@extends('layouts.panel')
@section('content')
{!!Form::open(array('url'=>'contribuyente','method'=>'POST','autocomplete'=>'off')) !!}
{!! Form::token() !!}

<nav class="navbar navbar-top navbar-expand-md navbar-dark" id="navbar-main">
    <div class="container-fluid">
        <!-- Brand -->
        <a class="h4 mb-0 text-white text-uppercase d-none d-lg-inline-block" href="#">Contribuyentes</a>
    </div>
</nav>
<!-- Fondo Gris -->
<div class="header pt-0 pb-8 pt-md-5" style="background-color: #74797d"> </div>

<div class="container-fluid mt--8">
          <div class="card shadow">
            <div class="card-header border-0 form-inline">
              <h3 class="mb-0">Nuevo Contribuyente</h3>
            </div>
            <div class="panel panel-default">
                    <div class="panel-body">
                        <div class="row">
                            <div class="col-sm-4">
                                <div class="form-group ml-2">
                                    <div class="input-group">
                                        <div class="input-group-prepend">
                                            <span class="input-group-text" id="basic-addon1"><i class="ni ni-circle-08"></i></span>
                                        </div>
                                        <input id="name" name="CTBNombre" type="text" placeholder="Nombre..." class="form-control">
                                    </div>
                                </div>
                            </div>
                            <div class="col-sm-4">
                                <div class="form-group">
                                    <div class="selec-group">
                                            <select class="form-control"name="CTBTipDoc">
                                                <option value="">Seleccione tipo de documento</option>
                                                <option value="DNI">DNI</option>
                                                <option value="RUC">RUC</option>
                                                <option value="CEX">Carnet de Extranjería</option>
                                                <option value="PAS">Pasaporte</option>
                                            </select>
                                    </div>
                                </div>
                            </div>
                            <div class="col-sm-4">
                                <div class="form-group mr-2">
                                    <div class="input-group">
                                        <div class="input-group-prepend">
                                            <span class="input-group-text" id="basic-addon1"><i class="ni ni-badge"></i></span>
                                        </div>
                                        <input id="name" name="CTBNroDoc" type="text" placeholder="N° Documento..." class="form-control">
                                    </div>
                                </div>
                            </div>
                        </div>
                        <div class="row">
                            <div class="col-sm-4">
                                <div class="form-group">
                                    <div class="input-group ml-2">
                                        <div class="input-group-prepend">
                                            <span class="input-group-text" id="basic-addon1"><i class="ni ni-pin-3"></i></span>
                                        </div>
                                        <input id="name" name="CTBDirecc" type="text" placeholder="Dirección..." class="form-control">
                                    </div>
                                </div>
                            </div>
                            <div class="col-sm-4">
                                <div class="form-group mr-1">
                                    <div class="input-group">
                                        <div class="input-group-prepend">
                                            <span class="input-group-text" id="basic-addon1"><i class="ni ni-pin-3"></i></span>
                                        </div>
                                        <input id="name" name="CTBNroDir" type="text" placeholder="N° dirección.." class="form-control">
                                    </div>
                                </div>
                            </div>
                            <div class="col-sm-4">
                                <div class="form-group mr-2">
                                    <div class="input-group">
                                        <div class="input-group-prepend">
                                            <span class="input-group-text" id="basic-addon1"><i class="ni ni-pin-3"></i></span>
                                        </div>
                                        <input id="name" name="CTBLugar" type="text" placeholder="Lugar..." class="form-control">
                                    </div>
                                </div>
                            </div>
                        </div>
                        <div class="row">
                            <div class="col-sm-3">
                                <div class="form-group ml-2">
                                    <div class="input-group">
                                        <div class="input-group-prepend">
                                            <span class="input-group-text" id="basic-addon1"><i class="ni ni-pin-3"></i></span>
                                        </div>
                                        <input id="name" name="CTBNroDep" type="text" placeholder="N° departamento..." class="form-control">
                                    </div>
                                </div>
                            </div>
                            <div class="col-sm-3">
                                <div class="form-group">
                                    <div class="input-group">
                                        <div class="input-group-prepend">
                                            <span class="input-group-text" id="basic-addon1"><i class="ni ni-pin-3"></i></span>
                                        </div>
                                        <input id="name" name="CTBManzan" type="text" placeholder="Manzana..." class="form-control">
                                    </div>
                                </div>
                            </div>
                            <div class="col-sm-3">
                                <div class="form-group">
                                    <div class="input-group">
                                        <div class="input-group-prepend">
                                            <span class="input-group-text" id="basic-addon1"><i class="ni ni-pin-3"></i></span>
                                        </div>
                                        <input id="name" name="CTBNrLote" type="text" placeholder="Lote..." class="form-control">
                                    </div>
                                </div>
                            </div>
                            <div class="col-sm-3">
                                <div class="form-group mr-2">
                                    <div class="input-group">
                                        <div class="input-group-prepend">
                                            <span class="input-group-text" id="basic-addon1"><i class="ni ni-pin-3"></i></span>
                                        </div>
                                        <input id="name" name="CTBCuadra" type="text" placeholder="Cuadra..." class="form-control">
                                    </div>
                                </div>
                            </div>
                        </div>

                        <div class="row">
                            <div class="col col-sm-3">
                                <div class="form-group ml-2">
                                    <div class="selec-group">
                                        <select class="form-control" name="CTBExoner">
                                            <option value="S">Exonerado</option>
                                            <option value="N">No exonerado</option>
                                        </select>
                                    </div>
                                </div>
                            </div>
                            <div class="col col-sm-3">
                                <div class="form-group">
                                    <div class="input-group">
                                        <div class="input-group-prepend">
                                            <span class="input-group-text" id="basic-addon1">ResGer:</span>
                                        </div>
                                        <input id="name" name="CTBResGer" type="text"  placeholder="" class="form-control">
                                    </div>
                                </div>
                            </div>
                            <div class="col col-sm-3">
                                <div class="form-group">
                                    <div class="input-group">
                                        <div class="input-group-prepend">
                                            <span class="input-group-text" id="basic-addon1">Exoneración fecha inicio: |</span>
                                        </div>
                                        <input id="name" name="CTBExoFeI" type="datetime-local" placeholder="" class="form-control">
                                    </div>
                                </div>
                            </div>
                            <div class="col col-sm-3">
                                <div class="form-group mr-2">
                                    <div class="input-group">
                                        <div class="input-group-prepend">
                                            <span class="input-group-text" id="basic-addon1">Exoneración fecha final: |</span>
                                        </div>
                                        <input id="name" name="CTBExoFeF" type="datetime-local" placeholder="" class="form-control">
                                    </div>
                                </div>
                            </div>
                        </div>

                        <div class="row">
                            <div class="col col-sm-12">
                            <div class="form-group ml-2 mr-2">
                                <div class="input-group">
                                    <textarea class="form-control" id="message" name="CTBObserv" placeholder="observaciones..." rows="5"></textarea>
                                </div>
                            </div> </div>
                        </div>

                        <button type="submit" class="btn btn-info mb-2 ml-2">Guardar Datos</button>
                        <a href="{{url('contribuyente')}}" class="btn btn-light mb-2">Volver a lista de contribuyentes</a>
                    </div> <!-- Fin de panel body -->
                </div> <!-- Fin de panel -->
            </div> <!-- card shadow -->  
  </div>
{!! Form::close() !!}
@endsection