@php $getUserRoleData = userRoleData(); $LeadSources = explode(",",$getUserRoleData->LeadSources); @endphp

@if(session()->has('message'))

@endif @if(session()->has('error'))

@endif

{!! Form::open(array('url' => route('suppliers.store'), 'method'=>'post', 'class' => 'form-horizontal', 'id' => 'addNewLeadSources', 'enctype'=>'multipart/form-data')) !!}

{{ trans('Company Name') }} *

{!! Form::text('name', '', array('class'=>'form-control', 'id'=>'name', 'required'=>'required')) !!}

{{ trans('GST Number') }} *

{!! Form::text('gst_number', '', array('class'=>'form-control', 'id'=>'gst_number', 'required'=>'required', 'minlength'=>'16', 'maxlength'=>'16')) !!}

{{ trans('Address 1') }} *

{!! Form::text('address1', '', array('class'=>'form-control', 'id'=>'address1', 'required'=>'required')) !!}

{!! Form::text('address2', '', array('class'=>'form-control', 'id'=>'address2')) !!}

{{ trans('Country') }} *

{!! Form::select('country_id', $result['country_data'], '', array('class'=>'form-control country_id', 'multiple'=>'', 'id'=>'country_id', 'required'=>'required')) !!}

{{ trans('Province') }} *

{!! Form::select('province', [], '', array('class'=>'form-control province', 'multiple'=>'', 'id'=>'province', 'required'=>'required')) !!}

{{ trans('Postal Code') }} *

{!! Form::text('postal_code', '', array('class'=>'form-control', 'id'=>'postal_code', 'required'=>'required')) !!}

{{ trans('Full Name') }} *

{!! Form::text('full_name', '', array('class'=>'form-control', 'id'=>'full_name', 'required'=>'required')) !!}

{{ trans('Phone Number') }} *

{!! Form::text('phone_number', '', array('class'=>'form-control', 'id'=>'phone_number', 'required'=>'required')) !!}

{!! Form::text('bank_name', '', array('class'=>'form-control', 'id'=>'bank_name')) !!}

{!! Form::text('account_number', '', array('class'=>'form-control', 'id'=>'account_number')) !!}

{!! Form::text('ifsc_code', '', array('class'=>'form-control', 'id'=>'ifsc_code')) !!}

Drop files here or click to upload.

Drop files in the box or click on "+" to upload.

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

{{ trans('Add Vendor') }}

{{ trans('labels.Successlabel') }}

{{ trans('labels.WarningLabel') }}