{% import "admin/Macros/Buttons/_button.html.twig" as button %}

<div class="col-md-12">
    <div class="row">
        <div class="col-md-12">


            <div class="form-group custom">
                <label for="" class="form-label">Adreş Başlığı  *</label>
                <input type="text" class="form-control" id="" name="title" value="{{ address.title|default }}"  required>
            </div><!-- End .form-group -->

            <div class="row">
                <div class="col-md-6">
                    <div class="form-group custom">
                        <label for="" class="form-label">İsim *</label>
                        <input type="text" class="form-control" value="{{ address.firstName|default }}" name="first_name"  required>
                    </div><!-- End .form-group -->
                </div>
                <div class="col-md-6">
                    <div class="form-group custom">
                        <label for="" class="form-label">Soyisim *</label>
                        <input type="text" class="form-control" value="{{ address.lastName|default }}" name="last_name"  required>
                    </div><!-- End .form-group -->
                </div>
            </div>

            <div class="form-group custom">
                <label for="" class="form-label">Telefon *</label>
                <input type="text" class="form-control" data-mask="phone" value="{{ address.phoneNumber|default }}" name="phone_number"  required>
            </div><!-- End .form-group -->

            <div class="form-group custom">
                <label for="" class="form-label">Adres *</label>
                <input type="text" class="form-control" value="{{ address.address|default }}" name="address"  required>
            </div><!-- End .form-group -->

            <div class="form-group custom">
                <label for="" class="form-label">Posta Kodu *</label>
                <input type="text" class="form-control" value="{{ address.postcode|default }}" name="postcode"  required>
            </div><!-- End .form-group -->

            <div class="row city_district_group">
                <div class="col-md-6">
                    <div class="form-group custom">
                        <label for="state">Şehir</label>
                        <select class=" select2 form-control city_select"
                                data-selected-id="{{ address.city.id|default }}"
                                name="city_id"
                                data-placeholder="Şehir seç" required>

                        </select>
                    </div>
                </div>
                <div class="col-md-6">
                    <div class="form-group custom">
                        <label for="country">İlçe</label>
                        <select disabled
                                class=" select2 form-control district_select"
                                name="district_id"
                                data-selected-id="{{ address.district.id|default }}"
                                data-placeholder="İlçe seç" required>
                            <option></option>
                        </select>

                    </div>
                </div>
                <div class="col-md-12">
                    <div class="custom-control custom-checkbox">
                        <input type="checkbox" name="is_default" value="1" class="custom-control-input" id="defaultAddress" {{ address.isDefault|default ? 'checked'  }}>
                        <label class="custom-control-label" for="defaultAddress">Varsayılan Adres</label>
                    </div>
                </div>


            </div>
            <hr>

            <div class="form-group custom">
                <label class="d-block mb-0">Fatura Türü</label>
                <div class="custom-control custom-radio custom-control-inline">
                    <input type="radio" id="male" name="invoice_type" value="1" class="custom-control-input" {{ address.invoiceType|default == '1' or address.invoiceType|default(null) is null ? 'checked' }}  />
                    <label class="custom-control-label" for="male">Bireysel</label>
                </div>
                <div class="custom-control custom-radio custom-control-inline">
                    <input type="radio" id="female" name="invoice_type" value="2" class="custom-control-input" {{ address.invoiceType|default == '2' ? 'checked' }}  />
                    <label class="custom-control-label" for="female">Kurumsal</label>
                </div>
            </div>

            <div class="invoice-type hidden" data-type="1">
                <div class="form-group custom">
                    <label for="" class="form-label">Tc Kimlik No  *</label>

                    <input type="text" class="form-control" id="" name="tc_no" minlength="11" maxlength="11" data-mask="tc" onkeyup="Panel.tcKeyup(this)" value="{{ address.tcNo|default }}"  >
                </div><!-- End .form-group -->
            </div>
            <div class="invoice-type hidden" data-type="2">
                <div class="form-group custom">
                    <label for="" class="form-label">Firma Adı  *</label>
                    <input type="text" class="form-control" id=""  name="company_name" value="{{ address.companyName|default }}"  >
                </div><!-- End .form-group -->
                <div class="form-group custom">
                    <label for="" class="form-label">Vergi Dairesi  *</label>
                    <input type="text" class="form-control" id="" name="vd" value="{{ address.vd|default }}"  >
                </div><!-- End .form-group -->
                <div class="form-group custom">
                    <label for="" class="form-label">Vergi Numarası  *</label>
                    <input type="text" class="form-control" id="" name="vn" value="{{ address.vn|default }}"  >
                </div><!-- End .form-group -->
            </div>



        </div>

    </div>


    {{ button.button_submit({'class':'btn-submit'}) }}
</div>