{!! Form::hidden('id', null, ['id' => 'id']) !!}
{!! Form::hidden('type_id', $type_id, ['id' => 'type_id']) !!}
@if ($facilities_allowed)
    {!! Form::hidden('facilities_allowed', "yes", ['id' => 'facilities_allowed']) !!}
@else
    {!! Form::hidden('facilities_allowed', "no", ['id' => 'facilities_allowed']) !!}
@endif

<div class="tab-content primary-tab-content">

    <div id = "provider-dashboard" class = "tab-pane">
        <h4>{{ ucfirst(trans('hilbit.'.$provider_type.'.dashboard')) }}</h4>
            
        @if (isset($active_record))
            <div class = "row">
                <div class = "col-md-8">  
                    <div class = "row">
                        <div class = "col-md-4">{{ucfirst(trans('hilbit.'.$provider_type.'.description')) }} Code:</div>
                        <div class = "col-md-4">{{ $provider->code }}</div>
                    </div>
 
                    <div class = "row small-bottom-padding">
                        <div class = "col-md-4">Created at:</div>
                        <div class = "col-md-4">{!! App\Helpers\DisplayHelper::formatDateTime($provider->created_at) !!}</div>   
                    </div>
                </div>
        
                <div class = "col-md-4">
                    @if ($provider->facility_confirmed)
                        <div class = "row small-bottom-padding">
                            <span class = "text-highlight-success">facility confirmed: {!! App\Helpers\DisplayHelper::formatDate($provider->facility_confirm_date) !!}</span>
                        </div>
                    @endif
    
            
                    @if ($provider->facility_unconfirmed)
                        <div class = "row small-bottom-padding">
                            <div>
                                <span class = "text-highlight-primary">facility unconfirmed: {!! App\Helpers\DisplayHelper::formatDate($provider->facility_unconfirm_date) !!} </span>
                            </div>
                        </div>
                     @endif
                </div>   

            </div>
        @endif
    </div>
    <!-- End provider dashboardd -->

    <!-- start main tab content --> 
    <div id="provider-main" class="tab-pane">
    
        <div class = "form-group">
            {!! Form::label('code', 'Code:', ['class' => 'control-label col-sm-2']) !!}
            <div class="col-sm-10">
                {!! Form::text('code', null, ['class' => 'form-control', 'required', 'maxlength' => 6, 'v-bind:disabled' => 'disable_input']) !!}
            </div>
        </div>
        
        <div class = "form-group">
            {!! Form::label('name', 'Name:', ['class' => 'control-label col-sm-2']) !!}
            <div class="col-sm-10">
                {!! Form::text('name', null, ['class' => 'form-control', 'maxlength' => 30, 'required','v-bind:disabled' => 'disable_input']) !!}
            </div>
        </div>
            
        <div class = "form-group">
            {!! Form::label('language_id', 'Language:', ['class' => 'control-label col-sm-2', ]) !!}
            <div class="col-sm-10">
                {!! Form::select('language_id', $language_list, null, ['class' => 'form-control', 'v-bind:disabled' => 'disable_input']) !!}
            </div>
        </div>
        
        <div v-show="supplier">       
            <div class="form-group">
                {!! Form::label('vat_registered', 'Vat registered?', ['class' => 'control-label col-sm-2']) !!}
                <div class="col-sm-10">
                {!! Form::checkbox('vat_registered', null, null, ['v-bind:disabled' => 'disable_input', 'v-model' => 'vat_registered'])  !!}
                </div>
            </div>
        
        
            <div class = "form-group" v-if="vat_registered">
                {!! Form::label('vat_registration', 'Vat Reg:', ['class' => 'control-label col-sm-2']) !!}
                <div class="col-sm-10">
                    {!! Form::text('vat_registration', null, ['class' => 'form-control', 'maxlength' => 20, 'v-bind:disabled' => 'disable_input']) !!}
                </div>
            </div>
        </div>
                
        <div class = "form-group">
            {!! Form::label('registrationID', 'Reg. ID:', ['class' => 'control-label col-sm-2']) !!}
            <div class="col-sm-10">
                {!! Form::text('registrationID', null, ['class' => 'form-control', 'maxlength' => 20, 'v-bind:disabled' => 'disable_input']) !!}
            </div>
        </div>
            
