@extends('layouts.frontend')
@section('title', 'View Lead Information')
@section('content')
<section class="content">
  <div class="box">
            <div class="box box-warning ">
              <div class="box-header with-border">
                <h3 class="box-title">View Lead Information
                @if(!empty($information->accountnumber))
                [ Complete ]
                @else
                [ Incomplete ]
                @endif
                </h3>
                <div><h3><a href="{{URL::to('/user-dashboard')}}">Back To User Dashboard</a></h3>
              </div>
            </div>
            @if($information->status == 0)
                <div class="box-header with-border">
                    <h3 class="box-title text-red"  > Application Regected!</h3>
                    <P><b>Comment: </b>{{$information->comments_for_rejection}} </P>
                </div>
            @endif
            <div class="box-body no-padding">
              {!! Form::open(array('url' => 'account/update-completed-lead')) !!}
                <!-- text input -->
                
                <div class="form-group col-md-6">
                    <!-- Quote Id -->
                    {{ Form::hidden('id', $information->id)}}
                    <div class="col-md-6">{!! Form::label('Policy Number') !!} :</div>
                    <div class="col-md-6">
                    @if(!empty($policy_prefix))    
                    {{$policy_prefix->policy_prefix.$information->policy_number}} 
                    @else
                    -
                    @endif
                    </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Name') !!} :</div>
                    <div class="col-md-6">{{$information->title.$information->fname.$information->lname}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Date Of Birth ') !!} :</div>
                    <div class="col-md-6">{{$information->dob}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Employee Status') !!} :</div>
                    <div class="col-md-6">{{$information->emp_status}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Occupation') !!} :</div>
                    <div class="col-md-6">{{$information->occupation}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Employer Name ') !!} :</div>
                    <div class="col-md-6">{{$information->employer_name}} </div>
                </div>

                <div class="form-group col-md-6">
                                        <div class="col-md-6">{!! Form::label('Address') !!} :</div>
                    <div class="col-md-6">{{$address}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Postcode') !!} :</div>
                    <div class="col-md-6">{{$information->postcode}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Email') !!} :</div>
                    <div class="col-md-6">{{$information->email}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Telephone') !!} :</div>
                    <div class="col-md-6">{{$information->telephone}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Insurance Startdate') !!} :</div>
                    <div class="col-md-6">{{$information->insurance_startdate}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Type Of Cover') !!} :</div>
                    <div class="col-md-6">{{$information->typeofcover}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Type of Protection') !!} :</div>
                    <div class="col-md-6">{{title_case(str_replace('_',' ',$information->typeofprotection))}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Monthly Commitment') !!} :</div>
                    <div class="col-md-6">{{$information->monthlycommitment}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Age') !!} :</div>
                    <div class="col-md-6">{{$information->age}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Monthly Benefit') !!} :</div>
                    <div class="col-md-6">{{$information->monthlybenefit}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Benefit Period') !!} :</div>
                    @if($information->benefit_period == 6)
                      <div class="col-md-6">6 Months</div>
                    @elseif($information->benefit_period == 12)
                      <div class="col-md-6">12 Months</div>
                    @elseif($information->benefit_period == 18)
                      <div class="col-md-6">18 Months</div>
                    @else
                      <div class="col-md-6"></div>
                    @endif
                </div>

                <div class="form-group col-md-6">

                    <div class="col-md-6">{!! Form::label('Monthly Cost') !!} :</div>
                    <div class="col-md-6">&pound; {{ number_format((float)str_replace(',','',$information->monthlycost), 2, '.', '') }} </div>
                    
                </div>
                <div class="form-group col-md-6">

                    <div class="col-md-6">{!! Form::label('Cover') !!} :</div>
                    <div class="col-md-6">{{$information->cover}} </div>
                    
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Excess period') !!} :</div>
                    @if($information->excessperiod == 1)
                                            @elseif(!empty($information->excessperiod) )
                                          @else
                                          @endif
                    <div class="col-md-6">{{$excessperiod}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Account Name') !!} :</div>
                    <div class="col-md-6">{{$information->accountname}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Account Number') !!} :</div>
                    <div class="col-md-6">{{$information->accountnumber}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Sortcode') !!} :</div>
                    <div class="col-md-6">{{$information->sortcode}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('IBAN') !!} :</div>
                    <div class="col-md-6">{{$information->iban}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Bank') !!} :</div>
                    <div class="col-md-6">{{$information->bank}} </div>
                </div>
                
                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Bank Bic') !!} :</div>
                    <div class="col-md-6">{{$information->bankbic}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Branch') !!} :</div>
                    <div class="col-md-6">{{$information->branch}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Branch Bic') !!} :</div>
                    <div class="col-md-6">{{$information->branchbic}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Branch Address') !!} :</div>
                    <div class="col-md-6">{{$information->branch_address}} </div>
                </div>
                
