@php

if($type == "Researcher" || $type=="HKMPUser"){
    $col_md = 6;
}else{
    $col_md = 6;
}
    
@endphp
<style type="text/css">
    
    .login-content .login-form form .form-control
    {
        height: 36px;
    }
    input[type="file"] {
    height: 45px !important;
}
</style>
                            <div class="row">
                                <div class="col-md-{{$col_md}}">
                                    <div class="bg-signup">
                                        <div class="form-group">
                                            <h4>Personal Information</h4>
                                        </div>
                                        <div class="row">

                                             <div class="col-md-2">
                                                <div class="form-group">
                                                <label class="control-label">Title
                                                    <span class="required"> * </span>
                                                </label>
                                                <select class="form-control" name="title" id="title">
                                                        <option value="Dr." {{(isset($currentUser->title) && $currentUser->title=="Dr.")?"selected":""}}>Dr.</option>
                                                        <option value="Mr." {{(isset($currentUser->title) && $currentUser->title=="Mr.")?"selected":""}}>Mr.</option>
                                                        <option value="Ms." {{(isset($currentUser->title) && $currentUser->title=="Ms.")?"selected":""}}>Ms.</option>
                                                        <option value="Prof." {{(isset($currentUser->title) && $currentUser->title=="Prof.")?"selected":""}}>Prof.</option>
                                                </select>
                                                </div>
                                            </div>
                                            <div class="col-md-5">
                                                <div class="form-group">
                                                <label class="control-label">First Name
                                                    <span class="required"> * </span>
                                                </label>
                                                <input required value="{{isset($currentUser->name)?$currentUser->name:""}}" type="text" name="name" id="name" class="form-control">
                                                </div>
                                            </div>                             
                                            <div class="col-md-5">
                                                <div class="form-group">
                                                <label class="control-label">Last Name
                                                    <span class="required"> * </span>
                                                </label>
                                                <input required value="{{isset($currentUser->l_name)?$currentUser->l_name:""}}" type="text" name="l_name" id="l_name" class="form-control">
                                                </div>
                                            </div>
                                           
                                              <div class="col-md-6">
                                                <div class="form-group">
                                                <label class="control-label">Country
                                                    <span class="required"> * </span>
                                                </label>
                                                <select class="form-control" name="country_id" id="country_id">
                                                    <option value="">Choose a Country</option>
                                                    @foreach($countries as $country)
                                                        <option  @if(isset($currentUser->country_id) && ($currentUser->country_id==$country->id)) selected @endif value="{{$country->id}}">{{$country->name}}</option>
                                                    @endforeach
                                                </select>
                                            </div>
                                            </div>
                                            @if($type == "Researcher" || $type=="HKMPUser")

                                            <div class="col-md-6">
                                             
                                                <label class="control-label">Upload photo
                                                </label>
                                                <input  type="file" id="image" name="image" accept="image/*" class="form-control">
                                            
                                            </div>
                                            @endif
                                        </div>
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    <div class="bg-signup">
                                        @if(!(isset($currentUser->type) && ($currentUser->type == "senior reviewer" || $currentUser->type == "junior reviewer")))

                                            <div class="form-group">
                                            <h4>Area of Interest</h4>
                                        </div>


                                        <div class="form-group row">
                                            <div class="col-md-12">
                                                <label class="control-label">Area of Interest
                                                    <span class="required"> * </span>
                                                </label>
                                                <select class="form-control" name="area_of_interest[]" id="area_of_interest" multiple>
                                                    @foreach($area_of_interest as  $keyword)
                                                        <option @if(isset($currentUser->area_of_interest) && in_array($keyword->id , $currentUser->area_of_interest)) selected @endif value="{{$keyword->id}}">{{$keyword->keyword_en}}</option>
                                                    @endforeach
                                                </select>
                                            </div>
                                             <hr>
                                        </div>

                                        @endif
                                        
                                       
                                        @if($type == "Researcher" || $type == "HKMPUser")
{{--                                         <div class="form-group">
                                            <h4>Topics of Interest</h4>
                                        </div>
                                        <div class="form-group row">
                                            <div class="col-md-12">
                                                <label class="control-label">Topics of Interest
                                                    <span class="required"> * </span>
                                                </label>
                                                <select class="form-control" multiple name="topics_of_interest[]" id="topics_of_interest">
                                                    @foreach($topics_of_interest as  $keyword)
                                                        <option @if(isset($currentUser->topics_of_interest[0]) && (in_array($keyword->id, $currentUser->topics_of_interest))) selected @endif value="{{$keyword->id}}"  >{{$keyword->name}}</option>
                                                    @endforeach
                                                </select>
                                            </div>



                                        </div> --}}
                                        @endif
                                    </div>
                                </div>
                                 
                                <div class="col-md-{{$col_md}}">
                                    <div class="bg-signup">
                                         @if($type == "Researcher" || $type=="HKMPUser")
                                        <div class="form-group">
                                            <h4>Describe Yourself</h4>
                                        </div>
                                        <div class="row">
                                            <div class="col-md-6">
                                            <div class="form-group">
                                                <label class="control-label">Institutions</label>
                                                <select class="form-control" name="institutions[]"  id="institutions" multiple>
                                                   
