@extends('layouts.app')

@section('content')
    <div class="container">
        <div class="row justify-content-center">
            <div class="col-md-10">
                {{ Breadcrumbs::render('agency.confirm') }}
                <div class="shadow card">
                    <div class="shadow-sm card-header fs-3">労保連労働災害保険事業業務取扱申込確認画面</div>
                    <form id="entryForm" method="POST" action="{{ route('agency.store') }}" onsubmit="return false;">
                        @csrf
                        <div class="card-body">
                            @php($input = session('ass_input', []))
                            @if (session('status'))
                                <div class="alert alert-success" role="alert">
                                    {{ session('status') }}
                                </div>
                            @endif
                            <ul>
                                @foreach ($errors->all() as $error)
                                    <li class="fs-6 text-danger">{{ $error }}</li>
                                @endforeach
                            </ul>
                            <div class="fs-5 mb-3 red text-center text-danger">この内容で登録します。よろしいでしょうか？</div>
                            <div class="d-flex">
                                <div class="col-5">
                                    <div class="shadow-sm input-group mb-3">
                                        <span class="input-group-text bg-secondary-subtle fs-5">事務組合整理番号</span>
                                        <div class="form-floating col-2">
                                            <span class="form-control fs-5">{{ $input['ass1'] }}</span>
                                            <label for="ass1">府県</label>
                                        </div>
                                        <div class="form-floating col-5">
                                            <span class="form-control fs-5">{{ $input['ass2'] }}</span>
                                            <label for="ass2">一連番号</label>
                                        </div>
                                    </div>
                                </div>
                                <div class="col-6 ms-3">
                                    <div class="shadow-sm input-group mb-3">
                                        <span class="input-group-text bg-secondary-subtle fs-5">労働保険番号</span>
                                        <div class="form-floating col-2">
                                            <span class="form-control fs-5">{{ $input['LINumber1'] }}</span>
                                            <label for="LINumber1">府県</label>
                                        </div>
                                        <div class="form-floating col-5">
                                            <span class="form-control fs-5">{{ $input['LINumber2'] }}</span>
                                            <label for="LINumber2">基幹番号（上５桁）</label>
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div class="d-flex">
                                <div class="col-4">
                                    <div class="shadow-sm input-group mb-3">
                                        <span class="input-group-text bg-secondary-subtle fs-5">郵便番号</span>
                                        <span class="form-control fs-5">{{ $input['post_number_1'] }}</span>
                                        <span class="input-group-text bg-secondary-subtle">―</span>
                                        <span class="form-control fs-5">{{ $input['post_number_2'] }}</span>
                                    </div>
                                </div>
                            </div>
                            <div class="shadow-sm input-group mb-3">
                                <span class="input-group-text bg-secondary-subtle fs-5">所在地</span>
                                <span class="form-control fs-5">{{ $input['address'] }}</span>
                            </div>
                            <div class="shadow-sm input-group mb-3">
                                <span class="input-group-text bg-secondary-subtle fs-5">事務組合名</span>
                                <span class="form-control fs-5">{{ $input['workspace'] }}</span>
                            </div>
                            <div class="d-flex">
                                <div class="col-6">
                                    <div class="shadow-sm input-group mb-3">
                                        <span class="input-group-text bg-secondary-subtle fs-5">電話番号</span>
                                        <span class="form-control fs-5">{{ $input['tel1'] }}</span>
                                        <span class="input-group-text bg-secondary-subtle">―</span>
                                        <span class="form-control fs-5">{{ $input['tel2'] }}</span>
                                        <span class="input-group-text bg-secondary-subtle">―</span>
                                        <span class="form-control fs-5">{{ $input['tel3'] }}</span>
                                    </div>
                                </div>
                                <div class="col-6 ps-1">
                                    <div class="shadow-sm input-group mb-3">
                                        <span class="input-group-text bg-secondary-subtle fs-5">FAX番号</span>
                                        <span class="form-control fs-5">{{ $input['fax1'] }}</span>
                                        <span class="input-group-text bg-secondary-subtle">―</span>
                                        <span class="form-control fs-5">{{ $input['fax2'] }}</span>
                                        <span class="input-group-text bg-secondary-subtle">―</span>
                                        <span class="form-control fs-5">{{ $input['fax3'] }}</span>
                                    </div>
                                </div>
                            </div>
                            <div class="shadow-sm input-group mb-3">
                                <span class="input-group-text bg-secondary-subtle fs-5">メールアドレス</span>
                                <span class="form-control fs-5">{{ $input['email'] }}</span>
                            </div>
                            <div class="shadow-sm input-group mb-3">
                                <span class="input-group-text bg-secondary-subtle fs-5">他の業務の種類</span>
