@extends('pdf.pdfheader')
@section('pdf.pdfContent')

<div class="second">
    <table style="margin: 0;padding:0;width:100%">
        <tr style="margin: 0;padding:0">
            <td style="width:5%;"> <label class="form-label-sm">Form No</label></td>
            <td style="width:15%;">
                <input style="width:95%;" type="text" class="form-control" value="{{$studentData->formno}}" id="formNo" placeholder="" readonly>
            </td>
            <td style="width:5%;">
                <label class="form-label-sm" style="margin-left:50px;">Room No</label>
            </td>
            <td style="width:15%">
                <input style="width:95%;" type="text" class="form-control" id="RoomNo" value="{{$studentData->roomno}}" placeholder="" readonly>
            </td>
            <td style="width:5%">
                <label class="form-label-sm" style="margin-left:50px;" for="Date">Date</label>
            </td>
            <td style="width:15%">
                <input style="width:95%;" type="text" class="form-control" id="Date" value="{{\Carbon\Carbon::createFromFormat('Y-m-d',$studentData->date )->format('d-M-Y')}}" placeholder="" readonly>
            </td>
        </tr>
    </table>
    <table style="margin:0;padding:0;width:100%;">
        <thead>
            <tr style="margin:0px;padding:0px">
                <td colspan="4">
                    <div class="headings">
                        <h4>Personal Details</h4>
                    </div>
                </td>
            </tr>
        </thead>
        <tbody class="align-middle" style="width:100%;">
            <tr>
                <td><label class="form-label-sm" for="name">Candidate Name</label> </td>
                <td colspan="2"><input style="width:95%" class="form-control" type="text" name="" value="{{ $studentData->candidatename }}" id="name" placeholder="Full Name" readonly></td>
                <td rowspan="5" style="width:160px;">
                    @if($studentData->uploadimage && file_exists(public_path('assets/uploads/' . $studentData->uploadimage)))
                    <img class="img-responsive object-fit-contain" src="data:image/png;base64,{{ base64_encode(file_get_contents(public_path('assets/uploads/' . $studentData->uploadimage))) }}" alt="Parent Signature" style="width:100%; height:200px;object-fit:contain">
                    @endif
                </td>
            </tr>
            <tr>
                <td rowspan="1"><label class="form-label-sm" for="name">Contact Detail</label></td>
                <td rowspan="1"> <input style="width:90%" class="form-control" type="text" name="" value="{{ $studentData->phone }}" id="mobile" placeholder="Phone" readonly>
                </td>
                <td rowspan="1">
                    <input style="width:95%" class="form-control" type="text" id="email" value="{{ $studentData->email }}" placeholder="email" readonly>
                </td>
            </tr>
            <tr>
                <td><label class="form-label-sm" for="name">Birth Detail/Aadhar No</label></td>
                <td> <input style="width:90%" class="form-control" type="text" value="{{ \Carbon\Carbon::createFromFormat('Y-m-d', $studentData->dob)->format('d-M-Y')}}" id="Birth" readonly>
                </td>
                <td>
                    <input style="width:95%" class="form-control" type="text" id="aadhar" value="{{ $studentData->valid }}" placeholder="Adhar/VT/DL ID Proof" readonly>
                </td>
            </tr>
            <tr>
                <td><label class="form-label-sm" for="name">Medical Detail</label></td>
                <td> <input style="width:90%" class="form-control" type="text" name="" value="{{ $studentData->blood }}" id="blood-group" placeholder="Blood Group" readonly>
                </td>
                <td> <input class="form-control" style="width:95%" type="text" id="health-issue" value="{{ strtolower($studentData->healthissue) == 'no' ? 'No Health Issue' : $studentData->health_description}}" placeholder="Any Health issue" readonly>
                </td>
            </tr>
            <tr>
                <td> <label class="form-label-sm" for="name">Lock-In Period(Month)</label></td>
                <td colspan="2">
                    <input style="width:95%" class="form-control" type="text" name="" value="{{ $studentData->stydrt }}" id="stay-duration" placeholder="Stay Duration" readonly>
                </td>
            </tr>
            <tr>
