@extends('layouts/microfin_layout')
@section('title', '| Report Signature ')
@section('content')

    <div class="row add-data-form">
        <div class="col-md-12">
            <div class="col-md-8 col-md-offset-2 fullbody">
                <div class="viewTitle" style="border-bottom:1px solid white;">
                    <a href="{{ url('viewReportSignature/') }}" class="btn btn-info pull-right addViewBtn">
                        <i class="glyphicon glyphicon-th-list viewIcon"></i>
                        Report Signature
                    </a>
                </div>
                <div class="panel panel-default panel-border">
                    <div class="panel-heading">
                        <div class="panel-title">Report Signature </div>
                    </div>
                    <div class="panel-body">
                        <div class="row">
                            <div class="col-md-12">
                                {!! Form::open([
                                    'url' => '',
                                    'role' => 'form',
                                    'id' => 'formId',
                                    'enctype' => 'multipart/form-data',
                                    'class' => 'form-horizontal form-groups',
                                ]) !!}
                                <div class="form-group">
                                    {!! Form::label('footerLevel1', 'Footer 1 : Level 1:', ['class' => 'col-sm-3 control-label reportSignature']) !!}
                                    <div class="col-sm-4">
                                        {{-- {!! Form::select('insClaim',$damageData['boolean'],isset($damageData['dailyWeeklyConfigurationData']['insClaim'])? (int) $damageData['dailyWeeklyConfigurationData']['insClaim']: '', ['class' => 'form-control memberSetting', 'id' => 'insClaim'], ) !!} --}}
                                        {{-- {!! Form::text('footerLevel1',$damageData['signatureconfiguration']['footerLevel1'], ['class' => 'form-control reportSignature', 'id' => 'footerLevel1', 'type' => 'text']) !!} --}}
                                        {!! Form::text('footerLevel1', isset($damageData['signatureconfiguration']['footerLevel1']), [
                                            'class' => 'form-control reportSignature',
                                            'id' => 'footerLevel1',
                                            'type' => 'text',
                                        ]) !!}
                                    </div>
                                </div>

                                <div class="form-group">
                                    {!! Form::label('value1', 'Value:', ['class' => 'col-sm-3 control-label reportSignature']) !!}
                                    <div class="col-sm-4">
                                        {!! Form::text('value1', isset($damageData['signatureconfiguration']['value1']), [
                                            'class' => 'form-control reportSignature',
                                            'id' => 'value1',
                                            'type' => 'text',
                                        ]) !!}
                                    </div>
                                </div>
                                <div class="form-group">
                                    {!! Form::label('FooterLevel2', 'Footer 1 : Level 2:', ['class' => 'col-sm-3 control-label reportSignature']) !!}
                                    <div class="col-sm-4">
                                        {!! Form::text('FooterLevel2',isset($damageData['signatureconfiguration']['FooterLevel2']), [
                                            'class' => 'form-control reportSignature',
                                            'id' => 'FooterLevel2',
                                            'type' => 'text',
                                        ]) !!}
                                    </div>
                                </div>
                                <div class="form-group">
                                    {!! Form::label('value2', 'Value:', ['class' => 'col-sm-3 control-label reportSignature']) !!}
                                    <div class="col-sm-4">
                                        {!! Form::text('value2', isset($damageData['signatureconfiguration']['value2']), [
                                            'class' => 'form-control reportSignature',
                                            'id' => 'value2',
                                            'type' => 'text',
                                        ]) !!}
                                    </div>
                                </div>
                                <div class="form-group">
                                    {!! Form::label('footerLevel3', 'Footer 1 : Level 3', ['class' => 'col-sm-3 control-label reportSignature']) !!}
                                    <div class="col-sm-4">
                                        {!! Form::text('footerLevel3', isset($damageData['signatureconfiguration']['footerLevel3']), [
                                            'class' => 'form-control reportSignature',
                                            'id' => 'footerLevel3',
                                            'type' => 'text',
                                        ]) !!}
                                    </div>
                                </div>
                                <div class="form-group">
                                    {!! Form::label('value3', 'Value:', ['class' => 'col-sm-3 control-label reportSignature']) !!}
                                    <div class="col-sm-4">
                                        {!! Form::text('value3', isset($damageData['signatureconfiguration']['value3']), [
                                            'class' => 'form-control reportSignature',
                                            'id' => 'value3',
                                            'type' => 'text',
                                        ]) !!}
                                    </div>
                                </div>
                                <div class="form-group">
                                    {!! Form::label('Footer2Level3', 'Footer 2 : Level 1:', ['class' => 'col-sm-3 control-label reportSignature']) !!}
                                    <div class="col-sm-4">
                                        {!! Form::text('Footer2Level3', isset($damageData['signatureconfiguration']['Footer2Level3']), [
                                            'class' => 'form-control reportSignature',
                                            'id' => 'Footer2Level3',
                                            'type' => 'text',
                                        ]) !!}
                                    </div>
                                </div>

                                <div class="form-group">
                                    {!! Form::label('value4', 'Value:', ['class' => 'col-sm-3 control-label reportSignature']) !!}
                                    <div class="col-sm-4">
                                        {!! Form::text('value4', isset($damageData['signatureconfiguration']['value4']), [
                                            'class' => 'form-control reportSignature',
                                            'id' => 'value4',
                                            'type' => 'text',
                                        ]) !!}
                                    </div>
                                </div>

