@php($supplier = $info ?? null)
<div class="row">
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label for="supplier_name_ar">@Lang('admin.supplier_name_ar')<span class="require">*</span></label>
        <input id="supplier_name_ar" type="text" autocomplete="off" class="form-control"
               value="{{ old('supplier_name_ar', optional($supplier)->supplier_name_ar) }}" name="supplier_name_ar">
    </div>
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label for="supplier_name_en">@Lang('admin.supplier_name_en')<span class="require">*</span></label>
        <input id="supplier_name_en" type="text" autocomplete="off" class="form-control englishInput"
               value="{{ old('supplier_name_en', optional($supplier)->supplier_name_en) }}" name="supplier_name_en">
    </div>
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label for="country_ar">@Lang('admin.country_ar')</label>
        <input id="country_ar" type="text" autocomplete="off" class="form-control"
               value="{{ old('country_ar', optional($supplier)->country_ar) }}" name="country_ar">
    </div>
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label for="country_en">@Lang('admin.country_en')</label>
        <input id="country_en" type="text" autocomplete="off" class="form-control englishInput"
               value="{{ old('country_en', optional($supplier)->country_en) }}" name="country_en">
    </div>
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label for="city_ar">@Lang('admin.city_ar')</label>
        <input id="city_ar" type="text" autocomplete="off" class="form-control"
               value="{{ old('city_ar', optional($supplier)->city_ar) }}" name="city_ar">
    </div>
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label for="city_en">@Lang('admin.city_en')</label>
        <input id="city_en" type="text" autocomplete="off" class="form-control englishInput"
               value="{{ old('city_en', optional($supplier)->city_en) }}" name="city_en">
    </div>
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label for="phone_number">@Lang('admin.suppliers_phone')<span class="require">*</span></label>
        <input id="phone_number" type="text" autocomplete="off" class="form-control numeric-input"
               value="{{ old('phone_number', optional($supplier)->phone_number) }}" name="phone_number">
    </div>
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label for="address">@Lang('admin.national_address')<span class="require">*</span></label>
        <input id="address" type="text" autocomplete="off" class="form-control"
               value="{{ old('address', optional($supplier)->address) }}" name="address">
    </div>
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label for="street_name_ar">@Lang('admin.street_name_ar')<span class="require">*</span></label>
        <input id="street_name_ar" type="text" autocomplete="off" class="form-control"
               value="{{ old('street_name_ar', optional($supplier)->street_name_ar) }}" name="street_name_ar">
    </div>
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label for="street_name_en">@Lang('admin.street_name_en')</label>
        <input id="street_name_en" type="text" autocomplete="off" class="form-control englishInput"
               value="{{ old('street_name_en', optional($supplier)->street_name_en) }}" name="street_name_en">
    </div>
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label for="district_ar">@Lang('admin.district_ar')</label>
        <input id="district_ar" type="text" autocomplete="off" class="form-control"
               value="{{ old('district_ar', optional($supplier)->district_ar) }}" name="district_ar">
    </div>
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label for="district_en">@Lang('admin.district_en')</label>
        <input id="district_en" type="text" autocomplete="off" class="form-control englishInput"
               value="{{ old('district_en', optional($supplier)->district_en) }}" name="district_en">
    </div>
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label for="building_no">@Lang('admin.building_no')</label>
        <input id="building_no" type="text" autocomplete="off" class="form-control"
               value="{{ old('building_no', optional($supplier)->building_no) }}" name="building_no">
    </div>
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label for="postal_code">@Lang('admin.postal_code')</label>
        <input id="postal_code" type="text" autocomplete="off" class="form-control"
               value="{{ old('postal_code', optional($supplier)->postal_code) }}" name="postal_code">
    </div>
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label for="additional_number">@Lang('admin.additional_number')</label>
        <input id="additional_number" type="text" autocomplete="off" class="form-control"
               value="{{ old('additional_number', optional($supplier)->additional_number) }}" name="additional_number">
    </div>
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label for="vat_number">@Lang('admin.vat_number')</label>
        <input id="vat_number" type="text" autocomplete="off" class="form-control numeric-input"
               value="{{ old('vat_number', optional($supplier)->vat_number) }}" name="vat_number">
    </div>
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label for="vat_register">@Lang('admin.vat_register')</label>
        <input id="vat_register" type="text" autocomplete="off" class="form-control"
               value="{{ old('vat_register', optional($supplier)->vat_register) }}" name="vat_register">
    </div>
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label for="identity_number">@Lang('admin.identity_number')</label>
        <input id="identity_number" type="number" class="form-control numeric-input"
               value="{{ old('identity_number', optional($supplier)->identity_number) }}" name="identity_number">
    </div>
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label for="id_iqama">@Lang('admin.id_iqama')</label>
        <input id="id_iqama" type="text" autocomplete="off" class="form-control numeric-input"
               value="{{ old('id_iqama', optional($supplier)->id_iqama) }}" name="id_iqama">
    </div>
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label for="passport_no">@Lang('admin.passport_no')</label>
        <input id="passport_no" type="text" autocomplete="off" class="form-control numeric-input"
               value="{{ old('passport_no', optional($supplier)->passport_no) }}" name="passport_no">
    </div>
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label for="credit_limit">@Lang('admin.credit_limit')</label>
        <input id="credit_limit" type="number" class="form-control"
               value="{{ old('credit_limit', optional($supplier)->credit_limit) }}" name="credit_limit">
    </div>
    <div class="form-group mb-3 col-lg-3 col-md-4 col-sm-12">
        <label class="d-block">@Lang('admin.is_active')</label>
        <div class="form-check form-check-inline">
            <input class="form-check-input" type="radio" name="is_active" id="is_active_yes" value="1"
                {{ old('is_active', optional($supplier)->is_active ?? '1') == '1' ? 'checked' : '' }}>
            <label class="form-check-label" for="is_active_yes">@Lang('admin.yes')</label>
        </div>
        <div class="form-check form-check-inline">
            <input class="form-check-input" type="radio" name="is_active" id="is_active_no" value="0"
                {{ old('is_active', optional($supplier)->is_active ?? '1') == '0' ? 'checked' : '' }}>
            <label class="form-check-label" for="is_active_no">@Lang('admin.no')</label>
        </div>
    </div>
</div>
<div class="row">
    <div class="form-group mb-3 col-md-12 col-sm-12">
        <label for="note">@Lang('admin.note')</label>
        <textarea id="note" class="form-control" name="note" rows="8"
                  cols="40">{{ old('note', optional($supplier)->note) }}</textarea>
    </div>
</div>