@extends('layouts.app') @section('content')
{{isset($customer_id) ? "Edit" : "Create New"}} Customer
{{ Form::open(['id'=>'dataForm'])}} {{ Form::hidden('customer_id', '', ['id'=>'customer_id']) }}

Account Details:

{{ Form::select('account_manager_id', $account_managers, old('account_manager_id', $customer->account_manager_id ?? ''), ['class'=>'standardSelect form-control', 'title'=>'Select Account Manager', 'data-live-search'=>'true', 'id'=>'account_manager_id', 'data-dropup-auto'=>'false', 'data-size'=>'5']) }}
{{ Form::select('source_id', $sources, old('source_id', $customer->source_id ?? ''), ['class'=>'standardSelect form-control', 'title'=>'Select Source', 'data-live-search'=>'true', 'id'=>'source_id', 'data-dropup-auto'=>'false', 'data-size'=>'5']) }}

Personal Details:

{{ Form::text('first_name',old('first_name', $customer->first_name ?? ''),['class'=>'form-control', 'id'=>'first_name']) }}
{{ Form::text('last_name',old('last_name', $customer->last_name ?? ''),['class'=>'form-control', 'id'=>'last_name']) }}
{{ Form::date('dob',old('dob', $customer->dob ?? ''),['class'=>'form-control', 'id'=>'dob']) }}
{{ Form::text('uidai',old('uidai', $customer->uidai ?? ''),['class'=>'form-control', 'id'=>'uidai']) }}
{{ Form::text('pan',old('pan', $customer->pan ?? ''),['class'=>'form-control', 'id'=>'pan']) }}

Contact Details:

{{ Form::select('state_id',$states,old('state_id', $customer->state_id ?? ''),['class'=>'standardSelect form-control', 'title'=>'Select State', 'data-live-search'=>'true', 'id'=>'state_id', 'data-dropup-auto'=>'false', 'data-size'=>'5']) }}
{{ Form::text('city',old('city', $customer->city ?? ''),['class'=>'form-control', 'id'=>'city']) }}
{{ Form::text('address',old('address', $customer->address ?? ''),['class'=>'form-control', 'id'=>'address']) }}
{{ Form::text('pincode',old('pincode', $customer->pincode ?? ''),['class'=>'form-control', 'id'=>'pincode']) }}
{{ Form::text('phone',old('phone', $customer->phone ?? ''),['class'=>'form-control', 'id'=>'phone']) }}
{{ Form::text('email',old('email', $customer->email ?? ''),['class'=>'form-control', 'id'=>'email']) }}

Company Details:

{{ Form::text('company',old('company', $customer->company ?? ''),['class'=>'form-control', 'id'=>'company']) }}
{{ Form::text('position',old('position', $customer->position ?? ''),['class'=>'form-control', 'id'=>'position']) }}
{{ Form::text('website',old('website', $customer->website ?? ''),['class'=>'form-control', 'id'=>'website']) }}
{{ Form::textarea('remarks',old('remarks', $customer->remarks ?? ''),['class'=>'form-control','rows'=>2, 'id'=>'remarks']) }}
{{ Form::select('status',array('1'=>'Active','0'=>'Inactive'),'',['class'=>'form-control', 'id'=>'status']) }}
{{ Form::submit('Submit', array('class'=>'btn btn-primary', 'id'=>'saveBtn')) }}
@stop @section('scripting') @endsection