@extends('layouts.app')

@section('content')
    <section class="content-header">
        <div class="container-fluid">
            <div class="row mb-2">
                <div class="col-sm-6">
                    <h1>{{ $module_title }}</h1>
                </div>
                <div class="col-sm-6">
                    <ol class="breadcrumb float-sm-right">
                        <li class="breadcrumb-item"><a href="#">Home</a></li>
                        <li class="breadcrumb-item active"> {{ $module_title }}</li>
                    </ol>
                </div>
            </div>
        </div><!-- /.container-fluid -->
    </section>

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

            <div class="row">
                <div class="col-md-12">
                    <div class="card card-default">
                        <div class="card-header">
                            <h3 class="card-title">{{ $module_title }} Form</h3>
                            <div class="float-right">
                                <a href="{{ url()->previous() }}" class="btn btn-secondary mr-2">
                                    <i class="fa fa-arrow-left"></i> Back
                                </a>
                            </div>
                        </div>
                        <div class="card-body p-0">
                            <div class="bs-stepper">
                                <div class="bs-stepper-header" role="tablist">
                                    <!-- your steps here -->
                                    <div class="step" data-target="#first-part">
                                        <button type="button" class="step-trigger" role="tab"
                                            aria-controls="first-part" id="first-part-trigger">
                                            <span class="bs-stepper-circle">1</span>
                                            <span class="bs-stepper-label">Personal Details</span>
                                        </button>
                                    </div>
                                    <div class="line"></div>
                                    <div class="step" data-target="#second-part">
                                        <button type="button" class="step-trigger" role="tab"
                                            aria-controls="second-part" id="second-part-trigger">
                                            <span class="bs-stepper-circle">2</span>
                                            <span class="bs-stepper-label">Address information</span>
                                        </button>
                                    </div>
                                    <div class="line"></div>
                                    <div class="step" data-target="#third-part">
                                        <button type="button" class="step-trigger" role="tab"
                                            aria-controls="third-part" id="third-part-trigger">
                                            <span class="bs-stepper-circle">3</span>
                                            <span class="bs-stepper-label">Jurisdiction Details</span>
                                        </button>
                                    </div>
                                    <div class="line"></div>
                                    <div class="step" data-target="#fourth-part">
                                        <button type="button" class="step-trigger" role="tab"
                                            aria-controls="fourth-part" id="fourth-part-trigger">
                                            <span class="bs-stepper-circle">4</span>
                                            <span class="bs-stepper-label">Other Information</span>
                                        </button>
                                    </div>
                                    <div class="line"></div>
                                    <div class="step" data-target="#fifth-part">
                                        <button type="button" class="step-trigger" role="tab"
                                            aria-controls="fifth-part" id="fifth-part-trigger">
                                            <span class="bs-stepper-circle">5</span>
                                            <span class="bs-stepper-label">Client Information</span>
                                        </button>
                                    </div>
                                </div>
                                <div class="bs-stepper-content">
                                    <!-- your steps content here -->
                                    <div id="first-part" class="content" role="tabpanel"
                                        aria-labelledby="first-part-trigger">
                                        <form id="form-step-1" method="{{ $method }}">
                                            <div class="row">
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Client Code</label>
                                                        <input type="text" class="form-control" name="code"
                                                            placeholder="Enter code"
                                                            value="{{ old('code', $data->code ?? $nextCode) }}" readonly>
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Establishmnent Name</label>
                                                        <input type="text" class="form-control" name="establishment_name"
                                                            placeholder="Establishmnent Name"
                                                            value="{{ old('establishment_name', $data->establishment_name) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Business Commencement Dt</label>
                                                        <input type="text" class="form-control"
                                                            name="business_commencement_dt"
                                                            placeholder="Business Commencement Dt"
                                                            value="{{ old('business_commencement_dt', $data->business_commencement_dt) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Adress Of Establishmnent</label>
                                                        <input type="text" class="form-control"
                                                            name="address_of_establishment"
                                                            placeholder="Adress Of Establishmnent"
                                                            value="{{ old('address_of_establishment', $data->address_of_establishment) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Name of the Employer</label>
