@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="@lang('name_covenants')"
                value="{{ $covenant->name ?? old('name') }}">
        </div>
        <div class="form-group col-md-12">
            <label for="institution_id">@lang('institution')*</label>
            <select class="form-control select2" id="institution_id" name="institution_id"
                value="{{ $covenant->institution_id ?? old('institution_id') }}">
                <option value="0" {{ !isset($covenant) ? 'selected disabled' : '' }}>@lang('select')</option>
                @forelse ($institutions as $institution)
                <option value="{{ $institution->id }}"
                    {{ isset($covenant) && $covenant->institution_id == $institution->id ? 'selected' : '' }}>
                    @lang($institution->name)
                </option>
                @empty
                <option value="0" disabled>@lang('no_options')</option>
                @endforelse
            </select>
        </div>
        <div class="form-group col-md-12">
            <label for="term_start">@lang('term_start')</label>
            <div class="input-group">
                <input id="term_start" name="term_start" class="form-control datepicker"
                    placeholder="yyyy-mm-dd" value="{{ $covenant->term_start ?? old('term_start') }}">
            </div>
        </div>
        <div class="form-group col-md-12">
            <label for="term" class="ul-form__label">@lang('term')*</label>
            <input type="number" class="form-control" id="term" name="term" placeholder=""
                value="{{ $covenant->term ?? old('term') }}">
        </div>
        <div class="form-group col-md-12">
            <label for="term_end">@lang('term_end')</label>
            <div class="input-group">
                <input id="term_end" name="term_end" class="form-control datepicker"
                    placeholder="yyyy-mm-dd" value="{{ $covenant->term_end ?? old('term_end') }}" disabled>
            </div>
        </div>
        <div class="form-group col-md-12">
            <label for="agent_name" class="ul-form__label">@lang('agent_name')*</label>
            <input type="text" class="form-control" id="agent_name" name="agent_name" placeholder=""
                value="{{ $covenant->agent_name ?? old('agent_name') }}">
        </div>
        <div class="form-group col-md-12">
            <label for="agent_phone" class="ul-form__label">@lang('agent_phone')*</label>
            <input type="number" class="form-control" id="agent_phone" name="agent_phone" placeholder=""
                value="{{ $covenant->agent_phone ?? old('agent_phone') }}">
        </div>
        <div class="form-group col-md-12">
            <label for="agent_email" class="ul-form__label">@lang('agent_email')*</label>
            <input type="email" class="form-control" id="agent_email" name="agent_email" placeholder=""
                value="{{ $covenant->agent_email ?? old('agent_email') }}">
        </div>
        <div class="form-group col-md-12">
            <label for="picker1">@lang('status')*</label>
            <select class="form-control select2" id="active" name="active" value="{{ $covenant->active ?? old('active') }}">
                <option value="true" {{isset($covenant) && $covenant->active ? 'selected' : ''}}>@lang('active')</option>
                <option value="false" {{isset($covenant) && !$covenant->active ? 'selected' : ''}}>@lang('inactive')</option>
            </select>
        </div>
    </div>
</div>