@extends('master')

@section('title')
    Normal Search
@stop

@section('styles')

@stop

@section('content')
<h1>Normal Search</h1>

{{ Form::open() }}

<div class="row">
    <div class="large-6 columns">
        <label>Surname</label>
        {{Form::text('surname')}}
    </div>
    <div class="large-6 columns">
        <label>Forename</label>
        {{ Form::text('forename') }}
    </div>
</div>

<div class="row">
    <div class="large-6 columns">
        <label>Gender</label>
        {{ Form::select('gender', [
             '' => 'Please Select',
             'M' => 'Male',
             'F' => 'Female']
        ) }}
    </div>
    <div class="large-6 columns">
        <label>Passport Flag</label>
        {{ Form::select('passportFlag', [
             '' => 'Please Select',
             'Y' => 'Yes',
             'N' => 'No']
         ) }}
    </div>
</div>

<div class="row">
    <div clas="large-6 columns">
        <label>ID Number</label>
        {{ Form::text('idNumber') }}
    </div>
    <div clas="large-6 columns">
        <label>Date of Birth</label>
        <input type="date" id="dateOfBirth" name="dateOfBirth" />
    </div>
</div>

<div class="row">
    <div class="large-12 columns">
        <label>Address Line 1</label>
        {{ Form::text('address1') }}
    </div>
    <div class="large-12 columns">
        <label>Address Line 2</label>
        {{ Form::text('address2') }}
    </div>
</div>

<div class="row">
    <div class="large-6 columns">
    <label>Retrieve Deeds Data?</label>
    {{ Form::radio('deedData', 1, true) }}
            Yes
    {{ Form::radio('deedData', 0, false) }}
           No
    </div>
    <div class="large-6 columns">
    <label>Run Director's Data?</label>
    {{ Form::radio('directorsData', 1, true) }}
           Yes
    {{ Form::radio('directorsData', 0, false) }}
           No
    </div>
</div>

<div class="row">
    <div class="large-6 columns">
        <label>CS Data?</label>
        {{ Form::radio('CSData', 1, true) }}
               Yes
        {{ Form::radio('CSData', 0, false) }}
               No
     </div>
     <div class="large-6 columns">
          <label>CPA + NLR Data?</label>
          {{ Form::radio('CPA', 1, true) }}
             Yes
          {{ Form::radio('CPA', 0, false) }}
             No
     </div>
</div>

<div class="row">
    <div class="large-6 columns">
        <label>Enquiry ID from Possible Match Search</label>
        {{ Form::text('equiryID') }}
    </div>
    <div class="large-6 columns">
        <label>Company ID from Possible Match Search</label>
        {{ Form::text('companyID') }}
    </div>
</div>

<button type="submit">Submit</button>

{{ Form::close() }}
@stop