@extends('layout.default', ['appTopMenu' => true]) @push('scripts')
@endpush @section('content')
@csrf
Details of Application
Mode
*
Select
@foreach($getModes as $getMode)
id ==6) {{'selected'}} @endif>{{ $getMode->name }}
@endforeach
@error('ddl_mode') {{$message}} @enderror
Categoty
*
Select
@foreach($getCategorys as $getCategory)
id ==old('ddl_category')) {{'selected'}} @endif>{{ $getCategory->category }}
@endforeach
@error('ddl_category') {{$message}} @enderror
Letter Reference No.
@error('txt_refno') {{$message}} @enderror
Letter Date
@error('txt_ldate') {{$message}} @enderror
Old Reference No.
@error('txt_orefno') {{$message}} @enderror
Subject/Remark
{{old('txt_enq_remark')}}
@error('txt_enq_remark') {{$message}} @enderror
Received From
Individual
Organization
Name
*
@error('txt_name') {{$message}} @enderror
Relation
Select
@foreach($getRelationDetails as $getRelationDetail)
id==old('ddl_relation')) {{ 'selected' }} @endif>{{ $getRelationDetail->name }}
@endforeach
Father/Husband Name
Address
*
@error('txt_address') {{$message}} @enderror
State
*
Select
@foreach($getStateDetails as $getStateDetail)
state_code==$getStateDetail->state_code) {{'selected'}} @endif>{{$getStateDetail->state_name_english}}
@endforeach
@error('ddl_state') {{$message}} @enderror
District
*
Select
@if($getDistrictDetails) @foreach($getDistrictDetails as $getDistrictDetail)
district_code) {{'selected'}} @endif>{{$getDistrictDetail->district_name_english}}
@endforeach @endif
@error('ddl_district') {{$message}} @enderror
Tehsil
Select
Village
Select
Pincode
@error('txt_pincode') {{$message}} @enderror
Mobile No.
@error('txt_mobileno') {{$message}} @enderror
Email Id
@error('txt_email') {{$message}} @enderror
Organization Name
*
@error('txt_oname') {{$message}} @enderror
Post
@error('txt_post') {{$message}} @enderror
Name
*
@error('txt_name_op') {{$message}} @enderror
Address
*
@error('txt_oaddress') {{$message}} @enderror
Pincode
@error('txt_opincode') {{$message}} @enderror
State
*
Select
@foreach($getStateDetails as $getStateDetail)
state_code==$getStateDetail->state_code) {{'selected'}} @endif>{{$getStateDetail->state_name_english}}
@endforeach
@error('ddl_ostate') {{$message}} @enderror
District
*
Select
@if($getDistrictDetails) @foreach($getDistrictDetails as $getDistrictDetail)
district_code) {{'selected'}} @endif>{{$getDistrictDetail->district_name_english}}
@endforeach @endif
@error('ddl_odistrict') {{$message}} @enderror
Tehsil
Select
Village
Select
Mobile No.
@error('txt_omobileno') {{$message}} @enderror
Email Id
@error('txt_oemailid') {{$message}} @enderror
Application Forwarded To
Section
*
Select
@foreach($getSectionFromEstalishment as $section)
{{ $section->section_name }}
@endforeach
Section Users
*
Select
Submit
@endsection