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<form action="{{URL('/user/edit-dealer')}}" role="form" id="editDealerForm"> <div class="row"> <input type="hidden" value="{{$dealer->id}}" name="id"> <div class="col-md-4"> <div class="form-group"> <label for="name">Dealer Unique Id</label> <input type="text" class="form-control" value="{{$dealer->unique_id}}" name="unique_id" id="unique_id" placeholder="Dealer Unique Id"> <span class="label label-danger" id="edit_unique_id_error" style="display: none;"></span> </div> </div> <div class="col-md-4"> <div class="form-group"> <label for="name">Name</label> <input type="text" class="form-control" value="{{$dealer->name}}" name="name" id="name" placeholder="Name"> <span class="label label-danger" id="edit_name_error" style="display: none;"></span> </div> </div> <div class="col-md-4"> <div class="form-group"> <label for="hindi_name">Hindi Name</label> <input type="text" class="form-control convertHindi" value="{{$dealer->hindi_name}}" name="hindi_name" id="hindi_name" placeholder="Hindi Name"> </div> </div> <div class="col-md-4"> <div class="form-group"> <label for="phone">Phone</label> <input type="text" class="form-control" name="phone" id="phone" value="{{$dealer->phone}}" placeholder="Phone"> <span class="label label-danger" id="edit_phone_error" style="display: none;"></span> </div> </div> <div class="col-md-4"> <div class="form-group"> <label for="dealer_id">Location</label> <select class="form-control select2" name="location" id="location"> <option value=""> Select Location</option> @foreach($locations as $location) <option value="{{$location->location_id}}" {{$dealer->destination_code == $location->location_id ? 'selected':''}}>{{$location->name}} </option> @endforeach </select> <span class="label label-danger" id="edit_location_error" style="display: none;"></span> </div> </div> <div class="col-md-4"> <div class="form-group"> <label for="address1">Address</label> <input type="text" class="form-control" name="address1" id="address1" value="{{$dealer->address1}}" placeholder="Address"> <span class="label label-danger" id="edit_address1_error" style="display: none;"></span> </div> </div> <div class="col-md-4"> <div class="form-group"> <label for="hindi_address">Hindi Address 1</label> <input type="text" class="form-control convertHindi" name="hindi_address1" id="hindi_address1" placeholder="Hindi Address1" value="{{$dealer->hindi_address1}}"> </div> </div> <div class="col-md-4"> <div class="form-group"> <label for="address2">Address2</label> <input type="text" class="form-control" name="address2" id="address2" value="{{$dealer->address2}}" placeholder="Address2"> </div> </div> <div class="col-md-4"> <div class="form-group"> <label for="hindi_address2">Hindi Address2</label> <input type="text" class="form-control convertHindi" name="hindi_address2" id="hindi_address2" placeholder="Hindi Address2"> </div> </div> <div class="clearfix"></div> <div class="col-md-4"> <div class="form-group"> <label for="district">District</label> <input type="text" class="form-control" name="district" id="district" value="{{$dealer->district}}" placeholder="District"> <span class="label label-danger" id="edit_district_error" style="display: none;"></span> </div> </div> <div class="col-md-4"> <div class="form-group"> <label for="pin_code">Pin Code</label> <input type="text" class="form-control" name="pin_code" id="pin_code" value="{{$dealer->pin_code}}" placeholder="Pin Code"> <span class="label label-danger" id="edit_pin_code_error" style="display: none;"></span> </div> </div> <div class="col-md-4"> <div class="form-group"> <label for="owner_name">Owner</label> <input type="text" class="form-control" name="owner_name" id="owner_name" value="{{$dealer->owner_name}}" placeholder="Owner"> </div> </div> <div class="clearfix"></div> <div class="clearfix"></div> <div class="col-md-4"> <div class="form-group"> <label for="mobile_number">Mobile Number</label> <input type="text" class="form-control" name="mobile_number" id="mobile_number" value="{{$dealer->mobile_number}}" placeholder="Mobile Number"> <span class="label label-danger" id="edit_mobile_number_error" style="display: none;"></span> </div> </div> <div class="col-md-4"> <div class="form-group"> <label for="email">Email</label> <input type="text" class="form-control" name="email" id="email" value="{{$dealer->email}}" placeholder="Email"> <span class="label label-danger" id="edit_email_error" style="display: none;"></span> </div> </div> <div class="col-md-4"> <div class="form-group"> <label for="gst_number">GST Number</label> <input type="text" class="form-control" name="gst_number" id="gst_number" value="{{$dealer->gst_number}}" placeholder="GST Number"> <span class="label label-danger" id="edit_gst_number_error" style="display: none;"></span> </div> </div> <div class="clearfix"></div> <div class="col-md-4"> <div class="form-group"> <label for="show_separate_report">Show Separate Report</label> <input type="checkbox" name="show_separate_report" id="show_separate_report" {{$dealer->show_separate_report ? "checked":""}}> </div> </div> </div> </div> <div class="modal-footer"> <button type="button" class="btn btn-default" data-dismiss="modal">Close</button> <button type="button" id="editDealerBtn" class="btn btn-primary" onclick="updateDealer()">Submit</button> </div> </form> <script> $(document).ready(function() { $('.select2').select2({ allowClear: true }); }); </script>