@extends('template')
@section('title', 'Tambah Penyedia Jasa')
@section('content')
    <div class="main-content">

        <div class="page-content">
            <div class="container-fluid">

                <!-- start page title -->
                <div class="row">
                    <div class="col-12">
                        <div class="page-title-box d-flex align-items-center justify-content-between">
                            <div class="page-title">
                                <h4 class="mb-0 font-size-18">Data Penyedia Jasa</h4>

                                <ol class="breadcrumb">
                                    <li class="breadcrumb-item"><a href="javascript: void(0);">Menu Pengawasan</a></li>
                                    <li class="breadcrumb-item"><a href="/penyedia-jasa">Penyedia Jasa</a></li>
                                    <li class="breadcrumb-item active">Tambah</li>
                                </ol>
                            </div>


                        </div>
                    </div>
                </div>
                <!-- end page title -->

                <!-- Start Page-content-Wrapper -->
                <div class="page-content-wrapper">
                    <div class="row">
                        <div class="col-12">
                            <div class="card">
                                <div class="card-body">
                                    <div class="d-flex justify-content-between ">
                                        <h4 class="card-title">Tambah Penyedia Jasa</h4>
                                        {{-- <button style="margin-top:0!important;" class="btn btn-purple text-white m-3"><i
                                                class="mdi mdi-plus"></i>Tambahkan
                                            Data</button> --}}
                                    </div>
                                    <form action="{{ route('penyedia-jasa.store') }}" enctype="multipart/form-data"
                                        method="POST">
                                        @csrf
                                        <div class="row">
                                            <div class="col-md-6">
                                                <div class="form-group">
                                                    <label for="">Asosiasi Penyedia Jasa<i
                                                            class="text-primary">*</i></label>
                                                    <input type="text" name="asosiasi_penyedia_jasa"
                                                        value="{{ old('asosiasi_penyedia_jasa') }}"
                                                        placeholder="Asosiasi Penyedia Jasa" class="form-control mb-3"
                                                        id="">
                                                    @error('asosiasi_penyedia_jasa')
                                                        <small class="form-text text-muted text-danger pl-3"
                                                            style="font-style: italic">{{ $message }}</small>
                                                    @enderror
                                                </div>
                                                <div class="form-group">
                                                    <label for="">Nama Badan Usaha<i
                                                            class="text-primary">*</i></label>
                                                    <input type="text" name="nama" value="{{ old('nama') }}"
                                                        placeholder="Nama Badan Usaha" class="form-control mb-3"
                                                        id="">
                                                    @error('nama')
                                                        <small class="form-text text-muted text-danger pl-3"
                                                            style="font-style: italic">{{ $message }}</small>
                                                    @enderror
                                                </div>
                                                <div class="form-group">
                                                    <label for="">Pusat<i class="text-primary">*</i></label>
                                                    <input type="text" name="pusat" value="{{ old('pusat') }}"
                                                        placeholder="Pusat" class="form-control mb-3" id="">
                                                    @error('pusat')
                                                        <small class="form-text text-muted text-danger pl-3"
                                                            style="font-style: italic">{{ $message }}</small>
                                                    @enderror
                                                </div>
                                                <div class="form-group">
                                                    <label for="">Jenis Usaha<i class="text-primary">*</i></label>
                                                    <input type="text" name="jenis_usaha"
                                                        value="{{ old('jenis_usaha') }}" placeholder="Jenis Usaha"
                                                        class="form-control mb-3" id="">
                                                    @error('jenis_usaha')
                                                        <small class="form-text text-muted text-danger pl-3"
                                                            style="font-style: italic">{{ $message }}</small>
                                                    @enderror
                                                </div>
                                                <div class="form-group">
                                                    <label for="">Nama Penanggung Jawab<i
                                                            class="text-primary">*</i></label>
                                                    <input type="text" name="nama_penanggung_jawab"
                                                        value="{{ old('nama_penanggung_jawab') }}"
                                                        placeholder="Nama Penanggung Jawab Badan Usaha / Direktur Utama"
                                                        class="form-control mb-3" id="">
                                                    @error('nama_penanggung_jawab')
