@extends('edufair.layouts.master')
@section('content')
    <!-- Main Container -->
    <main id="main-container">
        <div class="bg-image my-3" style="background-image: url('{{asset('public/theme/assets/media/img/background.jpg')}}')">
            <div class="content">
                <div class="row">
                    <div class="col-lg-12">
                        <div class="py-4 pt-5 text-center" id="heading_ti_adn">
                            <h1 class="font-w700 mb-2" id="f_ad_ne_main_title">
                                {{$heading}}
                            </h1>
                        </div>
                    </div>
                </div>
                <div class="row justify-content-center">
                    <div class="col-sm-6 col-xl-6 bg-white">
                        <form class="" action="" method="POST">{{csrf_field()}}
                            <div class="py-3">
                                <div class="form-group">
                                    <div class="form-group mb-0">
                                        <input type="text" class="form-control @if($errors->first('authorized_person')) is-invalid @endif" id="authorized_person" name="authorized_person" value="{{old('authorized_person')}}" placeholder="Authorized Person Name" >
                                        <div class="invalid-feedback">@if($errors->first('authorized_person')) {{$errors->first('authorized_person')}} @endif</div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <div class="form-group mb-0">
                                        <input type="text" class="form-control @if($errors->first('designation')) is-invalid @endif" id="designation" name="designation" value="{{old('designation')}}" placeholder="Designation" >
                                        <div class="invalid-feedback">@if($errors->first('designation')) {{$errors->first('designation')}} @endif</div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <div class="form-group mb-0">
                                        <input type="text" class="form-control @if($errors->first('institution')) is-invalid @endif" id="institution" name="institution" value="{{old('institution')}}" placeholder="Institution Name" >
                                        <div class="invalid-feedback">@if($errors->first('institution')) {{$errors->first('institution')}} @endif</div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <div class="form-group mb-0">
                                        <input type="text" class="form-control @if($errors->first('address')) is-invalid @endif" id="address" name="address" value="{{old('address')}}" placeholder="Full Address" >
                                        <div class="invalid-feedback">@if($errors->first('address')) {{$errors->first('address')}} @endif</div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <div class="form-group mb-0">
                                        <input type="text" class="form-control" id="tel_no" name="tel_no" value="{{old('tel_no')}}" placeholder="Telephone Number">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <div class="form-group mb-0">
                                        <input type="text" class="form-control @if($errors->first('mobile')) is-invalid @endif" id="mobile" name="mobile" value="{{old('mobile')}}" placeholder="Mobile Number" >
                                        <div class="invalid-feedback">@if($errors->first('mobile')) {{$errors->first('mobile')}} @endif</div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <div class="form-group mb-0">
                                        <input type="email" class="form-control @if($errors->first('email_address')) is-invalid @endif" id="email_address" name="email_address" value="{{old('email_address')}}" placeholder="Email Address" >
                                        <div class="invalid-feedback">@if($errors->first('email_address')) {{$errors->first('email_address')}} @endif</div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <div class="form-group mb-0">
                                        <input type="url" class="form-control" id="website" name="website" value="{{old('website')}}" placeholder="Website Link">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <button type="submit" class="btn btn-block btn-sm btn-hero-primary">
                                        Submit
                                    </button>
                                </div>
                            </div>
                        </form>
                    </div>
                </div>
            </div>
        </div>
@endsection