@extends('template.admin.auth')

@section('content')
<!-- Register Card -->
<div class="authentication-register-inner py-4">
    <div class="card">
        <div class="card-body">
            <!-- Logo -->
            <div class="app-brand justify-content-center mb-6">
                <a href="index.html" class="app-brand-link">
                    <span class="app-brand-logo demo">
                    <span class="text-primary">
                        <svg width="32" height="22" viewBox="0 0 32 22" fill="none" xmlns="http://www.w3.org/2000/svg">
                        <path
                            fill-rule="evenodd"
                            clip-rule="evenodd"
                            d="M0.00172773 0V6.85398C0.00172773 6.85398 -0.133178 9.01207 1.98092 10.8388L13.6912 21.9964L19.7809 21.9181L18.8042 9.88248L16.4951 7.17289L9.23799 0H0.00172773Z"
                            fill="currentColor" />
                        <path
                            opacity="0.06"
                            fill-rule="evenodd"
                            clip-rule="evenodd"
                            d="M7.69824 16.4364L12.5199 3.23696L16.5541 7.25596L7.69824 16.4364Z"
                            fill="#161616" />
                        <path
                            opacity="0.06"
                            fill-rule="evenodd"
                            clip-rule="evenodd"
                            d="M8.07751 15.9175L13.9419 4.63989L16.5849 7.28475L8.07751 15.9175Z"
                            fill="#161616" />
                        <path
                            fill-rule="evenodd"
                            clip-rule="evenodd"
                            d="M7.77295 16.3566L23.6563 0H32V6.88383C32 6.88383 31.8262 9.17836 30.6591 10.4057L19.7824 22H13.6938L7.77295 16.3566Z"
                            fill="currentColor" />
                        </svg>
                    </span>
                    </span>
                    <span class="app-brand-text demo text-heading fw-bold">Vuexy</span>
                </a>
            </div>
            <!-- /Logo -->
            <h4 class="mb-1">Registrasi Akun Pelanggan</h4>
            <p class="mb-6">Lakukan pendaftaran akun pelanggan dengan data dan kredensial Anda.</p>

            <form id="formRegister" class="mb-6" action="{{ route('cust.auth.store') }}" method="GET">
            <div class="row mb-3">
                <div class="col-xl-3 col-md-6 col-sm-6">
                    <label for="nama" class="form-label">Nama Kabupaten/Kota</label>
                    <input type="text" class="form-control" id="nama" name="nama" value="{{ old('nama') }}" />
                </div>
                <div class="col-xl-3 col-md-6 col-sm-6">
                    <label for="kode" class="form-label">Kode Kabupaten/Kota</label>
                    <input type="text" class="form-control" id="kode" name="kode" value="{{ old('kode') }}" />
                </div>
                <div class="col-xl-3 col-md-6 col-sm-6">
                    <label for="provinsi_id" class="form-label">Provinsi</label>
                    <select class="select2 form-select" data-allow-clear="true" id="provinsi_id" name="provinsi_id">
                    </select>
                </div>
            </div>
            <div class="mb-6 form-control">
                <label for="username" class="form-label">Username</label>
                <input
                type="text"
                class="form-control"
                id="username"
                name="username"
                placeholder="Enter your username"
                autofocus />
            </div>
            <div class="mb-6 form-control-validation">
                <label for="email" class="form-label">Email</label>
                <input type="text" class="form-control" id="email" name="email" placeholder="Enter your email" />
            </div>
            <div class="mb-6 form-password-toggle form-control-validation">
                <label class="form-label" for="password">Password</label>
                <div class="input-group input-group-merge">
                <input
                    type="password"
                    id="password"
                    class="form-control"
                    name="password"
                    placeholder="&#xb7;&#xb7;&#xb7;&#xb7;&#xb7;&#xb7;&#xb7;&#xb7;&#xb7;&#xb7;&#xb7;&#xb7;"
                    aria-describedby="password" />
                <span class="input-group-text cursor-pointer"><i class="icon-base ti tabler-eye-off"></i></span>
                </div>
            </div>
            <div class="my-8 form-control-validation">
                <div class="form-check mb-0 ms-2">
                <input class="form-check-input" type="checkbox" id="terms-conditions" name="terms" />
                <label class="form-check-label" for="terms-conditions">
                    I agree to
                    <a href="javascript:void(0);">privacy policy & terms</a>
                </label>
                </div>
            </div>
            <button class="btn btn-primary d-grid w-100">Sign up</button>
            </form>

            <p class="text-center">
            <span>Already have an account?</span>
            <a href="auth-login-basic.html">
                <span>Sign in instead</span>
            </a>
            </p>

            <div class="divider my-6">
            <div class="divider-text">or</div>
            </div>

            <div class="d-flex justify-content-center">
            <a href="javascript:;" class="btn btn-icon rounded-circle btn-text-facebook me-1_5">
                <i class="icon-base ti tabler-brand-facebook-filled icon-20px"></i>
            </a>

            <a href="javascript:;" class="btn btn-icon rounded-circle btn-text-twitter me-1_5">
                <i class="icon-base ti tabler-brand-twitter-filled icon-20px"></i>
            </a>

            <a href="javascript:;" class="btn btn-icon rounded-circle btn-text-github me-1_5">
                <i class="icon-base ti tabler-brand-github-filled icon-20px"></i>
            </a>

            <a href="javascript:;" class="btn btn-icon rounded-circle btn-text-google-plus">
                <i class="icon-base ti tabler-brand-google-filled icon-20px"></i>
            </a>
            </div>
        </div>
    </div>
</div>
<!-- Register Card -->
@endsection