                                                    @foreach( $institutions as $institution)
                                                        <option @if(isset($currentUser->institutions) && in_array($institution->id , $currentUser->institutions)) selected @endif value="{{$institution->id}}">{{$institution->name}}</option>
                                                    @endforeach
                                                </select><br>
                                                  <label class="control-label">Other Institution</label>
                                                         <input id="institutions_others" type="text" name="institutions_others" value="@if(isset($currentUser->institutions_others)){{$currentUser->institutions_others}}@endif" placeholder="Other Institution" class="form-control">

                                            </div>

                                        </div>
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <label class="control-label">Describe Yourself
                                                    <span class="required"> * </span>
                                                </label>
                                                <select class="form-control" name="describe_yourself" id="describe_yourself">
                                                    <option value="">Select</option>
                                                    <option {{(isset($currentUser->describe_yourself) && $currentUser->describe_yourself=="Faculty Staff")?"selected":""}} value="Faculty Staff">Faculty Staff</option>
                                                    <option {{(isset($currentUser->describe_yourself) && $currentUser->describe_yourself=="General Practitioner")?"selected":""}} value="General Practitioner">General Practitioner</option>
                                                    <option {{(isset($currentUser->describe_yourself) && $currentUser->describe_yourself=="Health Information Specialist")?"selected":""}} value="Health Information Specialist">Health Information Specialist</option>
                                                    <option {{(isset($currentUser->describe_yourself) && $currentUser->describe_yourself=="Health Professionals")?"selected":""}} value="Health Professionals">Health Professionals</option>
                                                    <option {{(isset($currentUser->describe_yourself) && $currentUser->describe_yourself=="Health Worker")?"selected":""}} value="Health Worker">Health Worker</option>
                                                    <option {{(isset($currentUser->describe_yourself) && $currentUser->describe_yourself=="Medical Librarian")?"selected":""}} value="Medical Librarian">Medical Librarian</option>
                                                    <option {{(isset($currentUser->describe_yourself) && $currentUser->describe_yourself=="Physician")?"selected":""}} value="Physician">Physician</option>
                                                    <option {{(isset($currentUser->describe_yourself) && $currentUser->describe_yourself=="Policymaker")?"selected":""}} value="Policymaker">Policymaker</option>
                                                    <option {{(isset($currentUser->describe_yourself) && $currentUser->describe_yourself=="Post Graduate")?"selected":""}} value="Post Graduate">Post Graduate</option>
                                                    <option {{(isset($currentUser->describe_yourself) && $currentUser->describe_yourself=="Researcher")?"selected":""}} value="Researcher">Researcher</option>
                                                    <option {{(isset($currentUser->describe_yourself) && $currentUser->describe_yourself=="Under Graduate")?"selected":""}} value="Under Graduate">Under Graduate</option>
                                                    <option {{(isset($currentUser->describe_yourself) && $currentUser->describe_yourself=="Other")?"selected":""}} value="Other">Other</option>
                                                </select><br>
                                                <input style="display: none" id="describe_yourself_other" type="text" name="describe_yourself_other" placeholder="Describe Yourself" value="@if(isset($currentUser->describe_yourself_other)){{$currentUser->describe_yourself_other}}@endif" class="form-control">
                                            </div>
                                        </div>

                                        
                                        </div>
                                        @endif
                                         <div class="form-group row">
                                            <div class="col-md-6">
                                                <label class="control-label">Job Title
                                                </label>
                                                <input  type="text" value="@if(isset($currentUser->job_title)){{$currentUser->job_title}}@endif" name="job_title" class="form-control">
                                            </div>
                                            <div class="col-md-6">
                                                <label class="control-label">Affiliation
                                                </label>
                                                <input  type="text" value="@if(isset($currentUser->affiliation)){{$currentUser->affiliation}}@endif" name="affiliation" class="form-control">
                                            </div>
                                        </div>
                                    </div>
                                </div>
                                <div class="col-md-{{$col_md}}">
                                    <div class="bg-signup">
                                        <div class="form-group">
                                                                            <br>

                                            <h4>Login Information</h4>
                                        </div>
                                        <div class="form-group row">
                                            <div class="col-md-6">
                                                <label class="control-label">Email
                                                    <span class="required"> * </span>
                                                </label>
                                                <input required value="{{isset($currentUser->email)?$currentUser->email:""}}"  type="email" name="email" id="email" class="form-control">
                                            </div>
                                            <div class="col-md-6">
                                                <label class="control-label">   Email Confirmation
                                                    <span class="required"> * </span>
                                                </label>
                                                <input required value="{{isset($currentUser->email)?$currentUser->email:""}}" type="email_confirmation" name="email_confirmation" id="email_confirmation" class="form-control">
                                            </div>
                                        </div>
                                        <div class="form-group row" style="margin-bottom:13px;">

                                            <div class="col-md-6">
                                                <label class="control-label">Password
                                                    <span class="required"> * </span>
                                                </label>
                                                <input  type="password" name="password" id="password"
                                                       class="form-control">
                                                    
                                            </div>
                                            <div class="col-md-6">
                                                <label class="control-label">Password Confirmation
                                                    <span class="required"> * </span>
                                                </label>
                                                <input  type="password" name="password_confirmation"
                                                       id="password_confirmation" class="form-control">
                                            </div>

                          
                                            <div class="col-md-12">
                                                <p id="passwordHelpBlock" class="form-text text-muted">
                                                            Your password must be more than 8 characters long, should contain at-least 1 Uppercase, 1 Lowercase, 1 Numeric and 1 special character.
                                                    </p>
                                            </div>
                                        </div>
                                    </div>
                                </div>
                                
                               
                            </div>

                            
                           
                            
{{ csrf_field() }}