@php if(!isset($object)) $object = new \App\Models\AdditionalBenefit(); @endphp

<div class="modal-dialog modal-lg">
    <div class="modal-content">
        <div class="modal-header">
            <h5 class="modal-title">@if(isset($pageTitle)) {{$pageTitle}} @endif</h5>
            <button type="button" class="close" data-dismiss="modal" aria-label="Close">
                <span aria-hidden="true" class="la la-close"></span>
            </button>
        </div>
        <form id="modalForm" method="POST" action="{{$formMode=='create'?route('additional-benefits.store'):route('additional-benefits.update', ['id' => $object->id])}}" enctype="multipart/form-data">
            {{ csrf_field() }}
            <input type="hidden" name="model" value="AdditionalBenefit">
            <input type="hidden" name="id" value="{{$object->id?$object->id:0}}">
            <input type="hidden" name="record[lob_id]" value="{{$lobId??$object->lob_id}}">
            {{--<input type="hidden" name="form-request" value="AdditionalBenefit">--}}{{--validation class name--}}
            {{$formMode=='create'?method_field('POST'):method_field('PATCH')}}

            <div class="modal-body">
                <div id="print_error"></div>

                <div class="container-fluid">

                    <div class="form-group row">
                        <label for="record[title]" class="col-3 col-form-label">Benefit</label>
                        <div class="col-9">
                            {{resolve('form')->name('record[:title:]')->buildLang($object)}}
                        </div>
                    </div>

                    <div class="form-group row">
                        <label for="record[CODEID]" class="col-3 col-form-label">Code ID</label>
                        <div class="col-9">
                            <input class="form-control" name="record[CODEID]" type="text" value="{{$object->CODEID ?? ''}}" id="record[CODEID]">
                        </div>
                    </div>
                    <div class="form-group row">
                        <label for="record[operator]" class="col-3 col-form-label">Operator</label>
                        <div class="col-9">
                            <select name="record[operator]" id="record[operator]" class="form-control ks-select">
                                <option value="">Select Operator</option>
                                <option {{$object->operator=='+'?'selected':''}} value="+">Addition</option>
                                <option {{$object->operator=='-'?'selected':''}} value="-">Subtraction</option>
                            </select>
                        </div>
                    </div>
                    <div class="form-group row">
                        <label for="record[load_rate_unit]" class="col-3 col-form-label">Load Rate Unit</label>
                        <div class="col-9">
                            <select name="record[load_rate_unit]" id="record[load_rate_unit]" class="form-control ks-select">
                                <option value="">Select Rate Unit</option>
                                <option {{$object->load_rate_unit=='fixed price'?'selected':''}} value="fixed price">Fixed Price</option>
                                <option {{$object->load_rate_unit=='percentage'?'selected':''}} value="percentage">Percentage</option>
                            </select>
                        </div>
                    </div>
                    <div class="form-group row">
                        <label for="record[load_rate_value]" class="col-3 col-form-label">Load Rate Value</label>
                        <div class="col-9">
                            <input class="form-control" name="record[load_rate_value]" type="number" value="{{$object->load_rate_value ?? ''}}" id="record[load_rate_value]">
                        </div>
                    </div>
                    <div class="form-group row">
                        <label class="col-sm-3 form-control-label p-t-0" for="record[published]">Published</label>
                        <div class="col-sm-9">
                            <div class="custom-control custom-checkbox">
                                <input {{$object->published==1?'checked':''}} id="published" name="record[published]" type="checkbox" class="custom-control-input">
                                <label class="custom-control-label" for="published"></label>
                            </div>
                        </div>
                    </div>
                    <div class="form-group row">
                        <label class="col-sm-3 form-control-label p-t-0" for="record[is_sport]">Is Sport</label>
                        <div class="col-sm-9">
                            <div class="custom-control custom-checkbox">
                                <input {{$object->is_sport==1?'checked':''}} id="is_sport" name="record[is_sport]" type="checkbox" class="custom-control-input">
                                <label class="custom-control-label" for="is_sport"></label>
                            </div>
                        </div>
                    </div>
                    <div class="form-group row">
                        <label class="col-sm-3 form-control-label p-t-0" for="record[has_condition]">Has Condition</label>
                        <div class="col-sm-9">
                            <div class="custom-control custom-checkbox">
                                <input {{$object->has_condition==1?'checked':''}} id="has_condition" name="record[has_condition]" type="checkbox" class="custom-control-input">
                                <label class="custom-control-label" for="has_condition"></label>
                            </div>
                        </div>
                    </div>
                    <div class="form-group row age-conditions {{$object->has_condition==1?'':'d-none'}}">
                        <label for="record[condition_start_from_value]" class="col-3 col-form-label">Condition Start From</label>
                        <div class="col-5">
                            <input placeholder="Condition Value" class="form-control" name="record[condition_start_from_value]" type="number" value="{{$object->condition_start_from_value ?? ''}}" id="record[condition_start_from_value]">
                        </div>
                        <div class="col-4">
                            <select name="record[condition_start_from_unit]" id="record[condition_start_from_unit]" class="form-control ks-select">
                                <option value="">Select Condition Unit</option>
                                <option {{$object->condition_start_from_unit=='year'?'selected':''}} value="year">Year</option>
                                <option {{$object->condition_start_from_unit=='day'?'selected':''}} value="day">Day</option>
                            </select>
                            <label for="record[condition_start_from_unit]"></label>
                        </div>
                    </div>
                    <div class="form-group row age-conditions {{$object->has_condition==1?'':'d-none'}}">
                        <label for="record[condition_up_to_value]" class="col-3 col-form-label">Condition Up To</label>
                        <div class="col-5">
                            <input placeholder="Condition Value" class="form-control" name="record[condition_up_to_value]" type="number" value="{{$object->condition_up_to_value ?? ''}}" id="record[condition_up_to_value]">
                        </div>
                        <div class="col-4">
                            <select name="record[condition_up_to_unit]" id="record[condition_up_to_unit]" class="form-control ks-select">
                                <option value="">Select condition unit</option>
                                <option {{$object->condition_up_to_unit=='year'?'selected':''}} value="year">Year</option>
                                <option {{$object->condition_up_to_unit=='day'?'selected':''}} value="day">Day</option>
                            </select>
                            <label for="record[condition_up_to_unit]"></label>
                        </div>
                    </div>

                    <div class="form-group row">
                        <div class="offset-sm-3 col-sm-9">
                            <button type="button" class="btn btn-primary" data-dismiss="modal">{{tran('Close')}}</button>
                            <button type="button" class="btn btn-primary" onClick="{{$formMode=='create'?'storeRecord':'updateRecord'}}(currentDataTableId)">{{tran('Submit')}}</button>
                        </div>
                    </div>
                </div>

            </div>
        </form>
    </div>
</div>

<script>
	$('#has_condition').change(function(){
		if($(this).is(':checked')){
            $('.age-conditions').removeClass('d-none');
		}else{
			$('.age-conditions').addClass('d-none');
			$('select[name="record[condition_start_from_unit]"]').val('');
			$('input[name="record[condition_start_from_value]"]').val('');
			$('select[name="record[condition_up_to_unit]"]').val('');
			$('input[name="record[condition_up_to_value]"]').val('');
		}
	});
</script>