@extends('masterpage')

@section('newpagecontent')
   <section class="inner_header_back ">
        <div class="container pb-5 text-center padding-b-20">
            <div class="col-12 p-0 text-ali-left">
                <p class="animated zoomInDown h3 inner-banner-text" style=" " >Request a Session with leadingindia.ai Team<br>
                </p>
            </div>
            <!--<div class="col-12 mt-5-sm-3 p-0 text-ali-left">-->
            <!--    <a class="appao-btn" href="register"><span class="blink">Register Now</span></a>-->

            <!--</div>-->
             

        </div>
    </section>


<section class="workshop-section" style="padding-bottom: 120px;">
    <hr style="margin-top:0">
    <div class="container padding0 " style="padding: 0 5px;">
        <span style="font-weight:500;font-size:1.2em;">Register for Session with leadingindia.ai Team</span> <br> <br>
<!--	<span style="font-weight:400">Internship at Bennett University is offered free of cost. The fees charged is for Workshop / Hostel. </span>--> 	<span style="font-weight:400"> </span> <br> <br>


        <form action="{{ url('/requestsession') }}" method="post" class="form-horizontal" onsubmit="return confirm('Please confirm All Details');" enctype="multipart/form-data">

            @if(!empty($errors->first()))
                <div class="row col-lg-12">
                    <div class="alert alert-danger">
                        <span>{{ $errors->first() }}</span>
                    </div>
                </div>
            @endif
            <input type="hidden" name="_token" value = "{{ csrf_token() }}" />
            <div class="col-sm-12 text-left padding0">
                <div class="row">
                    <div class="col-sm-4">
                        <div class="form-group">
                            <label class="control-label" for="fullname">Full Name<span class="required">*</span></label>
                            <input id="fullname" name="fullname" class="form-control input-md" type="text" value="{{ old('fullname') }}">
                            @if ($errors->has('fullname'))
                                <small class="text-danger">{{ $errors->first('fullname') }}</small>
                            @endif
                        </div>
                    </div>
                    <div class="col-sm-4">
                        <div class="form-group">
                            <label class="control-label" for="fullname">Institution<span class="required">*</span></label>
                            <input id="institue" name="institue" class="form-control input-md" type="text" value="{{ old('institue') }}">
                            @if ($errors->has('institue'))
                                <small class="text-danger">{{ $errors->first('institue') }}</small>
                            @endif
                        </div>
                    </div>
                    <div class="col-sm-4">
                            <div class="form-group">
                                <label class="control-label" for="parentname">Designation<span class="required">*</span></label>
                                <input id="designation" name="designation" class="form-control input-md" type="text"  value="{{ old('designation') }}">
                                @if ($errors->has('designation'))
                                    <small class="text-danger">{{ $errors->first('designation') }}</small>

                                @endif
                                <span id="error_name"></span>
                            </div>
                    </div>
                    
                     <div class="col-sm-4">
                            <div class="form-group">
                                <label class="control-label" for="parentname">Which Membership Option you are looking for</label>
                                <input id="membership_option" name="membership_option" class="form-control input-md" type="text"  value="{{ old('membership_option') }}">
                                @if ($errors->has('membership_option'))
                                    <small class="text-danger">{{ $errors->first('membership_option') }}</small>
                                @endif
                                <span id="error_name"></span>
                            </div>
                    </div>
                    
                    <div class="col-sm-4">
                            <div class="form-group">
                                <label class="control-label" for="parentname">Who else will attend the session from your side </label>
                                <input id="attend_session" name="attend_session" class="form-control input-md" type="text"  value="{{ old('attend_session') }}">
                                @if ($errors->has('attend_session'))
                                    <small class="text-danger">{{ $errors->first('attend_session') }}</small>
                                @endif
                                <span id="error_name"></span>
                            </div>
                    </div>
                  
                </div>
            </div>
             <div class="col-sm-12 text-left padding0">
               <small>(At least one person who can make the final decion on membership should be there to attend the session)</small>
             </div>
                   <div class="col-sm-12 text-left padding0">
                       <label class="control-label" for="mail">Give three options to set up the session (For 15-20 minutes)</label>
                    <div class="row">
                        <div class="col-sm-2">
                            <div class="form-group">
                                <label class="control-label" for="fullname">Date 1<span class="required">*</span></label>
                                <input id="date1" name="date1" class="form-control input-md" type="date"   value="{{ old('date1') }}">
                                @if ($errors->has('date1'))
                                    <small class="text-danger">{{ $errors->first('date1') }}</small>