                                                        <input type="text" class="form-control" name="employer_name"
                                                            placeholder="Name of the Employer"
                                                            value="{{ old('employer_name', $data->employer_name) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>S2 Code</label>
                                                        <input type="text" class="form-control" name="s2_code"
                                                            placeholder="S2 Code"
                                                            value="{{ old('s2_code', $data->s2_code) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>PF Establish No.</label>
                                                        <input type="text" class="form-control" name="pf_establish_no"
                                                            placeholder="PF Establish No."
                                                            value="{{ old('pf_establish_no', $data->pf_establish_no) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>EDLI Exemption</label>
                                                        <input type="text" class="form-control" name="edli_exemption"
                                                            placeholder="EDLI Exemption"
                                                            value="{{ old('edli_exemption', $data->edli_exemption) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>ESI Establish No.</label>
                                                        <input type="text" class="form-control"
                                                            name="esi_establish_no" placeholder="ESI Establish No."
                                                            value="{{ old('esi_establish_no', $data->esi_establish_no) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Address of the Employer</label>
                                                        <input type="text" class="form-control"
                                                            name="employer_address" placeholder="Address of the Employer"
                                                            value="{{ old('employer_address', $data->employer_address) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Signature of the Employer</label>
                                                        <input type="text" class="form-control"
                                                            name="employer_signature"
                                                            placeholder="Signature of the Employer"
                                                            value="{{ old('employer_signature', $data->employer_signature) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Proceedings No.</label>
                                                        <input type="text" class="form-control" name="proceedings_no"
                                                            placeholder="Proceedings No."
                                                            value="{{ old('proceedings_no', $data->proceedings_no) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Date of the Proceedings</label>
                                                        <input type="date" class="form-control"
                                                            name="proceedings_date" placeholder="Date of the Proceedings"
                                                            value="{{ old('proceedings_date', $data->proceedings_date) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Mobile Number</label>
                                                        <input type="text" class="form-control" name="mobile_no"
                                                            placeholder="Mobile Number"
                                                            value="{{ old('mobile_no', $data->mobile_no) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Telephone Number (1)</label>
                                                        <input type="text" class="form-control" name="telephone_no1"
                                                            placeholder="Telephone Number One"
                                                            value="{{ old('telephone_no1', $data->telephone_no1) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Telephone Number (2)</label>
                                                        <input type="text" class="form-control" name="telephone_no2"
                                                            placeholder="Telephone Number Two"
                                                            value="{{ old('telephone_no2', $data->telephone_no2) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Telephone Number (3)</label>
                                                        <input type="text" class="form-control" name="telephone_no3"
                                                            placeholder="Telephone Number Three"
                                                            value="{{ old('telephone_no3', $data->telephone_no3) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Ownership Type</label>
                                                        <select class="form-control" name="ownershiptype_id">
                                                            <option value="">Select Ownership Type</option>
                                                            @foreach ($ownership as $type)
                                                                <option value="{{ $type->id }}"
                                                                    {{ old('ownershiptype_id', $data->ownershiptype_id) == $type->id ? 'selected' : '' }}>
                                                                    {{ $type->name }}
                                                                </option>
                                                            @endforeach
                                                        </select>
                                                    </div>
                                                </div>
                                            </div>
                                        </form>
                                        <button class="btn btn-primary" onclick="stepper.next()">Next</button>
                                        {{-- <button type="button" class="next-tab-btn btn btn-primary"
                                            data-form="form-step-1" data-url="{{ $route['tab1'] }}">Next</button> --}}
                                    </div>

