{!! Form::label('name',trans('messages.name'),['class'=>'required']) !!} {!! Form::input('text','name',isset($adhoc->name) ? $adhoc->name : '',['class'=>'form-control','placeholder'=>trans('messages.name')]) !!}
{!! Form::label('identification_number',trans('messages.nric'),['class'=>'required']) !!} {!! Form::input('text','identification_number',isset($adhoc->identification_number) ? $adhoc->identification_number : '',['class'=>'form-control','placeholder'=>trans('messages.nric')]) !!}
{!! Form::label('date_of_birth',trans('messages.date_of').' '.trans('messages.birth'),[]) !!} {!! Form::input('text','date_of_birth',isset($adhoc->date_of_birth) ? $adhoc->date_of_birth : '',['class'=>'form-control datepicker pickYear','placeholder'=>trans('messages.date_of').' '.trans('messages.birth')])!!}
{!! Form::label('phone',trans('messages.phone'),[]) !!} {!! Form::input('text','phone',isset($adhoc->phone) ? $adhoc->phone : '',['class'=>'form-control','placeholder'=>trans('messages.phone')]) !!}
{!! Form::label('plrd_id',trans('messages.plrd_grade')) !!} {!! Form::select('plrd_id',$plrd_grade,isset($adhoc->plrd_id) ? $adhoc->plrd_id : '',['class'=>'form-control show-tick','title'=>trans('messages.select_one')])!!}
{!! Form::label('bank_name',trans('messages.bank').' '.trans('messages.name')) !!} {!! Form::select('bank_name',config('bank'),isset($adhoc->bank_name) ? $adhoc->bank_name : '',['class'=>'form-control show-tick','title'=>trans('messages.select_one')])!!}
{!! Form::label('account_number',trans('messages.account').' '.trans('messages.number')) !!} {!! Form::input('text','account_number',isset($adhoc->account_number) ? $adhoc->account_number : '',['class'=>'form-control','placeholder'=>trans('messages.account').' '.trans('messages.number')])!!}

{!! Form::label('address',trans('messages.residential').' '.trans('messages.address'),[]) !!}
{!! Form::input('text','zipcode',isset($adhoc->zipcode) ? $adhoc->zipcode : '',['class'=>'form-control','placeholder'=>trans('messages.zipcode'),'onkeyup'=>'fillAddress(this)']) !!}
#
{!! Form::input('text','unit_no',isset($adhoc->unit_no) ? $adhoc->unit_no : '',['class'=>'form-control','placeholder'=>trans('messages.unit_no')]) !!}
{!! Form::input('text','address',isset($adhoc->address) ? $adhoc->address : '',['class'=>'form-control','placeholder'=>trans('messages.address'),'id'=>'address']) !!}
{!! Form::submit(isset($buttonText) ? $buttonText : trans('messages.save'),['class'=>'btn btn-primary pull-right']) !!} @section('js') @endsection