                                                        <small class="form-text text-muted text-danger pl-3"
                                                            style="font-style: italic">{{ $message }}</small>
                                                    @enderror
                                                </div>
                                                <div class="form-group">
                                                    <label for="">Alamat Kantor<i class="text-primary">*</i></label>
                                                    <input type="text" name="alamat_kantor"
                                                        value="{{ old('alamat_kantor') }}" placeholder="Alamat Kantor"
                                                        class="form-control mb-3" id="">
                                                    @error('alamat_kantor')
                                                        <small class="form-text text-muted text-danger pl-3"
                                                            style="font-style: italic">{{ $message }}</small>
                                                    @enderror
                                                </div>
                                                <div class="form-group">
                                                    {{-- <input type="text" name="kecamatan" value="{{ old('kecamatan') }}"
                                                        placeholder="Kecamatan" class="form-control mb-3" id=""> --}}
                                                    <label for="">Kecamatan<i class="text-primary">*</i></label>
                                                    <select name="kecamatan" required id="kecamatan" class="form-control">
                                                        <option value="">Pilih Kecamatan</option>
                                                        @foreach ($opd as $a)
                                                            <option value="{{ $a['nama_perangkat_daerah'] }}"
                                                                kode="{{ $a['kode'] }}"
                                                                {{ old('kecamatan') == $a['nama_perangkat_daerah'] ? 'selected' : '' }}>
                                                                {{ $a['nama_perangkat_daerah'] }}
                                                            </option>
                                                        @endforeach
                                                    </select>
                                                    @error('kecamatan')
                                                        <small class="form-text text-muted text-danger pl-3"
                                                            style="font-style: italic">{{ $message }}</small>
                                                    @enderror
                                                </div><br>
                                                <div class="form-group">
                                                    {{-- <input type="text" name="kelurahan" value="{{ old('kelurahan') }}"
                                                        placeholder="Kelurahan" class="form-control mb-3" id=""> --}}
                                                    <label for="">Kelurahan<i class="text-primary">*</i></label>
                                                    <select name="kelurahan" required class="form-control"
                                                        id="kelurahan">
                                                        <option value="">Pilih Kecamatan dulu</option>
                                                    </select>
                                                    @error('kelurahan')
                                                        <small class="form-text text-muted text-danger pl-3"
                                                            style="font-style: italic">{{ $message }}</small>
                                                    @enderror
                                                </div><br>
                                                <div class="form-group">
                                                    <label for="">Nomor Hp (Tidak Perlu +62 / 0)<i
                                                            class="text-primary">*</i></label>
                                                    <input type="number" name="no" value="{{ old('no') }}"
                                                        placeholder="Nomor Hp (Tidak Perlu +62 / 0)"
                                                        class="form-control mb-3" id="">
                                                    @error('no')
                                                        <small class="form-text text-muted text-danger pl-3"
                                                            style="font-style: italic">{{ $message }}</small>
                                                    @enderror
                                                </div>
                                                <div class="form-group">
                                                    <label for="">Email<i class="text-primary">*</i></label>
                                                    <input type="email" name="email" value="{{ old('email') }}"
                                                        placeholder="Email" class="form-control mb-3" id="">
                                                    @error('email')
                                                        <small class="form-text text-muted text-danger pl-3"
                                                            style="font-style: italic">{{ $message }}</small>
                                                    @enderror
                                                </div>
                                                <div class="form-group">
                                                    <label for="">No Faxmile</label>
                                                    <input type="text" name="no_faxmile"
                                                        value="{{ old('no_faxmile') }}"
                                                        {{ old('no_faxmile_check') ? 'disabled' : '' }}
                                                        placeholder="Nomor Faxmile" class="form-control mb-3"
                                                        id="no_faxmile">
                                                    {{-- <div class="row">
                                                        <div class="col-7">

