@extends('admin.app_main')

@section('content')
<div class="container">
    <div class="row">
        <div class="col-sm-9">
            <div class="panel panel-default">
                <div class="panel-heading">Register User</div>
                <div class="panel-body">
                    <form class="form-horizontal" role="form" method="POST" action="{{ route('register') }}">
                        {{ csrf_field() }}

                        <div class="form-group{{ $errors->has('name') ? ' has-error' : '' }}">
                            <label for="name" class="col-md-4 control-label">Name</label>

                            <div class="col-md-6">
                                <input id="name" type="text" class="form-control" name="name" value="{{ old('name') }}" required autofocus>

                                @if ($errors->has('name'))
                                    <span class="help-block">
                                        <strong>{{ $errors->first('name') }}</strong>
                                    </span>
                                @endif
                            </div>
                        </div>

                        <div class="form-group{{ $errors->has('surname') ? ' has-error' : '' }}">
                            <label for="surname" class="col-md-4 control-label">Surname</label>

                            <div class="col-md-6">
                                <input id="surname" type="text" class="form-control" name="surname" value="{{ old('surname') }}" required autofocus>

                                @if ($errors->has('surname'))
                                    <span class="help-block">
                                        <strong>{{ $errors->first('surname') }}</strong>
                                    </span>
                                @endif
                            </div>
                        </div>

                        <div class="form-group{{ $errors->has('employee_id') ? ' has-error' : '' }}">
                            <label for="employee_id" class="col-md-4 control-label">Team Member ID</label>

                            <div class="col-md-6">
                                <input id="employee_id" type="text" class="form-control" name="employee_id" value="{{ old('employee_id') }}" required autofocus>

                                @if ($errors->has('employee_id'))
                                    <span class="help-block">
                                        <strong>{{ $errors->first('employee_id') }}</strong>
                                    </span>
                                @endif
                            </div>
                        </div>


                        <div class="form-group{{ $errors->has('national_id') ? ' has-error' : '' }}">
                            <label for="national_id" class="col-md-4 control-label">National Id</label>

                            <div class="col-md-6">
                                <input id="national_id" type="text" class="form-control" name="national_id" value="{{ old('national_id') }}" required autofocus>

                                @if ($errors->has('national_id'))
                                    <span class="help-block">
                                        <strong>{{ $errors->first('national_id') }}</strong>
                                    </span>
                                @endif
                            </div>
                        </div>

                        <div class="form-group{{ $errors->has('email') ? ' has-error' : '' }}">
                            <label for="email" class="col-md-4 control-label">E-Mail Address</label>

                            <div class="col-md-6">
                                <input id="email" type="email" class="form-control" name="email" value="{{ old('email') }}" required>

                                @if ($errors->has('email'))
                                    <span class="help-block">
                                        <strong>{{ $errors->first('email') }}</strong>
                                    </span>
                                @endif
                            </div>
                        </div>

                        <div class="form-group{{ $errors->has('password') ? ' has-error' : '' }}">
                            <label for="password" class="col-md-4 control-label">Password</label>

                            <div class="col-md-6">
                                <input id="password" type="password" class="form-control" name="password" required>

                                @if ($errors->has('password'))
                                    <span class="help-block">
                                        <strong>{{ $errors->first('password') }}</strong>
                                    </span>
                                @endif
                            </div>
                        </div>

                        <div class="form-group">
                            <label for="password-confirm" class="col-md-4 control-label">Confirm Password</label>

                            <div class="col-md-6">
                                <input id="password-confirm" type="password" class="form-control" name="password_confirmation" required>
                            </div>
                        </div>

                        <div class="form-group">
                            <div class="col-md-6 col-md-offset-4">
                                <button type="submit" class="btn btn-primary">
                                    Register
                                </button>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
</div>
@endsection