Personal Details
{!! Form::label('employee_name', 'Full Name (As Per Aadhar Card)', ['class' => 'form-label']) !!} *
{!! Form::text('employee_name', old('employee_name', $interview->name ?? ''), [
'class' => 'form-control onlytxt',
'id' => 'employee_name',
'placeholder' => 'Enter Full Name',
'data-parsley-required' => '',
'data-parsley-trigger' => 'keyup',
'data-parsley-required-message' => 'Please enter full name',
'data-parsley-pattern' => '^[a-zA-Z_ ]*$',
'maxlength' => '100',
'data-parsley-maxlength' => '100',
'data-parsley-maxlength-message' => 'Full name may not be greater than 100 characters',
'data-parsley-pattern-message' => 'Only alphabets are allowed',
'data-parsley-errors-container' => '#employee_name_error',
]) !!}
{{ $errors->first('employee_name') }}
{!! Form::label('short_name', 'Nick Name', ['class' => 'form-label']) !!} *
{!! Form::text('short_name', old('short_name'), [
'class' => 'form-control',
'id' => 'short_name',
'placeholder' => 'Enter Nick Name',
'data-parsley-required' => '',
'data-parsley-trigger' => 'keyup',
'data-parsley-required-message' => 'Please enter nick name',
'data-parsley-pattern' => '^[a-zA-Z_ ]*$',
'maxlength' => '100',
'data-parsley-maxlength' => '100',
'data-parsley-maxlength-message' => 'Nick name may not be greater than 100 characters',
'data-parsley-pattern-message' => 'Only alphabets are allowed',
'data-parsley-errors-container' => '#short_name_error',
]) !!}
{{ $errors->first('short_name') }}
{!! Form::label('mother_name', 'Mother Name', ['class' => 'form-label']) !!} *
{!! Form::text('mother_name', old('mother_name'), [
'class' => 'form-control onlytxt',
'id' => 'mother_name',
'placeholder' => 'Enter Mother Name',
'data-parsley-required' => '',
'data-parsley-trigger' => 'keyup',
'data-parsley-required-message' => 'Please enter mother name',
'data-parsley-pattern' => '^[a-zA-Z_ ]*$',
'maxlength' => '100',
'data-parsley-maxlength' => '100',
'data-parsley-maxlength-message' => 'Mother name may not be greater than 100 characters',
'data-parsley-pattern-message' => 'Only alphabets are allowed',
'data-parsley-errors-container' => '#mother_name_error',
]) !!}
{{ $errors->first('mother_name') }}
{!! Form::label('phone_number', 'Mobile Number', ['class' => 'form-label']) !!} *
{!! Form::text('phone_number', old('phone_number', $interview->mobile_no ?? ''), [
'class' => 'form-control mobile',
'id' => 'phone_number',
'placeholder' => 'Enter Mobile Number',
'data-parsley-required' => '',
'data-parsley-trigger' => 'keyup',
'data-parsley-type' => 'digits',
'data-parsley-required-message' => 'Please enter mobile number',
'maxlength' => '10',
'oninput' => 'this.value=this.value.slice(0,this.maxLength)',
'data-parsley-type-message' => 'Please enter valid mobile number',
'data-parsley-errors-container' => '#phone_number_error',
]) !!}
{{ $errors->first('phone_number') }}
{!! Form::label('email', 'Personal Email', ['class' => 'form-label']) !!} *
{!! Form::email('email', old('email', $interview->email ?? ''), [
'class' => 'form-control',
'id' => 'email',
'placeholder' => 'Enter Personal Email',
'data-parsley-trigger' => 'keyup',
'data-parsley-required' => 'required',
'data-parsley-type' => 'email',
'data-parsley-pattern' => '^[a-zA-Z0-9.]+@[a-zA-Z0-9]+\.[a-zA-Z]{2,}$',
'data-parsley-pattern-message' => 'Please enter valid personal email',
'data-parsley-required-message' => 'Please enter personal email',
'data-parsley-type-message' => 'Please enter valid personal email',
'data-parsley-validate-full-width-characters' => 'true',