                                                        </div>
                                                        <div class="col-5">
                                                            <div class="mt-2">
                                                                <input type="checkbox" name="no_faxmile_check"
                                                                    {{ old('no_faxmile_check') ? 'checked' : '' }}
                                                                    value="1" id="no_faxmile_check"> Tidak Ada
                                                            </div>
                                                        </div>
                                                    </div> --}}
                                                    @error('no_faxmile')
                                                        <small class="form-text text-muted text-danger pl-3"
                                                            style="font-style: italic">{{ $message }}</small>
                                                    @enderror
                                                </div>
                                                <div class="form-group">
                                                    <label for="">Website</label>
                                                    <input type="text" name="website" value="{{ old('website') }}"
                                                        {{ old('website_check') ? 'disabled' : '' }} placeholder="Website"
                                                        class="form-control mb-3" id="website">
                                                    {{-- <div class="row">
                                                        <div class="col-7">

                                                        </div>
                                                        <div class="col-5">
                                                            <div class="mt-2">
                                                                <input type="checkbox" name="website_check"
                                                                    {{ old('website_check') ? 'checked' : '' }}
                                                                    value="1" id="website_check"> Tidak Ada
                                                            </div>
                                                        </div>
                                                    </div> --}}
                                                    @error('website')
                                                        <small class="form-text text-muted text-danger pl-3"
                                                            style="font-style: italic">{{ $message }}</small>
                                                    @enderror
                                                </div>
                                            </div>
                                            <div class="col-md-6">
                                                <div class="border border-dark p-2">
                                                    <div class="row">
                                                        <div class="col-10">
                                                            <h6>Foto Penanggung Jawab</h6>
                                                            <div id="foto_penanggung_jawab">
                                                                <input type="file" name="foto_penanggung_jawab"
                                                                    class="form-control" id="">
                                                            </div>
                                                        </div>
                                                        <div class="col-2 d-flex flex-row-reverse">
                                                            <input type="checkbox" name="foto_penanggung_jawab_check"
                                                                {{ old('foto_penanggung_jawab_check') ? 'checked' : '' }}
                                                                value="foto_penanggung_jawab_check"
                                                                id="foto_penanggung_jawab_check">
                                                        </div>
                                                    </div>
                                                    @error('foto_penanggung_jawab')
                                                        <small class="form-text text-muted text-danger pl-3"
                                                            style="font-style: italic">{{ $message }}</small>
                                                    @enderror
                                                </div>
                                                <div class="border border-dark p-2">
                                                    <div class="row">
                                                        <div class="col-10">
                                                            <h6>Foto_Visual Kantor</h6>
                                                            <div id="foto_visual_kantor">
                                                                <input type="file" name="foto_visual_kantor"
                                                                    class="form-control" id="">
                                                            </div>
                                                        </div>
                                                        <div class="col-2 d-flex flex-row-reverse">
                                                            <input type="checkbox" name="foto_visual_kantor_check"
                                                                {{ old('foto_visual_kantor_check') ? 'checked' : '' }}
                                                                value="foto_visual_kantor_check"
                                                                id="foto_visual_kantor_check">
                                                        </div>
                                                    </div>
                                                    @error('foto_visual_kantor')
                                                        <small class="form-text text-muted text-danger pl-3"
                                                            style="font-style: italic">{{ $message }}</small>
                                                    @enderror
                                                </div>
                                                <div class="border border-dark p-2">
                                                    <div class="row">
                                                        <div class="col-10">
                                                            <h6>Foto Visual Papan Nama</h6>
                                                            <div id="foto_visual_papan_nama">
                                                                <input type="file" name="foto_visual_papan_nama"
                                                                    class="form-control" id="">
                                                            </div>
                                                        </div>
                                                        <div class="col-2 d-flex flex-row-reverse">
                                                            <input type="checkbox" name="foto_visual_papan_nama_check"
                                                                {{ old('foto_visual_papan_nama_check') ? 'checked' : '' }}
                                                                value="foto_visual_papan_nama_check"
                                                                id="foto_visual_papan_nama_check">
                                                        </div>
                                                    </div>
                                                    @error('foto_visual_papan_nama')
                                                        <small class="form-text text-muted text-danger pl-3"
                                                            style="font-style: italic">{{ $message }}</small>