                                    <div id="second-part" class="content" role="tabpanel"
                                        aria-labelledby="second-part-trigger">
                                        <form id="form-step-2" method="{{ $method }}">
                                            <div class="row">
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Fax Number</label>
                                                        <input type="text" class="form-control" name="fax_number"
                                                            value="{{ old('fax_number', @$data->client_tab2->fax_number) }}"
                                                            placeholder="Fax Number">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Toll Free Number</label>
                                                        <input type="text" class="form-control" name="tollfree_number"
                                                            value="{{ old('tollfree_number', @$data->client_tab2->tollfree_number) }}"
                                                            placeholder="Toll Free Number">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Email Address</label>
                                                        <input type="text" class="form-control" name="email"
                                                            value="{{ old('email', @$data->client_tab2->email) }}"
                                                            placeholder="Email Address">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Web Site Address</label>
                                                        <input type="text" class="form-control" name="website_address"
                                                            value="{{ old('website_address', @$data->client_tab2->website_address) }}"
                                                            placeholder="Web Site Address">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Client's Location</label>
                                                        {{-- <input type="text" class="form-control" name="client_location"
                                                            value="{{ old('client_location', @$data->client_tab2->client_location) }}"
                                                            placeholder="Client's Location"> --}}

                                                        <select class="form-control" name="client_location">
                                                            <option value="">Select Client Location</option>
                                                            @foreach ($options['location'] as $key => $value)
                                                                <option value="{{ $value->id }}"
                                                                    {{ old('client_location', @$data->client_tab2->client_location) == $value->id ? 'selected' : '' }}>
                                                                    {{ $value->code }} - {{ $value->name }}
                                                                </option>
                                                            @endforeach
                                                        </select>
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Client's PAN No.</label>
                                                        <input type="text" class="form-control" name="pan_no"
                                                            value="{{ old('pan_no', @$data->client_tab2->pan_no) }}"
                                                            placeholder="Client's PAN No.">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Registration No.</label>
                                                        <input type="text" class="form-control"
                                                            name="registration_number"
                                                            value="{{ old('registration_number', @$data->client_tab2->registration_number) }}"
                                                            placeholder="Registration No.">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Date Of Registration</label>
                                                        <input type="date" class="form-control"
                                                            name="registration_date"
                                                            value="{{ old('registration_date', @$data->client_tab2->registration_date) }}"
                                                            placeholder="Date Of Registration">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>License No.</label>
                                                        <input type="text" class="form-control" name="licence_no"
                                                            value="{{ old('licence_no', @$data->client_tab2->licence_no) }}"
                                                            placeholder="License No.">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Date Of Obtaining License</label>
                                                        <input type="date" class="form-control"
                                                            name="obtaining_licence_date"
                                                            value="{{ old('obtaining_licence_date', @$data->client_tab2->obtaining_licence_date) }}"
                                                            placeholder="Date Of Obtaining License">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Type Of Industry</label>
                                                        <input type="text" class="form-control" name="industry_type"
                                                            value="{{ old('industry_type', @$data->client_tab2->industry_type) }}"
                                                            placeholder="Type Of Industry">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Date Of Inception</label>
                                                        <input type="date" class="form-control" name="inception_date"
                                                            value="{{ old('inception_date', @$data->client_tab2->inception_date) }}"
                                                            placeholder="Date Of Inception">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Date Of Coverage</label>
                                                        <input type="date" class="form-control" name="coverage_date"
                                                            value="{{ old('coverage_date', @$data->client_tab2->coverage_date) }}"
                                                            placeholder="Date Of Coverage">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>ESI Calculation Type</label>
                                                        <select class="form-control" name="esi_calculation_id">
                                                            <option value="">Select ESI Calculation Type</option>
                                                            @foreach ($options['esi_calc'] as $key => $value)
                                                                <option value="{{ $value->id }}"
                                                                    {{ old('esi_calculation_id', @$data->client_tab2->esi_calculation_id) == $value->id ? 'selected' : '' }}>
                                                                    {{ $value->code }}
                                                                </option>
                                                            @endforeach
                                                        </select>
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>PF Calculation Type</label>
                                                        <select class="form-control" name="pf_calculation_id">
                                                            <option value="">Select PF Calculation Type</option>
                                                            @foreach ($options['pf_calc'] as $key => $value)
                                                                <option value="{{ $value->id }}"
                                                                    {{ old('pf_calculation_id', @$data->client_tab2->pf_calculation_id) == $value->id ? 'selected' : '' }}>
                                                                    {{ $value->code }}
                                                                </option>
                                                            @endforeach
                                                        </select>
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>PT Calculation Type</label>
                                                        <input type="text" class="form-control"
                                                            name="pt_calculation_type"
                                                            value="{{ old('pt_calculation_type', @$data->client_tab2->pt_calculation_type) }}"
                                                            placeholder="PT Calculation Type">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>TNLWF Calculation Type</label>
                                                        <select class="form-control" name="tnlwf_calculation_id">
                                                            <option value="">Select TNLWF Calculation Type</option>
                                                            @foreach ($options['tnlwf_calc'] as $key => $value)
                                                                <option value="{{ $value->id }}"
                                                                    {{ old('tnlwf_calculation_id', @$data->client_tab2->tnlwf_calculation_id) == $value->id ? 'selected' : '' }}>
                                                                    {{ $value->code }}
                                                                </option>
                                                            @endforeach
                                                        </select>
                                                    </div>
                                                </div>
                                                {{-- <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Which Local Body</label>
                                                        <select class="form-control" name="localbody_id">
                                                            <option value="1"
                                                                {{ old('localbody_id', @$data->client_tab2->localbody_id) == 1 ? 'selected' : '' }}>
                                                                1</option>
                                                            <option value="2"
                                                                {{ old('localbody_id', @$data->client_tab2->localbody_id) == 2 ? 'selected' : '' }}>
                                                                2</option>
                                                        </select>
                                                    </div>
                                                </div> --}}
                                            </div>
                                        </form>

