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

Company Full Name * {{ Form::text('full_name', '', ['class' => 'form-control', 'id' => 'full_name']) }}

Company Name * {{ Form::text('name', '', ['class' => 'form-control', 'id' => 'name']) }}

Established In {{ Form::text('established_in', '', ['class' => 'form-control', 'id' => 'established_in']) }}

State {{ Form::select('state_id', $states, '', ['class' => 'standardSelect form-control', 'title' => 'Select State', 'data-live-search' => 'true', 'id' => 'state_id', 'data-dropup-auto' => 'false', 'data-size' => '5']) }}

Address {{ Form::text('address', '', ['class' => 'form-control', 'id' => 'address']) }}

City {{ Form::text('city', '', ['class' => 'form-control', 'id' => 'city']) }}

Pincode {{ Form::text('pincode', '', ['class' => 'form-control', 'id' => 'pincode']) }}

Landline * {{ Form::text('landline', '', ['class' => 'form-control', 'id' => 'landline']) }}

FAX {{ Form::text('fax', '', ['class' => 'form-control', 'id' => 'fax']) }}

Email {{ Form::text('email', '', ['class' => 'form-control', 'id' => 'email']) }}

Phone {{ Form::number('phone', '', ['class' => 'form-control', 'id' => 'phone']) }}

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