                                <span class="form-control fs-5">{{ $input['anotherwork'] }}</span>
                            </div>
                            <div class="d-flex">
                                <div class="col-6">
                                    <div class="shadow-sm input-group mb-3">
                                        <span class="input-group-text bg-secondary-subtle fs-5">募集人の見込数</span>
                                        <span class="form-control fs-5">{{ $input['target_num'] }}</span>
                                        <span class="input-group-text bg-secondary-subtle fs-5">名</span>
                                    </div>
                                </div>
                            </div>
                            <div class="shadow-sm input-group mb-3">
                                <span class="input-group-text bg-secondary-subtle fs-5">代表者氏名</span>
                                <span class="form-control fs-5">{{ $input['owner'] }}</span>
                            </div>
                            <div class="shadow-sm input-group mb-3">
                                <span class="input-group-text bg-secondary-subtle fs-5">代表者ふりがな</span>
                                <span class="form-control fs-5">{{ $input['o_furi'] }}</span>
                            </div>
                            <div class="d-flex">
                                <div class="col-6">
                                    <div class="shadow-sm input-group mb-3">
                                        <span class="input-group-text bg-secondary-subtle fs-5">代表者生年月日</span>
                                        <span class="form-control fs-5">{{ Carbon\Carbon::parse($input['ownerbirthday'])->format('Y/m/d') }}</span>
                                    </div>
                                </div>
                                <div class="col-6 ms-3">
                                    <div class="d-flex mb-3">
                                        <span class="input-group-text bg-secondary-subtle fs-5">代表者性別</span>
                                        <div class="form-check fs-5 my-2 ms-2">
                                            <input class="form-check-input" type="radio"
                                            {{ $input['gender'] == '1' ? 'checked' : '' }} disabled>
                                            <label class="form-check-label">男性</label>
                                        </div>
                                        <div class="form-check fs-5 my-2 ms-2">
                                            <input class="form-check-input" type="radio"
                                            {{ $input['gender'] == '2' ? 'checked' : '' }} disabled>
                                            <label class="form-check-label">女性</label>
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div class="d-flex mb-3">
                                <span class="input-group-text bg-secondary-subtle fs-5">適格請求書（インボイス）発行事業者登録情報</span>
                                <div class="form-check fs-5 my-2 ms-2">
                                    <input class="form-check-input" type="radio" id="flexRadioDefault2"
                                    {{ $input['invoice'] == '1' ? 'checked' : '' }} disabled>
                                    <label class="form-check-label">登録無</label>
                                </div>
                                <div class="form-check fs-5 my-2 ms-2">
                                    <input class="form-check-input" type="radio"
                                    {{ $input['invoice'] == '0' ? 'checked' : '' }} disabled>
                                    <label class="form-check-label">登録有</label>
                                </div>
                            </div>
                            <div id="invoice_area" class="d-none">
                                <div class="shadow-sm input-group mb-3">
                                    <span class="input-group-text bg-secondary-subtle fs-5">登録番号（１３桁）</span>
                                    <span class="input-group-text bg-secondary-subtle fs-5">T</span>
                                    <span class="form-control fs-5">{{ $input['invoice_number'] }}</span>
                                </div>
                                <div class="shadow-sm input-group mb-3">
                                    <span class="input-group-text bg-secondary-subtle fs-5">登録年月日</span>
                                    <span class="form-control fs-5">{{ Carbon\Carbon::parse($input['invoice_date'])->format('Y/m/d') }}</span>
                                </div>
                                <div class="shadow-sm input-group mb-3">
                                    <span class="input-group-text bg-secondary-subtle fs-5">登録名称又は氏名</span>
                                    <span class="form-control fs-5">{{ $input['invoice_name'] }}</span>
                                </div>
                            </div>
                            <div class="d-flex">
                                <button onclick="history.back();" class="fs-5 btn btn-secondary shadow-sm">入力画面に戻る</button>
                                <button type="button" class="fs-5 btn btn-secondary shadow-sm"  onClick="submitAfterValidate();"
                                    style="margin:auto 0px auto auto">確認する</button>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
    </div>
    <style>
        label:has(input[type="radio"]:checked) {
            background: #86b7fe;
        }
        .form-control:disabled{
          background-color: unset;
        }
        .form-check-input:disabled,.form-check-input[disabled]~.form-check-label, .form-check-input:disabled~.form-check-label{
          opacity:1;
        }
    </style>
        <script>

        function submitAfterValidate() {
            const form = document.getElementById('entryForm');
            form.submit();
        }
        function spChange() {
            const radio = document.getElementById('flexRadioDefault2');
            const ia = document.getElementById('invoice_area');
            if (radio.checked) {
                ia.classList.add('d-none');
            } else {
                ia.classList.remove('d-none');
            }
        }
        spChange();
        window.addEventListener('pageshow', function (e) {
            if (e.persisted) {
                spChange()
                requestAnimationFrame(() => window.scrollTo({ top: 0, left: 0, behavior: 'auto' }));
            }
        });

    </script>
@endsection