                                @endif
                                <span id="error_email"></span>
                            </div>
                        </div>
                        <div class="col-sm-2">
                            <div class="form-group">
                                <label class="control-label" for="fullname">Time 1<span class="required">*</span></label>
                                <input id="time1" name="time1" class="form-control input-md" type="time"   value="{{ old('time1') }}">
                                @if ($errors->has('time1'))
                                    <small class="text-danger">{{ $errors->first('time1') }}</small>

                                @endif
                                <span id="error_email"></span>
                            </div>
                        </div>
                        
                        <div class="col-sm-2">
                            <div class="form-group">
                                  <label class="control-label" for="fullname">Date 2</label>
                                <input id="date2" name="date2" class="form-control input-md" type="date"   value="{{ old('date2') }}">
                                @if ($errors->has('date2'))
                                    <small class="text-danger">{{ $errors->first('date2') }}</small>

                                @endif
                                <span id="error_email"></span>
                            </div>
                        </div>
                        <div class="col-sm-2">
                            <div class="form-group">
                                  <label class="control-label" for="fullname">Time 2</label>
                                <input id="time2" name="time2" class="form-control input-md" type="time"   value="{{ old('time2') }}">
                                @if ($errors->has('time2'))
                                    <small class="text-danger">{{ $errors->first('time2') }}</small>

                                @endif
                                <span id="error_email"></span>
                            </div>
                        </div>
                        
                         <div class="col-sm-2">
                            <div class="form-group">
                                  <label class="control-label" for="fullname">Date 3</label>
                                <input id="date3" name="date3" class="form-control input-md" type="date"   value="{{ old('date3') }}">
                                @if ($errors->has('date3'))
                                    <small class="text-danger">{{ $errors->first('date3') }}</small>

                                @endif
                                <span id="error_email"></span>
                            </div>
                        </div>
                        <div class="col-sm-2">
                            <div class="form-group">
                                  <label class="control-label" for="fullname">Time 3</label>
                                <input id="time3" name="time3" class="form-control input-md" type="time"   value="{{ old('time3') }}">
                                @if ($errors->has('time3'))
                                    <small class="text-danger">{{ $errors->first('time3') }}</small>

                                @endif
                                <span id="error_email"></span>
                            </div>
                        </div>
                       
                    </div>
                </div>

                
                

                <div class="col-sm-12 text-left padding0">
                    <div class="row">
                         <div class="col-sm-12">
                            <div class="form-group">
                                <label class="control-label" for="country">Session Request 
                                <br>1. To understand the details of offerings
                                <br>2. To clarify doubts
                                </label>
                            </div>
                        </div>
                        
                    </div>
                </div>

           {{-- <input type="hidden" name="otpverification" value="" id="otpverification">--}}

            <div class="row">

               <div class="container text-left padding0 text-center">
                   
                   <!-----------this button is false-------------------------------------------->  
                   
                    <!--<button id="register" name="" class="btn btn-info" style="" disabled>Register</button>-->
                  <!-----------this line is commented for payment-------------------------------------------->  
                  
                  <!--<button id="register" name="register" class="btn btn-info" style="" >Register</button>-->
                  <input type="submit" value="Submit" class="btn btn-info" id="submit">
                   
                </div> 

            </div>
            <!--{{ csrf_field() }}-->

        </form>
        
    </div>
    
    
    <div class="modal fade location-popup" id="getCodeModal" tabindex="-1" role="dialog" aria-labelledby="myModalLabel" aria-hidden="true" style="">
        <div class="modal-dialog modal-lg ">
            <div class="modal-content" style="border: none;">
                <div class="modal-header">

                    <h5 class="modal-title" id="myModalLabel"> Seat Avaibility </h5>
                    <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">&times;</span></button>
                </div>
                <div class="modal-body" id="getCode" style="min-height: 100px;">

                </div>
            </div>
        </div>
    </div>
</section>

@endsection