen- wrap-phone  " >
										<label for="Phone" class=" control-label col-md-3 text-left"> Phone <span class="asterix"> * </span></label>
										
										
										<div class="col-md-9">
										  <?php if( !isset($row['phone']))  $row['phone'] = null;   ?>
		<input  type='text' name='phone' id='phone' value='{{ $row['phone'] }}' 
						required   data-parsley-maxlength="255"    class='form-control input-sm ' /> 
										 </div> 
										 <div class="col-md-2">
										 	
										 </div>
									  </div> 					
									  <div class="form-group depen- wrap-partnership_type  " >
										<label for="Partnership Type" class=" control-label col-md-3 text-left"> Partnership Type <span class="asterix"> * </span></label>
										
										
										<div class="col-md-9">
										  <?php if( !isset($row['partnership_type']))  $row['partnership_type'] = null;   ?>
		<?php $partnership_type = (isset($row['partnership_type'])) ? $row['partnership_type'] : null ; ?>
					
					<input type='radio' name='partnership_type' value ='coupons' required    @if( $partnership_type == 'coupons') checked="checked" @endif class='minimal-red' > Coupons 
					
					<input type='radio' name='partnership_type' value ='cashback' required    @if( $partnership_type == 'cashback') checked="checked" @endif class='minimal-red' > Cashback 
					
					<input type='radio' name='partnership_type' value ='both' required    @if( $partnership_type == 'both') checked="checked" @endif class='minimal-red' > Both  
										 </div> 
										 <div class="col-md-2">
										 	
										 </div>
									  </div> <?php if( !isset($row['created_at']))  $row['created_at'] = null;   ?>
		<input  type='hidden' name='created_at' id='created_at' value='{{ date("Y-m-d H:i:s") }}' /><?php if( !isset($row['updated_at']))  $row['updated_at'] = null;   ?>
		<input  type='hidden' name='updated_at' id='updated_at' value='{{ date("Y-m-d H:i:s") }}' /></fieldset>
			</div>
			
			
		</div>
		
		
</div>
</div>
</div>
@include('/manage/'.$pageModule.'/subform')

		
		
		<div class="sbox-title clearfix">
			<div class="sbox-tools pull-right" >
				<a href="{{ url('/manage/'.$pageModule.'?return='.$return) }}" class="tips btn btn-sm "  title="{{ __('core.btn_back') }}" ><i class="fa  fa-times"></i></a> 
			</div>
			<div class="sbox-tools pull-left" >
				<button name="apply" class=" btn btn-sm btn-primary  "  title="{{ __('core.btn_back') }}" ><i class="fa  fa-check"></i> {{ __('core.sb_apply') }} </button>
				<button name="save" class=" btn btn-sm btn-success"  title="{{ __('core.btn_back') }}" ><i class="fa  fa-paste"></i> {{ __('core.sb_save') }} </button> 
			</div>
		</div>	
		
	
	
	<input type="hidden" name="action_task" value="save" />
	{!! Form::close() !!}
	</div>
</div>		

	
		 
   <script type="text/javascript">
	$(document).ready(function() { 
		
		
		 		 

		$('.removeMultiFiles').on('click',function(){
			var removeUrl = '{{ url("partnerrequests/removefiles?file=")}}'+$(this).attr('url');
			$(this).parent().remove();
			$.get(removeUrl,function(response){});
			$(this).parent('div').empty();	
			return false;
		});		
		
	});
	</script>		 
@stop