                                        <button class="btn btn-primary" onclick="stepper.previous()">Previous</button>
                                        <button class="btn btn-primary" onclick="stepper.next()">Next</button>
                                    </div>

                                    <div id="third-part" class="content" role="tabpanel"
                                        aria-labelledby="third-part-trigger">
                                        <form id="form-step-3" method="{{ $method }}">

                                            <div class="row">
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Attendance Markings New</label>
                                                        <select class="form-control" name="attendance_marking_id">
                                                            <option value="">Select Attendance Marking</option>
                                                            @foreach ($options['attendance_markers'] as $marker)
                                                                <option value="{{ $marker->id }}"
                                                                    {{ old('attendance_marking_id', @$data->client_tab3->attendance_marking_id) == $marker->id ? 'selected' : '' }}>
                                                                    {{ $marker->code }}
                                                                </option>
                                                            @endforeach
                                                        </select>
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Attendance Markings</label>
                                                        <input type="text" class="form-control"
                                                            name="attendance_markings" placeholder="Attendance Markings"
                                                            value="{{ old('attendance_markings', @$data->client_tab3->attendance_markings) }}">
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Weekly Off</label>
                                                        <select class="form-control" name="weeklyoff_id">
                                                            <option value="">Select Weekly Off</option>
                                                            @foreach ($options['weeklyoff'] as $value)
                                                                <option value="{{ $value->id }}"
                                                                    {{ old('weeklyoff_id', @$data->client_tab3->weeklyoff_id) == $value->id ? 'selected' : '' }}>
                                                                    {{ $value->code . '-' . $value->day_name }}
                                                                </option>
                                                            @endforeach
                                                        </select>
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Weekly Off Marker</label>
                                                        <input type="text" class="form-control"
                                                            name="weeklyoff_markers" placeholder="Weekly Off Marker"
                                                            value="{{ old('weeklyoff_markers', @$data->client_tab3->weeklyoff_markers) }}">
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Weekly Off 1</label>
                                                        <select class="form-control" name="weeklyoff1_id">
                                                            <option value="">Select Weekly Off 1</option>
                                                            @foreach ($options['weeklyoff'] as $value)
                                                                <option value="{{ $value->id }}"
                                                                    {{ old('weeklyoff1_id', @$data->client_tab3->weeklyoff1_id) == $value->id ? 'selected' : '' }}>
                                                                    {{ $value->code . '-' . $value->day_name }}
                                                                </option>
                                                            @endforeach
                                                        </select>
                                                    </div>
                                                </div>

                                                {{-- <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Weekly Off Marker 1</label>
                                                        <input type="text" class="form-control"
                                                            name="weeklyoff1_markers" placeholder="Weekly Off Marker"
                                                            value="{{ old('weeklyoff1_markers', @$data->client_tab3->weeklyoff1_markers) }}">
                                                    </div>
                                                </div> --}}

