96 lines
4.0 KiB
PHP
96 lines
4.0 KiB
PHP
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<div class="row">
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<div class="col-lg-12">
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<div class="card">
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<div class="card-body">
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<div class="row gy-3">
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<div class="col-md-4">
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{{ html()->label('First Name')->class('form-label') }}
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{{ html()->text('first_name')->class('form-control')->placeholder('First Name')->required() }}
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</div>
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<div class="col-md-4">
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{{ html()->label('Last Name')->class('form-label') }}
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{{ html()->text('last_name')->class('form-control')->placeholder('Last Name')->required() }}
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</div>
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<div class="col-md-4">
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{{ html()->label('Email')->class('form-label') }}
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{{ html()->email('email')->class('form-control')->placeholder('Email Address')->required() }}
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{{ html()->div('Please enter email')->class('invalid-feedback') }}
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</div>
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<div class="col-md-4">
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{{ html()->label('Phone Number')->class('form-label') }}
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{{ html()->text('phone')->class('form-control')->placeholder('Phone Number') }}
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</div>
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<div class="col-md-4">
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{{ html()->label('Contact Number')->class('form-label') }}
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{{ html()->text('contact')->class('form-control')->placeholder('Contact Number') }}
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</div>
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<div class="col-md-4">
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{{ html()->label('Address')->class('form-label') }}
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{{ html()->text('address')->class('form-control')->placeholder('Enter Full Address') }}
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</div>
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</div>
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<div class="row my-4">
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<div class="col-md-12">
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<span class="fs-6 fw-bold">Company Details</span>
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</div>
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</div>
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<div class="row gy-3">
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<div class="col-md-4">
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{{ html()->label('Name')->class('form-label') }}
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{{ html()->text('company_name')->class('form-control')->placeholder('Company Name')->required() }}
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</div>
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<div class="col-md-4">
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{{ html()->label('Address')->class('form-label') }}
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{{ html()->text('company_address')->class('form-control')->placeholder('Company Address')->required() }}
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</div>
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<div class="col-md-4">
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{{ html()->label('Phone')->class('form-label') }}
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{{ html()->text('company_phone')->class('form-control')->placeholder('Company Phone')->required() }}
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</div>
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<div class="col-md-4">
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{{ html()->label('Contact')->class('form-label') }}
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{{ html()->text('company_contact')->class('form-control')->placeholder('Company Contact')->required() }}
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</div>
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<div class="col-md-4">
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{{ html()->label('PAN')->class('form-label') }}
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{{ html()->text('company_pan')->class('form-control')->placeholder('Company PAN')->required() }}
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</div>
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<div class="col-md-12">
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{{ html()->label('Remarks')->class('form-label') }}
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{{ html()->textarea('remarks')->class('form-control')->placeholder('Enter Remarks') }}
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</div>
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<x-form-buttons :editable="$editable" label="Add" href="{{ route('customer.index') }}" />
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</div>
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</div>
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<!-- end card body -->
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</div>
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<!-- end card -->
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</div>
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</div>
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@push('js')
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<script src="{{asset('assets/js/pages/form-validation.init.js')}}"></script>
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@endpush
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