@extends('front.layouts.frontstep')
@extends('front.layouts.front')


@section('head')

<!-- BEGIN PAGE LEVEL STYLES -->
{!! HTML::style('assets/global/plugins/bootstrap-fileinput/bootstrap-fileinput.css') !!}
{!! HTML::style('assets/global/plugins/bootstrap-datepicker/css/datepicker3.css') !!}
<!-- END PAGE LEVEL STYLES -->

@stop

@section('mainarea')
<div class="clearfix">
</div>
{!! Form::open(array('url'=>"/front/step3/storeBankDetails",'id'=>'bankDetails','class'=>'form-horizontal','method'=>'POST','files' => true)) !!}

<div class="clearfix">
    {{---------------Documents------------------}}
    <div class="row">
        <div class="col-md-12 col-sm-12">
            <div class="portlet box purple-wisteria">
                <div class="portlet-title">
                    <div class="caption">
                        <i class="fa fa-calendar"></i>Bank Account Details
                    </div>

                </div>
                <div class="portlet-body text-center">
                    <input type="hidden" name="employeeID" id="employeeID" value="{{Auth::guard('employees')->user()->id}}">
                    <div class="form-body">
                        <input type="hidden" name="step3" value="1">
                        <div class="form-group">
                            <label class="col-md-3 control-label">Account Holder Name</label>
                            <div class="col-md-9">
                                <input type="text" class="form-control" name="accountName" placeholder="Account Holder Name" value="{{ old('accountName') }}" required>
                                @if($errors->has('accountName'))
                                <div class="error text-danger">{{ $errors->first('accountName') }}</div>
                                @endif
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-md-3 control-label">Account Number</label>
                            <div class="col-md-9">
                                <input type="text" class="form-control" name="accountNumber" placeholder="Account Number" value="{{ old('accountNumber') }}" required>
                                @if($errors->has('accountNumber'))
                                <div class="error text-danger">{{ $errors->first('accountNumber') }}</div>
                                @endif
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-md-3 control-label">Bank Name</label>
                            <div class="col-md-9">
                                <input type="text" class="form-control" name="bank" placeholder="BANK Name" value="{{ old('bank') }}" required>
                                @if($errors->has('bank'))
                                <div class="error text-danger">{{ $errors->first('bank') }}</div>
                                @endif
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-md-3 control-label">IFSC Code</label>
                            <div class="col-md-9">
                                <input type="text" class="form-control" name="ifsc" placeholder="IFSC Code" value="{{ old('ifsc') }}" required>
                                @if($errors->has('ifsc'))
                                <div class="error text-danger">{{ $errors->first('ifsc') }}</div>
                                @endif
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-md-3 control-label">PAN Number </label>
                            <div class="col-md-9">
                                <input type="text" class="form-control" name="pan" placeholder="PAN Number" value="{{ old('pan') }}">
                                @if($errors->has('pan'))
                                <div class="error text-danger">{{ $errors->first('pan') }}</div>
                                @endif
                            </div>
                        </div>
                    </div>

                </div>
            </div>
        </div>
    </div>
    <div class="clearfix">
    </div>
    <div>
        <button type="submit" class="btn blue btn-submit">Next</button>
        <p class="text-right">Step 3 of 4</p>
    </div>
    {!! Form::close() !!}

    @stop



    @section('footerjs')

    @stack('filter')
    @stack('change')
    <!-- BEGIN PAGE LEVEL PLUGINS -->
    {!! HTML::script('assets/global/plugins/bootstrap-fileinput/bootstrap-fileinput.js') !!}
    {!! HTML::script('assets/global/plugins/bootstrap-datepicker/js/bootstrap-datepicker.js') !!}
    {!! HTML::script("assets/global/plugins/bootstrap-switch/js/bootstrap-switch.min.js") !!}
    {!! HTML::script('assets/admin/pages/scripts/components-pickers.js') !!}
    <!-- END PAGE LEVEL PLUGINS -->

    @stop