@extends('user.layouts.master')
@section('title', 'Withdrawal Request')
@section('content')
<div class="container-fluid">
   <div class="breadcrumb-header justify-content-between">
      <div class="my-auto">
         <div class="d-flex">
            <h4 class="content-title mb-0 my-auto">Manage Withdrawal</h4>
            <span class="text-muted mt-1 tx-13 ml-2 mb-0">/ Withdrawal Request</span>
         </div>
      </div>
   </div>
   <div class="row">
      <div class="col-md-8 offset-md-1">
         <div class="iq-edit-list-data">
            <div class="tab-content">
               <div class="tab-pane fade active show" id="chang-pwd" role="tabpanel">
                  <div class="card">
                     <div class="card-body">
                        <form class="row g-3" method="post" id="withdrawal_request">
                           <div class="form-group col-sm-6">
                              <label>Bank Name</label>
                              <input type="text" name="bank_name"  class="form-control" placeholder="Bank Name" value='' readonly>
                           </div>
                           <div class="form-group col-sm-6">
                              <label>Account Holder Name</label>
                              <input type="text" name="account_holder_name"  class="form-control" placeholder="Account Holder Name" value='' readonly>
                           </div>
                           <div class="form-group col-sm-6">
                              <label>Account No</label>
                              <input type="text" name="account_number" class="form-control"  placeholder="A/C No" value='' readonly>
                           </div>
                           <div class="form-group col-sm-6">
                              <label>IFSC  Code</label>
                              <input type="text" name="ifsc_code"  class="form-control"  placeholder="IFSC Code" value='' readonly>
                           </div>
                           <div class="form-group col-sm-6">
                              <label>Branch Name</label>
                              <input type="text" name="branch"  class="form-control"  placeholder="Branch Name" value='' readonly>
                           </div>
                           <div class="form-group col-sm-6">
                              <label>Pancard No.</label>
                              <input type="text" name="pan_no"  class="form-control" placeholder="PAN Card No " value='' readonly>
                           </div>
                           <div class="form-group col-sm-6">
                              <label>Aadhaar Card No.</label>
                              <input type="text" name="adhaar"  class="form-control" placeholder="Aadhaar Card No. " value='' readonly>
                           </div>
                           <div class="form-group col-md-6">
                              <label for="exampleInputPassword1" >Enter Amount</label>
                              <input type="number" name="withdrawal_amount" placeholder="Enter Amount" class="form-control" required >
                           </div>
                           <div class="col-12">
                              <div class="d-grid">
                                 <input type="submit" name="Submit" class="btn btn-success confirm-submit" value="SUBMIT" id="withdraw_button">
                              </div>
                           </div>
                        </form>
                     </div>
                  </div>
               </div>
            </div>
         </div>
      </div>
   </div>
</div>
@endsection