@extends('layouts.registrarapp')
@section('content')
<style>
    .bold{
        font-weight:bold;
    }
    input[type=checkbox] {width:200px; height:200px;}
</style>
<div class="container-fluid">
    <div class="row">
        <div class="col-md-6">
            <h3 class="display">New Document Request</h3>
        </div>
    </div>
    <div class="col-md-12">
        <div class='row'>
            <div class="col-md-6">
                <div class="container-fluid" style="border:1px solid grey;padding:10px">
                    <div class="form-group">
                        <ul class="nav navbar-header">
                            <li>Student Number: {{$student->idno}}</li>
                            <li><b>Student Name : {{$student->lastname}}, {{$student->firstname}}</b></li>
                        </ul>
                    </div>
                </div>
            </div>
        </div>
        <br>
        <div class="row">
            <div class="col-md-12">
                <div class="col-md-12">
                    <form action="{{ url('/save/new/document_request') }}" method="post">
                        {{csrf_field()}}
                        <input type="hidden" name="idno" value="{{$idno}}">
                        <div class="form-group">
                            <div class='col-md-12'>
                                 <label class="form-label"><span class="fa fa-circle"></span> &nbsp;&nbsp;DOCUMENTS TO REQUEST</label>
                            </div>
                            <div class="col-md-12">
                                <div class="col-md-12">
                                                                     <table class="table table-condensed" width="100%">
                                     <tr>
                                         <th width="3%"></th>
                                         <th width="50%">Document Name</th>
                                         <th width="30%">Amount</th>
                                         <th width="20%">Copies/Pages</th>
                                     </tr>
                                     @foreach($forms as $form)
                                     <tr>
                                         <td>{{++$x}}.</td>
                                         <td><b>{{$form->document_name}}</b><br>{{$form->document_remarks}}</td>
                                         <td>{{$form->amount}}</td>
                                         <td><input type='text' name='form[{{$form->id}}]' class='form-control' value="0"></td>
                                    </tr>
                                     @endforeach
                                 </table>
                                </div>
                            </div>
                        </div>
                        <div class="form-group">
                            <div class='col-md-12'>
                                <div class="form-check form-check-inline">
                                    <label class="form-label"><span class="fa fa-circle"></span> &nbsp;&nbsp;MANNER OF RELEASING</label>
                                &nbsp;&nbsp;&nbsp;&nbsp;
                                    <label class="form-check-label">
                                        <input class="form-check-input" type="radio" name="type_release" value="1" required>
                                        The student will pick it up</label>
                                    &nbsp;
                                    <label class="form-check-label">
                                        <input class="form-check-input" type="radio" name="type_release" value="0"  required>
                                        The student will have a representative to pick it up.</label>
                                </div>
                            </div>
                        </div>
                        <div class="form-group">
                            <div class='col-md-12'>
                                 <label class="form-label"><span class="fa fa-circle"></span> &nbsp;&nbsp;REMARKS</label>
                            </div>
                            <div class="col-md-12">
                                <div class="col-md-12">
                                    <textarea class="form form-control" name="remarks" id="remarks"></textarea>
                                </div>
                            **0 copies will not be saved.
                            </div>
                        </div>
                        <div class="form-group">
                            <div class='col-md-offset-6'>
                                &nbsp;
                                <button type="submit" width="100%" class="form-control btn btn-success"><span class="fa fa-save"></span><b> Save</b></button>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
</div>
@stop

@section('script')
<script>
    $(document).ready(function () {
        $("#amount").maskMoney();
    });
</script>
@stop