@extends('layouts.master')
@section('content')
    <style>
        body {
            font-family: Arial, sans-serif;
            background-color: #f2f2f2;
            margin: 0;
            padding: 0;
        }

        .container_style {
            width: 80%;
            margin: auto;
            padding: 30px;
            background-color: #fff;
            box-shadow: 0px 0px 10px rgba(0, 0, 0, 0.2);
            border-radius: 5px;
        }

        .sl p {
            background-color: #f2f2f2;
            border: 1px solid rgb(105, 105, 222);
        }

        .sl2 input {
            background-color: transparent;
        }

        header {
            background-color: #D2E1EB;
            color: #000000;
            text-align: center;
            width: 80%;
            margin: auto;
        }

        .title h2 {
            width: 100%;
            color: #387DB9;
            font-weight: bold;
        }

        .title p {
            margin: 0px;
            padding: 0px;
        }

        .p1 {
            font-weight: bold;
            line-height: 1.5;
            font-size: 15px
        }

        .p2 {
            font-size: 16px;
            line-height: 1.5;
        }

        .p3 {
            font-size: 12px;
            line-height: 1.5;
        }

        p {
            line-height: 1.5;

        }

        .ap {
            background-color: black;
            color: #fff;
            font-size: 21px;
        }

        .bio {
            font-family: serif;
            background-color: #387DB9;
            color: #fff;
            border: 2px solid white;
            width: 30%;
            margin: auto;
            font-weight: bold;
            font-size: 23px;

        }

        .phototitle {
            padding: 71px 1px;
        }

        .photo {
            padding: 0px;
            background-color: #f2f2f2;
            width: 15%;
            margin: auto;
            border: 2px solid #387DB9;
        }


        form {
            padding: 10px;
        }

        .form-group {
            margin-bottom: 10px;
        }

        label {
            font-weight: bold;
        }

        .top input[type="text"] {
            width: 77%;
            border: none;
            outline: none;
            border-bottom: 1px dotted #0a0909;
            background-color: transparent;

        }

        .first input[type="text"],
        input[type="email"],
        input[type="tel"],
        select,
        textarea {
            width: 75%;
            border: none;
            outline: none;
            border-bottom: 1px dotted #0a0909;
            background-color: transparent;

        }

        .secound input[type="text"],
        input[type="email"],
        input[type="tel"],
        select,
        textarea {
            width: 37%;
            border: none;
            outline: none;
            border-bottom: 1px dotted #0a0909;
            background-color: transparent;

        }

        .third input[type="text"],
        input[type="email"],
        input[type="tel"],
        select,
        textarea {
            width: 70%;
            border: none;
            outline: none;
            background-color: transparent;
        }

        textarea {
            height: 150px;
        }

        button {
            background-color: #007bff;
            color: #fff;
            padding: 10px 20px;
            border: none;
            border-radius: 5px;
            cursor: pointer;
        }

        button:hover {
            background-color: #0056b3;
        }

        .first {
            border: 1px solid black;
            padding: 10px;
        }

        .secound {
            border: 1px solid black;
            padding: 10px;
        }

        .third {
            border: 1px solid black;
            padding: 10px;
        }

        .sl1 {
            width: 50%;
            margin: auto;
            padding: 5px;
            margin-bottom: none;
            background-color: #007bff;
            font-weight: bold;
        }

        .sl2 {
            width: 50%;
            margin: auto;
            padding: 10px;
            height: 40px;
            /* margin-top: none; */
        }

        .photo img {
            width: 100%;
            height: 160px;
        }

        @media only screen and (max-width: 700px) {

            /* Adjust container width for smaller screens */
            .container_style {
                width: 98%;
                padding: 2px;
            }

            /* Header styles for smaller screens */
            header {
                width: 98%;
                padding: 2px;
            }

            /* Title styles for smaller screens */
            .title h2 {
                font-size: 20px;
            }

            .p1 {
                font-size: 15px;
            }

            .p3 {
                font-size: 10px;
            }

            .p1 strong {
                margin-left: 0px;
                font-size: 15px;
            }

            .phototitle {
                padding: 71px 1px;
            }

            .photo {
                padding: 0px;
                background-color: #f2f2f2;
                width: 52%;
                margin: auto;
                border: 2px solid #387DB9;
            }

            /* Form styles for smaller screens */
            form {
                padding: 5px;
            }



            .top input[type="text"] {
                width: 100%;
                border: none;
                outline: none;
                border-bottom: 1px dotted #0a0909;

            }

            .top strong {
                margin-left: -60px;
            }

            .mediatop input[type="text"] {
                width: 70%;
                border: none;
                outline: none;
                border-bottom: 1px dotted #0a0909;

