000

<form action="<?php echo e(URL('/user/edit-circle')); ?>" role="form" id="editCircleForm">
	<div class="row">
		<input type="hidden" value="<?php echo e($circle->id); ?>" name="id">
			<div class="col-md-6">
							<div class="form-group">
								<label for="name">Item Code<span style="color:red;">*</span></label>
								<input type="text" class="form-control" name="code" id="code" value="<?php echo e($circle->code); ?>" placeholder="Item Code">
								<span class="label label-danger" id="code_error" style="display: none;"></span>
							</div>
						</div>
		    <div class="col-md-6">
			<div class="form-group">
				<label for="name">Name</label>
				<input type="text" class="form-control"  value="<?php echo e($circle->name); ?>" name="name" id="name" placeholder="Name">
				<span class="label label-danger" id="edit_name_error" style="display: none;"></span>
			</div>
		</div>
				<div class="col-md-6">
							<div class="form-group">
								<label for="address1">Address1</label>
								<input type="text" class="form-control" name="address1" id="address1" value="<?php echo e($circle->address1); ?>" placeholder="Address1" >
                          
							</div>
						</div>
						<div class="col-md-6">
							<div class="form-group">
								<label for="address2">Address2
									
								</label>
						 <input type="text" class="form-control" name="address2" id="address2" value="<?php echo e($circle->address2); ?>" placeholder="Address2" >
								
							</div>
						</div>
						   <div class="col-md-6">
							<div class="form-group">
								<label for="city">City</label>
								<input type="text" class="form-control" name="city" id="city" value="<?php echo e($circle->city); ?>" placeholder="City">
                                <span class="label label-danger" id="city_error" style="display: none;"></span>
							</div>
						</div>
                        <div class="col-md-6">
							<div class="form-group">
								<label for="state">State
									
								</label>
								<input type="text" class="form-control" name="state" id="state" value="<?php echo e($circle->state); ?>" placeholder="State">
                                <span class="label label-danger" id="state_error" style="display: none;"></span>
								
							</div>
						</div>
							<div class="col-md-6">
							<div class="form-group">
								<label for="pin_code">Pin Code<span style="color:red;">*</span></label>
								<input type="text" class="form-control" name="pin_code" id="pin_code" value="<?php echo e($circle->pin_code); ?>" placeholder="Pin Code">
								<span class="label label-danger" id="pin_code_error" style="display: none;"></span>
							</div>
							
						</div>
						<div class="col-md-6">
							<div class="form-group">
								<label for="gst_number">Gst Number<span style="color:red;">*</span></label>
								<input type="text" class="form-control" name="gst_number" id="gst_number"  value="<?php echo e($circle->gst_number); ?>"placeholder="Gst Number">
                                <span class="label label-danger" id="gst_number_error" style="display: none;"></span>
							</div>
						</div>
			
			<div class="col-md-6">
                <div class="form-group">
                    <label for="status">Status</label>
                    <select class="form-control" name="is_active" id="is_active">
                        <option value="">ChangeStatus</option>
                        <option value="1" <?php echo e($circle->is_active=='1'?'selected':''); ?>>Active</option>
                        <option value="0" <?php echo e($circle->is_active=='0'?'selected':''); ?>>InActive</option>
                        
                    </select>
                    <span class="label label-danger" id="add_status_error" style="display: none;"></span>
                </div>
            </div>
      
	
</div>
<div class="modal-footer">
	<button type="button" class="btn btn-default" data-dismiss="modal">Close</button>
	<button type="button" id="editCircletBtn" class="btn btn-primary" onclick="updateCircle()">Submit</button>
</div>
</form>
<?php /**PATH /var/www/scm/resources/views/dashboard/master/edit-circle.blade.php ENDPATH**/ ?>