@csrf
<div class="box-body">
<div class="form-group">
<label for="kabupaten_id">Kabupaten</label>
<select class="form-control select2" id="kabupaten_id" name="kabupaten_id">
<option disabled selected>Pilih Kabupaten</option>
@foreach ($kabupatens as $key => $kabupaten)
<option value="{{ $key }}"
@if (@$data) {{ old('kabupaten_id', optional($data)->tp->kelurahans->kecamatan->kabupaten_id) == $key ? 'selected' : '' }} @endif>
{{ $kabupaten }}</option>
@endforeach
</select>
@error('kabupaten_id')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div>
<div class="form-group">
<label for="kecamatan_id">Kecamatan</label>
<select class="form-control select2" id="kecamatan_id" name="kecamatan_id">
@if (@$kecamatans)
<option disabled selected>Pilih Kecamatan</option>
@foreach ($kecamatans as $key)
<option value="{{ $key->id }}"
{{ old('kecamatan_id', optional($data)->tp->kelurahans->kecamatan_id) == $key->id ? 'selected' : '' }}>
{{ $key->nama_kecamatan }}</option>
@endforeach
@else
<option disabled selected>Pilih Kabupaten Dulu</option>
@endif
{{-- @foreach ($kelurahans as $key => $kelurahan)
<option value="{{ $key }}">
{{ $kelurahan }}</option>
@endforeach --}}
</select>
@error('kecamatan_id')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div>
<div class="form-group">
<label for="kelurahan_id">Kelurahan</label>
<select class="form-control select2" id="kelurahan_id" name="kelurahan_id">
@if (@$kelurahans)
<option disabled selected>Pilih Kelurahan</option>
@foreach ($kelurahans as $key)
<option value="{{ $key->id }}"
{{ old('kelurahan_id', optional($data)->tp->kelurahan_id) == $key->id ? 'selected' : '' }}>
{{ $key->nama_kelurahan }}</option>
@endforeach
@else
<option disabled selected>Pilih Kecamatan Dulu</option>
@endif
</select>
@error('kelurahan_id')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div>
<div class="form-group">
<label for="tps_id">TPS</label>
<select class="form-control select2" id="tps_id" name="tps_id">
@if (@$tps)
<option disabled selected>Pilih TPS</option>
@foreach ($tps as $a)
<option value="{{ $a->id }}"
{{ old('tps_id', optional($data)->tps_id) == $a->id ? 'selected' : '' }}>TPS
{{ $a->nomor }}</option>
@endforeach
@else
<option disabled selected>Pilih Kelurahan Dulu</option>
@endif
</select>
@error('tps_id')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div>
{{-- <div class="form-group">
<label for="nik">Foto E-KTP</label>
<input type="file" value="{{ old('e_ktp', optional($data)->e_ktp) }}" class="form-control" id="e_ktp"
name="e_ktp" placeholder="Nik">
@error('e_ktp')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div> --}}
<div class="form-group">
<label for="nik">NIK</label>
<input type="number" value="{{ old('nik', optional($data)->nik) }}" class="form-control" id="nik"
name="nik" placeholder="Nik">
@error('nik')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div>
{{-- <div class="form-group">
<label for="no_telepon">No Telepon</label>
<input type="text" value="{{ old('no_telepon', optional($data)->no_telepon) }}" class="form-control"
id="no_telepon" name="no_telepon" placeholder="No Telepon">
@error('no_telepon')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div> --}}
<div class="form-group">
<label for="nama_lengkap">Nama Lengkap</label>
<input type="text" value="{{ old('nama_lengkap', optional($data)->nama_lengkap) }}" class="form-control"
id="nama_lengkap" name="nama_lengkap" placeholder="Nama Lengkap">
@error('nama_lengkap')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div>
<div class="form-group">
<label for="tanggal_lahir">Tempat Tanggal Lahir</label>
<div class="row">
<div class="col-md-6">