                <td> <label class="form-label-sm" for="name">Vehical Detail</label></td>
                <td colspan="2">
                    <input class="form-control" style="width:95%" type="text" id="vehical" value="{{ strtolower($studentData->vehicalno) == 'no' ? 'No Vehical' : $studentData->vehicledescription; }}" placeholder="Vehical Name & No" readonly>
                </td>
            </tr>
            <tr>
                <td><label class="form-label-sm" for="name">Course/Job Type</label></td>
                <td colspan="3"> <input style="width:96%" class="form-control" type="text" value="{{ strtolower($studentData->coursename) == 'coursetype' ? $studentData->coursedetails : $studentData->jobdetails }}" id="courseType" placeholder="" readonly>
                </td>
            </tr>
            <tr>
                <td> <label class="form-label-sm" for="name">Institute/Company</label>
                </td>
                <td colspan="3"> <input style="width:96%" class="form-control" type="text" value="{{ strtolower($studentData->institute) == 'institute name' ? $studentData->institutename : $studentData->companyname}}" id="Cpy-type" placeholder="" readonly>
                </td>
            </tr>
        </tbody>
    </table>
    <table style="margin:0;padding:0;width:100%;">
        <thead>
            <tr style="margin:0px;padding:0px;width:100%">
                <td colspan="5">
                    <div class="headings">
                        <h4>Parent's/Guardian Details</h4>
                    </div>
                </td>
            </tr>
        </thead>
        <tbody style="width:100%">
            <tr style="width:100%;">
                <td><label class="form-label-sm" for="name">Father Name</label></td>
                <td>
                    <input style="width:95%" class="form-control" type="text" name="" id="father-name" value="{{ $studentData->fathername }}" placeholder="Father Name" readonly>
                </td>
                <td>
                    <label class="form-label-sm" style="margin-left:5px" for="name">Occupation</label>
                </td>
                <td colspan="2">
                    <input style="width:90%" class="form-control" type="text" name="" id="father-occupation" value="{{ $studentData->fatheroocc }}" placeholder="Father Occupation" readonly>
                </td>
            </tr>
            <tr>
                <td> <label class="form-label-sm" for="name">Mother Name</label></td>
                <td>
                    <input style="width:95%" class="form-control" type="text" name="" value="{{ $studentData->mothername}}" id="mother-name" placeholder="Mother Name" readonly>
                </td>
                <td>
                    <label class="form-label-sm" style="margin-left:5px">Occupation</label>
                </td>
                <td colspan="2">
                    <input style="width:90%" class="form-control" type="text" name="" id="mother-occupation" value="{{ $studentData->motheroocc}}" placeholder="mother Occupation" readonly>
                </td>
            </tr>
            <tr>
                <td>
                    <label class="form-label-sm">Contact No</label>
                </td>
                <td>
                    <input style="width:95%" class="form-control" type="text" name="" value="{{ $studentData->tel }}" id="Tel" placeholder="Tel" readonly>
                </td>
                <td></td>
                <td colspan="2">
                    <input style="width:90%" class="form-control" type="text" name="" value="{{ $studentData->mobilenumber }}" id="Mobile" placeholder="Mobile" readonly>
                </td>
            </tr>
            <tr>
                <td> <label class="form-label-sm" for="">Email Id</label></td>
                <td colspan="4">
                    <input style="width:96%;padding:3px;" class="form-control" type="text" id="parent-email" value="{{ $studentData->pemail }}">
                </td>
            </tr>
            <tr>
                <td><label class="form-label-sm" for="">Full Address</label></td>
                <td colspan="4">
                    <div>
                        <input style="width:96%" class="form-control" value="{{ $studentData->fullAddress}}" type="text">
                    </div>
                    <div style="margin:5px 0px ;padding:0;">
                        <input style="width:96%" class="form-control" value="{{ $studentData->district  }},{{ $studentData->state  }},{{ $studentData->country  }} - {{ $studentData->pinno  }}" type="text">
