<div class="form-group">
<div class="row">
<label class="col-sm-2 control-label" for="name">{{translate('Name')}}</label>
<div class="col-sm-10">
<input type="text" placeholder="{{translate('Name')}}" id="name" name="name" class="form-control" required>
</div>
</div>
</div>
<div class="form-group">
<div class=" row">
<label class="col-sm-2 control-label" for="email">{{translate('Email')}}</label>
<div class="col-sm-10">
<input type="email" placeholder="{{translate('Email')}}" id="email" name="email" class="form-control" required>
</div>
</div>
</div>
<div class="form-group">
<div class=" row">
<label class="col-sm-2 control-label" for="address">{{translate('Address')}}</label>
<div class="col-sm-10">
<textarea placeholder="{{translate('Address')}}" id="address" name="address" class="form-control" required></textarea>
</div>
</div>
</div>
<div class="form-group">
<div class=" row">
<label class="col-sm-2 control-label">{{translate('Country')}}</label>
<div class="col-sm-10">
<select class="form-control aiz-selectpicker" data-live-search="true" data-placeholder="{{ translate('Select your country') }}" name="country_id" required>
<option value="">{{ translate('Select your country') }}</option>
@foreach (\App\Models\Country::where('status', 1)->get() as $key => $country)
<option value="{{ $country->id }}">{{ $country->name }}</option>
@endforeach
</select>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-sm-2 control-label"">
<label>{{ translate('State')}}</label>
</div>
<div class="col-sm-10">
<select class="form-control mb-3 aiz-selectpicker" data-live-search="true" name="state_id" required>
</select>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-sm-2">
<label>{{ translate('City')}}</label>
</div>
<div class="col-sm-10">
<select class="form-control mb-3 aiz-selectpicker" data-live-search="true" name="city_id" required>
</select>
</div>
</div>
</div>
<div class="form-group">
<div class=" row">
<label class="col-sm-2 control-label" for="postal_code">{{translate('Postal code')}}</label>
<div class="col-sm-10">
<input type="number" min="0" placeholder="{{translate('Postal code')}}" id="postal_code" name="postal_code" class="form-control" required>
</div>
</div>
</div>
<div class="form-group">
<div class=" row">
<label class="col-sm-2 control-label" for="phone">{{translate('Phone')}}</label>
<div class="col-sm-10">
<input type="number" min="0" placeholder="{{translate('Phone')}}" id="phone" name="phone" class="form-control" required>
</div>
</div>
</div> |