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Denomination for Salary</label>
                                                        <select class="form-control" name="denomination_salary_id">
                                                            <option value="">Select Denomination for Salary</option>
                                                            @foreach ($options['denomination_salary'] as $value)
                                                                <option value="{{ $value->id }}"
                                                                    {{ old('denomination_salary_id', @$data->client_tab3->denomination_salary_id) == $value->id ? 'selected' : '' }}>
                                                                    {{ $value->code }}
                                                                </option>
                                                            @endforeach
                                                        </select>
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Single Point Contact</label>
                                                        <input type="text" class="form-control"
                                                            name="single_point_contact" placeholder="Single Point Contact"
                                                            value="{{ old('single_point_contact', @$data->client_tab3->single_point_contact) }}">
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>ESI Local Office</label>
                                                        <select class="form-control" name="esi_office_id">
                                                            <option value="">Select Esi Local Office</option>
                                                            @foreach ($options['esi_office'] as $value)
                                                                <option value="{{ $value->id }}"
                                                                    {{ old('esi_office_id', @$data->client_tab3->esi_office_id) == $value->id ? 'selected' : '' }}>
                                                                    {{ $value->code . '-' . $value->name }}
                                                                </option>
                                                            @endforeach
                                                        </select>
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>IF Jurisdiction</label>
                                                        <select class="form-control" name="if_jurisdiction_id">
                                                            <option value="">Select IF Jurisdiction</option>
                                                            @foreach ($options['if_jurisdiction_id'] as $value)
                                                                <option value="{{ $value->id }}"
                                                                    {{ old('if_jurisdiction_id', @$data->client_tab3->if_jurisdiction_id) == $value->id ? 'selected' : '' }}>
                                                                    {{ $value->code . '-' . $value->location }}
                                                                </option>
                                                            @endforeach
                                                        </select>
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>IL Jurisdiction</label>
                                                        <select class="form-control" name="il_jurisdiction_id">
                                                            <option value="">Select IL Jurisdiction</option>
                                                            @foreach ($options['il_jurisdiction_id'] as $value)
                                                                <option value="{{ $value->id }}"
                                                                    {{ old('il_jurisdiction_id', @$data->client_tab3->il_jurisdiction_id) == $value->id ? 'selected' : '' }}>
                                                                    {{ $value->code . '-' . $value->location }}
                                                                </option>
                                                            @endforeach
                                                        </select>
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>PF Jurisdiction</label>
                                                        <select class="form-control" name="pf_jurisdiction_notused">
                                                            <option value="">Select Pf Jurisdiction</option>
                                                            @foreach ($options['pf_jurisdiction'] as $value)
                                                                <option value="{{ $value->id }}"
                                                                    {{ old('pf_jurisdiction_notused', @$data->client_tab3->pf_jurisdiction_notused) == $value->id ? 'selected' : '' }}>
                                                                    {{ $value->code . ' - ' . $value->name }}
                                                                </option>
                                                            @endforeach
                                                        </select>
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>PF Group</label>
                                                        <input type="text" class="form-control" name="pf_group"
                                                            placeholder="PF Group"
                                                            value="{{ old('pf_group', @$data->client_tab3->pf_group) }}">
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Fire Jurisdiction</label>
                                                        <select class="form-control" name="fire_jurisdiction_id">
                                                            <option value="">Select Fire Jurisdiction</option>
                                                            @foreach ($options['fire'] as $value)
                                                                <option value="{{ $value->id }}"
                                                                    {{ old('fire_jurisdiction_id', @$data->client_tab3->fire_jurisdiction_id) == $value->id ? 'selected' : '' }}>
                                                                    {{ $value->code . ' - ' . $value->name }}
                                                                </option>
                                                            @endforeach
                                                        </select>
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Police Jurisdiction</label>
                                                        <select class="form-control" name="police_jurisdiction_id">
                                                            <option value="">Select Police Jurisdiction</option>
                                                            @foreach ($options['police'] as $value)
                                                                <option value="{{ $value->id }}"
                                                                    {{ old('police_jurisdiction_id', @$data->client_tab3->police_jurisdiction_id) == $value->id ? 'selected' : '' }}>
                                                                    {{ $value->code . ' - ' . $value->name }}
                                                                </option>
                                                            @endforeach
                                                        </select>
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>PF Jurisdiction</label>
                                                        <input type="text" class="form-control"
                                                            name="pf_jurisdiction_id" placeholder="PF Jurisdiction"
                                                            value="{{ old('pf_jurisdiction_id', @$data->client_tab3->pf_jurisdiction_id) }}">
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Trade License - Jurisdiction</label>
                                                        <select class="form-control" name="trade_licence_id">
                                                            <option value="">Select Trade License Jurisdiction
                                                            </option>
                                                            @foreach ($options['trade_licence'] as $value)
                                                                <option value="{{ $value->id }}"
                                                                    {{ old('trade_licence_id', @$data->client_tab3->trade_licence_id) == $value->id ? 'selected' : '' }}>
                                                                    {{ $value->code . ' - ' . $value->name }}
                                                                </option>
                                                            @endforeach
                                                        </select>
                                                    </div>
                                                </div>
                                            </div>

