{% extends 'base.html.twig' %}
{% block title %}
Registrierung mit FAK !
{% endblock %}
{% block body %}
<main class="login-form mt-4">
<div class="cotainer">
{% if RegisterState == 1 %}
<div class="row justify-content-center">
<a href={{ path('app_login') }} class="btn btn-link">
{{ 'Zurück zum Login'|trans }}
</a>
</div>
{% endif %}
{% if error != 0 %}
<div class="row justify-content-center">
<div class="col-md-8">
<div class="card">
{% if FAKcheckState == 1 %}
<div class="card-header">
<h1 class="h3 mb-3 font-weight-normal">{{ 'Please sign in'|trans }}</h1>
</div>
{% endif %}
{% if FAKcheckState == 0 %}
<div class="card-header">
<h1 class="h3 mb-3 font-weight-normal">{{ 'please_register'|trans }}</h1>
</div>
{% endif %}
<div class="card-body">
{{ form_start(form,{attr: {'class': 'needs-validation','novalidate': 'novalidate'}}) }}
{% if FAKcheckState == 1 %}
<div class="row">
{{ form_label(form.FakNumber, 'FakNumber', { 'label_attr': {'class': 'col-md-4 col-form-label text-md-right'} }) }}
<div class="col-md-6">
{{ form_widget(form.FakNumber) }}
</div>
<a data-toggle="tooltip" data-placement="bottom" title="<img src='/images/fak.jpg'/>" class="pt-3">
<i class="text-primary bi-info-circle"></i>
</a>
</div>
<div class="row">
{{ form_label(form.Birthdate, 'birthdate', { 'label_attr': {'class': 'col-md-4 col-form-label text-md-right'} }) }}
<div class="col-md-6">
{{ form_widget(form.Birthdate)}}
</div>
</div>
{% endif %}
{% if FAKcheckState == 0 %}
<div class="row">
{{ form_label(form.Salutation, 'Salutation', { 'label_attr': {'class': 'col-md-4 col-form-label text-md-right'} }) }}
<div class="col-md-6">
{{ form_widget(form.Salutation) }}
</div>
</div>
<div class="row">
{{ form_label(form.FAKNumber, 'FakNumber', { 'label_attr': {'class': 'col-md-4 col-form-label text-md-right'} }) }}
<div class="col-md-6">
{{ form_widget(form.FAKNumber,{'value': response.s_SARILicenseId }) }}
</div>
</div>
<div class="row">
{{ form_label(form.Email, 'email', { 'label_attr': {'class': 'col-md-4 col-form-label text-md-right'} }) }}
<div class="col-md-6">
{{ form_widget(form.Email) }}
</div>
</div>
<div class="row">
{{ form_label(form.Firstname, 'firstname', { 'label_attr': {'class': 'col-md-4 col-form-label text-md-right'} }) }}
<div class="col-md-6">
{{ form_widget(form.Firstname, {'value': response.s_SARIPrename}) }}
</div>
</div>
<div class="row">
{{ form_label(form.Lastname, 'lastname', { 'label_attr': {'class': 'col-md-4 col-form-label text-md-right'} }) }}
<div class="col-md-6">
{{ form_widget(form.Lastname,{'value': response.s_SARIName }) }}
</div>
</div>
<div class="row">
{{ form_label(form.Birthdate, 'birthdate', { 'label_attr': {'class': 'col-md-4 col-form-label text-md-right'} }) }}
<div class="col-md-6">
{{ form_widget(form.Birthdate ,{'value': response.s_SARIBirthdate }) }}
</div>
</div>
<div class="row">
{{ form_label(form.AHV, 'AHV', { 'label_attr': {'class': 'col-md-4 col-form-label text-md-right'} }) }}
<div class="col-md-6">
{{ form_widget(form.AHV) }}
</div>
<a data-toggle="tooltip" title="<img src='/images/KK.jpg' />"class="pt-3">
<i class="text-primary bi bi-info-circle"></i>
</a>
</div>
<div class="row">
{{ form_label(form.address, 'address', { 'label_attr': {'class': 'col-md-4 col-form-label text-md-right'} }) }}
<div class="col-md-6">
{{ form_widget(form.address,{'value': response.s_SARIAddress }) }}
</div>
</div>
<div class="row">
{{ form_label(form.zip, 'zip', { 'label_attr': {'class': 'col-md-4 col-form-label text-md-right'} }) }}
<div class="col-md-6">
{{ form_widget(form.zip,{'value': response.s_SARIZIP }) }}
</div>
</div>
<div class="row">
{{ form_label(form.city, 'city', { 'label_attr': {'class': 'col-md-4 col-form-label text-md-right'} }) }}
<div class="col-md-6">
{{ form_widget(form.city,{'value': response.s_SARICity }) }}
</div>
</div>
<div class="row">
{{ form_label(form.Phone, 'phone', { 'label_attr': {'class': 'col-md-4 col-form-label text-md-right'} }) }}
<div class="col-md-6">
{{ form_widget(form.Phone) }}
</div>
</div>
<div class="row">
{{ form_label(form.Password, 'password', { 'label_attr': {'class': 'col-md-4 col-form-label text-md-right'} }) }}
<div class="col-md-6">
{{ form_widget(form.Password) }}
</div>
</div>
<div class="row">
{{ form_label(form.PasswordConfirm, 'PasswordConfirm', { 'label_attr': {'class': 'col-md-4 col-form-label text-md-right'} }) }}
<div class="col-md-6">
{{ form_widget(form.PasswordConfirm) }}
</div>
</div>
{% endif %}
<div class="col-md-6 offset-md-4 text-white">
{{ form_widget(form.Submit) }}
<a href={{ path('app_login') }} class="btn btn-link">
{{ 'back_to_login'|trans }}
</a>
</div>
{{ form_end(form) }}
</div>
</div>
</div>
</div>
{% endif %}
</div>
</main>
{% endblock %}
{% block javascripts %}
{{ parent() }}
{{ encore_entry_script_tags('fakFormValidation') }}
{% endblock %}