@php
    $token = (object)session()->get('remittance_token');
    $country= App\Models\Admin\ReceiverCounty::where('id',@$token->receiver_country)->first();
@endphp
<div class="trx-input" style="display: none;">
    <div class="row">
        <div class="col-xl-4 col-lg-4 col-md-6 form-group">
            @include('admin.components.form.input',[
                'name'          => "firstname",
                'label'         => "First Name",
                'label_after'   => "<span>*</span>",
                'placeholder'   => "First Name...",
            ])
        </div>

        <div class="col-xl-4 col-lg-4 col-md-6 form-group">
            @include('admin.components.form.input',[
                'label'         => "Last Name",
                'label_after'   => "<span>*</span>",
                'name'          => "lastname",
                'placeholder'   => "Last Name...",
            ])
        </div>

        <div class="col-xl-4 col-lg-4 col-md-6 form-group">
            <label>{{ __("country") }}<span>*</span></label>
            <select name="country" class="form--control country-select select-basic" >
                <option selected disabled>Select Country</option>
                @foreach ($countries as $item)
                    <option value="{{ $item->id }}" {{   @$country->id == $item->id?'selected':'' }} data-country-code="{{ $item->code }}" data-mobile-code="{{ $item->mobile_code }}"  data-id="{{ $item->id }}">{{ $item->country }} ({{ $item->code }})</option>
                @endforeach
            </select>
        </div>

        <div class="col-xl-4 col-lg-4 col-md-6 form-group">
            @include('admin.components.form.input',[
                'label'         => "Address",
                'label_after'   => "<span>*</span>",
                'name'          => "address",
                'type'          => "text",
                'placeholder'   => "Search Address",
                'required'      => true,
                'attribute'     => "id=place-input autocomplete=none",
            ])
        </div>
        <div class="col-xl-4 col-lg-4 col-md-6 form-group">
            @include('admin.components.form.input',[
                'label'         => "State",
                'name'          => "state",
                'type'          => "text",
                'placeholder'   => "Enter State",
            ])
        </div>
        <div class="col-xl-4 col-lg-4 col-md-6 form-group">
            @include('admin.components.form.input',[
                'label'         => "City",
                'label_after'   => "<span>*</span>",
                'name'          => "city",
                'type'          => "text",
                'placeholder'   => "Enter City",
            ])
        </div>

        <div class="col-xl-3 col-lg-3 col-md-6 form-group">
            @include('admin.components.form.input',[
                'label'         => "Zip Code",
                'label_after'   => "<span>*</span>",
                'name'          => "zip",
                'type'          => "text",
                'placeholder'   => "Zip Code",
            ])
        </div>
        <div class="col-xl-3 col-lg-3 col-md-6 form-group">
        <label>{{ __("phone Number") }}<span>*</span></label>
          <div class="input-group">
            <div class="input-group-text phone-code">+{{ @$country->mobile_code }}</div>
            <input class="phone-code" type="hidden" name="mobile_code"  value="{{  @$country->mobile_code }}"/>
            <input type="text" class="form--control" placeholder="Enter Mobile..." name="mobile">
          </div>
        </div>
        <div class="col-xl-3 col-lg-3 col-md-6 form-group">
        <label>{{ __("Email Address") }}<span>*</span></label>
          <div class="input-group">
            <input type="email" class="form--control" placeholder="Enter Email Address..." name="email">
          </div>
        </div>

        <div class="col-xl-3 col-lg-3 col-md-4 form-group">
            <label>{{ __("Select Bank") }} <span>*</span></label>
            <select name="bank" class="form--control select2-basic" data-placeholder="Select Bank Name">
                <option selected disabled>{{ __("Select Bank Name") }}</option>
                @foreach ($banks as $item)
                    <option value="{{ $item->alias }}">{{  $item->name  }}</option>
                @endforeach
            </select>
        </div>

    </div>
</div>