{{ HTML::script('js/applicant/internal/data_aspirant.js') }}
{{ Form::hidden('hdnVerifiedFamily', action('AdmissionController@postVerifiedFamily', array()), array('id'=>'hdnVerifiedFamily')) }}
{{ Form::hidden('hdnLoadNewInstitution', action('ApplicantInternalController@getAddInstitution', array()), array('id'=>'hdnLoadNewInstitution')) }}
{{ Form::hidden('hdnTypeAdmission',$admission->type_admission,array('id'=>'hdnTypeAdmission')) }}
{{ Form::hidden('hdnAspirantType',$aspirantType,array('id'=>'hdnAspirantType')) }}
{{ Form::hidden('hdnSaveForm',action('AdmissionController@postCreateDataAdmissionAplicant'),array('id'=>'hdnSaveForm')) }}
<div class="col-md-12">
    {{ Form::open(array('url' => 'Admission/create-data-admission', 'method' => 'POST', 'id' => 'data_form')) }}
    {{Form::hidden('aplicant','YES',array('id'=>'aplincant'))}}
    <input type="hidden" name="countSons" value="{{$countSons}}">
    <div class="row">
        <div class="col-md-12">
            <p class="pull-right"><span style="color:red">*</span> Campos obligatorios</p>
        </div>
    </div>
    <div class="row">
        <div class="col-md-12">
            <div class="row">
                <input type="hidden" name="pass" value="{{$pass}}">
                <div class="row">
                    <div class="form-group col-md-6 hidden">
                        <label class="control-label" for="selectSchoolYear">Per&iacute;odo de inscripci&oacute;n <span style="color:red">*</span></label>
                        {{Form::select('selectSchoolYear',$allSchoolYears,$info->serial_scy,array('class'=>'form-control','id'=>'selectSchoolYear'))}}
                    </div>
                    <div class="form-group col-md-6">
                        <br/>
                        <label for="solicitud">Cod: {{$request}}</label>
                        {{Form::hidden('code', $request)}}
                    </div>
                </div>
                <hr/>

                <div class="panel-group" id="accordion" role="tablist" aria-multiselectable="true">
                    <div class="panel panel-default">
                        <div class="panel-heading" role="tab" id="headingOne">
                            <h4 class="panel-title">
                                <a data-toggle="collapse" data-parent="#accordion" href="#collapseOne"
                                   aria-expanded="true" aria-controls="collapseOne">
                                    <b>Datos Generales</b>
                                </a>
                            </h4>
                        </div>
                        <div id="collapseOne" class="panel-collapse collapse in" role="tabpanel"
                             aria-labelledby="headingOne">
                            <div class="panel-body">
                                <div class="panel panel-primary">
                                    <div class="panel-heading text-center">
                                        <b>Datos del aspirante</b>
                                    </div>
                                    <div class="panel-body">
                                        @if($admission->type_admission == 2)
                                        <div class="row hidden" >
                                            <div class="col-md-6 form-group">
                                                {{Form::label('select_aspirant', 'Nombre del aspirante ')}}<span style="color:red">*</span>
                                                {{Form::text('select_aspirant',$studentFound,array('id'=>'select_aspirant','class'=>"form-control"))}}
                                            </div>
                                        </div>
                                        @endif
                                        @if($admission->type_admission == 3 || $admission->type_admission == 4)
                                       <div class="row hidden" >
                                            <div class="form-group col-md-6">
                                                {{Form::label('select_student', 'Nombre del estudiante ')}}<span style="color:red">*</span>
                                                {{Form::text('select_aspirant',$studentFound,array('id'=>'select_aspirant','class'=>"form-control"))}}
                                            </div>
                                        </div>
                                        @endif
                                        @if($admission->type_admission == 5)
                                        <div class="row hidden">
                                            <div class="col-md-6 form-group">
                                                {{Form::label('select_aspirant', 'Nombre del estudiante ')}}<span style="color:red">*</span>
                                               {{Form::text('select_aspirant','',array('id'=>'select_aspirant','class'=>"form-control"))}}
                                            </div>
                                        </div>
                                        @endif
                                        <div class="row">
                                            <div class="col-md-6 form-group">
                                                {{Form::label('first_name_asstu', 'Nombres ')}}<span style="color:red">*</span>
                                                {{Form::text('first_name_asstu', $info->first_name_ast, ['id' => 'first_name_asstu',  'class' => 'form-control firstname'])}}
                                            </div>
                                            <div class="col-md-6 form-group">
                                                {{Form::label('last_name_asstu', 'Apellidos ')}}<span style="color:red">*</span>
                                                {{Form::text('last_name_asstu', $info->last_name_ast, ['id' => 'last_name_asstu',  'class' => 'form-control lastname'])}}
                                            </div>
                                        </div>
                                        <div class="row">
                                            <div class="col-md-6 form-group">