            }

            strong {
                margin-left: -60px;
            }

            /* Input and select styles for smaller screens */
            .first input[type="text"],
            input[type="email"],
            input[type="tel"],
            select,
            textarea {
                width: 100%;
            }

            .secound input[type="text"],
            input[type="email"],
            input[type="tel"],
            select,
            textarea {
                width: 100%;
            }

            .mediasecond input[type="text"],
            input[type="email"],
            input[type="tel"],
            select,
            textarea {
                width: 85%;
            }

            .mediasecond label {
                margin-right: 160px;
            }

            .m1 {
                margin-left: -15px;
            }

            .m2 {
                margin-left: 14px;
                line-height: 2;
            }

            .m3 {
                margin-left: -176px;
                line-height: 2;
            }

            .m4 {
                margin-left: 4px;
                line-height: 2;
            }

            .m4 input[type="text"] {
                width: 85%;
            }

            .mediapass input[type="text"],
            input[type="email"],
            input[type="tel"],
            select,
            textarea {
                width: 52% !important;
            }

            .mediapass label {
                /* margin-right: 20px; */
            }

            .pass1 {
                margin-left: 28px;
            }

            .mediapresent {
                margin-left: -36px;
            }

            .mediaaddres input[type="text"] {
                width: 98% !important;
            }

            .dist {
                width: 85% !important;
            }

            /* Button styles for smaller screens */
            button {
                width: 100%;
            }

            .mediarefe {
                margin-right: 0px !important;
            }

            /* Additional styling for specific sections on smaller screens */
            .first,
            .secound,
            .third {
                padding: 5px;
            }

            /* .medialast {
                        margin-top: 30px !important;
                    } */
        }
    </style>

    <header style="padding-top:20px;">
        <div class="row">
            <div class="col-md-3 col-sm-3 sl">
                <p class="sl1"> SL NO.</p>
                <p class="sl2"><input type="text" id="sl" name="sl"></p>
            </div>
            <div class="col-md-6 col-sm-3 title">

                <img width="50px" height="50px" src="{{ asset('public/frontend_assets/images/icons/logo.jpeg') }}"
                    alt="">
                <h2>M/S TISHA INTERNATIONAL</h2>
                <P class="p1">GOVT.APPROVED RECRUITING AGENT <strong>LICENSE NO.RL-1025</strong></P>
                <P class="p2">319(1st Floor), Bara Moghbazar, Dhaka-1217, Bangladesh</P>
                <p class="p3">Phone:0088-02-9359673,Fax:0088-02-9352945,e-mail:tishaint1025@gmail.com</p>
                <p>tisha_int1025@yahoo.com, www.tishaint.com</p>
                <h4 class="ap">APPLICATION FOR OVERSEAS EMPLOYMENT</h4>
                <h4 class="bio">BIO-DATA</h4>
            </div>
            <div class="col-md-3 col-sm-3 photo">
                <label class="phototitle" for="fileInput">PHOTO</label>

                <img height="" id="selectedImage" src="" alt="" style="display: none;">
            </div>
        </div>
    </header>
    <div class="container_style">
        <form action="{{ url('bio-data-view') }}" method="POST" id="myForm" enctype="multipart/form-data">
            @csrf()
            <input type="file" id="fileInput" name="photo" style="display: none;">
            <div class="form-group top mediatop" style="float: right;">
                <label for="">DATE:</label>
                <input type="text" id="" name="date" required>
            </div><br><br>
            <div class="form-group top">
                <label for="">POST APPLIED
                    FOR</label>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                <strong>:</strong> <input type="text" id="" name="applied" required>
            </div><br>
            <section class="first">

                <div class="form-group">
                    <label for="name">FULL
                        NAME</label>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                    <strong>:</strong> <input type="text" id="name" name="name" required>
                </div>
                <div class="form-group">
                    <label for="father_name">FATHER'S
                        NAME</label>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                    <strong>:</strong><input type="text" id="father_name" name="father_name" required>
                </div>
                <div class="form-group">
                    <label for="father_name">MOTHER'S
                        NAME</label>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                    <strong>:</strong> <input type="text" id="mother_name" name="mother_name" required>
                </div>
                <div class="form-group">
                    <label
                        for="">SEX</label>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                    <strong>:</strong> MALE&nbsp;&nbsp;<input type="checkbox" id="male" name="male">&nbsp;&nbsp;
                    FEMALE&nbsp;&nbsp;<input type="checkbox" id="female" name="female">
                </div>
                <div class="form-group">
                    <label for="">MARRIED
                        SINGLE</label>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                    <strong>:</strong> <input type="text" id="type" name="type" required>
                </div>
            </section><br>
            <section class="secound">