    </div>
    <!-- end main tab content --> 
        
    <!-- start address tab content --> 
    <div id="address" class="tab-pane">
        
        <div class = "form-group">
            {!! Form::label('address1', 'Physical Address:', ['class' => 'control-label col-sm-2']) !!}
            <div class="col-sm-10">
                {!! Form::text('address1', null, ['class' => 'form-control margin-bottom', 'maxlength' => 40,'v-bind:disabled' => 'disable_input']) !!}    
                {!! Form::text('address2', null, ['class' => 'form-control margin-bottom', 'maxlength' => 40, 'v-bind:disabled' => 'disable_input']) !!}                
                {!! Form::text('address3', null, ['class' => 'form-control margin-bottom', 'maxlength' => 40, 'v-bind:disabled' => 'disable_input']) !!}        
            </div>
                
            {!! Form::label('postalcode', 'Post Code:', ['class' => 'control-label col-sm-2']) !!}
            <div class="col-sm-10">
                {!! Form::text('postalcode', null, ['class' => 'form-control', 'maxlength' => 20, 'v-bind:disabled' => 'disable_input']) !!} 
            </div>
                
        </div>
        
        <div class = "form-group">
            {!! Form::label('address1', 'Postal Address:', ['class' => 'control-label col-sm-2']) !!}
            <div class="col-sm-10">
                {!! Form::text('post_address1', null, ['class' => 'form-control margin-bottom', 'maxlength' => 40, 'v-bind:disabled' => 'disable_input']) !!}
                {!! Form::text('post_address2', null, ['class' => 'form-control margin-bottom', 'maxlength' => 40, 'v-bind:disabled' => 'disable_input']) !!}
                {!! Form::text('post_address3', null, ['class' => 'form-control margin-bottom', 'maxlength' => 40, 'v-bind:disabled' => 'disable_input']) !!}
            </div>    
             {!! Form::label('post_postalcode', 'Post Code:', ['class' => 'control-label col-sm-2']) !!}
             <div class="col-sm-10">
                {!! Form::text('post_postalcode', null, ['class' => 'form-control', 'maxlength' => 20, 'v-bind:disabled' => 'disable_input']) !!}
            </div>
        </div>
            
    </div>
    <!-- end address tab content -->    
        
    <!-- start contact tab content -->
    <div id="contact" class="tab-pane">
    
        <div class = "form-group">
            {!! Form::label('work_phone', 'Tel (w):', ['class' => 'control-label col-sm-2']) !!}
            <div class="col-sm-10">
                {!! Form::text('work_phone', null, ['class' => 'form-control', 'maxlength' => 20, 'v-bind:disabled' => 'disable_input']) !!}
            </div>
        </div>
            
        <div class = "form-group">
            {!! Form::label('home_phone', 'Tel (h):', ['class' => 'control-label col-sm-2']) !!}
            <div class="col-sm-10">
                {!! Form::text('home_phone', null, ['class' => 'form-control', 'maxlength' => 20, 'v-bind:disabled' => 'disable_input']) !!}
            </div>
        </div>
            
        <div class = "form-group">
            {!! Form::label('fax', 'Fax:', ['class' => 'control-label col-sm-2']) !!}
            <div class="col-sm-10">
                {!! Form::text('fax', null, ['class' => 'form-control', 'maxlength' => 20, 'v-bind:disabled' => 'disable_input']) !!}
           </div>
        </div>
            
        <div class = "form-group">
            {!! Form::label('cell', 'Cell:', ['class' => 'control-label col-sm-2']) !!}
            <div class="col-sm-10">
                {!! Form::text('cell', null, ['class' => 'form-control', 'maxlength' => 20, 'v-bind:disabled' => 'disable_input']) !!}
            </div>
        </div>
            
        <div class = "form-group">
            {!! Form::label('email', 'Email:', ['class' => 'control-label col-sm-2']) !!}
            <div class="col-sm-10">
                {!! Form::email('email', null, ['class' => 'form-control', 'maxlength' => 50, 'v-bind:disabled' => 'disable_input']) !!} 
            </div>
        </div>
            
