<?php $__env->startSection('content'); ?>

<main class="main">
	<!-- loder -->
	  <div class="loader-wrapper">
		<div class="loader"></div>
		<div class="loder-section left-section"></div>
		<div class="loder-section right-section"></div>
	</div>

	<!--==================================================-->
	<!-- Start  Polytia Breadcumb Area -->
	<!--==================================================-->
	<!-- div class="breadcumb-area align-items-center d-flex">
		
	</div-->
	<!--==================================================-->
	<!-- End  Polytia Breadcumb Area -->
	<!--==================================================-->

	<!--==================================================-->
	<!-- Start charina donate section  -->
	<!--==================================================-->
	<div class="donate-section">
		<div class="container">
			<div class="row">
				<div class="col-lg-12">
					<div class="section-title text-center">
						<div class="section-main-title">
							<h1>FORMULAIRE D'ENREGISTREMENT VEHICULE </h1>
						</div>
					</div> 
				</div>
			</div>
			<div class="row">
				<div class="col-lg-12">
					<!-- contact form box -->
					<div class="contact-form-box">
						<?php if($message = Session::get('success')): ?>
						<div class="alert alert-success alert-block">
							<button type="button" class="close" data-dismiss="alert">×</button>
							<strong><?php echo e($message); ?></strong>
						</div>
						<?php endif; ?>
						<form action="<?php echo e(url('/vehicule')); ?>" method="POST" id="dreamit-form">
							<?php echo csrf_field(); ?>
							<div class="row">
								<div class="col-lg-12 col-md-12">
									<!-- from title -->
									<div class="form-title">
										<h4>Informations Véhicule </h4>
									</div>
								</div>

								<div class="col-lg-6 col-md-6">
									<!-- from title -->
									<div class="form-title">
										<h6>Numéro CHASSI :</h6>
									</div>
									<div class="form-box up">
										<input type="text"  name="num_chassi" placeholder="Votre Numero">
									</div>
								</div>
								<div class="col-lg-6 col-md-6">
									<!-- from title -->
									<div class="form-title">
										<h6>Marque : </h6>
									</div>
									<div class="form-box up">
										<input type="text" name="marque" placeholder="Marque ....">
									</div>
								</div>
								<div class="col-lg-6 col-md-6">
									<!-- from title -->
									<div class="form-title">
										<h6>Modèle :</h6>
									</div>
									<div class="form-box up">
										<input type="text" name="modele" placeholder="Modèle">
									</div>
								</div>
								<div class="col-lg-6 col-md-6">
									<!-- from title -->
									<div class="form-title">
										<h6>Date Mise en Circul.: </h6>
									</div>
									<div class="form-box up">
										<input type="date" name="anne_mc" placeholder="Année de Mise en Circulation">
									</div>
								</div>

								<div class="col-lg-6 col-md-6">
									<!-- from title -->
									<div class="form-title">
										<h6>Type Energie : </h6>
									</div>
									<div class="form-box up">
										<select class="form-select" name="typ_energie" aria-label="Default select example">
                                            <option selected>Choisir Ici</option>
											<option value="Gazoile">Gazoile</option>
											<option value="Gaz">Gaz</option>
											<option value="Essence">Essence</option>
										</select>
									</div>
								</div>

								<div class="col-lg-6 col-md-6">
									<!-- from title -->
									<div class="form-title">
										<h6>Type Véhicule : </h6>
									</div>
									<div class="form-box up">
										<select class="form-select" name="typ_vehicule" aria-label="Default select example">
                                            <option selected>Choisir Ici</option>
											<option value="Commerciale">Commerciale</option>
											<option value="Personnel">Personnel</option>
										</select>
									</div>
								</div>

								<div class="col-lg-6 col-md-6">
									<!-- from title -->
									<div class="form-title">
										<h6>Couleur : </h6>
									</div>
									<div class="form-box up">
										<input type="text" name="couleur" placeholder="Couleur">
									</div>
								</div>

								<div class="col-lg-6 col-md-6">
									<!-- from title -->
									<div class="form-title">
										<h6>Puissance Véhicule : </h6>
									</div>
									<div class="form-box up">
										<input type="number" name="puis_vehicule" placeholder="Number">
									</div>
								</div>
								