                                                    @enderror
                                                </div>
                                                <div class="border border-dark p-2">
                                                    <div class="row">
                                                        <div class="col-10">
                                                            <h6>Foto Perlengkapan Kantor</h6>
                                                            <div id="foto_perlengkapan_kantor">
                                                                <input type="file" name="foto_perlengkapan_kantor"
                                                                    class="form-control" id="">
                                                            </div>
                                                        </div>
                                                        <div class="col-2 d-flex flex-row-reverse">
                                                            <input type="checkbox" name="foto_perlengkapan_kantor_check"
                                                                {{ old('foto_perlengkapan_kantor_check') ? 'checked' : '' }}
                                                                value="foto_perlengkapan_kantor_check"
                                                                id="foto_perlengkapan_kantor_check">
                                                        </div>
                                                    </div>
                                                    @error('foto_perlengkapan_kantor')
                                                        <small class="form-text text-muted text-danger pl-3"
                                                            style="font-style: italic">{{ $message }}</small>
                                                    @enderror
                                                </div>
                                                <div class="border border-dark p-2">
                                                    <div class="row">
                                                        <div class="col-10">
                                                            <h6>Foto Peralatan Kerja</h6>
                                                            <div id="foto_peralatan_kerja">
                                                                <input type="file" name="foto_peralatan_kerja"
                                                                    class="form-control" id="">
                                                            </div>
                                                        </div>
                                                        <div class="col-2 d-flex flex-row-reverse">
                                                            <input type="checkbox" name="foto_peralatan_kerja_check"
                                                                {{ old('foto_peralatan_kerja_check') ? 'checked' : '' }}
                                                                value="foto_peralatan_kerja_check"
                                                                id="foto_peralatan_kerja_check">
                                                        </div>
                                                    </div>
                                                    @error('foto_peralatan_kerja')
                                                        <small class="form-text text-muted text-danger pl-3"
                                                            style="font-style: italic">{{ $message }}</small>
                                                    @enderror
                                                </div>
                                                <div class="border border-dark p-2">
                                                    <div class="row">
                                                        <div class="col-10">
                                                            <h6>KTP Pimpinan</h6>
                                                            <div id="ktp_pimpinan">
                                                                <input type="file" name="ktp_pimpinan"
                                                                    class="form-control" id="">
                                                                <input type="text" name="nomor_ktp_pimpinan"
                                                                    value="{{ old('nomor_ktp_pimpinan') }}"
                                                                    placeholder="Nomor KTP Pimpinan" class="form-control"
                                                                    id="">
                                                            </div>
                                                        </div>
                                                        <div class="col-2 d-flex flex-row-reverse">
                                                            <input type="checkbox" name="ktp_pimpinan_check"
                                                                {{ old('ktp_pimpinan_check') ? 'checked' : '' }}
                                                                value="ktp_pimpinan_check" id="ktp_pimpinan_check">
                                                        </div>
                                                    </div>
                                                    @error('ktp_pimpinan')
                                                        <small class="form-text text-muted text-danger pl-3"
                                                            style="font-style: italic">{{ $message }}</small>
                                                    @enderror
                                                </div>
                                                <div class="border border-dark p-2">
                                                    <div class="row">
                                                        <div class="col-10">
                                                            <h6>NPWP Pimpinan</h6>
                                                            <div id="npwp_pimpinan">
                                                                <input type="file" name="npwp_pimpinan"
                                                                    class="form-control" id="">
                                                                @error('npwp_pimpinan')
                                                                    <br><small class="form-text text-muted text-danger pl-3"
                                                                        style="font-style: italic">{{ $message }}</small>
                                                                @enderror
                                                                <input type="text" name="nomor_npwp_pimpinan"
                                                                    value="{{ old('nomor_npwp_pimpinan') }}"
                                                                    placeholder="Nomor NPWP Pimpinan" class="form-control"
                                                                    id="">
                                                                @error('nomor_npwp_pimpinan')
                                                                    <br><small class="form-text text-muted text-danger pl-3"
                                                                        style="font-style: italic">{{ $message }}</small>
                                                                @enderror
                                                            </div>
                                                        </div>
                                                        <div class="col-2 d-flex flex-row-reverse">
                                                            <input type="checkbox" name="npwp_pimpinan_check"
                                                                {{ old('npwp_pimpinan_check') ? 'checked' : '' }}
                                                                value="npwp_pimpinan_check" id="npwp_pimpinan_check">
                                                        </div>
                                                    </div>

