@include('layouts/master')
<!--main content start-->
<section id="main-content">
<style type="text/css">
  body{
    background: #eaeaea;
  }
</style>
    <section class="wrapper">
        <div class=".container">
            <div class="heading">
            <div>
            <h2>Tambah Data WNA</h2>
            </div>
            <form method="POST" action="{{route('wna.store')}}">
            @csrf
            <div class="form-group">
                <label for="formGroupExampleInput">No Permohonan</label>
                <input type="text" class="form-control @error ('no_permohonan') is-invalid @enderror" id="no_permohonan" name="no_permohonan" placeholder="Masukan No Permohonan" value="{{ old('no_permohonan') }}">
                @error('no_permohonan')<div class="invalid-feedback alert alert-danger">{{ $message }}</div>@enderror
            </div>
            <div class="form-group">
                <label for="formGroupExampleInput2">Nama Lengkap</label>
                <input type="text" class="form-control @error ('nama') is-invalid @enderror" id="nama" name="nama" placeholder="Masukan Nama Lengkap" value="{{ old('nama') }}">
                @error('nama')<div class="invalid-feedback alert alert-danger">{{ $message }}</div>@enderror
            </div>
            <div class="form-group">
                <label for="formGroupExampleInput2">Jenis Permohonan</label>
                <div class="col-auto my-1">
                <label class="mr-sm-2 sr-only" for="inlineFormCustomSelect">Preference</label>
                <select class="custom-select mr-sm-2 @error ('jenis_permohonan') is-invalid @enderror" id="jenis_permohonan" name="jenis_permohonan" value="{{ old('jenis_permohonan') }}">
                    <option selected>Pilih Jenis Permohonan</option>
                    <option value="Mutasi Alamat">Mutasi Alamat</option>
                    <option value="Mutasi Data Paspor">Mutasi Data Paspor</option>
                    <option value="Lapor Kematian">Lapor Kematian</option>
                    <option value="REP TK">REP TK</option>
                    <option value="Lapor Lahir">Lapor Lahir</option>
                    <option value="Pemberian ITK">Pemberian ITK</option>
                    <option value="Perpanjangan ITK">Perpanjangan ITK</option>
                    <option value="Perpanjangan ITAP">Perpanjangan ITAP</option>
                    <option value="Perpanjangan ITAS">Perpanjangan ITAS</option>
                    <option value="ITAS Online">ITAS Online / Penerbitan ITAS</option>
                    <option value="Altus ITAS-ITAP">Altus ITAS-ITAP</option>
                    <option value="MREP tahun">MREP</option>
                    <option value="Alih Sponsor">Alih Sponsor</option>
                    <option value="VOA">VOA</option>
                    <option value="Lain-lain">Lain-lain</option>
                </select>
                </div>
                @error('jenis_permohonan')<div class="invalid-feedback alert alert-danger">{{ $message }}</div>@enderror
            </div>
            <div class="form-group">
                <label for="formGroupExampleInput2">Negara</label>
                <input type="text" class="form-control @error ('negara') is-invalid @enderror" id="negara" name="negara" placeholder="Masukan Negara" value="{{ old('negara') }}">
                @error('negara')<div class="invalid-feedback alert alert-danger">{{ $message }}</div>@enderror
            </div>
            <div class="form-group">
                <label for="formGroupExampleInput2">Tanggal Lahir</label>
                <div class="col-auto my-1">
                <input type="date" id="tgl_lahir" name="tgl_lahir" value="{{ old('tgl_lahir') }}">
                </div>
                @error('tgl_lahir')<div class="invalid-feedback alert alert-danger">{{ $message }}</div>@enderror
            </div>
            <div class="form-group">
                <label for="formGroupExampleInput2">No Arsip</label>
                <input type="text" class="form-control @error ('no_arsip') is-invalid @enderror" id="no_arsip" name="no_arsip" placeholder="Masukan No Arsip" value="{{ old('no_arsip') }}">
                @error('no_arsip')<div class="invalid-feedback alert alert-danger">{{ $message }}</div>@enderror
            </div>
                <button type="submit" class="btn btn-success">Tambah</button>
            </form>
            

        </div>
        <!-- /row -->
    </section>
    </section>
    <!--main content end-->
    
</section>