{!! Form::open(['id' => 'dataForm', 'name' => 'dataForm', 'class' => 'form-horizontal']) !!}

{{ csrf_field() }} {!! Form::hidden('id', '', ['id' => 'id']) !!}

{!! Form::text('name', '', [ 'class' => 'form-control', 'id' => 'name', 'placeholder' => 'Enter Name', 'required', ]) !!}

{!! Form::text('primary_phone', '', [ 'class' => 'form-control', 'id' => 'primary_phone', 'placeholder' => 'Enter Primary Phone', 'required', ]) !!}

{!! Form::text('secondary_phone', '', [ 'class' => 'form-control', 'id' => 'secondary_phone_no', 'placeholder' => 'Enter Secondary Phone', ]) !!}

{!! Form::email('primary_email', '', [ 'class' => 'form-control', 'id' => 'primary_email', 'placeholder' => 'Enter Primary Email', 'required', ]) !!}

{!! Form::email('secondary_email', '', [ 'class' => 'form-control', 'id' => 'secondary_email', 'placeholder' => 'Enter Secondary Email', ]) !!}

{!! Form::textarea('address', '', [ 'class' => 'form-control', 'id' => 'address', 'placeholder' => 'Enter Address', 'rows' => 3, 'required', ]) !!}

{!! Form::close() !!}