'data-parsley-errors-container' => '#email_error',
]) !!}
{{ $errors->first('email') }}
{!! Form::label('gender', 'Gender', ['class' => 'form-label']) !!} *
{!! Form::select('gender', ['Male' => 'Male', 'Female' => 'Female'], old('gender', $interview->gender ?? ''), [
'class' => 'form-control select2',
'id' => 'gender',
'placeholder' => 'Select Gender',
'data-parsley-required' => '',
'data-parsley-required-message' => 'Please select gender',
'data-parsley-errors-container' => '#gender_error',
]) !!}
{{ $errors->first('gender') }}
{!! Form::label('blood_group', 'Blood Group', ['class' => 'form-label']) !!} *
{!! Form::select(
'blood_group',
array_combine($bloodGroups, $bloodGroups),
old('blood_group', $interview->blood_group ?? ''),
[
'class' => 'form-control select2',
'id' => 'blood_group',
'placeholder' => 'Select Blood Group',
'data-parsley-required' => '',
'data-parsley-required-message' => 'Please select blood group',
'data-parsley-errors-container' => '#blood_group_error',
],
) !!}
{{ $errors->first('blood_group') }}
{!! Form::label('date_of_birth', 'Date Of Birth', ['class' => 'form-label']) !!} *
{!! Form::text('date_of_birth', old('date_of_birth', date('d-m-Y', strtotime($interview->date_of_birth))), [
'class' => 'form-control dateOfBirth',
'id' => 'date_of_birth',
'placeholder' => 'Select Date Of Birth',
'data-parsley-required' => '',
'data-parsley-trigger' => 'keyup',
'data-parsley-required-message' => 'Please select date of birth',
'data-parsley-datecustom' => '',
'data-parsley-errors-container' => '#date_of_birth_error',
]) !!}
{{ $errors->first('date_of_birth') }}
{!! Form::label('residential_address', 'Residential Address', ['class' => 'form-label']) !!} *
{!! Form::textarea('residential_address', old('residential_address'), [
'class' => 'form-control',
'id' => 'residential_address',
'rows' => 3,
'placeholder' => 'Enter Residential Address',
'data-parsley-required' => '',
'data-parsley-trigger' => 'keyup',
'data-parsley-required-message' => 'Please enter residential address',
'data-parsley-errors-container' => '#residential_address_error',
]) !!}
{{ $errors->first('residential_address') }}
{!! Form::label('address', 'Permanent Address', ['class' => 'form-label']) !!} *
{!! Form::textarea('address', old('address', $interview->address ?? ''), [
'class' => 'form-control',
'id' => 'address',
'rows' => 3,
'placeholder' => 'Enter Permanent Address',
'data-parsley-required' => '',
'data-parsley-trigger' => 'keyup',
'data-parsley-required-message' => 'Please enter permanent address',
'data-parsley-errors-container' => '#address_error',
]) !!}
{{ $errors->first('address') }}
{!! Form::label('profile_photo', 'Profile Photo', ['class' => 'form-label']) !!}
{!! Form::file('profile_photo', [
'class' => 'form-control',
'id' => 'profile_photo',
'accept' => 'image/jpeg,image/png,image/jpg',
'data-parsley-max-file-size' => '3',
'data-parsley-file-extension' => 'jpg,jpeg,png',
'data-parsley-errors-container' => '#profile_photo_error',
]) !!}
(Allowed file types: JPG, JPEG, PNG, Max:
3MB)
Office Details
{!! Form::label('work_email', 'Work Email', ['class' => 'form-label']) !!} *
{!! Form::email('work_email', old('work_email'), [
'class' => 'form-control',
'id' => 'work_email',
'placeholder' => 'Enter Work Email',
'data-parsley-trigger' => 'keyup',
'data-parsley-required' => 'required',
'data-parsley-type' => 'email',
'data-parsley-pattern' => '^[a-zA-Z0-9.]+@[a-zA-Z0-9]+\.[a-zA-Z]{2,}$',
'data-parsley-pattern-message' => 'Please enter valid work email',
