@{
    ViewData["Title"] = "Bio Nasabah";
    Layout = "~/Views/Shared/_LayoutAppWithoutNavbar.cshtml";
}

<div class="min-h-screen flex items-center justify-center py-8 px-4">
    <div class="w-full max-w-4xl">
        <div class="flex flex-col gap-2 md:flex-row md:justify-center md:gap-0 mb-6">
            <div class="prose">
                <span class="text-xl font-semibold text-gray-900 font-['Plus_Jakarta_Sans']">
                Lengkapi Biodata Anda
                </span>
            </div>
        </div>
        <!-- Alert Box with DaisyUI -->
        <div class="alert border-blue-200 bg-blue-50 rounded-lg mb-6">
            <div>
                <h3 class="font-semibold text-blue-800">Selamat Datang!</h3>
                <div class="text-sm text-blue-600">Silakan lengkapi biodata Anda untuk dapat menggunakan layanan e-Bank Sampah. Form ini hanya akan muncul sekali.</div>
            </div>
        </div>

        <!-- Form -->
        <form class="space-y-6">
            <!-- Informasi Biodata Section 1 -->
            <div class="bg-white rounded-lg shadow-sm p-6">
                <h3 class="text-lg font-medium text-gray-700 mb-4">Informasi Biodata</h3>
                
                <div class="grid grid-cols-1 md:grid-cols-2 gap-4">
                    <!-- Nama Nasabah -->
                    <div>
                        <label class="block text-sm font-medium text-gray-700 mb-2">
                            Nama Nasabah <span class="text-red-500">*</span>
                        </label>
                        <input 
                            type="text" 
                            value="Ikhdan Nizar Maulana"
                            class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-blue-500 focus:border-blue-500 outline-none transition"
                        />
                    </div>

                    <!-- Email -->
                    <div>
                        <label class="block text-sm font-medium text-gray-700 mb-2">
                            Email <span class="text-red-500">*</span>
                        </label>
                        <input 
                            type="email" 
                            value="banksampahjaktim@gmail.com"
                            class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-blue-500 focus:border-blue-500 outline-none transition"
                        />
                    </div>

                    <!-- No. HP -->
                    <div>
                        <label class="block text-sm font-medium text-gray-700 mb-2">
                            No. HP <span class="text-red-500">*</span>
                        </label>
                        <input 
                            type="tel" 
                            placeholder="Masukkan nomor HP"
                            class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-blue-500 focus:border-blue-500 outline-none transition"
                        />
                    </div>

                    <!-- No. KTP -->
                    <div>
                        <label class="block text-sm font-medium text-gray-700 mb-2">
                            No. KTP <span class="text-red-500">*</span>
                        </label>
                        <input 
                            type="text" 
                            placeholder="Masukkan No KTP (16 digit)"
                            class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-blue-500 focus:border-blue-500 outline-none transition"
                        />
                    </div>
                </div>
            </div>

            <!-- Informasi Biodata Section 2 -->
            <div class="bg-white rounded-lg shadow-sm p-6">
                <h3 class="text-lg font-medium text-gray-700 mb-4">Informasi Biodata</h3>
                
                <!-- Alamat -->
                <div class="mb-4">
                    <label class="block text-sm font-medium text-gray-700 mb-2">
                        Alamat <span class="text-red-500">*</span>
                    </label>
                    <textarea 
                        rows="4"
                        placeholder="Masukkan alamat lengkap"
                        class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-blue-500 focus:border-blue-500 outline-none transition resize-none"
                    ></textarea>
                </div>

                <!-- RT, RW, Kode Pos -->
                <div class="grid grid-cols-1 md:grid-cols-3 gap-4 mb-4">
                    <div>
                        <label class="block text-sm font-medium text-gray-700 mb-2">
                            RT <span class="text-red-500">*</span>
                        </label>
                        <input 
                            type="text" 
                            placeholder="Masukkan RT"
                            class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-blue-500 focus:border-blue-500 outline-none transition"
                        />
                    </div>

                    <div>
                        <label class="block text-sm font-medium text-gray-700 mb-2">
                            RW <span class="text-red-500">*</span>
                        </label>
                        <input 
                            type="text" 
                            placeholder="Masukkan RW"
                            class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-blue-500 focus:border-blue-500 outline-none transition"
                        />
                    </div>

                    <div>
                        <label class="block text-sm font-medium text-gray-700 mb-2">
                            Kode Pos <span class="text-red-500">*</span>
                        </label>
                        <input 
                            type="text" 
                            placeholder="Masukkan Kode Pos"
                            class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-blue-500 focus:border-blue-500 outline-none transition"
                        />
                    </div>
                </div>

                <!-- Provinsi, Kota -->
                <div class="grid grid-cols-1 md:grid-cols-2 gap-4 mb-4">
                    <div>
                        <label class="block text-sm font-medium text-gray-700 mb-2">
                            Provinsi <span class="text-red-500">*</span>
                        </label>
                        <select class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-blue-500 focus:border-blue-500 outline-none transition bg-white">
                            <option>Pilih Provinsi</option>
                        </select>
                    </div>

                    <div>
                        <label class="block text-sm font-medium text-gray-700 mb-2">
                            Kota <span class="text-red-500">*</span>
                        </label>
                        <select class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-blue-500 focus:border-blue-500 outline-none transition bg-white">
                            <option>Pilih Provinsi</option>
                        </select>
                    </div>
                </div>

                <!-- Kecamatan, Kelurahan -->
                <div class="grid grid-cols-1 md:grid-cols-2 gap-4">
                    <div>
                        <label class="block text-sm font-medium text-gray-700 mb-2">
                            Kecamatan <span class="text-red-500">*</span>
                        </label>
                        <select class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-blue-500 focus:border-blue-500 outline-none transition bg-white">
                            <option>Pilih Provinsi</option>
                        </select>
                    </div>

                    <div>
                        <label class="block text-sm font-medium text-gray-700 mb-2">
                            Kelurahan <span class="text-red-500">*</span>
                        </label>
                        <select class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-blue-500 focus:border-blue-500 outline-none transition bg-white">
                            <option>Pilih Provinsi</option>
                        </select>
                    </div>
                </div>
                <div class="divider"></div>
                <!-- Submit Button -->
                <div class="flex justify-end">
                   <button type="submit"
                            class="px-8 py-2.5 bg-green-800 rounded-full text-white text-base font-semibold font-['Plus_Jakarta_Sans'] leading-6 hover:bg-green-900 w-full sm:w-auto">
                        Simpan dan Lanjutkan
                    </button>
                </div>
            </div>

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