                                        </form>
                                        <button class="btn btn-primary" onclick="stepper.previous()">Previous</button>
                                        <button class="btn btn-primary" onclick="stepper.next()">Next</button>
                                    </div>
                                    <div id="fourth-part" class="content" role="tabpanel"
                                        aria-labelledby="fourth-part-trigger">
                                        <form id="form-step-4" method="{{ $method }}">
                                            <div class="row">
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>OT Calculation Type</label>
                                                        <select class="form-control" name="ot_calculation_id">
                                                            <option value="">Select OT Calculation Type</option>
                                                            @foreach ($options['ot_calc'] as $value)
                                                                <option value="{{ $value->id }}"
                                                                    {{ old('ot_calculation_id', @$data->client_tab4->ot_calculation_id) == $value->id ? 'selected' : '' }}>
                                                                    {{ $value->type }}
                                                                </option>
                                                            @endforeach
                                                        </select>
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Owncode</label>
                                                        <input type="text" class="form-control" name="own_code"
                                                            placeholder="Owncode"
                                                            value="{{ old('own_code', @$data->client_tab4->own_code) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>MW - Industry Category</label>
                                                        <select class="form-control" name="mw_industry_id">
                                                            <option value="">Select MW Industry Category</option>
                                                            @foreach ($options['mw_industry'] as $value)
                                                                <option value="{{ $value->id }}"
                                                                    {{ old('mw_industry_id', @$data->client_tab4->mw_industry_id) == $value->id ? 'selected' : '' }}>
                                                                    {{ $value->code . ' - ' . $value->name }}
                                                                </option>
                                                            @endforeach
                                                        </select>
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>MW - Zone Classification</label>
                                                        <select class="form-control" name="mw_zone_id">
                                                            <option value="">Select MW Zone Clasification</option>
                                                            @foreach ($options['mw_zone'] as $value)
                                                                <option value="{{ $value->id }}"
                                                                    {{ old('mw_zone_id', @$data->client_tab4->mw_zone_id) == $value->id ? 'selected' : '' }}>
                                                                    {{ $value->code . ' - ' . $value->name }}
                                                                </option>
                                                            @endforeach
                                                        </select>
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Applicable N & F Holidays</label>
                                                        <input type="text" class="form-control" name="nf_holiday"
                                                            placeholder="Applicable N&F Holidays"
                                                            value="{{ old('nf_holiday', @$data->client_tab4->nf_holiday) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Applicable Shifts</label>
                                                        <input type="text" class="form-control"
                                                            name="applicable_shifts" placeholder="Applicable Shifts"
                                                            value="{{ old('applicable_shifts', @$data->client_tab4->applicable_shifts) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Applicable Leave</label>
                                                        <input type="text" class="form-control"
                                                            name="applicable_leave" placeholder="Applicable Leave"
                                                            value="{{ old('applicable_leave', @$data->client_tab4->applicable_leave) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Time Commence, Time End, Rest Interval</label>
                                                        <input type="text" class="form-control" name="time_end"
                                                            placeholder="Rest Interval"
                                                            value="{{ old('time_end', @$data->client_tab4->time_end) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Max No.of Employees Proposed</label>
                                                        <input type="text" class="form-control" name="max_no_employee"
                                                            placeholder="No.of Employees Proposed"
                                                            value="{{ old('max_no_employee', @$data->client_tab4->max_no_employee) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Date of Closure</label>
                                                        <input type="date" class="form-control" name="closure_date"
                                                            placeholder="Date of Closure"
                                                            value="{{ old('closure_date', @$data->client_tab4->closure_date) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>It is a Seasonal Industry</label>
                                                        <select class="form-control" name="is_seasonal_industry">
                                                            <option value="1"
                                                                {{ old('is_seasonal_industry', @$data->client_tab4->is_seasonal_industry) == 1 ? 'selected' : '' }}>
                                                                Yes</option>
                                                            <option value="0"
                                                                {{ old('is_seasonal_industry', @$data->client_tab4->is_seasonal_industry) == 0 ? 'selected' : '' }}>
                                                                No</option>
                                                        </select>
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Any Relevant information</label>
                                                        <input type="text" class="form-control"
                                                            name="relevant_information" placeholder="Relevant information"
                                                            value="{{ old('relevant_information', @$data->client_tab4->relevant_information) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Any Remarks</label>
                                                        <input type="text" class="form-control" name="remarks"
                                                            placeholder="Remarks"
                                                            value="{{ old('remarks', @$data->client_tab4->remarks) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Applicable Enactments</label>
                                                        <input type="text" class="form-control"
                                                            name="applicable_enactments"
                                                            placeholder="Applicable Enactments"
                                                            value="{{ old('applicable_enactments', @$data->client_tab4->applicable_enactments) }}">
                                                    </div>
                                                </div>
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Type Of Clients</label>
                                                        <select class="form-control" name="client_type_id">
                                                            <option value="">Select Type Of Clients</option>
                                                            @foreach ($options['client_types'] as $value)
                                                                <option value="{{ $value->id }}"
                                                                    {{ old('client_type_id', @$data->client_tab4->client_type_id) == $value->id ? 'selected' : '' }}>
                                                                    {{ $value->code . ' - ' . $value->name }}
                                                                </option>
                                                            @endforeach
                                                        </select>
                                                    </div>
                                                </div>
                                            </div>