'data-parsley-required-message' => 'Please enter work email',
'data-parsley-type-message' => 'Please enter valid work email',
'data-parsley-validate-full-width-characters' => 'true',
'data-parsley-errors-container' => '#work_email_error',
]) !!}
{{ $errors->first('work_email') }}
{!! Form::label('date_of_joining', 'Date Of Joining', ['class' => 'form-label']) !!} *
{!! Form::text(
'date_of_joining',
old('date_of_joining', date('d-m-Y', strtotime($interview->expected_date_of_joining))),
[
'class' => 'form-control',
'id' => 'date_of_joining',
'placeholder' => 'Select Date Of Joining',
'data-parsley-required' => '',
'data-parsley-trigger' => 'keyup',
'data-parsley-required-message' => 'Please select date of joining',
'data-parsley-datecustom' => '',
'data-parsley-errors-container' => '#date_of_joining_error',
],
) !!}
{{ $errors->first('date_of_joining') }}
{!! Form::label('employee_department_id', 'Employee Department', ['class' => 'form-label']) !!} *
{!! Form::select(
'employee_department_id',
$departments,
old('employee_department_id', $interview->designation->employee_department_id ?? ''),
[
'class' => 'form-control select2',
'id' => 'employee_department_id',
'placeholder' => 'Select Employee Department',
'data-parsley-required' => '',
'data-parsley-required-message' => 'Please select employee department',
'data-parsley-errors-container' => '#employee_department_id_error',
],
) !!}
{{ $errors->first('employee_department_id') }}
{!! Form::label('employee_designation_id', 'Employee Designation', ['class' => 'form-label']) !!} *
{!! Form::select('employee_designation_id', [], old('employee_designation_id'), [
'class' => 'form-control select2',
'id' => 'employee_designation_id',
'placeholder' => 'Select Employee Designation',
'data-parsley-required' => '',
'data-parsley-required-message' => 'Please select employee designation',
'data-parsley-errors-container' => '#employee_designation_id_error',
]) !!}
{{ $errors->first('employee_designation_id') }}
{!! Form::label('grade_name', 'Grade', ['class' => 'form-label']) !!}
{!! Form::text('grade_name', old('grade_name'), [
'class' => 'form-control',
'id' => 'grade_name',
'readonly',
]) !!}
{!! Form::label('expense_limit', 'Expense Limit', ['class' => 'form-label']) !!}
{!! Form::text('expense_limit', old('expense_limit'), [
'class' => 'form-control',
'id' => 'expense_limit',
'readonly',
]) !!}
{!! Form::label('employee_role_id', 'Role Permission', ['class' => 'form-label']) !!} *
{!! Form::select('employee_role_id', $roles, old('employee_role_id'), [
'class' => 'form-control select2',
'id' => 'employee_role_id',
'placeholder' => 'Select Role Permission',
'data-parsley-required' => '',
'data-parsley-required-message' => 'Please select role permission',
'data-parsley-errors-container' => '#employee_role_id_error',
]) !!}
{{ $errors->first('employee_role_id') }}
{!! Form::label('shift_type_id', 'Shift Type', ['class' => 'form-label']) !!} *
{!! Form::select('shift_type_id', $shiftTypes, old('shift_type_id'), [
'class' => 'form-control select2',
'id' => 'shift_type_id',
'placeholder' => 'Select Shift Type',
'data-parsley-required' => '',
'data-parsley-required-message' => 'Please select shift type',
'data-parsley-errors-container' => '#shift_type_id_error',
]) !!}
{{ $errors->first('shift_type_id') }}
{!! Form::label('reporting_person_id', 'Reporting Person', ['class' => 'form-label']) !!}
{!! Form::select(
'reporting_person_id',
$reportingPersons->pluck('name', 'id')->toArray(),
old('reporting_person_id'),
[
'class' => 'form-control select2',