<input type="date" value="{{ old('tanggal_lahir', optional($data)->tanggal_lahirs) }}"
class=" form-control" id="tanggal_lahir" name="tanggal_lahir" placeholder="Tanggal lahir">
</div>
<div class="col-md-6">
<input type="text" value="{{ old('tempat_lahir', @$data->tempat_lahirs) }}" class=" form-control"
id="tempat_lahir" name="tempat_lahir" placeholder="Tempat lahir">
</div>
@error('tanggal_lahir')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div>
</div>
<div class="form-group">
<label for="alamat">Alamat</label>
<textarea name="alamat" placeholder="Alamat" class="form-control" style="height: 100px;">{{ old('alamat', optional($data)->alamat) }}</textarea>
@error('alamat')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div>
<div class="form-group">
<label for="rt">Rt</label>
<input type="text" value="{{ old('rt', optional($data)->rt) }}" class="form-control" id="rt"
name="rt" placeholder="RT">
@error('rt')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div>
<div class="form-group">
<label for="rw">RW</label>
<input type="text" value="{{ old('rw', optional($data)->rw) }}" class="form-control" id="rw"
name="rw" placeholder="RW">
@error('rw')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div>
{{-- <div class="form-group">
<label for="agama">Agama</label>
<select class="form-control select2" id="agama" name="agama">
<option disabled selected>Pilih Agama</option>
<option value="Islam" {{ old('agama', optional($data)->agama) == 'Islam' ? 'selected' : '' }}>Islam
</option>
<option value="Kristen Protestan"
{{ old('agama', optional($data)->agama) == 'Kristen Protestan' ? 'selected' : '' }}>Kristen
Protestan</option>
<option value="Katolik" {{ old('agama', optional($data)->agama) == 'Katolik' ? 'selected' : '' }}>
Katolik</option>
<option value="Hindu" {{ old('agama', optional($data)->agama) == 'Hindu' ? 'selected' : '' }}>Hindu
</option>
<option value="Buddha" {{ old('agama', optional($data)->agama) == 'Buddha' ? 'selected' : '' }}>
Buddha</option>
<option value="Kong Hu Cu" {{ old('agama', optional($data)->agama) == 'Kong Hu Cu' ? 'selected' : '' }}>
Kong Hu Cu</option>
</select>
@error('agama')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div> --}}
<div class="form-group">
<label for="jenis_kelamin">Jenis Kelamin</label>
<select class="form-control select2" id="jenis_kelamin" name="jenis_kelamin">
<option disabled selected>Pilih Jenis Kelamin</option>
<option value="Laki-laki"
{{ old('jenis_kelamin', optional($data)->jenis_kelamin) == 'L' ? 'selected' : '' }}>
Laki-laki</option>
<option value="Perempuan"
{{ old('jenis_kelamin', optional($data)->jenis_kelamin) == 'P' ? 'selected' : '' }}>
Perempuan</option>
</select>
@error('jenis_kelamin')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div>
{{-- <div class="form-group">
<label for="kawin">Perkawinan</label>
<select class="form-control select2" id="kawin" name="kawin">
<option disabled selected>Pilih Status Perkawinan</option>
<option value="Sudah" {{ old('kawin', optional($data)->kawin) == 'Sudah' ? 'selected' : '' }}>Sudah
</option>
<option value="Belum" {{ old('kawin', optional($data)->kawin) == 'Belum' ? 'selected' : '' }}>Belum
</option>
<option value="Pernah" {{ old('kawin', optional($data)->kawin) == 'Pernah' ? 'selected' : '' }}>Pernah
</option>
</select>
@error('kawin')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div>
<div class="form-group">
<label for="pekerjaan">Pekerjaan</label>
<input type="text" value="{{ old('pekerjaan', optional($data)->pekerjaan) }}" class="form-control"
id="pekerjaan" name="pekerjaan" placeholder="Pekerjaan">
@error('pekerjaan')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div> --}}
{{--