                                                </div>
                                                <div class="border border-dark p-2">
                                                    <div class="row">
                                                        <div class="col-10">
                                                            <h6>NPWP Perusahaan</h6>
                                                            <div id="npwp_perusahaan">
                                                                <input type="file" name="npwp_perusahaan"
                                                                    class="form-control" id="">
                                                                @error('npwp_perusahaan')
                                                                    <br><small class="form-text text-muted text-danger pl-3"
                                                                        style="font-style: italic">{{ $message }}</small>
                                                                @enderror
                                                                <input type="text" name="nomor_npwp_perusahaan"
                                                                    value="{{ old('nomor_npwp_perusahaan') }}"
                                                                    placeholder="Nomor NPWP Perusahaan"
                                                                    class="form-control" id="">
                                                                @error('nomor_npwp_perusahaan')
                                                                    <br><small class="form-text text-muted text-danger pl-3"
                                                                        style="font-style: italic">{{ $message }}</small>
                                                                @enderror
                                                            </div>
                                                        </div>
                                                        <div class="col-2 d-flex flex-row-reverse">
                                                            <input type="checkbox" name="npwp_perusahaan_check"
                                                                {{ old('npwp_perusahaan_check') ? 'checked' : '' }}
                                                                value="npwp_perusahaan_check" id="npwp_perusahaan_check">
                                                        </div>
                                                    </div>
                                                </div>
                                            </div>
                                        </div>
                                        <hr>
                                        {{-- <div class="d-flex justify-content-between ">
                                            <div class="form-group">
                                                <h4 class="card-title">Kordinat</h4>
                                                <input type="text" name="kordinat" value="{{old('kordinat')}}" class="form-control" id="">
                                            </div>
                                        </div> --}}
                                        <h6>Kordinat <i class="text-primary">*</i></h6>
                                        <div class="d-flex justify-content-between row">
                                            <div class="form-group col-3">
                                                <h4 class="card-title">Latitude</h4>
                                                <input type="text" name="latitude" value="{{ old('latitude') }}"
                                                    class="form-control" id="">
                                                @error('latitude')
                                                    <small class="form-text text-muted text-danger pl-3"
                                                        style="font-style: italic">{{ $message }}</small>
                                                @enderror
                                            </div>
                                            <div class="form-group col-9">
                                                <h4 class="card-title">Longitude</h4>
                                                <input type="text" name="longitude" value="{{ old('longitude') }}"
                                                    class="form-control w-50" id="">
                                                @error('longitude')
                                                    <small class="form-text text-muted text-danger pl-3"
                                                        style="font-style: italic">{{ $message }}</small>
                                                @enderror
                                            </div>
                                        </div>
                                        <hr>
                                        <div class="d-flex justify-content-between ">
                                            <h4 class="card-title">Dokumen Prasyarat</h4>
                                        </div>
                                        <h6>Sertifikat Badan Usaha (SBU) yang di registrasi oleh Lembaga</h6>
                                        <br>
                                        <div class="row">
                                            <div class="form-group col-3">
                                                <label for="">Klasifikasi Bidang Usaha</label>
                                                <input type="text" name="klasifikasi_bidang_usaha"
                                                    value="{{ old('klasifikasi_bidang_usaha') }}" class="form-control"
                                                    id="">
                                            </div>
                                            <div class="form-group col-3">
                                                <label for="">Sub Klasifikasi Bidang Usaha</label>
