@extends('layout.main')


@section('main-section')


 <!-- Content wrapper -->
          <div class="content-wrapper">
            <!-- Content -->
            <div class="container-xxl flex-grow-1 container-p-y">




            <div class="row g-12">
                <div class="col-md-12">
                  <div class="card">
                    <h3 class="card-header text-warning">Motor Pre-InspectionAttend Stage</h3>
                    <div class="card-body">

                    <div class="row">

                      <div id="" class="form-text text-danger">
                          <h5 class="text-success">Claim Attend Info</h5>
                          <p></p>
                        </div>

                      <div class="col-md-6">
                        <label for="" class="form-label">Vehicle Type</label>
                        <input type="text" placeholder="Vehicle Type" name="" class="form-control" id="" />
                        <p></p>
                      </div>

                       <div class="col-md-6">
                        <label for="" class="form-label">Make</label>
                        <input type="text" placeholder="Make" name="" class="form-control" id="" />
                        <p></p>
                      </div>

                      <div class="col-md-6">
                        <label for="" class="form-label">Model</label>
                        <input type="text" placeholder="Model" name="" class="form-control" id="" />
                        <p></p>
                      </div>

                      <div class="col-md-6">
                        <label for="" class="form-label">Registration</label>
                        <input type="text" placeholder="Registration" name="" class="form-control" id="" />
                        <p></p>
                      </div>

                      <div class="col-md-6">
                        <label for="" class="form-label">Chassis #</label>
                        <input type="text" placeholder="Chassis #" name="" class="form-control" id="" />
                        <p></p>
                      </div>

                      <div class="col-md-6">
                        <label for="" class="form-label">Engine #</label>
                        <input type="text" placeholder="Engine #" name="" class="form-control" id="" />
                        <p></p>
                      </div>

                      <div class="col-md-6">
                        <label for="" class="form-label">Color</label>
                        <input type="text" placeholder="Color" name="" class="form-control" id="" />
                        <p></p>
                      </div>

                      <div class="col-md-6">
                        <label for="" class="form-label">Odometer Reading</label>
                        <input type="text" placeholder="Odometer Reading" name="" class="form-control" id="" />
                        <p></p>
                      </div>

                      <div class="col-md-6">
                        <label for="" class="form-label">Engine Size</label>
                        <input type="text" placeholder="Engine Size" name="" class="form-control" id="" />
                        <p></p>
                      </div>

                      <div class="col-md-6">
                        <label for="" class="form-label">Seating Capacity</label>
                        <input type="text" placeholder="Seating Capacity" name="" class="form-control" id="" />
                        <p></p>
                      </div>

                      <div class="col-md-6">
                        <label for="" class="form-label">Accessories</label>
                        <input type="text" placeholder="Accessories" name="" class="form-control" id="" />
                        <p></p>
                      </div>

                      <div class="col-md-6">
                        <label for="" class="form-label">Condition</label>
                        <input type="text" placeholder="Condition" name="" class="form-control" id="" />
                        <p></p>
                      </div>

                       <div class="col-md-6">
                        <label for="" class="form-label">Policy #</label>
                        <input type="text" placeholder="Policy #" name="" class="form-control" id="" />
                        <p></p>
                      </div>

                      <div class="col-md-6">
                        <label for="" class="form-label">CV4 Applicable</label>
                        <input type="text" placeholder="CV4 Applicable" name="" class="form-control" id="" />
                        <p></p>
                      </div>

                       <div class="col-md-6">
                       <label for="" class="form-label">Urgent PLR (Optional)</label>
                         <select class="form-control">
                            <option value="">Please Select</option>
                            <option value="Insurer">Insurer</option>
                            <option value="Takaful">Takaful</option>
                            <option value="Other">Other</option>
                        </select>
                        <p></p>
                      </div>

                      <div class="col-md-6">
                        <label for="" class="form-label">Assign to Team Member</label>
                         <select class="form-control">
                            <option value="">Please Select</option>
                            <option value="Insurer">Insurer</option>
                            <option value="Takaful">Takaful</option>
                            <option value="Other">Other</option>
                        </select>
                        <p></p>
                      </div>


                      <div class="col-md-12">
                        <label for="" class="form-label">Message for Surveyor / Loss Adjuster</label>
                        <textarea class="form-control" placeholder="Message for Surveyor / Loss Adjuster" name="" id=""></textarea>
                        <p></p>
                      </div>


                      <div class="col-md-12">
                        <button type="submit" class="btn btn-success">Attend</button>
                      </div>

                    </div>
                    </div>
                  </div>
                </div>
             </div>
            </div>
          </div>

          @endsection('main-section')