                                        </form>
                                        <button class="btn btn-primary" onclick="stepper.previous()">Previous</button>
                                        <button class="btn btn-primary" onclick="stepper.next()">Next</button>
                                    </div>
                                    <div id="fifth-part" class="content" role="tabpanel"
                                        aria-labelledby="fifth-part-trigger">
                                        <form id="form-step-end" method="{{ $method }}">
                                            <div class="row">
                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Wage Period</label>
                                                        <span>(DLY/WKLY/MNTHLY/)</span>
                                                        <input type="text" class="form-control" name="wage_period"
                                                            placeholder="Wage Period"
                                                            value="{{ old('wage_period', @$data->client_tab5->wage_period) }}">
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>FY From</label>
                                                        <input type="text" class="form-control" name="fy_from"
                                                            placeholder="Enter Fy from"
                                                            value="{{ old('fy_from', @$data->client_tab5->fy_from) }}">
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>FY To</label>
                                                        <input type="text" class="form-control" name="fy_to"
                                                            placeholder="Enter Fy to"
                                                            value="{{ old('fy_to', @$data->client_tab5->fy_to) }}">
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>FROMATT Period</label>
                                                        <input type="text" class="form-control" name="fromatt_period"
                                                            placeholder="FROMATT Period"
                                                            value="{{ old('fromatt_period', @$data->client_tab5->fromatt_period) }}">
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>UPTOATT Period</label>
                                                        <input type="text" class="form-control" name="uptoatt_period"
                                                            placeholder="UPTOATT Period"
                                                            value="{{ old('uptoatt_period', @$data->client_tab5->uptoatt_period) }}">
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Rul to Pay</label>
                                                        <input type="text" class="form-control" name="rul_to_pay"
                                                            placeholder="Rul to Pay"
                                                            value="{{ old('rul_to_pay', @$data->client_tab5->rul_to_pay) }}">
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Rul not to Pay</label>
                                                        <input type="text" class="form-control" name="rul_notto_pay"
                                                            placeholder="Rul not to Pay"
                                                            value="{{ old('rul_notto_pay', @$data->client_tab5->rul_notto_pay) }}">
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>AttDays Calculation Type</label>
                                                        <input type="text" class="form-control"
                                                            name="attdays_calculation_type"
                                                            placeholder="AttDays Calculation"
                                                            value="{{ old('attdays_calculation_type', @$data->client_tab5->attdays_calculation_type) }}">
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Is Live Client?</label><br>
                                                        <select class="form-control" name="is_live_client">
                                                            <option value="1"
                                                                {{ old('is_live_client', @$data->client_tab5->is_live_client) == 1 ? 'selected' : '' }}>
                                                                Yes</option>
                                                            <option value="0"
                                                                {{ old('is_live_client', @$data->client_tab5->is_live_client) == 0 ? 'selected' : '' }}>
                                                                No</option>
                                                        </select>
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Is Billable Client?</label><br>
                                                        <select class="form-control" name="is_billable_client">
                                                            <option value="1"
                                                                {{ old('is_billable_client', @$data->client_tab5->is_billable_client) == 1 ? 'selected' : '' }}>
                                                                Yes</option>
                                                            <option value="0"
                                                                {{ old('is_billable_client', @$data->client_tab5->is_billable_client) == 0 ? 'selected' : '' }}>
                                                                No</option>
                                                        </select>
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>CLI Agreement Date</label>
                                                        <input type="date" class="form-control" name="agreement_date"
                                                            placeholder="CLI Agreement Date"
                                                            value="{{ old('agreement_date', @$data->client_tab5->agreement_date) }}">
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>CLI Service Effective Date</label>
                                                        <input type="date" class="form-control"
                                                            name="service_effective_date"
                                                            placeholder="CLI Service Effective Date"
                                                            value="{{ old('service_effective_date', @$data->client_tab5->service_effective_date) }}">
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>CLI Service Termination Date</label>
                                                        <input type="date" class="form-control"
                                                            name="service_termination_date"
                                                            placeholder="CLI Service Termination Date"
                                                            value="{{ old('service_termination_date', @$data->client_tab5->service_termination_date) }}">
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Billing Frequency</label>

