@extends('layouts.default') @push('scripts') @endpush @section('content')

@csrf

Query Builder

Organization Name *

@error('txt_oname') {{$message}} @enderror

Post

@error('txt_post') {{$message}} @enderror

Name *

@error('txt_name') {{$message}} @enderror

Relation

Father/Husband Name

Address *

@error('txt_address') {{$message}} @enderror

State *

@error('ddl_state') {{$message}} @enderror

District *

@error('ddl_district') {{$message}} @enderror

Tehsil

Village

Pincode

@error('txt_pincode') {{$message}} @enderror

Mobile No.

@error('txt_mobileno') {{$message}} @enderror

Email Id

@error('txt_email') {{$message}} @enderror

Receipt / ANR No.

@error('txt_anr_no') {{$message}} @enderror

Receipt / ANR Year

@error('txt_anr_no') {{$message}} @enderror

Old File No.

@error('txt_old_file_no') {{$message}} @enderror

Dealing Assistant

@error('ddl_da') {{$message}} @enderror

Subject / Remark

Case Type

Eligibility

@endsection