000

<form action="<?php echo e(URL('/user/edit-retailer')); ?>" role="form" id="editRetailerForm">
	<div class="row">
		<input type="hidden" value="<?php echo e($retailer->id); ?>" name="id">

<div class="col-md-12">
			<div class="form-group">
				<label for="name">Name</label>
				<input type="text" class="form-control"  value="<?php echo e($retailer->name); ?>" name="name" id="name" placeholder="Name">
				<span class="label label-danger" id="edit_name_error" style="display: none;"></span>
			</div>
		</div>

<div class="col-md-12">
			<div class="form-group">
				<label for="hindi_name">Hindi Name</label>
				<input type="text" class="form-control convertHindi" value="<?php echo e($retailer->hindi_name); ?>" name="hindi_name" id="hindi_name" placeholder="Hindi name">

</div>
		</div>

<div class="col-md-12">
			<div class="form-group">
				<label for="phone">Phone</label>
				<input type="text" class="form-control" name="mobile_number" id="mobile_number" value="<?php echo e($retailer->mobile_number); ?>"  placeholder="Phone">
				<span class="label label-danger" id="add_mobile_number_error" style="display: none;"></span>
			</div>
		</div>

<div class="col-md-12">
			<div class="form-group">
				<label for="phone">GSTIN</label>
				<input type="text" class="form-control" name="gst_number" id="gst_number" value="<?php echo e($retailer->gst_number); ?>" placeholder="GSTIN">
				<span class="label label-danger" id="add_gst_number_error" style="display: none;"></span>
			</div>
		</div>

<div class="col-md-12">
			<div class="form-group">
				<label for="address">Address</label>
				<input type="text" class="form-control" name="address" id="address" value="<?php echo e($retailer->address); ?>"  placeholder="Address">
				<span class="label label-danger" id="add_address_error" style="display: none;"></span>
			</div>
		</div>

<div class="col-md-12">
			<div class="form-group">
				<label for="hindi_address">Hindi address</label>
				<input type="text" class="form-control convertHindi" name="hindi_address" id="hindi_address" placeholder="Hindi address" value="<?php echo e($retailer->hindi_address); ?>">
			</div>
		</div>

</div>
</div>
<div class="modal-footer">
	<button type="button" class="btn btn-default" data-dismiss="modal">Close</button>
	<button type="button" id="editCompanyBtn" class="btn btn-primary" onclick="updateRetailer()">Submit</button>
</div>
</form>

<?php /**PATH /home/pmmsanvp/public_html/srt/resources/views/dashboard/master/edit-retailer.blade.php ENDPATH**/ ?>