123456789101112131415161718192021222324252627282930313233343536373839404142 |
- @extends('master')
-
- @section('title', 'Edit Agency Profile')
-
- @section('description', '')
-
- @section('keywords', '')
-
- @section('content')
- <div class="container">
-
- <div class="row">
- <div class="col-md-12">
- <h1 class="my-4">Edit Agency details</h1>
- </div>
- </div>
- <div class="row">
- <div class="col-md-12 mb-4">
- <form id="mainForm" method="POST" action="/update-agency-profile/{{ Auth::user()->agency }}" accept-charset="UTF-8" enctype="multipart/form-data">
- @csrf
- <div class="form-row">
- <div class="col-md-4">
- <label>Agency Name</label>
- <input class="form-control" type="text" name="agency" placeholder="Agency Name" value="{{ $agency->agency }}">
- </div>
- <div class="col-md-4">
- <label>Registration Number</label>
- <input class="form-control" type="text" name="registrationNum" placeholder="Registration Number" value="{{ $agency->registrationNum }}">
- </div>
- <div class="col-md-4">
- <label>EAAB FFC Number</label>
- <input class="form-control" type="text" name="EAAB_FFC_Number" placeholder="EAAB FFC Number" value="{{ $agency->EAAB_FFC_Number }}">
- </div>
- </div>
-
- <button class="btn btn-blue btn-lg" id="submit" type="submit">SUBMIT</button>
- </form>
- </div>
- </div>
-
- </div>
- @stop
|