'id' => 'reporting_person_id',
'placeholder' => 'Select Reporting Person',
],
) !!}
{{ $errors->first('reporting_person_id') }}
{!! Form::label('head_manager', 'Head Manager', ['class' => 'form-label']) !!}
{!! Form::select('head_manager', $reportingPersons->pluck('name', 'id')->toArray(), old('head_manager'), [
'class' => 'form-control select2',
'id' => 'head_manager',
'placeholder' => 'Select Head Manager',
'data-parsley-errors-container' => '#head_manager_error',
]) !!}
{{ $errors->first('head_manager') }}
{!! Form::label('check_in_option', 'Check In Option', ['class' => 'form-label']) !!} *
{!! Form::select(
'check_in_option[]',
['Local' => 'Local', 'Travel' => 'Travel', 'Work From Home' => 'Work From Home'],
old('check_in_option'),
[
'id' => 'check_in_option',
'class' => 'form-control select2',
'multiple' => 'multiple',
'data-parsley-required' => 'required',
'data-parsley-required-message' => 'Please select check in option',
'data-parsley-errors-container' => '#check_in_option_error',
],
) !!}
{{ $errors->first('check_in_option') }}
{!! Form::label('no_of_wfh', 'No Of Work From Home', ['class' => 'form-label']) !!} *
{!! Form::text('no_of_wfh', old('no_of_wfh'), [
'class' => 'form-control number',
'id' => 'no_of_wfh',
'placeholder' => 'Enter No Of Work From Home',
'data-parsley-type' => 'digits',
'data-parsley-type-message' => 'Please enter valid no of work from home',
'data-parsley-errors-container' => '#no_of_wfh_error',
]) !!}
{{ $errors->first('no_of_wfh') }}
{!! Form::label('country', 'Country', ['class' => 'form-label']) !!} *
{!! Form::select(
'country',
$countries->pluck('country_name', 'id')->toArray(),
old('country', $interview->country_id ?? ''),
[
'class' => 'form-control select2',
'id' => 'country',
'placeholder' => 'Select Country',
'data-parsley-trigger' => 'keyup',
'data-parsley-required' => 'true',
'data-parsley-required-message' => 'Please select country',
'data-parsley-errors-container' => '#country_error',
],
) !!}
{{ $errors->first('country') }}
{!! Form::label('region', 'Region', ['class' => 'form-label']) !!} *
{!! Form::select('region', [], old('region'), [
'class' => 'form-control select2',
'id' => 'region',
'placeholder' => 'Select Region',
'data-parsley-trigger' => 'keyup',
'data-parsley-required' => 'true',
'data-parsley-required-message' => 'Please select region',
'data-parsley-errors-container' => '#region_error',
]) !!}
{{ $errors->first('region') }}
{!! Form::label('area_location', 'Area Location', ['class' => 'form-label']) !!}
{!! Form::text('area_location', old('area_location'), [
'id' => 'area_location',
'class' => 'form-control',
'placeholder' => 'Enter Area Location',
'data-parsley-trigger' => 'keyup',
'maxlength' => '100',
'data-parsley-maxlength' => '100',
'data-parsley-maxlength-message' => 'Area location may not be greater than 100 characters',
'data-parsley-errors-container' => '#area_location_error',
]) !!}
{{ $errors->first('area_location') }}
{!! Form::label('base_location', 'Base Location', ['class' => 'form-label']) !!}
{!! Form::text('base_location', old('base_location'), [
'id' => 'base_location',
'class' => 'form-control',
'placeholder' => 'Enter Base Location',
'data-parsley-trigger' => 'keyup',
'maxlength' => '100',
'data-parsley-maxlength' => '100',
'data-parsley-maxlength-message' => 'Base location may not be greater than 100 characters',
'data-parsley-errors-container' => '#base_location_error',
]) !!}
{{ $errors->first('base_location') }}
{!! Form::label('location_id', 'Location', ['class' => 'form-label']) !!} *