                                                <input type="text" name="sub_klasifikasi_bidang_usaha"
                                                    value="{{ old('sub_klasifikasi_bidang_usaha') }}"
                                                    class="form-control" id="">
                                            </div>
                                            <div class="form-group col-3">
                                                <label for="">Kode Klasifikasi</label>
                                                <input type="text" name="kode_klasifikasi"
                                                    value="{{ old('kode_klasifikasi') }}" class="form-control"
                                                    id="">
                                            </div>
                                        </div>
                                        @error('klasifikasi_bidang_usaha')
                                            <small class="form-text text-muted text-danger pl-3"
                                                style="font-style: italic">{{ $message }}</small>
                                        @enderror
                                        @error('sub_klasifikasi_bidang_usaha')
                                            | <small class="form-text text-muted text-danger pl-3"
                                                style="font-style: italic">{{ $message }}</small>
                                        @enderror
                                        @error('kode_klasifikasi')
                                            | <small class="form-text text-muted text-danger pl-3"
                                                style="font-style: italic">{{ $message }}</small>
                                        @enderror
                                        <br>
                                        <div class="row">
                                            <div class="form-group col-3">
                                                <label for="">No Registrasi</label>
                                                <input type="text" name="no_registrasi_badan_usaha"
                                                    value="{{ old('no_registrasi_badan_usaha') }}" class="form-control"
                                                    id="">
                                            </div>
                                            <div class="form-group col-3">
                                                <label for="">Tanggal Terbit</label>
                                                <input type="date" name="tanggal_terbit_badan_usaha"
                                                    value="{{ old('tanggal_terbit_badan_usaha') }}" class="form-control"
                                                    id="">
                                            </div>
                                            <div class="form-group col-3">
                                                <label for="">Berlaku</label>
                                                <input type="date" name="berlaku_badan_usaha"
                                                    value="{{ old('berlaku_badan_usaha') }}" class="form-control"
                                                    id="">
                                            </div>
                                            <div class="form-group col-3">
                                                <label for="">File</label>
                                                <input type="file" name="file_badan_usaha" class="form-control"
                                                    id="">
                                            </div>
                                        </div>
                                        @error('no_registrasi_badan_usaha')
                                            <small class="form-text text-muted text-danger pl-3"
                                                style="font-style: italic">{{ $message }}</small>
                                        @enderror
                                        @error('tanggal_terbit_badan_usaha')
                                            | <small class="form-text text-muted text-danger pl-3"
                                                style="font-style: italic">{{ $message }}</small>
                                        @enderror
                                        @error('berlaku_badan_usaha')
                                            | <small class="form-text text-muted text-danger pl-3"
                                                style="font-style: italic">{{ $message }}</small>
                                        @enderror
                                        @error('file_badan_usaha')
                                            | <small class="form-text text-muted text-danger pl-3"
                                                style="font-style: italic">{{ $message }}</small>
                                        @enderror
                                        <hr>
                                        <h6>Sertifikat keahlian (SKA) / Sertifikat keterampilan (SKT) yang diregistrasi oleh
                                            lembaga</h6>
                                        <br>
                                        <div class="row">
                                            <div class="form-group col-3">
                                                <label for="">No Registrasi</label>
                                                <input type="text" name="no_registrasi_keahlian"
                                                    value="{{ old('no_registrasi_keahlian') }}" class="form-control"
                                                    id="">
                                            </div>
                                            <div class="form-group col-3">
                                                <label for="">Tanggal Terbit</label>
