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- <div class="modal fade add-modal" tabindex="-1" role="dialog" aria-labelledby="gridSystemModalLabel">
- <div class="modal-dialog" role="document">
- <div class="modal-content">
- <div class="modal-header">
- <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button>
- <h4 class="modal-title" id="gridSystemModalLabel">Add Address Book Info</h4>
- </div>
- <div class="modal-body">
- <form action="{{url('admin/address_book')}}" method="POST">
- {{ csrf_field() }}
- <div class="form-group in-group">
- <label for="">Name<span class="field_mendatory">*</span></label>
- <input type="text" name="name" required="" class="form-control" id="" placeholder="Contact Person Name" >
- </div>
- <input type="hidden" value="{{$all->id}}" name="company_id_form_company_indi">
- <div class="form-group in-group">
- <label for="">Designation</label>
- <input type="text" name="designation" class="form-control" id="" placeholder="Designation" >
- </div>
- <div class="form-group in-group">
- <label for="">Mobile no #01<span class="field_mendatory">*</span></label>
- <input type="text" name="mob1" required="" class="form-control" id="" placeholder="Mobile number" >
- </div>
- <div class="form-group in-group">
- <label for="">Mobile no #02</label>
- <input type="text" name="mob2" class="form-control" id="" placeholder="Optional mobile number" >
- </div>
- <div class="form-group in-group">
- <label for="">Email #01</label>
- <input type="email" name="email1" required="" class="form-control" id="" placeholder="Email address" >
- </div>
- <div class="form-group in-group">
- <label for="">Email #02</label>
- <input type="email" name="email2" class="form-control" id="" placeholder="Optional email address" >
- </div>
- </div>
- <div class="modal-footer">
- <button type="button" class="btn btn-default" data-dismiss="modal">Close</button>
- <button type="submit" class="btn btn-primary">Submit</button>
- </div>
- </form>
- </div><!-- /.modal-content -->
- </div><!-- /.modal-dialog -->
- </div>
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