        <div class = "form-group">
            {!! Form::label('url', 'URL:', ['class' => 'control-label col-sm-2']) !!}
            <div class="col-sm-10">
                {!! Form::url('url', null, ['class' => 'form-control', 'maxlength' => 100, 'v-bind:disabled' => 'disable_input']) !!}
            </div>
        </div>
    
        <div class = "form-group">
            {!! Form::label('contact', 'Contact:', ['class' => 'control-label col-sm-2']) !!}
            <div class="col-sm-10">
                {!! Form::text('contact', null, ['class' => 'form-control', 'maxlength' => 50, 'v-bind:disabled' => 'disable_input']) !!}
            </div>
        </div>
            
    </div>    
    <!-- end contact tab content -->
 
    <!-- start facility tab content -->
    <div id="facility" class="tab-pane">
    
        <div class = "form-group">
            {!! Form::label('facility_code', 'Facility No:', ['class' => 'control-label col-sm-2']) !!}
            <div class="col-sm-10">
                {!! Form::text('facility_code', null, ['class' => 'form-control', 'required', 'maxlength' => 9, 'v-bind:disabled' => 'disable_facility_input']) !!}
            </div>
        </div>
               
        <div class="form-group">     
            {!! Form::label('facility_date', 'Facility Date:', ['class' => 'control-label col-sm-2']) !!}
            <div class="col-sm-10">
                <div class='input-group datepicker'>
                    {!! Form::formattedDate('facility_date', ['class' => 'form-control', 'required', 'type'=> 'text', 'v-bind:disabled' => 'disable_facility_input']) !!}
                    <span class="input-group-addon">
                        <span class="glyphicon glyphicon-calendar"></span>
                     </span>
                </div>
            </div>
        </div>
            
        <div class = "form-group">
            {!! Form::label('facility_signatory', 'Signatory:', ['class' => 'control-label col-sm-2']) !!}
            <div class="col-sm-10">
                {!! Form::text('facility_signatory', null, ['class' => 'form-control', 'maxlength' => 100, 'v-bind:disabled' => 'disable_facility_input']) !!}
            </div>
        </div>
            
        <div class="form-group">
            {!! Form::label('facility_limit', 'Facility Limit:', ['class' => 'control-label col-sm-2']) !!}
            <div class="col-sm-10">
                {!! Form::text('facility_limit', null, ['class' => 'form-control', 'type' => 'number', 'required', 'v-bind:disabled' => 'disable_facility_input']) !!}
            </div>
        </div>
        
        @if (!$facilities_allowed)
            <div class = "form-group">
                {!! Form::label('payment_term_id', 'Payment Terms:', ['class' => 'control-label col-sm-2', ]) !!}
                <div class="col-sm-10">
                    {!! Form::select('payment_term_id', $payment_term_list, null, ['class' => 'form-control', 'required', 'v-bind:disabled' => 'disable_facility_input']) !!}
                </div>
            </div>
                
            <div class = "form-group">
                {!! Form::label('facility_discount_percent', 'Settlement Discount:', ['class' => 'control-label col-sm-2']) !!}
                <div class="col-sm-10">
                    {!! Form::text('facility_discount_percent', null, ['class' => 'form-control', 'type' => 'number', 'v-bind:disabled' => 'disable_facility_input']) !!}
                </div>
            </div>
        @endif
    </div>
    
    <div id="assets" class="tab-pane">
        <h4>Assets</h4>
        <div style = "height:350px"></div>
    </div>
            
    <div id="income" class="tab-pane">
        <h4>Income</h4>
        <div style = "height:350px"></div>
    </div>

</div>  <!-- tab-content -->
      
<hr>

@if ($can_update)
    <div class = "form-buttons pull-right">
        
        {!! Form::submit($submitButtonText, ['class' => 'btn btn-success btn-sm']) !!}
    
        <a href = "{!!$cancelButtonUrl!!}">
        <button type = "button" class = 'btn btn-default btn-sm'>
        <span class="glyphicon glyphicon-refresh" aria-hidden="true"></span>
         cancel
        </button>
        </a>
       
    </div>
@endif