                                                {{Form::label('birth_asstu', 'Fecha de nacimiento ')}}<span style="color:red">*</span>
                                                <div class='input-group date' id='startDateD'>
                                                    <input id="birth_asstu" type="text" name="birth_asstu"
                                                           class="form-control" placeholder="yyyy-mm-dd" value="{{$info->birthdate_ast}}">
                                                    <span class="input-group-addon">
                                                        <span class="glyphicon glyphicon-calendar"></span>
                                                    </span>
                                                </div>
                                            </div>
                                            <div class="col-md-6 form-group">
                                                {{Form::label('gender_asstu', 'Género ')}}<span style="color:red">*</span>
                                                {{Form::select('gender_asstu',['' => '- Ninguno -', 'MALE' => 'Masculino', 'FEMALE' => 'Femenino'],$info->gender_ast, ['class' => 'form-control'])}}
                                            </div>
                                        </div>
                                        <div class="row">
                                            <div class="form-group col-md-6">
                                                <label for="id_asstu">Número de documento de identificación <span style="color:red">*</span></label>
                                                {{Form::text('id_asstu',$info->id_ast,['id' => 'id_asstu', 'class' => 'form-control'])}}
                                            </div>
                                        </div>
                                        <div class="row">
                                            <div class="col-md-6 form-group">
                                                {{Form::label('select_family', 'Familia ')}}<span style="color:red">*</span>
                                                @if($admission->type_admission == 3 || $admission->type_admission == 4)
                                                {{Form::select('select_aspirant_family', $families, [], ['class' => 'form-control', 'id' => 'select_aspirant_family', 'required'])}}
                                                @else
                                                {{Form::select('select_aspirant_family', ['0' => "Nueva familia"], 0, ['class' => 'form-control', 'id' => 'select_aspirant_family', 'required'])}}
                                                @endif
                                            </div>
                                        </div>
                                        <div class="row">
                                            <div class="col-md-6 form-group">
                                                {{Form::label('first_surname', 'Nombre familia ')}}<span style="color:red">*</span>
                                                {{Form::text('first_surname', null, ['class' => 'form-control firstname','id'=>'first_surname' ])}}
                                            </div>
                                        </div>
                                        <div class="row" id="divStudentsInSchool" hidden>
                                            <div class="col-md-6 form-group">
                                                {{Form::label('first_surname', 'Hermanos en el colegio')}}
                                                <table id="tableStudentsInSchool">
                                                    <thead>
                                                    <th>Nombre</th>
                                                    </thead>
                                                    <tbody id="tableBody">
                                                    </tbody>
                                                </table>
                                            </div>
                                        </div>
                                    </div>
                                </div>
                                <div class="panel panel-primary">
                                    <div class="panel-heading text-center">
                                        <b>Datos de la solicitud</b>
                                    </div>
                                    <div class="panel-body">
                                        <div class="row">
                                            <div class="col-md-6 form-group">
                                                {{Form::label('guardian', 'Representante ')}}<span style="color:red">*</span>
                                                <br/>
                                                <div class="radio radio-inline">
                                                    <input type="radio" id="guardian_father"  name="guardian"
                                                           value="FATHER" @if($info->relationship_ast=='FATHER') checked class="guardian" @endif>
                                                           <label for="guardian_father">
                                                        Padre
                                                    </label>
                                                </div>
                                                <div class="radio radio-inline">
                                                    <input type="radio" id="guardian_mother"   name="guardian"
                                                           value="MOTHER" @if($info->relationship_ast=='MOTHER') checked class="guardian" @endif>
                                                           <label for="guardian_mother">
                                                        Madre
                                                    </label>
                                                </div>
                                                <div class="radio radio-inline">
                                                    <input type="radio" id="guardian_other" name="guardian" 