{!! Form::select('location_id', $locations, old('location_id', $interview->location_id), [
'class' => 'form-control select2',
'id' => 'location_id',
'placeholder' => 'Select Location',
'data-parsley-trigger' => 'change',
'data-parsley-required' => 'true',
'data-parsley-required-message' => 'Please select location',
'data-parsley-errors-container' => '#location_id_error',
]) !!}
{{ $errors->first('region') }}
{!! Form::label('gratuity_nomination_form', 'Gratuity Nomination Form', ['class' => 'form-label']) !!}
{!! Form::file('gratuity_nomination_form', [
'id' => 'gratuity_nomination_form',
'class' => 'form-control',
'data-parsley-trigger' => 'change',
'accept' => '.pdf,.doc,.docx,.jpg,.jpeg,.png',
'data-parsley-fileextension' => 'pdf,doc,docx,png,jpg,jpeg',
'data-parsley-fileextension-message' => 'Only .pdf, .doc, .docx, .png, .jpg and .jpeg files are allowed.',
'data-parsley-errors-container' => '#gratuity_nomination_form_error',
]) !!}
{{ $errors->first('gratuity_nomination_form') }}
Personal Bank Details
{!! Form::label('bank_name', 'Bank Name', ['class' => 'form-label']) !!}
{!! Form::text('bank_name', old('bank_name', $interview->bank_name), [
'class' => 'form-control',
'id' => 'bank_name',
'placeholder' => 'Enter Bank Name',
'maxlength' => '100',
'data-parsley-trigger' => 'keyup',
'data-parsley-maxlength' => '100',
'data-parsley-maxlength-message' => 'Bank name may not be greater than 100 characters',
'data-parsley-errors-container' => '#bank_name_error',
]) !!}
{{ $errors->first('bank_name') }}
{!! Form::label('account_no', 'Account Number', ['class' => 'form-label']) !!}
{!! Form::text('account_no', old('account_no', $interview->bank_account_no), [
'class' => 'form-control bankAccNumber',
'id' => 'account_no',
'placeholder' => 'Enter Account Number',
'maxlength' => '20',
'oninput' => 'this.value=this.value.slice(0,this.maxLength)',
'data-parsley-trigger' => 'keyup',
'data-parsley-minlength' => '11',
'data-parsley-minlength-message' => 'Account number at least 11 characters long',
'data-parsley-maxlength' => '20',
'data-parsley-maxlength-message' => 'Account number may not be greater than 20 character',
'data-parsley-errors-container' => '#account_no_error',
]) !!}
{{ $errors->first('account_no') }}
{!! Form::label('ifsc_code', 'Bank IFSC Code', ['class' => 'form-label']) !!}
{!! Form::text('ifsc_code', old('ifsc_code', $interview->bank_ifsc_code), [
'class' => 'form-control bankIFSCCode',
'id' => 'ifsc_code',
'placeholder' => 'Enter Bank IFSC Code',
'maxlength' => '11',
'oninput' => 'this.value=this.value.slice(0,this.maxLength)',
'data-parsley-trigger' => 'keyup',
'data-parsley-minlength' => '11',
'data-parsley-minlength-message' => 'Bank IFSC code at least 11 characters long',
'data-parsley-maxlength' => '11',
'data-parsley-maxlength-message' => 'Bank IFSC code may not be greater than 11 character',
'data-parsley-errors-container' => '#ifsc_code_error',
]) !!}
{{ $errors->first('ifsc_code') }}
{!! Form::label('cheque_number', 'Cheque Number', ['class' => 'form-label']) !!}
{!! Form::text('cheque_number', old('cheque_number', $interview->cheque_number), [
'class' => 'form-control chequeNo',
'id' => 'cheque_number',
'placeholder' => 'Enter Cheque Number',
'maxlength' => '6',
'oninput' => 'this.value=this.value.slice(0,this.maxLength)',
'data-parsley-trigger' => 'keyup',
'data-parsley-minlength' => '6',
'data-parsley-minlength-message' => 'Cheque number at least 6 characters long',
'data-parsley-maxlength' => '6',
