@section('title',$data->nama)
<form id="basic-form" method="post" wire:submit.prevent="save">
    <div class="row clearfix">
        <div class="col-md-5">
            <div class="card">
                <div class="body">
                    <div class="form-group">
                        <label>{{ __('Nama') }}</label>
                        <input type="text" class="form-control" wire:model="form.nama" >
                        @error('form.nama')
                        <ul class="parsley-errors-list filled" id="parsley-id-29"><li class="parsley-required">{{ $message }}</li></ul>
                        @enderror
                    </div>
                    <div class="form-group">
                        <label>{{ __('Alamat') }}</label>
                        <textarea name="" class="form-control" wire:model="form.alamat"></textarea>
                        @error('form.alamat')
                        <ul class="parsley-errors-list filled" id="parsley-id-29"><li class="parsley-required">{{ $message }}</li></ul>
                        @enderror
                    </div>
                    <div class="form-group">
                        <label class="fancy-checkbox">
                            <input type="checkbox" wire:model="form.is_approve_pusat_pengajuan" value="1" >
                            <span>Pengajuan Approve Pusat</span>
                        </label>
                        @error('form.is_approve_pusat_pengajuan')
                            <ul class="parsley-errors-list filled" id="parsley-id-29"><li class="parsley-required">{{ $message }}</li></ul>
                        @enderror
                    </div>

                    <div class="form-group">
                        <label class="fancy-checkbox">
                            <input type="checkbox" wire:model="form.is_approve_pusat_refund" value="1" >
                            <span>Refund Approve Pusat</span>
                        </label>
                        @error('form.is_approve_pusat_refund')
                            <ul class="parsley-errors-list filled" id="parsley-id-29"><li class="parsley-required">{{ $message }}</li></ul>
                        @enderror
                    </div>
                    <div class="form-group">
                        <label class="fancy-checkbox">
                            <input type="checkbox" wire:model="form.is_approve_pusat_cancel" value="1" >
                            <span>Cancel Approve Pusat</span>
                        </label>
                        @error('form.is_approve_pusat_cancel')
                            <ul class="parsley-errors-list filled" id="parsley-id-29"><li class="parsley-required">{{ $message }}</li></ul>
                        @enderror
                    </div>
                    <div class="form-group">
                        <label class="fancy-checkbox">
                            <input type="checkbox" wire:model="form.is_approve_pusat_endorsement" value="1" >
                            <span>Endorsement Approve Pusat</span>
                        </label>
                        @error('form.is_approve_pusat_endorsement')
                            <ul class="parsley-errors-list filled" id="parsley-id-29"><li class="parsley-required">{{ $message }}</li></ul>
                        @enderror
                    </div>
                    <div class="form-group">
                        <label class="fancy-checkbox">
                            <input type="checkbox" wire:model="form.is_approve_pusat_claim" value="1" >
                            <span>Claim Approve Pusat</span>
                        </label>
                        @error('form.is_approve_pusat_claim')
                            <ul class="parsley-errors-list filled" id="parsley-id-29"><li class="parsley-required">{{ $message }}</li></ul>
                        @enderror
                    </div>
                    <div class="form-group">
                        <label class="fancy-checkbox">
                            <input type="checkbox" wire:model="form.is_upload_spk" value="1" >
                            <span>Upload SPK</span>
                        </label>
                        @error('form.is_upload_spk')
                            <ul class="parsley-errors-list filled" id="parsley-id-29"><li class="parsley-required">{{ $message }}</li></ul>
                        @enderror
                    </div>
                    <div class="form-group">
                        <label>Underwriting Limit Auto Approve</label>
                        <input type="text" class="form-control" wire:model="form.ul_auto_approve" >
                        @error('form.ul_auto_approve')
                            <ul class="parsley-errors-list filled" id="parsley-id-29"><li class="parsley-required">{{ $message }}</li></ul>
                        @enderror
                    </div>
                    <hr />
                    <a href="{{route('bisnis.index')}}"><i class="fa fa-arrow-left"></i> {{ __('Back') }}</a>
                    <button type="submit" class="btn btn-primary ml-3"><i class="fa fa-save"></i> {{ __('Save') }}</button>
                </div>
            </div>
        </div>
        <div class="col-md-7">
            <div class="card">
                <div class="body">
                    <div class="form-group">
                        <h6>Polis</h6>
                        <hr />
                        <table class="table table-striped table-hover m-b-0 c_list">
                            <thead>
                                <tr>
                                    <th style="width: 50px;">No</th>