                                <div class="form-group">
                                    {!! Form::label('footer2Level2:', 'Footer 2 : Level 2:', ['class' => 'col-sm-3 control-label reportSignature']) !!}
                                    <div class="col-sm-4">
                                        {!! Form::text('footer2Level2', isset($damageData['signatureconfiguration']['footer2Level2']), [
                                            'class' => 'form-control reportSignature',
                                            'id' => 'footer2Level2',
                                            'type' => 'text',
                                        ]) !!}
                                    </div>
                                </div>
                                <div class="form-group">
                                    {!! Form::label('value5', 'Value:', ['class' => 'col-sm-3 control-label reportSignature']) !!}
                                    <div class="col-sm-4">
                                        {!! Form::text('value5', isset($damageData['signatureconfiguration']['value5']), [
                                            'class' => 'form-control reportSignature',
                                            'id' => 'value5',
                                            'type' => 'text',
                                        ]) !!}
                                    </div>
                                </div>
                                <div class="form-group">
                                    {!! Form::label('footer2Level3', 'Footer 2 : Level 3:', ['class' => 'col-sm-3 control-label reportSignature']) !!}
                                    <div class="col-sm-4">
                                        {!! Form::text('footer2Level3', isset($damageData['signatureconfiguration']['footer2Level3']), [
                                            'class' => 'form-control reportSignature',
                                            'id' => 'footer2Level3',
                                            'type' => 'text',
                                        ]) !!}
                                    </div>
                                </div>
                                <div class="form-group">
                                    {!! Form::label('value6', 'Value:', ['class' => 'col-sm-3 control-label reportSignature']) !!}
                                    <div class="col-sm-4">
                                        {!! Form::text('value6',isset( $damageData['signatureconfiguration']['value6']), [
                                            'class' => 'form-control reportSignature',
                                            'id' => 'value6',
                                            'type' => 'text',
                                        ]) !!}
                                    </div>
                                </div>
                                <div class="form-group">
                                    {!! Form::label('footer3Level1', 'Footer 3 : Level 1:', ['class' => 'col-sm-3 control-label reportSignature']) !!}
                                    <div class="col-sm-4">
                                        {!! Form::text('footer3Level1', isset($damageData['signatureconfiguration']['footer3Level1']), [
                                            'class' => 'form-control reportSignature',
                                            'id' => 'footer3Level1',
                                            'type' => 'text',
                                        ]) !!}
                                    </div>
                                </div>

                                <div class="form-group">
                                    {!! Form::label('value7', 'Value:', ['class' => 'col-sm-3 control-label reportSignature']) !!}
                                    <div class="col-sm-4">
                                        {!! Form::text('value7', isset($damageData['signatureconfiguration']['value7']), [
                                            'class' => 'form-control reportSignature',
                                            'id' => 'value7',
                                            'type' => 'text',
                                        ]) !!}
                                    </div>
                                </div>

                                <div class="form-group">
                                    {!! Form::label('footer3Level2:', 'Footer 3 : Level 2:', ['class' => 'col-sm-3 control-label reportSignature']) !!}
                                    <div class="col-sm-4">
                                        {!! Form::text('footer3Level2', isset($damageData['signatureconfiguration']['footer3Level2']), [
                                            'class' => 'form-control reportSignature',
                                            'id' => 'footer3Level2',
                                            'type' => 'text',
                                        ]) !!}
                                    </div>
                                </div>

                                <div class="form-group">
                                    {!! Form::label('value8', 'Value', ['class' => 'col-sm-3 control-label reportSignature']) !!}
                                    <div class="col-sm-4">
                                        {!! Form::text('value8', isset($damageData['signatureconfiguration']['value8']), [
                                            'class' => 'form-control reportSignature',
                                            'id' => 'value8',
                                            'type' => 'text',
                                        ]) !!}
                                    </div>
                                </div>
                                <div class="form-group">
                                    {!! Form::label('footer3Level3', 'Footer 3 : Level 3:', ['class' => 'col-sm-3 control-label reportSignature']) !!}
                                    <div class="col-sm-4">
                                        {!! Form::text('footer3Level3', isset($damageData['signatureconfiguration']['footer3Level3']), [
                                            'class' => 'form-control reportSignature',
                                            'id' => 'footer3Level3',
                                            'type' => 'text',
                                        ]) !!}
                                    </div>
                                </div>
                                <div class="form-group">
                                    {!! Form::label('value9', 'Value:', ['class' => 'col-sm-3 control-label reportSignature']) !!}
                                    <div class="col-sm-4">
                                        {!! Form::text('value9', isset($damageData['signatureconfiguration']['value9']), [
                                            'class' => 'form-control reportSignature',
                                            'id' => 'value9',
                                            'type' => 'text',
                                        ]) !!}
                                    </div>
                                </div>
                                <div class="form-group">
                                    <div class="col-sm-10 col-sm-offset-3">
                                        {!! Form::submit('Submit', ['id' => 'submit', 'class' => 'btn btn-info']) !!}
                                        <a href="{{ url('viewReportSignature/') }}"
                                            class="btn btn-danger closeBtn">Close</a>
                                    </div>
                                </div>
                                {!! Form::close() !!}
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <style type="text/css">
        .reportSignature {
            font-size: 11px;
        }
    </style>


    <script type="text/javascript">
        $(document).ready(function() {
            $('#formId').submit(function(event) {
                event.preventDefault();
                $.ajax({
                    type: 'post',
                    url: './storeSignatureConfiguration',
                    data: new FormData(this),
                    processData: false,
                    dataType: 'json',
                    contentType: false,
                    success: function(_response) {

                        setTimeout(function() {
                            window.location.href = '{{ url('viewReportSignature/') }}';
                        }, 3000);

                    },
                    error: function(_response) {
                        //alert(_response.errors);
                    }
                });
            });
        });
    </script>

@endsection