<?php if($individual): ?>
    <?php if($idCard = $individual->lastActiveIdCard): ?>
        <?php echo $__env->make('backend.crm.individuals.forms.id-card-form-edit', array_diff_key(get_defined_vars(), ['__data' => 1, '__path' => 1]))->render(); ?>
    <?php else: ?>
        <div class="box" id="id-card-form">
            <div class="box-header">
                <h5 class="box-title"><?php echo e(__('forms.IDCard')); ?></h5>
            </div>
            <div class="box-body pb-2">
                <form action="<?php echo e(route('crm.idcards.store', $individual)); ?>" method="POST">
                    <?php echo csrf_field(); ?>
                    <div class="grid grid-cols-2 gap-x-6 mb-6">
                        <div>
                            <label for="jmbg" class="ti-form-label <?php $__errorArgs = ['jmbg'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?> error <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>">
                                <?php $__errorArgs = ['jmbg'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?>
                                    <?php echo e($message); ?>

                                <?php else: ?>
                                    <?php echo e(__('forms.JMBG')); ?>

                                <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>
                            </label>
                            <input id="jmbg" type="text" name="jmbg" value="<?php echo e(old('jmbg')); ?>"
                                class="ti-form-input shadow-sm <?php $__errorArgs = ['jmbg'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?> border-red-500 <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>" placeholder="JMBG"
                                <?php echo e($readonly ? 'disabled' : ''); ?>>
                        </div>
                        <div>
                            <label for="date_of_birth" class="ti-form-label <?php $__errorArgs = ['date_of_birth'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?> error <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>">
                                <?php $__errorArgs = ['date_of_birth'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?>
                                    <?php echo e($message); ?>

                                <?php else: ?>
                                    <?php echo e(__('forms.DateOfBirth')); ?>

                                <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>
                            </label>
                            <div class="flex rounded-sm shadow-sm">
                                <div
                                    class="px-4 inline-flex items-center min-w-fit ltr:rounded-l-sm rtl:rounded-r-sm border ltr:border-r-0 rtl:border-l-0 border-gray-200 bg-gray-50 dark:bg-black/20 dark:border-white/10 <?php $__errorArgs = ['date_of_birth'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?> border-red-500 <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>">
                                    <span class="text-sm text-gray-500 dark:text-white/70"><i
                                            class="ri ri-calendar-line"></i></span>
                                </div>
                                <input id="date_of_birth" type="text" name="date_of_birth"
                                    value="<?php echo e(old('date_of_birth')); ?>"
                                    class="ti-form-input rounded-l-none focus:z-10 flatpickr-input date-picker py-2 <?php $__errorArgs = ['date_of_birth'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?> border-red-500 <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>"
                                    placeholder="<?php $__errorArgs = ['date_of_birth'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?><?php echo e(__('forms.DateOfBirth')); ?><?php else: ?><?php echo e(__('forms.ChooseDate')); ?><?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>"
                                    readonly <?php echo e($readonly ? 'disabled' : ''); ?>>
                            </div>
                        </div>
                    </div>
                    <div class="grid grid-cols-2 gap-x-6 mb-6">

                        <div>
                            <label for="issued_at" class="ti-form-label <?php $__errorArgs = ['issued_at'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?> error <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>">
                                <?php $__errorArgs = ['issued_at'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?>
                                    <?php echo e($message); ?>

                                <?php else: ?>
                                    <?php echo e(__('forms.IssuingDate')); ?>

                                <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>
                            </label>
                            <div class="flex rounded-sm shadow-sm">
                                <div
                                    class="px-4 inline-flex items-center min-w-fit ltr:rounded-l-sm rtl:rounded-r-sm border ltr:border-r-0 rtl:border-l-0 border-gray-200 bg-gray-50 dark:bg-black/20 dark:border-white/10 <?php $__errorArgs = ['issued_at'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?> border-red-500 <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>">
                                    <span class="text-sm text-gray-500 dark:text-white/70"><i
                                            class="ri ri-calendar-line"></i></span>
                                </div>
                                <input id="issued_at" type="text" name="issued_at" value="<?php echo e(old('issued_at')); ?>"
                                    class="ti-form-input rounded-l-none focus:z-10 flatpickr-input date-picker py-2 <?php $__errorArgs = ['issued_at'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?> border-red-500 <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>"
                                    placeholder="<?php $__errorArgs = ['issued_at'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?><?php echo e(__('forms.IssuingDate')); ?><?php else: ?><?php echo e(__('forms.ChooseDate')); ?><?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>"
                                    readonly <?php echo e($readonly ? 'disabled' : ''); ?>>
                            </div>
                        </div>



                        <div>
                            <label for="expires_at" class="ti-form-label <?php $__errorArgs = ['expires_at'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?> error <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>">
                                <?php $__errorArgs = ['expires_at'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?>
                                    <?php echo e($message); ?>

