<?php $__env->startSection('content'); ?>

<?php $__env->startSection('content'); ?>
<div class="page-header">
    <div class="page-title">
        <h3>Create Agent</h3>
    </div>
</div>

<div class="row">
    <div class="col-md-12">
        <div class="widget box">
            <div class="widget-content">
                <?php echo Form::open(['route'=>['admin.agent.store'], 'class'=>'form-horizontal row-border']); ?>

                <div class="form-group">
                    <label class="col-md-2 control-label">Companies Listed </label>
                    <div class="col-md-3">
                        <?php echo Form::select('company_id', ($select + $companies), Input::old('company_id'), ['class'=>'form-control']); ?>

                        <?php echo $errors->first('company_id'); ?>

                    </div>
                    <label class="col-md-2 control-label">Status </label>
                    <div class="col-md-3">
                        <label class="radio-inline"> 
                            <?php echo Form::radio('enabled', '1', true); ?>

                            Enabled 
                        </label>
                        <label class="radio-inline"> 
                            <?php echo Form::radio('enabled', '0'); ?>

                            Disabled 
                        </label>
                    </div>
                </div>
                <div class="form-group">
                    <label class="col-md-2 control-label">Fullname </label>
                    <div class="col-md-4">
                        <?php echo Form::text('fullname', Input::old('fullname'), ['class'=>'form-control']); ?>

                        <?php echo $errors->first('fullname'); ?>

                    </div>
                    <label class="col-md-2 control-label">Username </label>
                    <div class="col-md-4">
                        <?php echo Form::text('username', Input::old('username'), ['class'=>'form-control']); ?>

                        <?php echo $errors->first('username'); ?>

                    </div>
                </div>
                <div class="form-group">
                    <label class="col-md-2 control-label">Phone </label>
                    <div class="col-md-2">
                        <?php echo Form::text('phone', Input::old('phone'), ['class'=>'form-control']); ?>

                        <?php echo $errors->first('phone'); ?>

                    </div>
                    <label class="col-md-1 control-label">Fax </label>
                    <div class="col-md-2">
                        <?php echo Form::text('fax', Input::old('fax'), ['class'=>'form-control']); ?>

                        <?php echo $errors->first('fax'); ?>

                    </div>
                    <label class="col-md-1 control-label">Email </label>
                    <div class="col-md-2">
                        <?php echo Form::text('email', Input::old('email'), ['class'=>'form-control']); ?>

                        <?php echo $errors->first('email'); ?>

                    </div>
                </div>
                <div class="form-group">
                    <label class="col-md-2 control-label">Password </label>
                    <div class="col-md-3">
                        <?php echo Form::password('password', ['class'=>'form-control']); ?>

                        <?php echo $errors->first('password'); ?>

                    </div>
                    <label class="col-md-2 control-label">Confirm Password </label>
                    <div class="col-md-3">
                        <?php echo Form::password('password_confirmation', ['class'=>'form-control']); ?>

                        <?php echo $errors->first('password_confirmation'); ?>

                    </div>
                </div>
                
                <div class="form-group">
                    <label class="col-md-2 control-label text-danger">In LIEN </label>
                    <div class="col-md-4">
                        <?php echo Form::select('lien_client_id', [0=>"Select"]+$inLien , Input::old('lien_client_id'), ['class'=>'form-control']); ?>

                        <?php echo $errors->first('lien_client_id'); ?>

                    </div>
                    <label class="col-md-2 control-label text-danger">In HOA </label>
                    <div class="col-md-4">
                        <?php echo Form::select('hoa_client_id', [0=>"Select"]+$inHoa , Input::old('hoa_client_id'), ['class'=>'form-control']); ?>

                        <?php echo $errors->first('hoa_client_id'); ?>

                    </div>
                </div>
                
                <div class="btn-toolbar align-right">
                    <button type="submit" class="btn btn-primary save">Save</button>
                    <button onclick="window.location ='<?php echo URL::route('admin.agent.index'); ?>'" type="button" class="btn" data-toggle="button">Close</button>
                </div>
                <?php echo Form::close(); ?>

            </div>
        </div>
    </div>
</div>

<?php $__env->stopSection(); ?>

<?php $__env->stopSection(); ?>
<?php echo $__env->make('cpanel.layouts.main', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>