                                    <th>No Polis</th>                                    
                                    <th>Polis</th>
                                    <th></th>
                                </tr>
                            </thead>
                            <tbody>
                                @foreach($polis_arr as $k => $item)
                                    <tr>
                                        <td>{{$k+1}}</td>
                                        <td>{{$item['no_polis']}}</td>
                                        <td>{{$item['nama']}}</td>
                                        <td>
                                            <a href="javascript:void(0)" class="text-danger" wire:click="delete_polis({{$k}})"><i class="fa fa-trash"></i></a>
                                        </td>
                                    </tr>
                                @endforeach
                                <tr>
                                    <td>
                                        <a href="javascript:void(0)" wire:click="add_polis" class="btn btn-info"><i class="fa fa-plus"></i></a>
                                    </td>
                                    <td colspan="3">
                                        <select class="form-control" wire:model="polis_id">
                                            <option value="">{{__('--- Polis --- ')}} </option>
                                            @foreach(\App\Models\Polis::get() as $item)
                                                <option value="{{$item->id}}">{{ $item->no_polis}} / {{$item->nama}}</option>
                                            @endforeach
                                        </select>
                                        @error('polis_id')
                                            <ul class="parsley-errors-list filled" id="parsley-id-29"><li class="parsley-required">{{ $message }}</li></ul>
                                        @enderror
                                    </td>
                                </tr>
                            </tbody>
                        </table>
                    </div>
                </div>
            </div>
            <div class="card">
                <div class="body">
                    <h6>Akun Bank</h6>
                    <hr />
                    <div class="table-responsive">
                        <table class="table table-striped table-hover m-b-0 c_list">
                            <thead>
                                <tr>
                                    <th style="width: 50px;">No</th>
                                    <th>Cabang</th>                                    
                                    <th>Bank</th>                                    
                                    <th>Nomor Rekening</th>
                                    <th>Atas Nama</th>
                                </tr>
                            </thead>
                            <tbody>
                                @foreach($bank_arr as $k => $item)
                                    <tr>
                                        <td>{{$k+1}}</td>
                                        <td>
                                            @if(isset($item['cabang_id']))
                                                {{isset(\App\Models\User::find($item['cabang_id'])->name) ? \App\Models\User::find($item['cabang_id'])->name : ''}}
                                            @endif
                                        </td>
                                        <td>{{$item['bank']}}</td>
                                        <td>{{$item['no_rekening']}}</td>
                                        <td>{{$item['owner']}}</td>
                                        <td>
                                            <a href="javascript:void(0)" class="text-danger" wire:click="delete_bank({{$k}})"><i class="fa fa-trash"></i></a>
                                        </td>
                                    </tr>
                                @endforeach
                                <tr>
                                    <td>
                                        <a href="javascript:void(0)" wire:click="add_bank" class="btn btn-info"><i class="fa fa-plus"></i></a>
                                    </td>
                                    <td>
                                        <select class="form-control" wire:model="form_bank.cabang_id">
                                            <option value=""> -- Pilih -- </option>
                                            @foreach($user_cabang as $item)
                                                <option value="{{$item->id}}">{{$item->name}}</option>
                                            @endforeach
                                        </select>   
                                    </td>
                                    <td>
                                        <input type="text" class="form-control" wire:model="form_bank.bank">
                                    </td>
                                    <td>
                                        <input type="text" class="form-control" wire:model="form_bank.no_rekening">
                                    </td>
                                    <td>
                                        <input type="text" class="form-control" wire:model="form_bank.owner">
                                    </td>
                                </tr>
                            </tbody>
                        </table>
                    </div>
                </div>
            </div>
        </div>
    </div>
</form>