                                                <input type="date" name="tanggal_terbit_keahlian"
                                                    value="{{ old('tanggal_terbit_keahlian') }}" class="form-control"
                                                    id="">
                                            </div>
                                            <div class="form-group col-3">
                                                <label for="">Berlaku</label>
                                                <input type="date" name="berlaku_keahlian"
                                                    value="{{ old('berlaku_keahlian') }}" class="form-control"
                                                    id="">
                                            </div>
                                            <div class="form-group col-3">
                                                <label for="">File</label>
                                                <input type="file" name="file_keahlian" class="form-control"
                                                    id="">
                                            </div>
                                        </div>
                                        @error('no_registrasi_keahlian')
                                            <small class="form-text text-muted text-danger pl-3"
                                                style="font-style: italic">{{ $message }}</small>
                                        @enderror
                                        @error('tanggal_terbit_keahlian')
                                            | <small class="form-text text-muted text-danger pl-3"
                                                style="font-style: italic">{{ $message }}</small>
                                        @enderror
                                        @error('berlaku_keahlian')
                                            | <small class="form-text text-muted text-danger pl-3"
                                                style="font-style: italic">{{ $message }}</small>
                                        @enderror
                                        @error('file_keahlian')
                                            | <small class="form-text text-muted text-danger pl-3"
                                                style="font-style: italic">{{ $message }}</small>
                                        @enderror
                                        <hr>
                                        <h6>Nomor Induk Berusaha (NIB)</h6>
                                        <br>
                                        <div class="row">
                                            <div class="form-group col-3">
                                                <label for="">No Registrasi</label>
                                                <input type="text" name="no_registrasi_nib"
                                                    value="{{ old('no_registrasi_nib') }}" class="form-control"
                                                    id="">
                                            </div>
                                            <div class="form-group col-3">
                                                <label for="">Tanggal Terbit</label>
                                                <input type="date" name="tanggal_terbit_nib"
                                                    value="{{ old('tanggal_terbit_nib') }}" class="form-control"
                                                    id="">
                                            </div>
                                            <div class="form-group col-3">
                                                <label for="">Berlaku</label>
                                                <input type="date" name="berlaku_nib"
                                                    value="{{ old('berlaku_nib') }}" class="form-control"
                                                    id="">
                                            </div>
                                            <div class="form-group col-3">
                                                <label for="">File</label>
                                                <input type="file" name="file_nib" class="form-control"
                                                    id="">
                                            </div>
                                        </div>
                                        @error('no_registrasi_nib')
                                            <small class="form-text text-muted text-danger pl-3"
                                                style="font-style: italic">{{ $message }}</small>
                                        @enderror
                                        @error('tanggal_terbit_nib')
                                            | <small class="form-text text-muted text-danger pl-3"
                                                style="font-style: italic">{{ $message }}</small>
                                        @enderror
                                        @error('berlaku_nib')
                                            | <small class="form-text text-muted text-danger pl-3"
                                                style="font-style: italic">{{ $message }}</small>
                                        @enderror
                                        @error('file_nib')
                                            | <small class="form-text text-muted text-danger pl-3"
                                                style="font-style: italic">{{ $message }}</small>
                                        @enderror
                                        <hr>
                                        <button type="submit" class="btn btn-success">SIMPAN</button>
                                    </form>
                                </div>
                            </div>
                        </div>
                        <!-- end col -->
                    </div>
                    <!-- end row -->