<div class="form-group">
<label for="nama_penghubung">Nama Penghubung</label>
<input type="text" value="{{ old('nama_penghubung', optional($data)->nama_penghubung) }}"
class="form-control" id="nama_penghubung" name="nama_penghubung" placeholder="Nama Penghubung"
required="">
@error('nama_penghubung')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div>
<div class="form-group">
<label for="no_telp_penghubung">No Telp Penghubung</label>
<input type="text" value="{{ old('no_telp_penghubung', optional($data)->no_telp_penghubung) }}"
class="form-control" id="nama_penghubung" name="no_telp_penghubung"
placeholder="Nomor Telepon Penghubung" required="">
@error('no_telp_penghubung')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div> --}}
<div class="form-group">
<label for="keterangan">Keterangan</label>
<textarea name="keterangan" placeholder="Keterangan" class="form-control" style="height: 100px;">{{ old('keterangan', optional($data)->keterangan) }}</textarea>
@error('keterangan')
<span class="invalid-feedback" role="alert">
<strong>{{ $message }}</strong>
</span>
@enderror
</div>
</div>
<script>
@section('jquery')
$(document).ready(function() {
$('#kabupaten_id').change(function() {
let total = 0;
if ($(this).find(":selected").val() != "") {
$.ajax({
url: '/dpt/create?kabupaten=' + $(this).find(":selected").val(),
type: 'get',
success: function(response) {
$('#kecamatan_id').empty();
//$('#kelurahan_id').empty();
$('#kecamatan_id').append(
'<option disabled selected>Pilih Kecamatan</option>'
);
console.log(response);
response.data.forEach(element => {
total += 1;
$('#kecamatan_id').append('<option value="' +
element
.id + '">' + element.nama_kecamatan +
'</option>');
});
if (total == 0) {
$('#kecamatan_id').empty();
$('#kecamatan_id').append(
'<option disabled selected> Kecamatan tidak tersedia </option>'
);
}
}
});
} else {
$('#kecamatan_id').empty();
$('#kecamatan_id').append(
'<option disabled selected>Pilih Kabupaten Dulu</option>');
}
});
$('#kecamatan_id').change(function() {
let total = 0;
if ($(this).find(":selected").val() != "") {
$.ajax({
url: '/dpt/create?kecamatan=' + $(this).find(":selected").val(),
type: 'get',
success: function(response) {
$('#kelurahan_id').empty();
//$('#kelurahan_id').empty();
$('#kelurahan_id').append(
'<option disabled selected>Pilih Kelurahan</option>'
);
console.log(response);
response.data.forEach(element => {
total += 1;
$('#kelurahan_id').append('<option value="' +
element
.id + '">' + element.nama_kelurahan +
'</option>');
});
if (total == 0) {
$('#kelurahan_id').empty();
$('#kelurahan_id').append(
'<option disabled selected> Kelurahan tidak tersedia </option>'
);
}
}
});
} else {
$('#kelurahan_id').empty();
$('#kelurahan_id').append(
'<option disabled selected>Pilih Kecamatan Dulu</option>');
}
});
$('#kelurahan_id').change(function() {
let total = 0;
if ($(this).find(":selected").val() != "") {
$.ajax({
url: '/dpt/create?kelurahan=' + $(this).find(":selected").val(),
type: 'get',
success: function(response) {
$('#tps_id').empty();
//$('#kelurahan_id').empty();
$('#tps_id').append(
'<option disabled selected>Pilih TPS</option>'
);
console.log(response);
response.data.forEach(element => {
total += 1;
$('#tps_id').append('<option value="' + element
.id + '"> TPS ' + element.nomor +
'</option>');
});
if (total == 0) {
$('#tps_id').empty();
$('#tps_id').append(
'<option disabled selected> TPS tidak tersedia </option>'
);
}
}
});
} else {
$('#tps_id').empty();
$('#tps_id').append('<option disabled selected>Pilih Kelurahan Dulu</option>');
}
});
});
@endsection
</script>
<!-- /.box-body -->
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