{!! Form::open(array('url'=>'passeport/savepublic', 'class'=>'form-horizontal','files' => true , 'parsley-validate'=>'','novalidate'=>' ')) !!}

	@if(Session::has('messagetext'))
	  
		   {!! Session::get('messagetext') !!}
	   
	@endif
	<ul class="parsley-error-list">
		@foreach($errors->all() as $error)
			<li>{{ $error }}</li>
		@endforeach
	</ul>		


<div class="col-md-12">
						<fieldset><legend> Passeport nouveau</legend>
				{!! Form::hidden('id', $row['id']) !!}					
									  <div class="form-group row  " >
										<label for="Prénom" class=" control-label col-md-4 "> Prénom <span class="asterix"> * </span></label>
										<div class="col-md-8">
										  <input  type='text' name='prenom' id='prenom' value='{{ $row['prenom'] }}' 
						required     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Nom" class=" control-label col-md-4 "> Nom <span class="asterix"> * </span></label>
										<div class="col-md-8">
										  <input  type='text' name='nom' id='nom' value='{{ $row['nom'] }}' 
						required     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Pays" class=" control-label col-md-4 "> Pays <span class="asterix"> * </span></label>
										<div class="col-md-8">
										  <input  type='text' name='pays' id='pays' value='{{ $row['pays'] }}' 
						required     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Tel (WhatsApp)" class=" control-label col-md-4 "> Tel (WhatsApp) <span class="asterix"> * </span></label>
										<div class="col-md-8">
										  <input  type='text' name='tel' id='tel' value='{{ $row['tel'] }}' 
						required     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Email" class=" control-label col-md-4 "> Email </label>
										<div class="col-md-8">
										  <input  type='text' name='email' id='email' value='{{ $row['email'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Type" class=" control-label col-md-4 "> Type <span class="asterix"> * </span></label>
										<div class="col-md-8">
										  
										<select name='type' rows='5' required  class='select2 '  > 
						<option  value ='passeport' >Passeport</option></select> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Description du problème" class=" control-label col-md-4 "> Description du problème <span class="asterix"> * </span></label>
										<div class="col-md-8">
										  <textarea name='prob' rows='5' id='editor' class='form-control form-control-sm editor '  
						required >{{ $row['prob'] }}</textarea> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="File1" class=" control-label col-md-4 "> File1 </label>
										<div class="col-md-8">
										  
						<div class="fileUpload btn " > 
						    <span>  <i class="fa fa-copy"></i>  </span>
						    <div class="title"> Browse File </div>
						    <input type="file" name="file1" class="upload"       />
						</div>
						<div class="file1-preview preview-upload">
							{!! SiteHelpers::showUploadedFile( $row["file1"],"/uploads/passeports") !!}
						</div>
					 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="File2" class=" control-label col-md-4 "> File2 </label>
										<div class="col-md-8">
										  
						<div class="fileUpload btn " > 
						    <span>  <i class="fa fa-copy"></i>  </span>
						    <div class="title"> Browse File </div>
						    <input type="file" name="file2" class="upload"       />
						</div>
						<div class="file2-preview preview-upload">
							{!! SiteHelpers::showUploadedFile( $row["file2"],"/uploads/passeports") !!}
						</div>
					 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Statut" class=" control-label col-md-4 "> Statut </label>
										<div class="col-md-8">
										  
										<select name='statut' rows='5'   class='select2 '  > 
						<option  value ='nouveau' >Nouveau</option><option  value ='encours' >En cours</option><option  value ='termine' >Trminé</option></select> 
										 </div> 
										 
									  </div> </fieldset></div>

			<div style="clear:both"></div>	
				
					
				  <div class="form-group">
					<label class="col-sm-4 text-right">&nbsp;</label>
					<div class="col-sm-8">	
					<button type="submit" name="apply" class="btn btn-info btn-sm" ><i class="fa  fa-check-circle"></i> {{ Lang::get('core.sb_apply') }}</button>
					<button type="submit" name="submit" class="btn btn-primary btn-sm" ><i class="fa  fa-save "></i> {{ Lang::get('core.sb_save') }}</button>
				  </div>	  
			
		</div> 
		 
		 {!! Form::close() !!}
		 
   <script type="text/javascript">
	$(document).ready(function() { 
		
		 

		$('.removeCurrentFiles').on('click',function(){
			var removeUrl = $(this).attr('href');
			$.get(removeUrl,function(response){});
			$(this).parent('div').empty();	
			return false;
		});		
		
	});
	</script>