@csrf
<div class="row g-3">
    <div class="col-md-6">
        <label class="form-label">{{ __('app.name') }} *</label>
        <input type="text" name="name" class="form-control" value="{{ old('name', $customer->name ?? '') }}" required>
    </div>
    <div class="col-md-3">
        <label class="form-label">{{ __('customers.id_type') }} *</label>
        <select name="id_type" class="form-select" required>
            @foreach(['national_id','iqama'] as $t)
                <option value="{{ $t }}" @selected(old('id_type', $customer->id_type ?? 'national_id') === $t)>{{ __('customers.id_types.' . $t) }}</option>
            @endforeach
        </select>
    </div>
    <div class="col-md-3">
        <label class="form-label">{{ __('app.national_id') }}</label>
        <input type="text" name="national_id" class="form-control" value="{{ old('national_id', $customer->national_id ?? '') }}">
    </div>

    <div class="col-md-3">
        <label class="form-label">{{ __('customers.birth_date') }}</label>
        <input type="date" name="birth_date" class="form-control" value="{{ old('birth_date', optional($customer->birth_date ?? null)?->format('Y-m-d')) }}">
    </div>
    <div class="col-md-3">
        <label class="form-label">{{ __('customers.gender') }}</label>
        <select name="gender" class="form-select">
            <option value="">—</option>
            @foreach(['male','female'] as $g)
                <option value="{{ $g }}" @selected(old('gender', $customer->gender ?? '') === $g)>{{ __('customers.genders.' . $g) }}</option>
            @endforeach
        </select>
    </div>
    <div class="col-md-3">
        <label class="form-label">{{ __('customers.nationality') }}</label>
        <input type="text" name="nationality" class="form-control" value="{{ old('nationality', $customer->nationality ?? '') }}">
    </div>
    <div class="col-md-3">
        <label class="form-label">{{ __('customers.marital_status') }}</label>
        <input type="text" name="marital_status" class="form-control" value="{{ old('marital_status', $customer->marital_status ?? '') }}">
    </div>

    <div class="col-md-4">
        <label class="form-label">{{ __('app.phone') }}</label>
        <input type="text" name="phone" class="form-control" value="{{ old('phone', $customer->phone ?? '') }}">
    </div>
    <div class="col-md-4">
        <label class="form-label">{{ __('app.email') }}</label>
        <input type="email" name="email" class="form-control" value="{{ old('email', $customer->email ?? '') }}">
    </div>
    <div class="col-md-4">
        <label class="form-label">{{ __('app.city') }}</label>
        <input type="text" name="city" class="form-control" value="{{ old('city', $customer->city ?? '') }}">
    </div>

    <div class="col-md-4">
        <label class="form-label">{{ __('customers.employer') }}</label>
        <input type="text" name="employer" class="form-control" value="{{ old('employer', $customer->employer ?? '') }}">
    </div>
    <div class="col-md-4">
        <label class="form-label">{{ __('customers.employment_sector') }}</label>
        <select name="employment_sector" class="form-select">
            <option value="">—</option>
            @foreach(['gov','private','military','retired'] as $s)
                <option value="{{ $s }}" @selected(old('employment_sector', $customer->employment_sector ?? '') === $s)>{{ __('customers.sectors.' . $s) }}</option>
            @endforeach
        </select>
    </div>
    <div class="col-md-4">
        <label class="form-label">{{ __('app.monthly_income') }}</label>
        <input type="number" step="0.01" name="monthly_income" class="form-control" value="{{ old('monthly_income', $customer->monthly_income ?? '') }}">
    </div>

    <div class="col-12">
        <label class="form-label">{{ __('app.address') }}</label>
        <textarea name="address" class="form-control" rows="2">{{ old('address', $customer->address ?? '') }}</textarea>
    </div>
</div>
<div class="mt-3">
    <button type="submit" class="btn btn-primary"><i class="bi bi-check-lg"></i> {{ __('app.save') }}</button>
    <a href="{{ route('customers.index') }}" class="btn btn-secondary">{{ __('app.cancel') }}</a>
</div>