                <div class="form-group mediasecond">
                    <label for="">PARMANENT ADDRESS:</label>&nbsp;&nbsp;
                    &nbsp; <strong class="m1">VILL:</strong><input type="text" id="" name="vill"
                        required>
                    <strong class="m2">P.S:</strong><input type="text" id="" name="ps" required>

                    &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<strong
                        class="m3">P.O:</strong><input type="text" id="" name="po" required>
                    <strong class="m4">DIST:</strong><input class="dist" style=" width: 36%;" type="text"
                        id="" name="dist" required>


                </div>

                <div class="form-group mediaaddres">
                    <label for="">PRESENT ADDRESS</label> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                    <strong class="mediapresent">:</strong><input style=" width: 80%;" type="text" id=""
                        name="present" required>
                </div>
                <div class="form-group mediapass">
                    <label for="">PASSPORT
                        NO</label>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                    <strong>:</strong> <input style=" width: 33%;" type="text" id="" name="pass_no"
                        required>
                    PLACE OF ISSUE <strong class="pass1">:</strong><input style=" width: 34%;" type="text"
                        id="" name="place_issue" required>
                </div>
                <div class="form-group mediapass">
                    <label
                        for="">RELIGION</label>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                    <strong>:</strong><input style=" width: 34%;" type="text" id="" name="religion"
                        required>
                    NATIONALITY<strong class="pass1">:</strong><input style=" width: 36%;" type="text"
                        id="" name="nationality" required>
                </div>
                <div class="form-group mediapass">
                    <label for="">DATE OF
                        BIRTH</label>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                    <strong>:</strong> <input style=" width: 34%;" type="text" id="" name="date_birth"
                        required>
                    PLACE OF BIRTH<strong class="pass1">:</strong><input style=" width: 33%;" type="text"
                        id="" name="place_birth" required>
                </div>
                <div class="form-group mediapass">
                    <label for="">HEIGHT</label>
                    &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                    <strong>:</strong> <input style=" width: 34%;" type="text" id="" name="height"
                        required>
                    WEIGHT<strong class="pass1">:</strong><input style=" width: 39%;" type="text" id=""
                        name="weight" required>
                </div>
            </section><br>
            <section class="third">
                <div class="form-group">
                    <label for="">EDUCATIONAL QUALIFATION:</label>
                    <input type="text" id="" name="education" required>
                </div>
            </section><br>
            <section class="third">
                <div class="form-group">
                    <label for="">LANGUAGE KNOWN</label> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                    <strong>:</strong><input type="text" id="" name="language" required>
                </div>
            </section><br>
            <section class="third">
                <div class="form-group">
                    <label for="">EXPERIENCE:</label> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                    &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;
                    <strong>:</strong> <input type="text" id="" name="exprience" required>
                </div><br>
            </section>
            <section>
                <input type="text" name="sign"
                    style="background-color: transparent; width:32%; margin-top:80px; text-align:left"><br>
                <label class="medialast" style="float:left; border-top:1px solid black;" for="">
                    SIGNATURE OF THE
                    APPLICANT</label>
                <input type="text" name="refrence"
                    style="background-color: transparent; float: right; width:22%; margin-top:0px"><br>
                <label class="mediarefe medialast"
                    style="text-align:right; border-top:1px solid black; margin-right:100px; float: right;"
                    for="">
                    REFERENCE</label>
                <br>
            </section>

            <div style="clear: both;"></div>


            <button type="submit">Submit</button>
        </form>
    </div>
@endsection
<script src="https://code.jquery.com/jquery-3.6.0.min.js"></script>
<script>
    $(document).ready(function() {
        $("#myForm").submit(function(event) {
            var slValue = $("#sl").val();
            $("#myForm").append('<input type="hidden" name="sl" value="' + slValue + '">');
        });
    });
</script>
<script>
    $("#myForm").submit(function(event) {
        $("#submitButton").prop("disabled", true);
    });
</script>
<script>
    $(document).ready(function() {
        $('label[for="fileInput"]').on('click', function(e) {
            e.preventDefault();
            $('#fileInput').click();

        });

        $('#fileInput').on('change', function() {
            var selectedFile = this.files[0];

            if (selectedFile) {
                var reader = new FileReader();

                reader.onload = function(e) {
                    $('#selectedImage').attr('src', e.target.result);
                    $('#selectedImage').css('display', 'block');
                    $('label[for="fileInput"]').css('display', 'none');
                };

                reader.readAsDataURL(selectedFile);
            }
        });
        $('#male').on('change', function() {
            if (this.checked) {
                $('#female').prop('checked', false);
            }
        });
        $('#female').on('change', function() {
            if (this.checked) {
                $('#male').prop('checked', false);
            }
        });
    });
</script>