Red mark input field are required.
{!! Form::label('reg_no', 'RegNo', ['class' => 'col-sm-1 control-label',]) !!}
{!! Form::text('reg_no', isset($data['CustomerRegCode'])?$data['CustomerRegCode']:null, ["class" => "form-control border-form upper","readonly"]) !!} @include('includes.form_fields_validation_message', ['name' => 'reg_no'])
{!! Form::label('name', 'Name', ['class' => 'col-sm-1 control-label',]) !!}
{!! Form::text('name', null, ["class" => "form-control border-form upper","required"]) !!} @include('includes.form_fields_validation_message', ['name' => 'name'])
{!! Form::label('email', 'E-mail', ['class' => 'col-sm-1 control-label']) !!}
{!! Form::text('email', null, ["class" => "form-control border-form"]) !!} @include('includes.form_fields_validation_message', ['name' => 'email'])
{!! Form::label('address', 'Address', ['class' => 'col-sm-1 control-label',]) !!}
{!! Form::text('address', null, ["class" => "form-control border-form upper"]) !!} @include('includes.form_fields_validation_message', ['name' => 'address'])
@if (!isset($data['row']))
{!! Form::select('customer_status', $data['customer_status'], 1, ['class' => 'form-control', "required"]) !!} @include('includes.form_fields_validation_message', ['name' => 'customer_status'])
@else
{!! Form::select('customer_status', $data['customer_status'], null, ['class' => 'form-control']) !!} @include('includes.form_fields_validation_message', ['name' => 'customer_status'])
@endif
{!! Form::label('tel', 'Tel', ['class' => 'col-sm-1 control-label']) !!}
{!! Form::text('tel', null, ["class" => "form-control border-form input-mask-phone"]) !!} @include('includes.form_fields_validation_message', ['name' => 'tel'])
{!! Form::label('mobile_1', 'Mobile 1', ['class' => 'col-sm-1 control-label']) !!}
{!! Form::text('mobile_1', null, ["class" => "form-control border-form input-mask-mobile"]) !!} @include('includes.form_fields_validation_message', ['name' => 'mobile_1'])
{!! Form::label('mobile_2', 'Mobile 2', ['class' => 'col-sm-1 control-label']) !!}
{!! Form::text('mobile_2', null, ["class" => "form-control border-form input-mask-mobile"]) !!} @include('includes.form_fields_validation_message', ['name' => 'mobile_2'])
@if(isset($data['CustomerRegCode']))
@endif
{!! Form::label('extra_info', 'Extra Info', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::textarea('extra_info', null, ["class" => "form-control border-form", "rows"=>"3"]) !!} @include('includes.form_fields_validation_message', ['name' => 'extra_info'])