                </div>
                <!-- End Page-content -->

            </div>
            <!-- Container-Fluid -->
        </div>
        <!-- End Page-content-wrapper -->
    </div>
        <script>
        @section('jqeury')
            const DocumentFile = ["foto_penanggung_jawab", "foto_visual_kantor", "foto_visual_papan_nama",
                "foto_perlengkapan_kantor", "foto_peralatan_kerja", "ktp_pimpinan", "npwp_pimpinan", "npwp_perusahaan"
            ];

            $('#kecamatan').change(function() {
                $('#kelurahan').html("");
                $.ajax({
                    url: '/kelurahan?id=' + $('option:selected', this).attr('kode'),
                    type: "GET",
                    dataType: 'json',
                    success: function(data) {
                        // console.log(data);
                        $('#kelurahan').append($('<option>', {
                            value: "",
                            text: "Pilih Kelurahan"
                        }));
                        $.each(data.kelurahan, function(key, value) {
                            $('#kelurahan').append($('<option>', {
                                value: value.kelurahan,
                                text: value.kelurahan
                            }));
                        });

                        @if (old('kelurahan'))
                            $("#kelurahan").val("{{ old('kelurahan') }}").change();
                        @endif
                    }
                });
            });

            @if (old('kecamatan'))
                $("#kecamatan").val("{{ old('kecamatan') }}").change();
            @endif
            // Document
            for (var i = 0; i < DocumentFile.length; i++) {
                if ($('#' + DocumentFile[i] + '_check').is(':checked')) {
                    $('#' + DocumentFile[i]).show();
                } else {
                    $('#' + DocumentFile[i]).hide();
                }
            }

            $('#no_faxmile_check').change(function() {
                if ($(this).is(':checked')) {
                    $("#no_faxmile").attr('disabled', 'disabled');
                } else {
                    $("#no_faxmile").removeAttr('disabled');
                }
            });

            $('#website_check').change(function() {
                if ($(this).is(':checked')) {
                    $("#website").attr('disabled', 'disabled');
                } else {
                    $("#website").removeAttr('disabled');
                }
            });

            $('#' + DocumentFile[0] + '_check').change(function() {
                if ($(this).is(':checked')) {
                    $('#' + DocumentFile[0]).show();
                } else {
                    $('#' + DocumentFile[0]).hide();
                }
            });

            $('#' + DocumentFile[1] + '_check').change(function() {
                if ($(this).is(':checked')) {
                    $('#' + DocumentFile[1]).show();
                } else {
                    $('#' + DocumentFile[1]).hide();
                }
            });

            $('#' + DocumentFile[2] + '_check').change(function() {
                if ($(this).is(':checked')) {
                    $('#' + DocumentFile[2]).show();
                } else {
                    $('#' + DocumentFile[2]).hide();
                }
            });

            $('#' + DocumentFile[3] + '_check').change(function() {
                if ($(this).is(':checked')) {
                    $('#' + DocumentFile[3]).show();
                } else {
                    $('#' + DocumentFile[3]).hide();
                }
            });

            $('#' + DocumentFile[4] + '_check').change(function() {
                if ($(this).is(':checked')) {
                    $('#' + DocumentFile[4]).show();
                } else {
                    $('#' + DocumentFile[4]).hide();
                }
            });

            $('#' + DocumentFile[5] + '_check').change(function() {
                if ($(this).is(':checked')) {
                    $('#' + DocumentFile[5]).show();
                } else {
                    $('#' + DocumentFile[5]).hide();
                }
            });

            $('#' + DocumentFile[6] + '_check').change(function() {
                if ($(this).is(':checked')) {
                    $('#' + DocumentFile[6]).show();
                } else {
                    $('#' + DocumentFile[6]).hide();
                }
            });

            $('#' + DocumentFile[7] + '_check').change(function() {
                if ($(this).is(':checked')) {
                    $('#' + DocumentFile[7]).show();
                } else {
                    $('#' + DocumentFile[7]).hide();
                }
            });

            //alert("Test");
        @endsection
    </script>
@endsection