<div class="card card-bg border-0">
    <div class="card-body">
        <form action="{{ route('legacy.form.save') }}" method="POST" enctype="multipart/form-data">
            @csrf
            <h5>Personal Details</h5>
            {!! textFormField(title: "Full Name", name: "fullname", placeholder: "Enter name", required: true, val: $legacy->full_name) !!}
            {!! calendarFormField(title: "Date of Birth", name: "dob", val: $legacy->dob) !!}
            {!! textFormField(title: "Nationality", name: "nationality", placeholder: "Nationality", val: $legacy->nationality) !!}
            {!! textFormField(title: "Residential Address", name: "address", placeholder: "Residential Address", val: $legacy->address) !!}
            {!! textFormField(title: "Phone Number", name: "phone", placeholder: "Phone Number", val: $legacy->phone) !!}
            {!! textFormField(title: "Email Address", name: "email", placeholder: "Email Address", val: $legacy->email) !!}
            {!! textFormField(title: "Country of Residence", name: "country", placeholder: "Country of Residence", val: $legacy->country) !!}
            {!! textFormField(title: "Occupation", name: "occupation", placeholder: "Occupation", val: $legacy->occupation) !!}
            
            <br>
            <h5>Beneficiary/Inheritance Information</h5>
            {!! textFormField(title: "Full Name", name: "ben_fullname", placeholder: "Full Name", val: $legacy->ben_full_name) !!}
            {!! textFormField(title: "Relationship", name: "ben_relationship", placeholder: "Relationship", val: $legacy->ben_relationship) !!}
            {!! textFormField(title: "Email Address", name: "ben_email", placeholder: "Email", val: $legacy->ben_email) !!}
            {!! textFormField(title: "Contact Number", name: "ben_phone", placeholder: "Contact Number", val: $legacy->ben_phone) !!}
            {!! textFormField(title: "Residential Adresss", name: "ben_address", placeholder: "Residential Adresss", val: $legacy->ben_address) !!}
            {!! selectFormField(title: "Identification Type", name: "ben_id_type", items: ID_TYPES, val: $legacy->ben_id_type) !!}
            {!! fileFormField(title: "Attach a copy of your Identification Document (Passport, National ID, etc.)", name: "ben_id", val: $legacy->ben_id, user_id: $legacy->user_id) !!}
            {!! textFormField(title: "Percentage of Assets to be Inherited", name: "ben_asset_percent", placeholder: " ", val: $legacy->ben_asset_percent) !!}
            {!! textFormField(title: "Special Instructions for Asset Transfer", name: "ben_instructions", placeholder: " ", val: $legacy->ben_instructions) !!}
            <br>
            <h5>Additional Contacts and Authorizations</h5>
            {!! selectFormField(title: "Would you like to designate a trusted family member as an additional contact for account-related inquiries? This person may or may not have control over your funds but can receive updates and assist with account matters if needed.", name: "addc_contact", items: ["Yes", "No"], valueIsKey: true, val: $legacy->addc_contact) !!}
            {!! textFormField(title: "If yes, provide Full Name", name: "addc_full_name", placeholder: "Full Name", val: $legacy->addc_full_name) !!}
            {!! textFormField(title: "Relationship", name: "addc_relationship", placeholder: "Relationship", val: $legacy->addc_relationship) !!}
            {!! textFormField(title: "Contact Number", name: "addc_phone", placeholder: "Contact Number", val: $legacy->addc_phone) !!}
            {!! textFormField(title: "Email Address", name: "addc_email", placeholder: "Email", val: $legacy->addc_email) !!}
            {!! selectFormField(title: "Level of Authorization.", name: "addc_level", items: ["Full Access", "Inquiry Only"], valueIsKey: true, val: $legacy->addc_level) !!}
            <br>
            <h5>Know Your Customer (KYC) Requirements</h5>
            {!! fileFormField(title: "Attach a copy of Proof of Address (Utility Bill, Bank Statement, etc.)", name: "kyc_proof_of_address", val: $legacy->kyc_proof_of_address, user_id: $legacy->user_id) !!}
            {!! fileFormField(title: "Attach a Recent Photograph for identification purposes", name: "kyc_photo", val: $legacy->kyc_photo, user_id: $legacy->user_id) !!}
            {!! selectFormField(title: "Have you ever been declared bankrupt or involved in financial litigation?", name: "kyc_bankrupt", items: ["Yes", "No"], valueIsKey: true, val: $legacy->kyc_bankrupt) !!}
            {!! selectFormField(title: "Do you have a criminal record or have you been convicted of a financial crime?", name: "kyc_convict", items: ["Yes", "No"], valueIsKey: true, val: $legacy->kyc_convict) !!}
            <br>
            <h5>Final Declarations</h5>
            {!! selectFormField(title: "Do you consent to PRPLife terms and conditions regarding asset management and KYC regulations?", name: "consent", items: ["Yes", "No"], valueIsKey: true, val: $legacy->consent) !!}
            <br>
            @if(!auth()->user()->isAdmin())
                <button class="btn btn-primary" type="submit">Save and Continue</button>
            @endif
        </form>
    </div>
</div>