Name Records

{!! Html::decode(Form::label('name', 'Name*', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::text('name', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('name', '

:message

') !!}

{!! Html::decode(Form::label('function', 'Function*', ['class' => 'col-md-4 control-label'])) !!} {!! Form::select('function', [''=>'Select Function','driver'=>'Driver','mechanic'=>'Mechanic'], null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('function', '

:message

') !!}

{!! Html::decode(Form::label('id_number', 'ID NR*', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::text('id_number', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('id_number', '

:message

') !!}

{!! Html::decode(Form::label('passport', 'Passport*', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::text('passport', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('passport', '

:message

') !!}

{!! Html::decode(Form::label('p_valid_from', 'Valid From*', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::text('p_valid_from', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('p_valid_from', '

:message

') !!}

{!! Html::decode(Form::label('p_valid_to', 'Valid To*', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::text('p_valid_to', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('p_valid_to', '

:message

') !!}

{!! Html::decode(Form::label('licence_number', 'Licence*', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::text('licence_number', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('licence_number', '

:message

') !!}

{!! Html::decode(Form::label('l_valid_from', 'Valid From*', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::text('l_valid_from', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('l_valid_from', '

:message

') !!}

{!! Html::decode(Form::label('l_valid_to', 'Valid To*', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::text('l_valid_to', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('l_valid_to', '

:message

') !!}

{!! Html::decode(Form::label('tax_id', 'Tax Id*', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::text('tax_id', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('tax_id', '

:message

') !!}

{!! Html::decode(Form::label('pension_number', 'Pension Number*', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::text('pension_number', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('pension_number', '

:message

') !!}

{!! Html::decode(Form::label('employed', 'Employed*', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::text('employed', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('employed', '

:message

') !!}

{!! Html::decode(Form::label('dismissed', 'Dismissed', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::text('dismissed', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('dismissed', '

:message

') !!}

{!! Form::label('status', 'Status', ['class' => 'col-md-4 control-label']) !!}

{!! Form::select('status', ['Inactive', 'Active'], null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('status', '

:message

') !!}

{!! Html::decode(Form::label('module', 'Module *', ['class' => 'col-md-4 control-label'])) !!}

Store Transport Logistic Warehouse

{!! Form::submit(isset($submitButtonText) ? $submitButtonText : 'Create', ['class' => 'btn green']) !!}