                                <?php else: ?>
                                    <?php echo e(__('forms.ValidUntil')); ?>

                                <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>
                            </label>
                            <div class="flex rounded-sm shadow-sm">
                                <div
                                    class="px-4 inline-flex items-center min-w-fit ltr:rounded-l-sm rtl:rounded-r-sm border ltr:border-r-0 rtl:border-l-0 border-gray-200 bg-gray-50 dark:bg-black/20 dark:border-white/10 <?php $__errorArgs = ['expires_at'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?> border-red-500 <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>">
                                    <span class="text-sm text-gray-500 dark:text-white/70"><i
                                            class="ri ri-calendar-line"></i></span>
                                </div>
                                <input id="expires_at" type="text" name="expires_at" value="<?php echo e(old('expires_at')); ?>"
                                    class="ti-form-input rounded-l-none focus:z-10 flatpickr-input date-picker py-2 <?php $__errorArgs = ['expires_at'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?> border-red-500 <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>"
                                    placeholder="<?php $__errorArgs = ['expires_at'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?><?php echo e(__('forms.ValidUntil')); ?><?php else: ?><?php echo e(__('forms.ChooseDate')); ?><?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>"
                                    readonly <?php echo e($readonly ? 'disabled' : ''); ?>>
                            </div>
                        </div>

                    </div>
                    <div class="grid grid-cols-2 gap-x-6 mb-6">
                        <div>
                            <label for="reg_no" class="ti-form-label <?php $__errorArgs = ['reg_no'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?> error <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>">
                                <?php $__errorArgs = ['reg_no'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?>
                                    <?php echo e($message); ?>

                                <?php else: ?>
                                    <?php echo e(__('forms.RegNo')); ?>

                                <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>
                            </label>
                            <input id="reg_no" type="text" name="reg_no" value="<?php echo e(old('reg_no')); ?>"
                                class="ti-form-input shadow-sm  <?php $__errorArgs = ['reg_no'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?> border-red-500 <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>"
                                <?php $__errorArgs = ['jmbg'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?> border-red-500 <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?> placeholder="<?php echo e(__('forms.RegNo')); ?>"
                                <?php echo e($readonly ? 'disabled' : ''); ?>>
                        </div>
                        <div>
                            <label for="issuer" class="ti-form-label <?php $__errorArgs = ['issuer'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?> error <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>">
                                <?php $__errorArgs = ['issuer'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?>
                                    <?php echo e($message); ?>

                                <?php else: ?>
                                    <?php echo e(__('forms.IssuingAuthority')); ?>

                                <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>
                            </label>
                            <input id="issuer" type="text" type="text" name="issuer" value="<?php echo e(old('issuer')); ?>"
                                class="ti-form-input shadow-sm <?php $__errorArgs = ['issuer'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?> border-red-500 <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>"
                                placeholder="<?php echo e(__('forms.IssuingAuthority')); ?>" <?php echo e($readonly ? 'disabled' : ''); ?>>
                        </div>
                    </div>
                    <div class="mb-6">
                        <label for="place_of_birth_city_id" class="ti-form-label <?php $__errorArgs = ['place_of_birth_city_id'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?> error <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>">
                            <?php $__errorArgs = ['place_of_birth_city_id'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?>
                                <?php echo e($message); ?>

                            <?php else: ?>
                                <?php echo e(__('forms.PlaceOfBirth')); ?>

                            <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>
                        </label>
                        <select class="ti-form-select py-1 <?php $__errorArgs = ['place_of_birth_city_id'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?> border-red-500 <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>"
                                id="place_of_birth_city_id" 
                                name="place_of_birth_city_id">
                                <?php $__errorArgs = ['place_of_birth_city_id'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?>
                                    <option value=""><?php echo e(__('forms.PlaceOfBirth')); ?></option>
                                <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>
                        </select>
                    </div>
                    <?php if(!$readonly): ?>
                        <div class="flex justify-between">
                            <div>
                                <?php if(session()->has('message')): ?>
                                    <div class="mt-4 text-green-600">
                                        <?php echo e(session('message')); ?>

                                    </div>
                                <?php endif; ?>
                            </div>
                            <button type="submit" class="ti-btn ti-btn-outline-success py-1 px-3 mr-0">
                                <span>
                                    <?php echo e(__('forms.Save')); ?>

                                </span>
                            </button>
                        </div>
                    <?php endif; ?>
                </form>
            </div>
        </div>
    <?php endif; ?>
<?php else: ?>
    <?php echo $__env->make('backend.crm.placeholders.id-card-form', array_diff_key(get_defined_vars(), ['__data' => 1, '__path' => 1]))->render(); ?>
<?php endif; ?>
<?php /**PATH C:\laragon\www\policypilot\resources\views/backend/crm/individuals/forms/id-card-form.blade.php ENDPATH**/ ?>