                                                           value="OTHER" @if($info->relationship_ast=='repre') checked  class="guardian" @endif>
                                                           <label for="guardian_other">
                                                        Otro
                                                    </label>
                                                </div>
                                                <input type="hidden" id="selectedGuardian" name="selectedGuardian">
                                            </div>
                                        </div>
                                        <div class="row">
                                            <div class="form-group col-md-6">
                                                <label class="control-label">Aspirante sol&iacute;cita cupo en: </label>
                                            </div>
                                        </div>
                                        <div class="row">
                                            <div class="form-group col-md-6">
                                                {{Form::label('select_section', 'Sección ')}}<span style="color:red">*</span>
                                                {{Form::select('select_section', ['' => '- Ninguno -'], null, ['class' => 'form-control select', 'id' => 'select_section'])}}
                                                {{Form::hidden('serial_set_hidden',$info->serial_set,array('id'=>'serial_set_hidden'))}}
                                            </div>
                                            <div class="form-group col-md-6">
                                                {{Form::label('requestLvl', 'Nivel ')}}<span style="color:red">*</span>
                                                {{Form::select('requestLvl', ['' => '- Ninguno -'], null, ['class' => 'form-control', 'id' => 'requestLvl'])}}
                                                {{Form::hidden('serial_lvl_hidden',$info->serial_lvl,array('id'=>'serial_lvl_hidden'))}}
                                            </div>
                                        </div>
                                        <div class="row">
                                            <div class="form-group col-md-6">
                                                <div class="checkbox" id="aspirant_out_date" hidden>
                                                    <input type="checkbox" name="out_validate" id="out_validate"
                                                           class="form-control">
                                                    <label>Inscribir aspirante en nivel y secci&oacute;n</label>
                                                </div>
                                            </div>
                                        </div>
                                        <div class="row">
                                            <div class="form-group col-md-6">
                                                {{Form::label('select_school', 'Colegio anterior ')}}<span style="color:red">*</span>
                                                {{Form::select('select_school', $schools, $selected, ['class' => 'form-control select', 'id' => 'select_school'])}}
                                                <span class="text-muted">Colegio ingresado  por el representante: {{$info->last_school_ast?$info->last_school_ast:'NINGUNO'}}</span>
                                            </div>
                                            <div class="form-group col-md-6">
                                                <br/>
                                                <button type="button" class="btn btn-default btn-sm" 
                                                        id="newInstitution">Agregar instituci&oacute;n
                                                </button>
                                            </div>
                                        </div>
                                        <div class="row">
                                            <div class="form-group col-md-6">
                                                {{Form::label('liveWith', '¿Con qui&eacute;n vive? ')}}@if($schoolSetup->serial_sst != 13)<span style="color:red">*</span>@endif
                                                {{Form::select('liveWith',['' => '- Ninguno -', 'PARENTS' => 'Padre y madre', 'MOTHER' => 'Madre', 'FATHER' => 'Padre', 'OTHER' => 'Otros'], $info->lives_with_ast,['class' => 'form-control select', 'id' => 'liveWith'])}}
                                            </div>
                                        </div>
                                        <div class="row">
                                            <div class="form-group col-md-6">
                                                {{Form::label('numberBrother', 'N&uacute;mero de hermanos que no están en el colegio ')}}@if($schoolSetup->serial_sst != 13)<span style="color:red">*</span>@endif
                                                {{Form::text('numberBrother', 0, ['class' => 'form-control', 'onblur' => 'buildTableforSiblings(this)', 'id' => 'numericBrother', 'number','min'=>0])}}
                                            </div>
                                            <div class="form-group col-md-6">
                                                {{Form::label('numberSibling', '¿Qué puesto ocupa entre sus hermanos?')}}
                                                <input type="number" min="0" id="numericSibling" name="numberSibling"
                                                       class="form-control" for="brothers">
                                            </div>
                                        </div>
                                        <div class="row">
                                            <div class="table-responsive" id="tableSibling"></div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>
                    </div>
                    <div class="panel panel-default">
                        <div class="panel-heading" role="tab" id="headingTwo">