                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Town') !!} :</div>
                    <div class="col-md-6">{{$information->town}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Bank Postcode') !!} :</div>
                    <div class="col-md-6">{{$information->bank_postcode}} </div>
                </div>

                <div class="form-group col-md-6">
                    <div class="col-md-6">{!! Form::label('Bank Phone') !!} :</div>
                    <div class="col-md-6">{{$information->bank_phone}} </div>
                </div>

                <!-- <div class="form-group col-md-6">
                    <div class="col-md-6"> .</div>
                    <div class="col-md-6">. </div>
                </div> -->
                
                @if(!empty($questions))
                  <div class="form-group col-md-12">
                    <div class="col-md-12"> 
                      {{ Form::label('Do you permanently reside and work within the UK, Channel Islands or Isle of Man?') }} 
                      <br>
                      {{'- '.$questions->question1}}
                    </div>
                  </div>

                  <div class="form-group col-md-12">
                    <div class="col-md-12"> 
                      {{ Form::label('Have you or do you suffer from any major or chronic medical conditions or are you currently taking any medication or awaiting referral for consultation or treatment?') }}
                    <br>
                      {{'- '.$questions->question2}}
                    </div>
                  </div>

                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                      {{ Form::label('Are you now and have you been for the past six months in continuous permanent employment, contract employment or self employment for more than 16 hours per week?') }}
                    <br>
                      {{'- '.$questions->question3}}
                    </div>
                  </div>
                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                      {{ Form::label('Are you subject to any ongoing enquiry or disciplinary action by your employer') }}
                    <br>
                      {{'- '.$questions->question4}}
                    </div>
                  </div>

                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                      {{ Form::label('Are you aware of any impending unemployment or a risk you may become unemployed. If you are self-employed, you must not be aware of any reasons which would mean your business is likely to close;') }}
                    <br>
                      {{'- '.$questions->question5}}
                    </div>
                  </div>

                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                      {{ Form::label('Do you know of any redundancies, restructure, reorganisation, financial or contractual threats within the department you work in, even if you do not believe these actions will result in you becoming unemployed? ') }}
                    <br>
                      {{'- '.$questions->question6}}
                    </div>
                  </div>

                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                      {{ Form::label('Are you aware of any circumstances which may lead to you giving up work to become a full-time carer.') }}
                    <br>
                      {{'- '.$questions->question7}}
                    </div>
                  </div>

                  <div class="form-group col-md-12">
                    <div class="col-md-12">
                      {{ Form::label('Have you ever been convicted of a criminal offence or received a police caution for fraud or theft or any financial crime(s)?') }}
                    <br>
                      {{'- '.$questions->question7}}
                    </div>
                  </div>
                @endif
                <!--
                <div class="form-group col-md-12">
                  <div class="col-md-6">
                    {{ Form::label('Notes') }}
                    @if($information->status == 0)
                        {{ Form::textArea('comment', $information->comment, 
                           array('class'=>'form-control','readOnly','rows' => '4')) 
                        }}
                    @else
                        {{ Form::textArea('comment', $information->comment, 
                           array('class'=>'form-control','rows' => '4')) 
                        }}
                    @endif
                  </div>
                </div>
                <div class="form-group col-md-12">
                    @if($information->status != 0)
                        {{ Form::submit('Submit',array('class'=>'btn btn-success','rows' => '4')) 
                        }}
                    @endif
                </div>
                -->

              </form>
            </div>
    </div>
    <!-- </div> -->
</section>
<style type="text/css">
    .formgroup{
     color :   #454545;
    }
</style>
@stop
@section('pageBottomJs')

<link rel="stylesheet" href="{{ URL::asset('assets/plugins/iCheck/all.css') }}">
<!-- iCheck 1.0.1 -->
<script src="{{ URL::asset('assets/plugins/iCheck/icheck.min.js') }}"></script>
<script src="{{ URL::asset('assets/plugins/datepicker/bootstrap-datepicker.js') }}"></script>
<script>
    $(document).ready(function () {

        $('#datepicker').datepicker({
          autoclose: true
        });

        //date picker for insurer start date
        // $('#insurerStartdate').datepicker({
        //   autoclose: true,
        //   dateFormat:'YYYY-mm-dd'
        // });

        // $('input[type="checkbox"].minimal, input[type="radio"].minimal').iCheck({
        //   checkboxClass: 'icheckbox_minimal-blue',
        //   radioClass: 'iradio_minimal-blue'
        // });

    });
</script>
@stop