HEX
Server: Apache/2.4.46 (Ubuntu)
System: Linux localhost 5.11.0-49-generic #55-Ubuntu SMP Wed Jan 12 17:36:34 UTC 2022 x86_64
User: root (0)
PHP: 7.4.16
Disabled: pcntl_alarm,pcntl_fork,pcntl_waitpid,pcntl_wait,pcntl_wifexited,pcntl_wifstopped,pcntl_wifsignaled,pcntl_wifcontinued,pcntl_wexitstatus,pcntl_wtermsig,pcntl_wstopsig,pcntl_signal,pcntl_signal_get_handler,pcntl_signal_dispatch,pcntl_get_last_error,pcntl_strerror,pcntl_sigprocmask,pcntl_sigwaitinfo,pcntl_sigtimedwait,pcntl_exec,pcntl_getpriority,pcntl_setpriority,pcntl_async_signals,pcntl_unshare,
Upload Files
File: /var/www/html/fieldsblaze-heroku/resources/views/admin/edit-account.blade.php
@extends('admin.include.master')

@section('content')
<!-- Content Wrapper. Contains page content -->
<div class="content-wrapper">
  <!-- Content Header (Page header) -->
  <section class="content-header">
    <div class="container-fluid">
      <div class="row mb-2">
        <div class="col-sm-6">
          <h1>Edit Account <span class="text-info">#AC00021365</span></h1>
        </div>
        <div class="col-sm-6 text-right">
        <div class="">
          <a href="{{ url()->previous() }}" type="button" class="btn btn-sm btn-outline-primary mx-1">Cancel</a>
          <button type ="reset" name="resetForm" id="clearForm" class="btn btn-sm btn-outline-secondary mx-1">Clear</button>
          <button type="submit" name="update" value="Save" class="btn btn-sm btn-outline-success mx-1 float-right">Update</button>
        </div>
        </div>
      </div>
    </div><!-- /.container-fluid -->
  </section>

  <!-- Main content -->
  <section class="content">
  <form id="editForm">
    <div class="row">
      <div class="col-md-6">
        <div class="card card-primary">
          <div class="card-header">
            <h3 class="card-title">Account Info</h3>

            <div class="card-tools">
              <button type="button" class="btn btn-tool" data-card-widget="collapse" title="Collapse">
                <i class="fas fa-minus"></i>
              </button>
            </div>
          </div>
          <div class="card-body">
            <div class="row">
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0" for="FirstName">Account Number</label>
                  <input type="text" id="accountNumber" class="form-control form-control-sm" value="AC00021365">
                </div>
              </div>
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0" for="LastName">Account Source</label>
                  <input type="text" id="accountSource" class="form-control form-control-sm" value="Demat Account">
                </div>
              </div>
            </div>
            <div class="row">
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0" for="department">Channel Program Level</label>
                  <input type="text" id="channelProgramLevelName" class="form-control form-control-sm" value="Level 05">
                </div>
              </div>
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0" for="channelProgramName">Program Name</label>
                  <input type="text" id="channelProgramName" class="form-control form-control-sm" value="Info India Limited">
                </div>
              </div>
            </div>
            <div class="row">
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0" for="annualRevenue">Annual Revenue</label>
                  <input type="text" id="annualRevenue" class="form-control form-control-sm" value="4500000">
                </div>
              </div>
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0" for="customerPriority">Customer Priority</label>
                  <input type="text" id="customerPriority" class="form-control form-control-sm" value="Medium">
                </div>
              </div>
            </div>
            <div class="form-group mb-2">
              <label class="mb-0" for="salesArea">Service Sales Area</label>
              <input type="text" id="salesArea" class="form-control form-control-sm" value="Noida Extension">
            </div>
            <div class="form-group mb-2">
              <label class="mb-0" for="inputDescription">Description</label>
              <textarea id="inputDescription" class="form-control form-control-sm" rows="4">Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean a diam erat. Praesent eget turpis consectetur, lacinia justo nec, vulputate ex. Praesent mollis porttitor nibh, id viverra neque venenatis sed. Aliquam erat volutpat.</textarea>
            </div>
            <div class="form-group mb-2">
              <label class="mb-0" for="inputStatus">Status</label>
              <select id="inputStatus" class="form-control form-control-sm">
                <option selected disabled>Active</option>
                <option>Active</option>
                <option>In-Active</option>
              </select>
            </div>
          </div>
          <!-- /.card-body -->
        </div>

        <!-- /.card -->
      </div>
      <div class="col-md-6">
        <div class="card card-secondary">
          <div class="card-header">
            <h3 class="card-title">Billing Address</h3>

