{{ Form::hidden('hdnSaveForm',action('PostulantChargeController@postSaveForm'),array('id'=>'hdnSaveForm')) }}
<div>
    {{ Form::open(array('url' => 'Admission/create-data-admission', 'method' => 'POST', 'id' => 'data_form')) }}
    {{Form::hidden('serial_psf',$info->serial_psf,array('id'=>'serial_psf'))}}
    {{ Form::hidden('amount_ppd', $paymentconcept->amount_ppd, array('class' => 'total_value', 'id' => 'amount_ppd')) }}
    {{ Form::hidden('net_total_psf', $paymentconcept->amount_ppd, array('class' => 'total_value', 'id' => 'net_total_psf')) }}
    {{ Form::hidden('serial_pyp', $paymentconcept->serial_pyp, array('class' => 'total_value', 'id' => 'serial_pyp')) }}
    {{ Form::hidden('taxes_psf', $paymentconcept->taxes_psf, array('class' => 'total_value', 'id' => 'taxes_psf')) }}
    {{ Form::hidden('total_before_taxes_psf', $paymentconcept->value_pyp, array('class' => 'total_value', 'id' => 'total_before_taxes_psf')) }}
    {{ Form::hidden('count', 0, array('class' => 'total_value', 'id' => 'count')) }}
    <div class="row">
        <div class="col-md-10 col-md-offset-1">
            <h4 class="text-center text-muted">  {{$info->name_scy}}</h4>
            <div class="form-horizontal">
                <div class="form-group">
                    <label class="control-label  col-md-6 text-muted" for="selectSchoolYear">Per&iacute;odo de inscripci&oacute;n </label>
                    <div class=" col-md-6">
                        <label class="text-muted" for="solicitud">Deste: {{Date('Y-m-d',strtotime($info->start_date_pfr))}} hasta: {{Date('Y-m-d',strtotime($info->end_date_pfr))}}</label>
                    </div>
                </div>
                <div class="form-group">
                    <label class="control-label col-md-6 text-muted" for="selectSchoolYear">Nombre:</label>
                    <div class=" col-md-6 text-muted">
                        <label for="solicitud"> {{$info->last_name_pst}}  {{$info->first_name_pst}}</label>
                    </div>
                </div>
                <div class="form-group text-muted">
                    <label class="control-label col-md-6" for="selectSchoolYear">Fecha de nacimiento:</label>
                    <div class=" col-md-6">
                        <label for="solicitud"> {{Date('Y-m-d',strtotime($info->birthdate_std))}}</label>
                    </div>
                </div>
                                <div class="form-group text-muted">
                    <label class="control-label col-md-6" for="selectSchoolYear">Edad: </label>
                    <div class=" col-md-6">
                        <label for="solicitud"> {{$diff->y}}</label>
                    </div>
                </div>
                <div class="form-group">
                    <label class="control-label col-md-6 text-muted" for="status_application_psf">Estado: <span style="color:red">*</span></label>
                    <div class=" col-md-6">
                        {{ Form::select('status_application_psf',array(''=>'-Seleccione-','ACCEPTED'=>'Aceptado','REJECTED'=>'Rechazado'),$info->status_application_psf,array('class'=>'form-control','id'=>'status_application_psf')) }}
                    </div>
                </div>
                <div class="form-group">
                    {{ Form::label('identification_type_psf', 'Tipo de identificación:', array('class' => 'col-md-3 control-label text-muted')) }}
                    <div class="col-md-9">
                        {{ Form::select('identification_type_psf', array(''=>'Seleccione')+ TotalInvoice::$identification_type_ttl , '05', array('class' => 'form-control','required', 'id' => 'identification_type_psf')) }}
                    </div>
                </div>
                <div class="form-group">
                    {{ Form::label('business_name_psf', 'Nombre: ', array('class' => 'col-md-3 control-label text-muted')) }}
                    <div class="col-md-9">
                        {{ Form::text('business_name_psf',  $info->business_name_psf, array('class' => 'form-control','required', 'id' => 'business_name_psf')) }}
                    </div>
                </div>
                <div class="form-group">
                    {{ Form::label('id_psf', 'Identificación:', array('class' => 'col-md-3 control-label text-muted')) }}
                    <div class="col-md-9">
                        {{ Form::text('id_psf', $info->id_pst, array('class' => 'form-control','required', 'id' => 'id_psf')) }}
                    </div>
                </div>
                <div class="form-group">
                    {{ Form::label('address_psf', 'Dirección:', array('class' => 'col-md-3 control-label text-muted')) }}
                    <div class="col-md-9">
                        {{ Form::text('address_psf', $info->address_psf? $info->address_psf:$info->address_pst, array('class' => 'form-control','required', 'id' => 'address_psf')) }}
                    </div>
                </div>
                <div class="form-group">
                    {{ Form::label('email_paying_psf', 'Email:', array('class' => 'col-md-3 control-label text-muted')) }}
                    <div class="col-md-9">
                        {{ Form::text('mail_paying_psf', $info->email_pst, array('class' => 'form-control','required', 'id' => 'email_paying_psf')) }}
                    </div>
                </div>
                <div class="form-group">
                    {{ Form::label('phone_paying_psf', 'Teléfono:', array('class' => 'col-md-3 control-label text-muted')) }}
                    <div class="col-md-9">
                        {{ Form::text('phone_paying_psf', '', array('class' => 'form-control','required', 'id' => 'phone_paying_psf')) }}
                    </div>
                </div>
                <div class="form-group">
                    {{ Form::label('serial_pym', 'Modo de pago:', array('class' => 'col-md-3 control-label text-muted')) }}
                    <div class="col-md-9">
                        {{ Form::select('serial_pym',array(''=>'-Seleccione-')+ $paymentsMethod, '', array('class' => 'form-control serial_pym', 'id' => 'serial_pym','required')) }}
                    </div>
                </div>
                <div id="div-payment-data">

                </div>
                <div class="form-group">
                    {{ Form::label('','Fecha de pago:',array('for'=>'txtStartDate','class'=>'col-md-3 control-label text-muted')) }}
                    <div class="col-md-9">
                        <div class="input-group date divPaymentDatePdt" data-provide="datepicker" id="divPaymentDatePdt">
                            <input type="text" class="form-control" readonly id="payment_date_ppd" name="pdt[0][payment_date_ppd]" value="{{Date('Y-m-d')}}">
                            <div class="input-group-addon">
                                <span class="glyphicon glyphicon-th"></span>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    {{ Form::close() }}
</div>
{{ HTML::script('js/postulant/charge/loads/form.js') }}
{{ HTML::script('js/common/cedula.js') }}