                    </div>
                </td>
            </tr>
            <tr>
                <td> <label class="form-label-sm">Guardian Name</label></td>
                <td>
                    <input style="width:95%" type="text" class="form-control" value="{{ $studentData->guardianname}}">
                </td>
                <td><label class="form-label-sm" style="margin-left:5px">Contact No</label> </td>
                <td colspan="2">
                    <input style="width:90%" type="text" value="{{ $studentData->guardiannumber}}" id="" class="form-control">
                </td>
            </tr>
            <tr>
                <td>
                    <label class="form-label-sm">Address</label>
                </td>
                <td colspan="4">
                    <div>
                        <input style="width:96%" type="text" value="{{ $studentData->guardianaddress }}" class="form-control">
                    </div>
                    <div style="margin:5px 0px;padding:0;">
                        <input style="width:96%" class="form-control" value="{{ $studentData->guardianDistrict  }},{{ $studentData->guardianState  }},{{ $studentData->guardianCountry  }} - {{ $studentData->guardianPincode  }}" type="text">
                    </div>
                </td>
            </tr>
        </tbody>
    </table>
    <table>
        <tr>
            <td class="headings">
                <h4>Disclamer</h4>
            </td>
        </tr>
        <tr>
            <td>
                <p class="declaration-text">
                    I DECLARE THAT THE INFORMATION GIVEN ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE.
                    I AGREE THAT IF ANY INFORMATION FURNISHED ABOVE FOUND INCORRECT MY ADMISSION IS LIABLE
                    TO BE CANCELLED. I HAVE READ AND ACCEPTED ALL TERMS & CONDITIONS ATTACHED WITH THIS FORM.
                </p>
            </td>
        </tr>
    </table>
    <hr style="margin:0;padding:0;">
    <table style="width:100%;margin:0;padding:0;">
        <tr>
            <td style="width:10%">
                <label class="form-label-sm" >Admin Note</label>
            </td>
            <td>
                <div style="margin:5px 0px;padding:0;">
                    <input style="width:98%;height:50px;" class="form-control" value="{{ $studentData->user_remark  }}" type="text">
                </div>
            </td>
        </tr>
    </table>
    <table style="width:100%;margin:0;padding:0;">
        <tr>
            <td class="sing-box" style="width:20%">
                @if($studentData->candidatesign != null && file_exists(public_path('assets/uploads/' . $studentData->candidatesign)))
                <center>
                    <img class="img-responsive object-fit-contain" src="data:image/png;base64,{{ base64_encode(file_get_contents(public_path('assets/uploads/' . $studentData->candidatesign )))}}" alt="candidate signature" style="width:80%; height:120px;object-fit:contain">
                </center>
                @endif
                <p class="text-center">Candidate Sign </p>
            </td>
            <td class="sing-box" style="width:20%">
                @if($studentData->Parentsign != null && file_exists(public_path('assets/uploads/' . $studentData->Parentsign)))
                <center>
                    <img class="img-responsive object-fit-contain" src="data:image/png;base64,{{ base64_encode(file_get_contents(public_path('assets/uploads/' . $studentData->Parentsign )))}}" alt=" Parent Signature" style="width:80%; height:120px;object-fit:contain">
                </center>
                @endif
                <p class="text-center">Parent/Guardian Sign </p>
            </td>
            <td class="sing-box" style="width:20%;">
                @if ($stapWithSign->upload_pdf && file_exists(public_path('assets/uploads/pdf/' . $stapWithSign->upload_pdf)))
                <center>
                    <img class="img-responsive object-fit-contain" src="data:image/png;base64,{{ base64_encode(file_get_contents(public_path('assets/uploads/pdf/' . $stapWithSign->upload_pdf )))}}" alt=" Parent Signature" style="width:80%; height:120px;object-fit:contain">
                </center>
                @endif
                <p class="text-center">Rector/Warden & Sign </p>
            </td>
        </tr>
    </table>
</div>

@endsection