@extends('layouts/microfin_layout') @section('title', '| Add Member Samity Transfer') @section('content')
New Member Samity Transfer
{!! Form::open(array('url' => '', 'role' => 'form', 'class' => 'form-horizontal form-groups validate')) !!}
{!! Form::label('member name', 'Member Name:*', ['class' => 'col-sm-4 control-label']) !!}
{!! Form::select('memberIdFk', array('' => 'Select'), null, array('class' => 'form-control', 'id' => 'select-to', 'data-validate' => 'required')) !!}
{!! Form::label('current branch', 'Current Branch:*', ['class' => 'col-sm-4 control-label']) !!}
{!! Form::select('branchIdFk', ($damageData['currentBranchOption']), null, array('class' => 'form-control', 'id' => 'branchId', 'data-validate' => 'required')) !!}
{!! Form::label('samity category', 'Samity Category:*', ['class' => 'col-sm-4 control-label']) !!}
{!! Form::select('samityCategoryId', array('' => 'Select') + ($damageData['samityCategories']), null, array('class' => 'form-control', 'id' => 'samityCategoryId', 'data-validate' => 'required')) !!}
{!! Form::label('primary product', 'Primary Product:*', ['class' => 'col-sm-4 control-label']) !!}
{!! Form::select('primaryProductId', array('' => 'Select'), null, array('class' => 'form-control', 'id' => 'primaryProductId', 'data-validate' => 'required')) !!}
{!! Form::label('new samity', 'New Samity:*', ['class' => 'col-sm-4 control-label']) !!}
{!! Form::select('newSamityIdFk', array('' => 'Select'), null, array('class' => 'form-control', 'id' => 'newSamityId', 'data-validate' => 'required')) !!}
{!! Form::label('new member code', 'New Member Code:*', ['class' => 'col-sm-4 control-label']) !!}
{!! Form::text('newMemberCodeFk', null, ['class' => 'form-control', 'id' => 'newMemberCode', 'type' => 'text', 'readonly' => 'readonly', 'data-validate' => 'required']) !!}
{{-- oldMemberCode --}} {{-- mraMemberCode --}} {!! Form::hidden('oldMemberCode',null,['id'=>'oldMemberCode']) !!} {!! Form::hidden('mraMemberCode',null,['id'=>'mraMemberCode']) !!} {!! Form::hidden('isSameSamityCategoryTransfer',null,['id'=>'isSameSamityCategoryTransfer']) !!}
{!! Form::label('transfer date', 'Transfer Date:*', ['class' => 'col-sm-4 control-label']) !!}
{!! Form::text('transferDate', $value = $damageData['transferDate'], ['class' => 'form-control', 'id' => 'transferDate', 'type' => 'text', 'readonly' => 'readonly', 'data-validate' => 'required']) !!}
{!! Form::submit('Submit', ['id' => 'submit', 'class' => 'btn btn-info']) !!} Close
{!! Form::close() !!}
@endsection