                            <h4 class="panel-title">
                                <a class="collapsed" data-toggle="collapse" data-parent="#accordion" href="#collapseTwo"
                                   aria-expanded="false" aria-controls="collapseTwo">
                                    <b>Datos Familiares</b>
                                </a>
                            </h4>
                        </div>
                        <div id="collapseTwo" class="panel-collapse collapse" role="tabpanel"
                             aria-labelledby="headingTwo">
                            <div class="panel-body">
                                                                @foreach($guardians as $title => $guardian)
								
                                @if($guardian == 'repre')
                                <div id="represent">
                                    @endif
                                    <div class="panel panel-primary">
                                        <div class="panel-heading text-center">
                                            Datos {{$title}}
                                        </div>
                                        <div class="panel-body" id="{{$guardian}}">
                                            @if($guardian == 'father')
                                            <div class="row">
                                                @if($admission->type_admission == '4' || $admission->type_admission == '5')
                                                <div class="form-group col-md-6 text-center">
                                                    <button type="button" class="btn btn-default btn-sm"
                                                            id="other_father">
                                                        Modificar datos de {{$title}}
                                                    </button>
                                                </div>
                                                @endif
                                                <input type="hidden" id="serial_father"
                                                       name="father[serial_father]">
                                                <input type="hidden" id="father_is_guardian"
                                                       name="father[is_guardian]">
                                                @if($admission->type_admission == 3 || $admission->type_admission == 4)
                                                <div class="form-group col-md-6 text-center">
                                                    <a href="{{$document_root}}modules/guardian/fSearchGuardian"
                                                       target="_blank">
                                                        <label>Actualizar datos</label>
                                                    </a>
                                                </div>
                                                @endif
                                            </div>
                                            @elseif($guardian == 'mother')
                                            <div class="row">
                                                @if($admission->type_admission == '4' || $admission->type_admission == '5')
                                                <div class="form-group col-md-6 text-center">
                                                    <button type="button" class="btn btn-default btn-sm"
                                                            id="other_mother">
                                                        Modificar datos de {{$title}}
                                                    </button>
                                                </div>
                                                @endif
                                                <input type="hidden" id="serial_mother"
                                                       name="mother[serial_mother]">
                                                <input type="hidden" id="mother_is_guardian"
                                                       name="mother[is_guardian]">
                                                @if($admission->type_admission == '3' || $admission->type_admission == '4')
                                                <div class="form-group col-md-6 text-center">
                                                    <a href="{{$document_root}}modules/guardian/fSearchGuardian"
                                                       target="_blank">
                                                        <label>Actualizar datos</label>
                                                    </a>
                                                </div>
                                                @endif
                                            </div>
                                            @elseif($guardian == 'repre')
                                            <div class="row">
                                                <input type="hidden" id="serial_repre"
                                                       name="repre[serial_repre]">
                                                <input type="hidden" id="repre_is_guardian"
                                                       name="repre[is_guardian]">
                                                @if($admission->type_admission== '3' || $admission->type_admission== '4')
                                                <div class="form-group col-md-6 text-center">
                                                    <a href="{{$document_root}}modules/guardian/fSearchGuardian"
                                                       target="_blank">
                                                        <label>Actualizar datos</label>
                                                    </a>
                                                </div>
                                                @endif
                                            </div>
                                            @endif
                                            <div class="row">