'data-parsley-maxlength-message' => 'Cheque number may not be greater than 6 character',
'data-parsley-errors-container' => '#cheque_number_error',
]) !!}
{{ $errors->first('cheque_number') }}
Company Bank Details
{!! Form::label('company_bank_name', 'Bank Name', ['class' => 'form-label']) !!}
{!! Form::text('company_bank_name', old('company_bank_name'), [
'class' => 'form-control',
'id' => 'company_bank_name',
'placeholder' => 'Enter Bank Name',
'maxlength' => '100',
'data-parsley-trigger' => 'keyup',
'data-parsley-maxlength' => '100',
'data-parsley-maxlength-message' => 'Bank name may not be greater than 100 characters',
'data-parsley-errors-container' => '#company_bank_name_error',
]) !!}
{{ $errors->first('company_bank_name') }}
{!! Form::label('company_account_no', 'Account Number', ['class' => 'form-label']) !!}
{!! Form::text('company_account_no', old('company_account_no'), [
'class' => 'form-control bankAccNumber',
'id' => 'company_account_no',
'placeholder' => 'Enter Account Number',
'maxlength' => '20',
'oninput' => 'this.value=this.value.slice(0,this.maxLength)',
'data-parsley-trigger' => 'keyup',
'data-parsley-minlength' => '11',
'data-parsley-minlength-message' => 'Account number at least 11 characters long',
'data-parsley-maxlength' => '20',
'data-parsley-maxlength-message' => 'Account number may not be greater than 20 character',
'data-parsley-errors-container' => '#company_account_no_error',
]) !!}
{{ $errors->first('company_account_no') }}
{!! Form::label('company_ifsc_code', 'Bank IFSC Code', ['class' => 'form-label']) !!}
{!! Form::text('company_ifsc_code', old('company_ifsc_code'), [
'class' => 'form-control bankIFSCCode',
'id' => 'company_ifsc_code',
'placeholder' => 'Enter Bank IFSC Code',
'maxlength' => '11',
'oninput' => 'this.value=this.value.slice(0,this.maxLength)',
'data-parsley-trigger' => 'keyup',
'data-parsley-minlength' => '11',
'data-parsley-minlength-message' => 'Bank IFSC code at least 11 characters long',
'data-parsley-maxlength' => '11',
'data-parsley-maxlength-message' => 'Bank IFSC code may not be greater than 11 character',
'data-parsley-errors-container' => '#company_ifsc_code_error',
]) !!}
{{ $errors->first('company_ifsc_code') }}
Emergency Contact Details
{!! Form::label('emergency_contact_1', 'Emergency Contact No. (1)', ['class' => 'form-label']) !!} *
{!! Form::text('emergency_contact_1', old('emergency_contact_1'), [
'class' => 'form-control mobile',
'id' => 'emergency_contact_1',
'placeholder' => 'Enter Emergency Contact No. (1)',
'data-parsley-required' => 'true',
'data-parsley-trigger' => 'keyup',
'maxlength' => '15',
'data-parsley-minlength' => '10',
'data-parsley-minlength-message' => 'Enter emergency contact no. (1) at least 10 characters long',
'data-parsley-maxlength' => '15',
'data-parsley-maxlength-message' => 'Enter emergency contact no. (1) may not be greater than 15 character',
'data-parsley-required-message' => 'Please enter emergency contact no. (1)',
'data-parsley-errors-container' => '#emergency_contact_1_error',
]) !!}
{{ $errors->first('emergency_contact_1') }}
{!! Form::label('name_1', 'Name', ['class' => 'form-label']) !!} *
{!! Form::text('name_1', old('name_1'), [
'class' => 'form-control',
'id' => 'name_1',
'placeholder' => 'Enter Name',
'data-parsley-required' => 'true',
'data-parsley-trigger' => 'keyup',
'maxlength' => '100',
'oninput' => 'this.value=this.value.slice(0,this.maxLength)',
'data-parsley-maxlength' => '100',
'data-parsley-maxlength-message' => 'Name may not be greater than 100 character',
