@csrf

<div class="card-body">
    <div class="form-row">
        <div class="form-group col-md-12">
            <label for="name" class="ul-form__label">@lang('name')*</label>
            <input type="text" class="form-control" id="name" name="name" placeholder=""
                value="{{ $user->name ?? old('name') }}">
        </div>
        <div class="form-group col-md-12">
            <label for="last_name" class="ul-form__label">@lang('last_name')*</label>
            <input type="text" class="form-control" id="last_name" name="last_name" placeholder=""
                value="{{ $user->last_name ?? old('last_name') }}">
        </div>
        <div class="form-group col-md-12">
            <label for="email" class="ul-form__label">@lang('email'):</label>
            <input type="email" class="form-control" id="email" name="email" placeholder=""
                value="{{ $user->email ?? old('email') }}">
        </div>
        <div class="form-group col-md-12">
            <label for="username" class="ul-form__label">@lang('username')*</label>
            <input type="text" class="form-control" id="username" name="username" placeholder=""
                value="{{ $user->username ?? old('username') }}">
        </div>
        <div class="form-group col-md-12">
            <label for="password" class="ul-form__label">@lang('password')*</label>
            <input type="password" class="form-control" id="password" name="password" placeholder="">
        </div>
        <div class="form-group col-md-12">
            <label for="phone" class="ul-form__label">@lang('phone'):</label>
            <input type="number" class="form-control" id="phone" name="phone" placeholder=""
                value="{{ $user->phone ?? old('phone') }}">
        </div>
        <div class="form-group col-md-12">
            <label for="document" class="ul-form__label">@lang('document'):</label>
            <input type="number" class="form-control" id="document" name="document" placeholder=""
                value="{{ $user->document ?? old('document') }}">
        </div>
        <div class="form-group col-md-12">
            <label for="gender_id">@lang('gender'):</label>
            <select class="form-control select2" id="gender_id" name="gender_id"
                value="{{ $user->gender_id ?? old('gender_id') }}">
                <option value="0" disabled {{ !isset($user) ? 'selected' : '' }}>@lang('select')</option>
                @forelse ($genders as $gender)
                <option value="{{ $gender->id }}"
                    {{ isset($user) && $user->gender_id == $gender->id ? 'selected' : '' }}>
                    @lang($gender->name)
                </option>
                @empty
                <option value="0" disabled>@lang('no_options')</option>
                @endforelse
            </select>
        </div>
        <div class="form-group col-md-12">
            <label for="user_roles">@lang('roles')*</label>
            <select class="form-control select2" id="user_roles" name="user_roles[]" multiple="multiple">
                @forelse ($roles as $role)
                @if ($role->id == 1 && Gate::check('user_seeInfoRoot') ||
                $role->id != 1 && Gate::check('user_access'))
                <option value="{{ $role->id }}"
                    {{ isset($user) && $user->roles->pluck('id')->contains($role->id) ? 'selected' : '' }}>
                    @lang($role->display_name)
                </option>
                @endif
                @empty
                <option value="0" disabled>@lang('no_options')</option>
                @endforelse
            </select>
        </div>
        <div class="form-group col-md-12">
            <label for="birthdate">@lang('birthdate'):</label>
            <div class="input-group">
                <input id="birthdate" name="birthdate" class="form-control pickerdate" placeholder="yyyy-mm-dd"
                    value="{{ $user->birthdate ?? old('birthdate') }}">
            </div>
        </div>
        <div class="form-group col-md-11 col-10">
            <label for="inputEmail4" class="ul-form__label">@lang('image'):</label>
            <div class="input-group mb-3">
                <div class="custom-file">
                    <label class="custom-file-label" for="image_url" id="text_input_image">@lang('choose_file')</label>
                    <input type="file" class="custom-file-input" id="image_url" name="image_url">
                </div>
            </div>
        </div>
        <div class="form-group col-md-1 col-1 margin_top_38">
            <button type="button" class="btn background_white" data-toggle="popover" title="@lang('title_info_size')"
                data-content="@lang('text_info_size', ['pixels1' => '128px', 'pixels2' => '128px'])"><i
                    class="nav-icon i-Information font_size_20"></i>
            </button>
        </div>
        <div class="form-group col-md-12">
            <label for="picker1">@lang('status'):</label>
            <select class="form-control select2" id="active" name="active" value="{{ $user->active ?? old('active') }}">
                <option value="1" {{isset($user) && $user->active ? 'selected' : ''}}>@lang('active')</option>
                <option value="0" {{isset($user) && !$user->active ? 'selected' : ''}}>@lang('inactive')</option>
            </select>
        </div>
    </div>
</div>