                                                @if($guardian != 'repre')
                                                <div class="form-group col-md-6">
                                                    <div class=" checkbox">
                                                        <input type="checkbox" name="{{$guardian . 'less'}}"
                                                               id="{{$guardian . 'less'}}"
                                                               class="form-control">
                                                        <label>No disponible</label>
                                                    </div>
                                                </div>
                                                @endif
                                            </div>
                                            <div class="row">
                                                <div class="form-group col-md-6">
                                                    {{Form::label($guardian.'Ci', 'Cédula de identidad ')}}<span style="color:red">*</span>
                                                    @if($admission->type_admission == 3 || $admission->type_admission == 4 || $admission->type_admission == 5)
                                                    {{Form::text($guardian.'['.$guardian.'Ci]',((isset($info->$guardian->relationship_ast)) && (strtoupper($guardian)==strtoupper($info->$guardian->relationship_ast))) ?  $info->$guardian->id_agd:'', ['id' => $guardian.'Ci_aspirant', 'class' => 'form-control ci',  'onblur' => 'searchGuardian(this, "'.$guardian.'", 1)'])}}
                                                    @elseif($admission->type_admission == 1 || $admission->type_admission == 2)
                                                    {{Form::text($guardian.'['.$guardian.'Ci]', ((isset($info->$guardian->relationship_ast)) && (strtoupper($guardian)==strtoupper($info->$guardian->relationship_ast))) ?  $info->$guardian->id_agd:'', ['id' => $guardian.'Ci_aspirant', 'class' => 'form-control ci',  'onblur' => 'searchGuardian(this, "'.$guardian.'", 2)'])}}
                                                    @endif
							
                                                </div>
                                            </div>
                                                <div class="row">
                                                <div class="form-group col-md-6">
                                                    {{Form::label($guardian.'Name', 'Nombres ')}}<span style="color:red">*</span>
                                                    {{Form::text($guardian.'['.$guardian.'Name]', ((isset($info->$guardian->relationship_ast)) && (strtoupper($guardian)==strtoupper($info->$guardian->relationship_ast))) ?  $info->$guardian->first_name_agd:'', ['id' => $guardian.'Name', 'class' => 'form-control firstname'])}}
                                                </div>
                                                <div class="form-group col-md-6">
                                                    {{Form::label($guardian.'LastName', 'Apellidos ')}}<span style="color:red">*</span>
                                                    {{Form::text($guardian.'['.$guardian.'LastName]', ((isset($info->$guardian->relationship_ast)) && (strtoupper($guardian)==strtoupper($info->$guardian->relationship_ast))) ?  $info->$guardian->last_name_agd:'', ['id' => $guardian.'LastName', 'class' => 'form-control lastname'])}}
                                                </div>
                                            </div>
                                            <div class="row">
                                                <div class="form-group col-md-6">
                                                    {{Form::label($guardian.'Mail', 'Correo electr&oacute;nico ')}}<span style="color:red">*</span>
                                                    {{Form::email($guardian.'['.$guardian.'Mail]', ((isset($info->$guardian->relationship_ast)) && (strtoupper($guardian)==strtoupper($info->$guardian->relationship_ast))) ?  $info->$guardian->email_agd:'', ['id' => $guardian.'Mail', 'class' => 'form-control email'])}}
                                                </div>
                                            </div>
                                            <div class="row">
                                                <div class="form-group col-md-6">
                                                    {{Form::label($guardian.'Phone', 'Teléfono domicilio')}}
                                                    {{Form::text($guardian.'['.$guardian.'Phone]', null, ['id' => $guardian.'Phone', 'class' => 'form-control homePhone',  'onblur' => 'copyHomePhone(this)'])}}
                                                </div>
                                                <div class="col-md-6">
                                                    {{Form::label($guardian.'PhoneOffice', 'Teléfono oficina')}}
                                                    <div class="row">
                                                        <div class="col-md-8">
                                                            {{Form::text($guardian.'['.$guardian.'PhoneOffice]', null, ['id' => $guardian.'PhoneOffice', 'class' => 'form-control officePhone' ])}}
                                                        </div>
                                                        <div class="col-md-4">
                                                            {{Form::text($guardian.'['.$guardian.'PhoneOffice_ext]', null, ['id' => $guardian.'PhoneOffice_ext', 'class' => 'form-control officePhoneExt'])}}
                                                        </div>
                                                    </div>
                                                </div>
                                            </div>
                                            <div class="row">
                                                <div class="form-group col-md-6">
                                                    {{Form::label($guardian.'CelPhone', 'Teléfono celular ')}}