'data-parsley-required-message' => 'Please enter name',
'data-parsley-errors-container' => '#name_1_error',
]) !!}
{{ $errors->first('name_1') }}
{!! Form::label('name_relation_1', 'Name of Relationship', ['class' => 'form-label']) !!} *
{!! Form::text('name_relation_1', old('name_relation_1'), [
'class' => 'form-control',
'id' => 'name_relation_1',
'placeholder' => 'Enter Name of Relationship',
'data-parsley-required' => 'true',
'data-parsley-trigger' => 'keyup',
'maxlength' => '100',
'oninput' => 'this.value=this.value.slice(0,this.maxLength)',
'data-parsley-maxlength' => '100',
'data-parsley-maxlength-message' => 'Name of relationship may not be greater than 100 character',
'data-parsley-required-message' => 'Please enter name of relationship',
'data-parsley-errors-container' => '#name_relation_1_error',
]) !!}
{{ $errors->first('name_relation_1') }}
{!! Form::label('address_1', 'Address', ['class' => 'form-label']) !!} *
{!! Form::textarea('address_1', old('address_1'), [
'class' => 'form-control',
'id' => 'address_1',
'rows' => 3,
'placeholder' => 'Enter Address',
'data-parsley-required' => 'true',
'data-parsley-trigger' => 'keyup',
'data-parsley-required-message' => 'Please enter address',
'data-parsley-errors-container' => '#address_1_error',
]) !!}
{{ $errors->first('address_1') }}
{!! Form::label('emergency_contact_2', 'Emergency Contact No. (2)', ['class' => 'form-label']) !!}
{!! Form::text('emergency_contact_2', old('emergency_contact_2'), [
'class' => 'form-control mobile',
'id' => 'emergency_contact_2',
'placeholder' => 'Enter Emergency Contact No. (2)',
'data-parsley-trigger' => 'keyup',
'maxlength' => '15',
'data-parsley-minlength' => '10',
'data-parsley-minlength-message' => 'Enter emergency contact no. (2) at least 10 characters long',
'data-parsley-maxlength' => '15',
'data-parsley-maxlength-message' => 'Enter emergency contact no. (2) may not be greater than 15 character',
'data-parsley-errors-container' => '#emergency_contact_2_error',
]) !!}
{{ $errors->first('emergency_contact_2') }}
{!! Form::label('name_2', 'Name', ['class' => 'form-label']) !!}
{!! Form::text('name_2', old('name_2'), [
'class' => 'form-control',
'id' => 'name_2',
'placeholder' => 'Enter Name',
'data-parsley-trigger' => 'keyup',
'maxlength' => '100',
'oninput' => 'this.value=this.value.slice(0,this.maxLength)',
'data-parsley-maxlength' => '100',
'data-parsley-maxlength-message' => 'Name may not be greater than 100 character',
'data-parsley-errors-container' => '#name_2_error',
]) !!}
{{ $errors->first('name_2') }}
{!! Form::label('name_relation_2', 'Name of Relationship', ['class' => 'form-label']) !!}
{!! Form::text('name_relation_2', old('name_relation_2'), [
'class' => 'form-control',
'id' => 'name_relation_2',
'placeholder' => 'Enter Name of Relationship',
'data-parsley-trigger' => 'keyup',
'maxlength' => '100',
'oninput' => 'this.value=this.value.slice(0,this.maxLength)',
'data-parsley-maxlength' => '100',
'data-parsley-maxlength-message' => 'Name of relationship may not be greater than 100 character',
'data-parsley-errors-container' => '#name_relation_2_error',
]) !!}
{{ $errors->first('name_relation_2') }}
{!! Form::label('address_2', 'Address', ['class' => 'form-label']) !!}
{!! Form::textarea('address_2', old('address_2'), [
'class' => 'form-control',
'id' => 'address_2',
'rows' => 3,
'placeholder' => 'Enter Address',
'data-parsley-trigger' => 'keyup',
'data-parsley-errors-container' => '#address_2_error',
]) !!}
{{ $errors->first('address_2') }}