                                                        <select name="billing_frequency" id="billing_frequency"
                                                            class="form-control">
                                                            <option value=""
                                                                {{ old('billing_frequency', @$data->client_tab5->billing_frequency) == '' ? 'selected' : '' }}>
                                                                Select Billing Frequency</option>
                                                            <option value="1"
                                                                {{ old('billing_frequency', @$data->client_tab5->billing_frequency) == 1 ? 'selected' : '' }}>
                                                                Monthly</option>
                                                            <option value="2"
                                                                {{ old('billing_frequency', @$data->client_tab5->billing_frequency) == 2 ? 'selected' : '' }}>
                                                                Quarterly</option>
                                                            <option value="3"
                                                                {{ old('billing_frequency', @$data->client_tab5->billing_frequency) == 3 ? 'selected' : '' }}>
                                                                Half Yearly</option>
                                                        </select>
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Billing Custom Type</label>
                                                        <select name="billing_custom_type" id="billing_custom_type"
                                                            class="form-control">
                                                            <option value=""
                                                                {{ old('billing_custom_type', @$data->client_tab5->billing_custom_type) == '' ? 'selected' : '' }}>
                                                                Select Billing Custom Type</option>
                                                            <option value="1"
                                                                {{ old('billing_custom_type', @$data->client_tab5->billing_custom_type) == 1 ? 'selected' : '' }}>
                                                                Standard</option>
                                                            <option value="2"
                                                                {{ old('billing_custom_type', @$data->client_tab5->billing_custom_type) == 2 ? 'selected' : '' }}>
                                                                Custom Quarter by Month</option>
                                                            <option value="3"
                                                                {{ old('billing_custom_type', @$data->client_tab5->billing_custom_type) == 3 ? 'selected' : '' }}>
                                                                Custom Quarter by Date</option>
                                                        </select>
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Localwise Bill</label><br>
                                                        <select class="form-control" name="locationwise_billing">
                                                            <option value=""
                                                                {{ old('locationwise_billing', @$data->client_tab5->locationwise_billing) == '' ? 'selected' : '' }}>
                                                                Select Localwise Bill</option>
                                                            <option value="1"
                                                                {{ old('locationwise_billing', @$data->client_tab5->locationwise_billing) == 1 ? 'selected' : '' }}>
                                                                Yes</option>
                                                            <option value="0"
                                                                {{ old('locationwise_billing', @$data->client_tab5->locationwise_billing) == 0 ? 'selected' : '' }}>
                                                                No</option>
                                                        </select>
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>SHIFT ID</label>
                                                        <select class="form-control" name="shift_id">
                                                            <option value=""
                                                                {{ old('shift_id', @$data->client_tab5->shift_id) == '' ? 'selected' : '' }}>
                                                                Select Shift Id</option>
                                                            @foreach ($options['shifts'] as $shift)
                                                                <option value="{{ $shift->id }}"
                                                                    {{ old('shift_id', @$data->client_tab5->shift_id) == $shift->id ? 'selected' : '' }}>
                                                                    {{ $shift->code . '-' . $shift->type }}
                                                                </option>
                                                            @endforeach
                                                        </select>
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>GST Number</label>
                                                        <input type="text" class="form-control" name="gst_no"
                                                            placeholder="Enter GST Number"
                                                            value="{{ old('gst_no', @$data->client_tab5->gst_no) }}">
                                                    </div>
                                                </div>

                                                <div class="col-md-4">
                                                    <div class="form-group">
                                                        <label>Collection Exec</label>
                                                        <input type="text" class="form-control" name="collection_exec"
                                                            placeholder="Collection Exec"
                                                            value="{{ old('collection_exec', @$data->client_tab5->collection_exec) }}">
                                                    </div>
                                                </div>
                                            </div>

                                        </form>
                                        <button class="btn btn-primary" onclick="stepper.previous()">Previous</button>
                                        {{-- <button type="submit" class="btn btn-primary">Submit</button> --}}
                                        {{-- <button type="button" class="next-tab-btn btn btn-primary"
                                            data-form="form-step-end" data-url="{{ $route['tab5'] }}"
                                            data-redirect="{{ route('client.index') }}">
                                            Submit
                                        </button> --}}
                                    </div>
                                </div>
                            </div>
                        </div>
                    </div>
                    <!-- /.card-body -->
                    <!-- <div class="card-footer">
                                                                                                                                                                                                                                                                        Visit <a href="https://github.com/Johann-S/bs-stepper/#how-to-use-it">bs-stepper documentation</a> for more examples and information about the plugin.
                                                                                                                                                                                                                                                                    </div> -->
                </div>
                <!-- /.card -->
            </div>
        </div>

        </div>
    </section>
@endsection
@push('scripts')
    <script src="{{ asset('public/assets/dist/js/wizard-script.js') }}"></script>
    <script>
        $(document).ready(function() {
            $('form').find('input, select, textarea').attr('disabled', true);
        });
    </script>
@endpush