								<div class="col-lg-6 col-md-6">
									<!-- from title -->
									<div class="form-title">
										<h6>Immatricul. : </h6>
									</div>
									<div class="form-box up">
										<input type="text" name="num_imma" placeholder="Immatriculation">
									</div>
								</div>
								
								<div class="col-lg-12 col-md-12">
									<!-- from title -->
									<div class="form-title">
										<h4>Documents administratifs </h4>
									</div>
								</div>
								<div class="col-lg-6 col-md-6">
									<!-- from title -->
									<div class="form-title">
										<input type="checkbox" name= "piece1" VALUE="Assurance auto" > Assurance auto <br>
									</div>
									<div class="form-box up">
										<input type="date" name="piece1_dateDeb" placeholder="DateDeb">
										<input type="date" name="piece1_dateFin" placeholder="DateDeb">
									</div>
								</div>

								<div class="col-lg-6 col-md-6">
									<!-- from title -->
									<div class="form-title">
										<input type="checkbox" name= "piece2" VALUE="Patente" > Patente <br>
									</div>
									<div class="form-box up">
										<input type="date" name="piece2_dateDeb" placeholder="DateDeb">
										<input type="date" name="piece2_dateFin" placeholder="DateDeb">
									</div>
								</div>

								<div class="col-lg-6 col-md-6">
									<!-- from title -->
									<div class="form-title">
										<input type="checkbox" name= "piece3" VALUE="Carte de visite technique" > Carte de visite technique <br>
									</div>
									<div class="form-box up">
										<input type="date" name="piece3_dateDeb" placeholder="DateDeb">
										<input type="date" name="piece3_dateFin" placeholder="DateDeb">
									</div>
								</div>
								<div class="col-lg-6 col-md-6">
									<!-- from title -->
									<div class="form-title">
										<input type="checkbox" name= "piece4" VALUE="Carte de stationnement" > Carte de stationnement <br>
									</div>
									<div class="form-box up">
										<input type="date" name="piece4_dateDeb" placeholder="DateDeb">
										<input type="date" name="piece4_dateFin" placeholder="DateDeb">
									</div>
								</div>
								<div class="col-lg-6 col-md-6">
									<!-- from title -->
									<div class="form-title">
										<input type="checkbox" name= "piece5" VALUE=" Permis du chauffeur titulaire" CHECKED> Permis du chauffeur titulaire <br>
									</div>
									<div class="form-box up">
										<input type="date" name="piece5_dateDeb" placeholder="DateDeb">
										<input type="date" name="piece5_dateFin" placeholder="DateDeb">
									</div>
								</div>
								
								<div class="col-lg-12 col-md-12">
									<!-- from title -->
									<div class="form-title">
										<h4>Rattachement Chauffeur </h4>
									</div>
								</div>
								
								<div class="col-lg-6 col-md-6">
									<div class="form-title">
										<h6>Chauffeur : </h6>
									</div>
									<div class="form-box up">
										 <select class="form-select" name="chauffeur" aria-label="Default select example">
                                            <option selected>Choisir Ici</option>
                                            <?php $__currentLoopData = $allChauffeurs; $__env->addLoop($__currentLoopData); foreach($__currentLoopData as $chauffeur): $__env->incrementLoopIndices(); $loop = $__env->getLastLoop(); ?>
                                                <option value="<?php echo e($chauffeur->id); ?>"><?php echo e($chauffeur->personne->nom); ?> - <?php echo e($chauffeur->personne->prenom); ?></option>
                                            <?php endforeach; $__env->popLoop(); $loop = $__env->getLastLoop(); ?>
                                        </select>
									</div>
							    </div>

								<div class="col-lg-6 col-md-6">
									<div class="form-title">
										<h6>Date Début :</h6>
									</div>
									<div class="form-box up">
										<input type="date" name="datDeb0"  placeholder="Votre de résidence">
									</div>
								</div>
								<div class="col-lg-6 col-md-6">
									<div class="form-title">
										<h6>Date Fin :</h6>
									</div>
									<div class="form-box up">
										<input type="date" name="datFin0"  placeholder="Votre de résidence">
									</div>
								</div>

								<div class="col-lg-12 col-md-12">
									<!-- from title -->
									<div class="form-title">
										<h4>Rattachement Acquéreur </h4>
									</div>
								</div>

