@extends('layouts.app')

@section('content')
    <div class="container">
        <div class="row justify-content-center">
            <div class="col-md-10">
                {{ Breadcrumbs::render('agency.ownerChange.entry',$ass->LINumber) }}
                <div class="shadow card">
                    <div class="shadow-sm card-header fs-3">業務取扱変更申込変更画面(保険代理店代表者変更)</div>
                    <form id="entryForm" method="POST" action="{{ route('agency.ownerChange.confirm',['id' => $ass->LINumber]) }}" autocomplete="off">
                        @csrf
                        <div class="card-body">
                            @if (session('status'))
                                <div class="alert alert-success" role="alert">
                                    {{ session('status') }}
                                </div>
                            @endif
                            <ul>
                                @foreach ($errors->all() as $error)
                                    <li class="fs-6 text-danger">{{ $error }}</li>
                                @endforeach
                            </ul>
                            <div class="d-flex">
                                <div class="col-5">
                                    <div class="shadow-sm input-group mb-3">
                                        <span class="input-group-text bg-secondary-subtle fs-5">事務組合整理番号</span>
                                        <div class="form-floating col-2">
                                            @php($sp_ass = explode('-',$ass->association_id))
                                            <span class="form-control bg-secondary-subtle fs-5">{{ $sp_ass[0] }}</span>
                                            <label>府県</label>
                                        </div>
                                        <div class="form-floating col-5">
                                            <span class="form-control bg-secondary-subtle fs-5">{{ $sp_ass[1] }}</span>
                                            <label>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 bg-secondary-subtle fs-5">{{ $ass->LINumber1 }}</span>
                                            <label>府県</label>
                                        </div>
                                        <div class="form-floating col-5">
                                            <span class="form-control bg-secondary-subtle fs-5">{{ $ass->LINumber2 }}</span>
                                            <label>基幹番号（上５桁）</label>
                                        </div>
                                    </div>
                                </div>
                            </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>
                                <input type="text" class="form-control fs-5 @error('workspace') is-invalid @enderror"
                                    name="workspace" value="{{ old('workspace') }}" required>
                            </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>
                                <input type="text" class="form-control fs-5 @error('owner') is-invalid @enderror"
                                    name="owner" value="{{ old('owner') }}" required>
                            </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>
                                <input type="text" class="form-control fs-5 @error('o_furi') is-invalid @enderror"
                                    name="o_furi" value="{{ old('o_furi') }}" required>
                            </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>
                                        <input type="date" class="form-control fs-5 @error('ownerbirthday') is-invalid @enderror"
                                            name="ownerbirthday" value="{{ old('ownerbirthday') }}">
                                    </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 @error('gender') is-invalid @enderror"
                                                type="radio" name="gender" id="gender1" value="1"
                                                {{ old('gender', '1') == '1' ? 'checked' : '' }} required>
                                            <label class="form-check-label" for="gender1">男性</label>
                                        </div>
                                        <div class="form-check fs-5 my-2 ms-2">
                                            <input class="form-check-input @error('gender') is-invalid @enderror"
                                                type="radio" name="gender" id="gender2" value="2"
                                                {{ old('gender','1') == '2' ? 'checked' : '' }}>
                                            <label class="form-check-label" for="gender2">女性</label>
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div class="d-flex">
                                <a href="{{ route('agency.detail',$ass->LINumber) }}" class="fs-5 btn btn-secondary shadow-sm">戻る</a>
                                <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;
        }
    </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