@extends('layouts.app')

@section('content')

<div class="container">
    <div class="row justify-content-center">
    <div class="col-md-8 col-12">
		<form method="POST" action="{{route('PersonalInformation.store')}}">
		@csrf
		@if($AddressTypes)
		@foreach($AddressTypes as $AddressType)
        <div class="text-center"><span><b>{{$AddressType->address_type}}</b></span> <span><b>Address</b></span></div>
			<div class="form-row">
			<input type="hidden" name="address_type_id[]" value="{{$AddressType->id}}">
				<div class="form-group col-md-6">
					<label for="housename">House No. / Name<span> <sup>@if($loop->index==0) * @endif</sup></span></label>
						<input type="text" class="form-control" name="housename[]" id="housename" placeholder="name or number"  @if($loop->index==0) required @endif>
				</div>
				<div class="form-group col-md-6">
					<label for="street">Street<span> <sup>@if($loop->index==0) * @endif</sup></span></label>
					<input type="text" class="form-control" name="street[]" id="street" placeholder="street"  @if($loop->index==0) required @endif>
				</div>
			</div>
            <div class="form-row">
				<div class="form-group col-md-6">
                <label for="city">City<span> <sup>@if($loop->index==0) * @endif</sup></span></label>
			    <input type="text" class="form-control" name="city[]" id="city" placeholder="city"  @if($loop->index==0) required @endif>
				</div>
				<div class="form-group col-md-6">
                <label for="landmark">Landmark<span> <sup>@if($loop->index==0) * @endif</sup></span></label>
			    <input type="text" class="form-control" name="landmark[]" id="landmark" placeholder="landmark"  @if($loop->index==0) required @endif>
				</div>
			</div>
		  <div class="form-row">
			<div class="form-group col-md-6">
			  <label for="state">State<span> <sup>@if($loop->index==0) * @endif</sup></span></label>
			  <input type="text" class="form-control" name="state[]" id="state" placeholder="state"  @if($loop->index==0) required @endif>
			</div>
			<div class="form-group col-md-4">
            <label for="pin">Pin<span> <sup>@if($loop->index==0) * @endif</sup></span></label>
			  <input type="text" class="form-control" name="pin[]" id="pin" placeholder="000000"  @if($loop->index==0) required @endif>
			</div>
		  </div>
		  	
		  @endforeach
         @endif
		 <div class="form-row">
		 <div class="form-group col-md-8">
		 </div>
		 <div class="form-group col-md-4">
		 <button type="submit" class="btn btn-primary">Save</button>
		 </div>
		 </div>
		 
		</form>
</div>
</div>
</div>
@endsection