{% extends 'base.html.twig' %}
{% block body %}
<style>
	.row{margin-bottom:20px;}
</style>

        <div class="breadcumb-wrapper" data-bg-src="../../assets/img/breadcumb/breadcumb-bg.jpg">
    <div class="container z-index-common">
      <div class="breadcumb-content">
        <h1 class="breadcumb-title">GST Details</h1>
        <div class="breadcumb-menu-wrap">
          <ul class="breadcumb-menu">
            <li><a href="/index">Home</a></li>
            <li>GST Details</li>
          </ul>
        </div>
      </div>
    </div>
  </div>
  <div class="space vs-cart-wrapper">
    <div class="container">
      <div class="woocommerce-notices-wrapper">
        <div class="woocommerce-message">Update GST Details</div>
		<div style="border: 1px solid #B4B4B4;padding: 20px;margin: 10px;border-radius: 10px;">
		<form action="/update-gst" method="post">
			<div id="errMsg" style="color:red; font-weight:12px;"></div>
				<div class="row">
					<div class="col-sm-6">
						<label>GSTIN No :  *</label>
						<input type="text" class="form-control" id="gst_no" name="gst_no" required value="{% if(FTCHUssr[0]['gst_no'] is defined) %}
{{FTCHUssr[0]['gst_no']}}{% endif %}"  {% if(FTCHUssr[0]['gst_no'] is defined) %} {% if(FTCHUssr[0]['verify_status'] ==1) %} { readonly {% endif %}{% endif %} onchange="gstno_validate(this.value);">
					</div><!-- End .col-sm-6 -->

					<div class="col-sm-6">
						<label>Concern Name :  *</label>
						<input type="text" class="form-control" required value="{% if(FTCHUssr[0]['company_name'] is defined) %} {{FTCHUssr[0]['company_name']}}{% endif %}" name="company_name">
					</div><!-- End .col-sm-6 -->
				</div><!-- End .row -->
				<div class="row">
					<div class="col-sm-6">
				<label>Door No/Apartment No : *</label>
				<input type="text" class="form-control" required value="{% if(FTCHUssr[0]['doorno'] is defined) %} {{FTCHUssr[0]['doorno']}}{% endif %}" name="doorno">
				</div>
				<div class="col-sm-6">
				<label>Street *</label>
				<input type="text" class="form-control" required value="{% if(FTCHUssr[0]['street'] is defined) %} {{FTCHUssr[0]['street']}}{% endif %}" name="street">
				</div>
				</div>
				<div class="row">
					<div class="col-sm-6">
				<label>City : *</label>
				<input type="text" class="form-control" required value="{% if(FTCHUssr[0]['city'] is defined) %} {{FTCHUssr[0]['city']}}{% endif %}" name="city">
				</div>
				<div class="col-sm-6">
				<label>State *</label>
				<input type="text" class="form-control" required value="{% if(FTCHUssr[0]['state'] is defined) %} {{FTCHUssr[0]['state']}}{% endif %}" name="state">
				</div>
				</div>

				<div class="row">
					<div class="col-sm-6">
				<label>Country : *</label>
				<input type="text" class="form-control" required value="{% if(FTCHUssr[0]['country'] is defined) %} {{FTCHUssr[0]['country']}}{% endif %}" name="country">
				</div>

				<div class="col-sm-6">
				<label>Email Id *</label>
				<input type="email" class="form-control" required value="{% if(FTCHUssr[0]['email_id'] is defined) %} {{FTCHUssr[0]['email_id']}}{% endif %}" name="email_id" {% if(FTCHUssr[0]['gst_no'] is defined) %} {% if(FTCHUssr[0]['verify_status'] ==1) %} readonly {% endif %}  {% endif %}>
				</div>
				</div>
				<div class="row">
					<div class="col-sm-6">
				<label>Phone : *</label>
				<input type="text" class="form-control" required value="{% if(FTCHUssr[0]['phone_no'] is defined) %} {{FTCHUssr[0]['phone_no']}}{% endif %}" name="phone_no">
				</div>
				</div>
			<button type="submit" class="vs-btn style4">
				<span>SAVE CHANGES</span>
				<i class="icon-long-arrow-right"></i>
				</button>
			</form>
			</div>
      </div>
	  </div>
	  </div>
{% endblock %}