@php $statuses = [1 => 'Active', 0 => 'Inactive']; @endphp

<div class="modal fade" id="ajaxModel" aria-hidden="true">
    <div class="modal-dialog modal-xl">
        <div class="modal-content">
            <div class="card card-signup card-plain">
                {!! Form::open(['id' => 'dataForm', 'name' => 'dataForm', 'class' => 'form-horizontal']) !!}
                {!! Form::hidden('vendor_id', '', ['id' => 'vendor_id']) !!}
                {{ csrf_field() }}

                <div class="modal-header">
                    <div class="card-header card-header-primary text-center w-100" style="margin-top: -30px;">
                        <button type="button" class="close text-white" data-bs-dismiss="modal" aria-hidden="true">
                            <i class="fa fa-close"></i>
                        </button>
                        <h4 class="card-title" id="ajaxModalHeading">Vendor Information</h4>
                    </div>
                </div>

                <div class="modal-body">
                    <div class="row">
                        <!-- Business & Vendor Info -->
                        <div class="form-group col-md-4">
                            <label>Business Name *</label>
                            {!! Form::text('business_name', '', ['class' => 'form-control', 'id' => 'business_name']) !!}
                        </div>
                        <div class="form-group col-md-4">
                            <label>Vendor Name *</label>
                            {!! Form::text('vendor_name', '', ['class' => 'form-control', 'id' => 'vendor_name']) !!}
                        </div>
                        <div class="form-group col-md-4">
                            <label>Contact Person</label>
                            {!! Form::text('contact_person', '', ['class' => 'form-control', 'id' => 'contact_person']) !!}
                        </div>
                        <div class="form-group col-md-4">
                            <label>Contact Number</label>
                            {!! Form::text('contact_number', '', ['class' => 'form-control', 'id' => 'contact_number']) !!}
                        </div>

                        <!-- Address Fields -->
                        <div class="form-group col-md-4">
                            <label>Address Line 1</label>
                            {!! Form::text('address_line_1', '', ['class' => 'form-control', 'id' => 'address_line_1']) !!}
                        </div>
                        <div class="form-group col-md-4">
                            <label>Address Line 2</label>
                            {!! Form::text('address_line_2', '', ['class' => 'form-control', 'id' => 'address_line_2']) !!}
                        </div>
                        <div class="form-group col-md-4">
                            <label>Address Line 3</label>
                            {!! Form::text('address_line_3', '', ['class' => 'form-control', 'id' => 'address_line_3']) !!}
                        </div>

                        <div class="form-group col-md-4">
                            <label>City</label>
                            {!! Form::text('city', '', ['class' => 'form-control', 'id' => 'city']) !!}
                        </div>
                        <div class="form-group col-md-4">
                            <label>Postal Code</label>
                            {!! Form::text('postal_code', '', ['class' => 'form-control', 'id' => 'postal_code']) !!}
                        </div>
                        <div class="form-group col-md-4">
                            <label>Country</label>
                            {!! Form::text('country', '', ['class' => 'form-control', 'id' => 'country']) !!}
                        </div>

                        <!-- Contact Details -->
                        <div class="form-group col-md-4">
                            <label>Telephone No.</label>
                            {!! Form::text('telephone_no', '', ['class' => 'form-control', 'id' => 'telephone_no']) !!}
                        </div>
                        <div class="form-group col-md-4">
                            <label>Email</label>
                            {!! Form::email('email', '', ['class' => 'form-control', 'id' => 'email']) !!}
                        </div>
                        <div class="form-group col-md-4">
                            <label>Phone</label>
                            {!! Form::text('phone', '', ['class' => 'form-control', 'id' => 'phone']) !!}
                        </div>
                        <div class="form-group col-md-4">
                            <label>Website / Email</label>
                            {!! Form::text('website', '', ['class' => 'form-control', 'id' => 'website']) !!}
                        </div>

                        <!-- Designation & Company Info -->
                        <div class="form-group col-md-4">
                            <label>Designation</label>
                            {!! Form::text('position', '', ['class' => 'form-control', 'id' => 'position']) !!}
                        </div>
                        <div class="form-group col-md-4">
                            <label>Company Type</label>
                            {!! Form::text('company_type', '', ['class' => 'form-control', 'id' => 'company_type']) !!}
                        </div>

                        <!-- Project & Service Info -->
                        <div class="form-group col-md-4">
                            <label>Products/Services Offered</label>
                            {!! Form::text('products_services_offered', '', ['class' => 'form-control', 'id' => 'products_services_offered']) !!}
                        </div>
                        <div class="form-group col-md-4">
                            <label>Total Projects Executed (kW RCC)</label>
                            {!! Form::text('total_projects_executed_kW_RCC', '', ['class' => 'form-control', 'id' => 'total_projects_executed_kW_RCC']) !!}
                        </div>
                        <div class="form-group col-md-4">
                            <label>Annual Turnover</label>
                            {!! Form::text('annual_turnover', '', ['class' => 'form-control', 'id' => 'annual_turnover']) !!}
                        </div>

                        <!-- Regulatory Info -->
                        <div class="form-group col-md-4">
                            <label>Quality Certifications</label>
                            {!! Form::text('quality_certifications', '', ['class' => 'form-control', 'id' => 'quality_certifications']) !!}
                        </div>
                        <div class="form-group col-md-4">
                            <label>PAN</label>
                            {!! Form::text('pan', '', ['class' => 'form-control', 'id' => 'pan']) !!}
                        </div>
                        <div class="form-group col-md-4">
                            <label>GSTN</label>
                            {!! Form::text('gstin', '', ['class' => 'form-control', 'id' => 'gstin']) !!}
                        </div>
                        <div class="form-group col-md-4">
                            <label>TDS Exempted u/s 197</label>
                            {!! Form::text('tds_exempted_u_s_197', '', ['class' => 'form-control', 'id' => 'tds_exempted_u_s_197']) !!}
                        </div>
                        <div class="form-group col-md-4">
                            <label>PF Registration No.</label>
                            {!! Form::text('pf_registration_no', '', ['class' => 'form-control', 'id' => 'pf_registration_no']) !!}
                        </div>
                        <div class="form-group col-md-4">
                            <label>ESI Registration No.</label>
                            {!! Form::text('esi_registration_no', '', ['class' => 'form-control', 'id' => 'esi_registration_no']) !!}
                        </div>
                        <div class="form-group col-md-4">
                            <label>SSI Vendor</label>
                            {!! Form::text('ssi_vendor', '', ['class' => 'form-control', 'id' => 'ssi_vendor']) !!}
                        </div>

                        <!-- Misc -->
                        <div class="form-group col-md-4">
                            <label>State ID</label>
                            {!! Form::select('state_id', $states,'', ['class' => 'form-control', 'id' => 'state_id']) !!}
                        </div>
                        <div class="form-group col-md-4">
                            <label>Full Address</label>
                            {!! Form::textarea('address', '', ['class' => 'form-control', 'id' => 'address', 'rows' => 2]) !!}
                        </div>
                        <div class="form-group col-md-4">
                            <label>Status</label>
                            {!! Form::select('status', $statuses, '', ['class' => 'form-control', 'id' => 'status']) !!}
                        </div>
                    </div>
                </div>

                <div class="modal-footer">
                    <button type="button" class="btn btn-danger btn-sm" data-bs-dismiss="modal">Close</button>
                    {!! Form::submit('Submit', ['class' => 'btn btn-primary btn-sm', 'id' => 'saveBtn']) !!}
                </div>

                {!! Form::close() !!}
            </div>
        </div>
    </div>
</div>