							    <div class="col-lg-6 col-md-6">
									<!-- from title -->
									<div class="form-title">
										<h6>Acquéreur : </h6>
									</div>
									<div class="form-box up">
										 <select class="form-select" name="personne" aria-label="Default select example">
                                            <option selected>Choisir Ici</option>
                                            <?php $__currentLoopData = $allPersonnes; $__env->addLoop($__currentLoopData); foreach($__currentLoopData as $personne): $__env->incrementLoopIndices(); $loop = $__env->getLastLoop(); ?>
                                                <option value="<?php echo e($personne->id); ?>"><?php echo e($personne->nom); ?> - <?php echo e($personne->prenom); ?></option>
                                            <?php endforeach; $__env->popLoop(); $loop = $__env->getLastLoop(); ?>
                                        </select>
								    </div>
							    </div>
								<div class="col-lg-6 col-md-6">
									<div class="form-title">
										<h6>Date Début :</h6>
									</div>
									<div class="form-box up">
										<input type="date" name="datDeb1"  placeholder="Votre de résidence">
									</div>
								</div>
								<div class="col-lg-6 col-md-6">
									<div class="form-title">
										<h6>Date Fin :</h6>
									</div>
									<div class="form-box up">
										<input type="date" name="datFin1"  placeholder="Votre de résidence">
									</div>
								</div>

								<div class="col-lg-12 col-md-12">
									<!-- from title -->
									<div class="form-title">
										<h4>Rattachement Gare </h4>
									</div>
								</div>

							    <div class="col-lg-6 col-md-6">
									<!-- from title -->
									<div class="form-title">
										<h6>Gare : </h6>
									</div>
									<div class="form-box up">
										 <select class="form-select" name="gare" aria-label="Default select example">
                                            <option selected>Choisir Ici</option>
                                            <?php $__currentLoopData = $allGares; $__env->addLoop($__currentLoopData); foreach($__currentLoopData as $gare): $__env->incrementLoopIndices(); $loop = $__env->getLastLoop(); ?>
                                                <option value="<?php echo e($gare->id); ?>"><?php echo e($gare->nom_gare); ?></option>
                                            <?php endforeach; $__env->popLoop(); $loop = $__env->getLastLoop(); ?>
                                        </select>
									</div>
							    </div>
								<div class="col-lg-6 col-md-6">
									<div class="form-title">
										<h6>Date Début :</h6>
									</div>
									<div class="form-box up">
										<input type="date" name="datDeb2"  placeholder="Votre de résidence">
									</div>
								</div>
								<div class="col-lg-6 col-md-6">
									<div class="form-title">
										<h6>Date Fin :</h6>
									</div>
									<div class="form-box up">
										<input type="date" name="datFin2"  placeholder="Votre de résidence">
									</div>
								</div>

								<div class="col-lg-12 col-md-12">
									<!-- from title -->
									<div class="form-title">
										<h4>Validation </h4>
									</div>
								</div>
								<div class="col-lg-6 col-md-6">
									<!-- from title -->
									<div class="form-title">
										<h6>CODE USER :</h6>
									</div>
									<div class="form-box up">
										<input type="text" name="user_code"  placeholder="Votre Code">
									</div>
								</div>

							</div>
							
							

							<div class="campaigns-button pt-3">
								<button>Valider</button>
							</div>
						</form>

						<div class='check-content'>
							<!-- h5>Selectionner un moyen de paiement</h5>
							<div class="dpx">
								<label>
									<input type="radio" class="option-input radio" name="example" checked />
									Moyen 1
								</label>
								<label>
									<input type="radio" class="option-input radio" name="example" />
									Paypal
								</label>
							</div>
							<div class="check-cash">
								<span> <strong>Cash :</strong> Dramatically innovate adaptive ideas to whereas turnkey metrics</span>
							</div -->
							
						</div>
						<div id="status"></div>
					</div> 					
				</div>
			</div>
		</div>
	</div>
	<!--==================================================-->
	<!-- End charina donate Secton -->
	<!--==================================================-->
</main>

<?php $__env->stopSection(); ?>
<?php echo $__env->make('layouts.index', \Illuminate\Support\Arr::except(get_defined_vars(), ['__data', '__path']))->render(); ?><?php /**PATH C:\laragon\www\data-chauffeur\resources\views/vehicule.blade.php ENDPATH**/ ?>