@extends('staff.layouts.app')
@section('panel')
    <div class="row justify-content-center">
        <div class="col-lg-6 mb-30">
            <div class="card">
                <div class="card-body">
                    <h5 class="card-title mb-4 border-bottom pb-2">@lang('Complete Profile')</h5>
                    <form action="{{ route('user.data.submit') }}" method="POST" class="disableSubmission">
                        @csrf
                        <div class="row">
                            <div class="col-12">
                                <div class="form-group ">
                                    <label>@lang('Address')</label>
                                    <input class="form-control" type="text" name="address" value="{{ old('address') }}"
                                        required>
                                </div>
                                <div class="form-group">
                                    <label>@lang('State')</label>
                                    <input class="form-control" type="text" name="state" value="{{ old('state') }}"
                                        required>
                                </div>
                                <div class="form-group">
                                    <label>@lang('Zip Code')</label>
                                    <input class="form-control" type="text" name="zip" value="{{ old('zip') }}"
                                        required>
                                </div>
                                <div class="form-group">
                                    <label>@lang('City')</label>
                                    <input class="form-control" type="text" name="city" value="{{ old('city') }}"
                                        required>
                                </div>
                            </div>
                        </div>
                        <button type="submit" class="btn btn--primary h-45 w-100">@lang('Submit')</button>
                    </form>
                </div>
            </div>
        </div>
    </div>
@endsection