<template>
  <div class="page page-address_edit" data-name="address_edit">
    <div class="navbar navbar-transparent">
      <div class="navbar-bg">
      </div>
      <div class="navbar-inner sliding">
        <div class="left">
          <a class="link back">
            <i class="icon material-icons">west</i>
          </a>
        </div>
        <div class="title">
          <h5>Address Edit</h5>
        </div>
      </div>
    </div>
    <div class="page-content">
      <form class="list">
        <input type="hidden" id="ad_id">
        <ul>
          <li class="item-content item-input">
            <div class="item-inner">
              <div class="item-title item-label">Label</div>
              <div class="item-input-wrap">
                <input id="ad_label" type="text" placeholder="Label">
              </div>
            </div>
          </li>
          <li class="item-content item-input">
            <div class="item-inner">
              <div class="item-title item-label">Name</div>
              <div class="item-input-wrap">
                <input id="ad_name" type="text" placeholder="Name">
              </div>
            </div>
          </li>
          <li class="item-content item-input">
            <div class="item-inner">
              <div class="item-title item-label">Phone/WhatsApp</div>
              <div class="item-input-wrap">
                <input id="ad_phone" type="text" placeholder="Phone/WhatsApp">
              </div>
            </div>
          </li>
          <li class="item-content item-input">
            <div class="item-inner">
              <div class="item-title item-label">Address</div>
              <div class="item-input-wrap">
                <textarea id="ad_address" placeholder="Address">
                </textarea>
              </div>
            </div>
          </li>
          <li class="item-content item-input">
            <div class="row">
              <div class="col-50">
                <div class="item-content item-input item-input-with-value">
                  <div class="item-inner">
                    <div class="item-title item-label">RT</div>
                    <div class="item-input-wrap">
                      <input id="ad_rt" type="text" placeholder="RT">
                    </div>
                  </div>
                </div>
              </div>
              <div class="col-50">
                <div class="item-content item-input item-input-with-value">
                  <div class="item-inner">
                    <div class="item-title item-label">RW</div>
                    <div class="item-input-wrap">
                      <input id="ad_rw" type="text" placeholder="RW">
                    </div>
                  </div>
                </div>
              </div>
            </div>
          </li>
          <div class="separator-small">
          </div>
          <li class="item-content item-input">
            <div class="row">
              <div class="col-50">
                <div class="item-content item-input item-input-with-value">
                  <div class="item-inner">
                    <div class="item-title item-label">No</div>
                    <div class="item-input-wrap">
                      <input id="ad_no" type="text" placeholder="No">
                    </div>
                  </div>
                </div>
              </div>
              <div class="col-50">
                <div class="item-content item-input item-input-with-value">
                  <div class="item-inner">
                    <div class="item-title item-label">Kode Pos</div>
                    <div class="item-input-wrap">
                      <input id="ad_postcode" type="text" placeholder="Kode Pos">
                    </div>
                  </div>
                </div>
              </div>
            </div>
          </li>
          <div class="separator-small">
          </div>
          <li class="item-content item-input">
            <div class="item-inner">
              <div class="item-title item-label">Desa/Kelurahan</div>
              <div class="item-input-wrap">
                <input id="ad_kel" type="text" placeholder="Desa/Kelurahan">
              </div>
            </div>
          </li>
          <li class="item-content item-input">
            <div class="item-inner">
              <div class="item-title item-label">Kecamatan</div>
              <div class="item-input-wrap">
                <input id="ad_kec" type="text" placeholder="Kecamatan">
              </div>
            </div>
          </li>
          <li class="item-content item-input">
            <div class="item-inner">
              <div class="item-title item-label">Kota</div>
              <div class="item-input-wrap">
                <input id="ad_city" type="text" placeholder="Kota">
              </div>
            </div>
          </li>
          <li class="item-content item-input">
            <div class="item-inner">
              <div class="item-title item-label">URL GoogleMap</div>
              <div class="item-input-wrap">
                <input id="ad_gmap" type="text" placeholder="URL GoogleMap">
              </div>
            </div>
          </li>
          <li class="item-content item-input">
            <div class="item-inner">
              <div class="item-title item-label">Keterangan</div>
              <div class="item-input-wrap">
                <textarea id="ad_remark" placeholder="Keterangan">
                </textarea>
              </div>
            </div>
          </li>
        </ul>
        <div class="separator-large">
        </div>
        <div class="container">
          <button id="address_edit_button" class="btn btn-primary btn-block fw-700">Save</button>
        </div>
      </form>
      <div class="separator-large">
      </div>
    </div>
  </div>
</template>