<div class="modal fade" id="modal-form" tabindex="1" role="dialog" aria-hidden="true" data-backdrop="static">
<div class="modal-dialog">
<div class="modal-content">
<form id="form-item" method="post" class="form-horizontal" data-toggle="validator" enctype="multipart/form-data" >
{{ csrf_field() }} {{ method_field('POST') }}
<div class="modal-header">
<button type="button" class="close" data-dismiss="modal" aria-label="Close">
<span aria-hidden="true">×</span></button>
<h3 class="modal-title"></h3>
</div>
<div class="modal-body">
<input type="hidden" id="id" name="id">
<div class="box-body">
<div class="form-group">
<label>Name</label>
<input type="text" class="form-control" id="name" name="name" autofocus required>
<span class="help-block with-errors"></span>
</div>
<div class="form-group">
<label>Address</label>
<input type="text" class="form-control" id="address" name="address" required>
<span class="help-block with-errors"></span>
</div>
<div class="form-group">
<label>Email</label>
<input type="email" class="form-control" id="email" name="email" required>
<span class="help-block with-errors"></span>
</div>
<div class="form-group">
<label>Phone</label>
<input type="text" class="form-control" id="phone" name="phone" required>
<span class="help-block with-errors"></span>
</div>
</div>
<!-- /.box-body -->
</div>
<div class="modal-footer">
<button type="button" class="btn btn-default pull-left" data-dismiss="modal">Cancel</button>
<button type="submit" class="btn btn-primary">Submit</button>
</div>
</form>
</div>
<!-- /.modal-content -->
</div>
<!-- /.modal-dialog -->
</div>
<!-- /.modal -->
|
Download
