{% extends 'base.html.twig' %}

{% block title %}ABHA Address Verification{% endblock %}

{% block content %}
  <div class="kt-subheader kt-grid__item"></div>

	<form action="{{ path('fetch_mode') }}" method="post" id="abha-addr-verify-form" class="kt-form">
    <div class="kt-container kt-grid__item kt-grid__item--fluid">
      <div class="kt-portlet kt-portlet--mobile">
        <div class="kt-portlet__head kt-portlet__head--lg">
          <div class="kt-portlet__head-label">
            <h3 class="kt-portlet__head-title">ABHA Address Verification</h3>
          </div>

          <div class="kt-portlet__head-toolbar">
            <div class="kt-portlet__head-wrapper">
              <a href="{{ path('abha_address_num_verification') }}" class="btn btn-clean btn-icon-sm mr-2"><i class="la la-long-arrow-left"></i>Back</a>
              <button type="reset" class="btn btn-secondary btn-bold mr-2">Reset</button>
              <button type="submit" class="btn btn-primary btn-bold">Next</button>
            </div>
          </div>
        </div>

        <div class="kt-portlet__body">
          {% include 'parts/flash.html.twig' %}

          <div class="form-group row">
            <input type="hidden" name="_csrf_token" value="{{ csrf_token('authenticate') }}" />
            <input type="hidden" name="type" value="{{ type }}" />
           
            <input type="hidden" name="auth_type" id="auth_type" value="auth_dont_know" />
          </div>

          <div class="form-group row">
            <label class="col-3 col-form-label font-weight-bold required">Abha address</label>
            <div class="col-lg-6 col-xl-4">
              <input type="text" name="abha_details" autocomplete="off" class="form-control" {{ readOnly }} value="{{ abhaDetail }}" />
              
            </div>

            <div class="error"></div>
          </div>
        </div>
      </div>
    </div>
  </form>
{% endblock %}

{% block scripts %}
	{{ parent() }}

	<script src="{{ asset('assets/js/jquery.validate.min.js') }}"></script>

	<script>
    $('#abha-addr-verify-form').validate({
      rules: {
        abha_detail: {
          required: true,
          minlength: 1
        }
      },
      messages: {
        abha_detail: {
          required: 'Please enter ABHA address.'
        }
      }
    });
  </script>
{% endblock %}