            <div class="card-tools">
              <button type="button" class="btn btn-tool" data-card-widget="collapse" title="Collapse">
                <i class="fas fa-minus"></i>
              </button>
            </div>
          </div>
          <div class="card-body">
            <div class="form-group mb-2">
              <label class="mb-0" for="billingStreetAddress">Street Address</label>
              <input type="text" id="billingStreetAddress" class="form-control form-control-sm billing-address" value="Administrative Complex Sector 6, Noida ">
            </div>
            <div class="row">
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0">City</label>
                  <select id="billingCity" class="form-control form-control-sm billing-address" style="width: 100%;" aria-hidden="true">
                    <option selected="selected">City 2</option>
                    <option data-select2-id="30">City 1</option>
                    <option data-select2-id="31">City 2</option>
                    <option data-select2-id="32">City 3</option>
                    <option data-select2-id="33">City 4</option>
                    <option data-select2-id="34">City 5</option>
                    <option data-select2-id="35">City 6</option>
                  </select>
                </div>
              </div>
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0">State</label>
                  <select id="billingState" class="form-control form-control-sm billing-address" style="width: 100%;">
                    <option selected="selected">State 3</option>
                    <option data-select2-id="30">State 1</option>
                    <option data-select2-id="31">State 2</option>
                    <option data-select2-id="32">State 3</option>
                    <option data-select2-id="33">State 4</option>
                    <option data-select2-id="34">State 5</option>
                    <option data-select2-id="35">State 6</option>
                  </select>
                </div>
              </div>
            </div>
            <div class="row">
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0">Country</label>
                  <select id="billingCountry" class="form-control form-control-sm billing-address" style="width: 100%;" aria-hidden="true">
                    <option selected="selected">Country 4</option>
                    <option data-select2-id="30">Country 1</option>
                    <option data-select2-id="31">Country 2</option>
                    <option data-select2-id="32">Country 3</option>
                    <option data-select2-id="33">Country 4</option>
                    <option data-select2-id="34">Country 5</option>
                    <option data-select2-id="35">Country 6</option>
                  </select>
                </div>
              </div>
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0" for="billingPostalCode">Postal Code</label>
                  <input type="text" id="billingPostalCode" class="form-control form-control-sm billing-address" value="201301">
                </div>
              </div>
            </div>
            <!-- /.card-body -->
          </div>
          <!-- /.card -->
        </div>
        <div class="card card-info">
          <div class="card-header">
            <h3 class="card-title">Shipping Address</h3>

            <div class="card-tools">
              <button type="button" class="btn btn-tool" data-card-widget="collapse" title="Collapse">
                <i class="fas fa-minus"></i>
              </button>
            </div>
          </div>
          <div class="card-body">
            <div class="form-group mb-2">
              <div class="icheck-primary d-inline">
                <input type="checkbox" id="sameAsBilling">
                <label class="mb-0" for="sameAsBilling">Same as Billing</label>
              </div>
            </div>
            <div class="form-group mb-2">
              <label class="mb-0" for="shippingStreetAddress">Street Address</label>
              <input type="text" id="shippingStreetAddress" class="form-control form-control-sm" value="Administrative Complex Sector 6, Noida ">
            </div>
            <div class="row">
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0">City</label>
                  <select id="shippingCity" class="form-control form-control-sm" style="width: 100%;" aria-hidden="true">
                    <option selected="selected">City 2</option>
                    <option data-select2-id="30">City 1</option>
                    <option data-select2-id="31">City 2</option>
                    <option data-select2-id="32">City 3</option>
                    <option data-select2-id="33">City 4</option>
                    <option data-select2-id="34">City 5</option>
                    <option data-select2-id="35">City 6</option>
                  </select>
                </div>
              </div>
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0">State</label>
                  <select id="shippingState" class="form-control form-control-sm" style="width: 100%;">
                    <option selected="selected">State 3</option>
                    <option data-select2-id="30">State 1</option>
                    <option data-select2-id="31">State 2</option>
                    <option data-select2-id="32">State 3</option>
                    <option data-select2-id="33">State 4</option>
                    <option data-select2-id="34">State 5</option>
                    <option data-select2-id="35">State 6</option>
                  </select>
                </div>
              </div>
            </div>
            <div class="row">
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0">Country</label>
                  <select id="shippingCountry" class="form-control form-control-sm" style="width: 100%;" aria-hidden="true">
                    <option selected="selected">Country 4</option>
                    <option data-select2-id="30">Country 1</option>
                    <option data-select2-id="31">Country 2</option>
                    <option data-select2-id="32">Country 3</option>
                    <option data-select2-id="33">Country 4</option>
                    <option data-select2-id="34">Country 5</option>
                    <option data-select2-id="35">Country 6</option>
                  </select>
                </div>
              </div>
              <div class="col-md-6">
                <div class="form-group mb-2">
                  <label class="mb-0" for="shippingPostalCode">Postal Code</label>
                  <input type="text" id="shippingPostalCode" class="form-control form-control-sm" value="201301">
                </div>
              </div>
            </div>
          </div>
          <!-- /.card-body -->
        </div>
      </div>
    </div>
    <div class="row">
      <div class="col-12">

        <div class="d-flex align-items-center justify-content-center">
          <a href="{{ url()->previous() }}" type="button" class="btn btn-sm btn-outline-primary mx-1">Cancel</a>
          <button type ="reset"  name="resetForm" id="clearForm" class="btn btn-sm btn-outline-secondary mx-1">Clear</button>
          <button type="submit" name="update" value="Save" class="btn btn-sm btn-outline-success mx-1">Update</button>
        </div>


      </div>
    </div>
    </form>
  </section><br />
  <!-- /.content -->
</div>
<!-- /.content-wrapper -->
@endsection