                                                    {{Form::text($guardian.'['.$guardian.'CelPhone]', ((isset($info->$guardian->relationship_ast)) && (strtoupper($guardian)==strtoupper($info->$guardian->relationship_ast))) ?  $info->phone_agd:'', ['id' => $guardian.'CelPhone', 'class' => 'form-control cellphone'])}}
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                    @endforeach
                                    @if($guardian == 'repre')
                                </div>
                                @endif
                            </div>
                        </div>
                    </div>
                    <div class="panel panel-default">
                        <div class="panel-heading" role="tab" id="headingThree">
                            <h4 class="panel-title">
                                <a class="collapsed" data-toggle="collapse" data-parent="#accordion"
                                   href="#collapseThree" aria-expanded="false" aria-controls="collapseThree">
                                    Datos Adicionales
                                </a>
                            </h4>
                        </div>
                        <div id="collapseThree" class="panel-collapse collapse" role="tabpanel"
                             aria-labelledby="headingThree">
                            <div class="panel-body">
                                <div class="row">
                                    <div class="form-group col-md-6 col-md-offset-3">
                                        <label for="vinculoColegio">V&iacute;nculo con el Colegio</label>
                                        <select name="selectLink" id="selectLink" class="form-control select">
                                            <option value="">Seleccione una opci&oacute;n</option>
                                            <option value="ANY">Ninguno</option>
                                            <option value="SONS AT SCHOOL">Hijos en el Colegio</option>
                                            <option value="TEACHER AT SCHOOL">Profesor en el Colegio</option>
                                            <option value="5">Reingreso</option>
                                            <option value="CJE">CJE</option>
                                            <option value="BROTHER STUDENT">Hermano Alumno</option>
                                            <option value="SON EX STUDENT">Hijo exalumno</option>
                                            <option value="OTHER">Otro</option>
                                        </select>
                                    </div>
                                </div>
                                <div class="row" id="linkSchool" hidden>
                                    <div class="form-group col-md-6 col-md-offset-3">
                                        {{Form::label('otherLink','Otro')}}
                                        <input type="text" id="otherLink" name="otherLink" class="form-control">
                                    </div>
                                </div>
                                <hr/>
                                <div class="row">
                                    <div class="form-group col-md-6 col-md-offset-3">
                                        <label for="publicidad">C&oacute;mo se inform&oacute; sobre las
                                            inscripciones?</label>
                                        <select id="selectPublicity" name="selectPublicity"
                                                class="form-control select">
                                            <option value="">Seleccione una opci&oacute;n</option>
                                            <option value="FRIENDS">Amistades</option>
                                            <option value="FATHERS">Padres</option>
                                            <option value="EX STUDENT">Exalumnos</option>
                                            <option value="SOCIAL NETWORKS">Redes sociales</option>
                                            <option value="EMAIL">Correo electrónico</option>
                                            <option value="WEB">Sitio web</option>
                                            <option value="OWN ACCOUNT">Cuenta propia</option>
                                            <option value="OTHER">Otro</option>
                                        </select>
                                    </div>
                                </div>
                                <div class="row" id="otherPublicity" hidden>
                                    <div class="form-group col-md-6 col-md-offset-3">
                                        {{Form::label('publicityOther','Otro')}}
                                        <input type="text" id="publicityOther" name="publicityOther"
                                               class="form-control">
                                    </div>
                                </div>
                                <hr/>
                                <div class="row">
                                    <div class="form-group col-md-6 col-md-offset-3">
                                        <label class="control-label" for="publicidad">Fecha de apertura de aplicaci&oacute;n *</label>
                                        <input type="date" class="form-control" id="dateRequest" name="dateRequest"
                                               value="{{$date}}" placeholder="aaaa-mm-dd">
                                    </div>
                                </div>
                                <div class="row">
                                    <div class="form-group col-md-offset-1 col-md-10">
                                        <label for="Observaciones">Observaciones</label>
                                        <textarea name="observation" id="observation"
                                                  class="form-control" rows="9"></textarea>
                                    </div>
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    {{ Form::close() }}

</div>