@extends('layouts/microfin_layout') @section('title', '| New Reschedule') @section('content')
New Loan Reschedule (member-wise)
{!! Form::open(array('url' => '', 'role' => 'form', 'class' => 'form-horizontal form-groups')) !!}
{!! Form::label('branchId', 'Branch:*', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::select('branchId', ($damageData['branches']), null, array('id' => 'branchId', 'class'=>'form-control', 'autocomplete'=>'off', 'required')) !!}
{!! Form::label('samityId', 'Samity:*', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::select('samityId', [''=>'Select Samity'], null, ['id'=>'samityId', 'class'=>'form-control', 'autocomplete'=>'off', 'required']) !!}
{!! Form::label('memberId', 'Member:*', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::select('memberId', [''=>'Select Member'], null, ['id'=>'memberId', 'class'=>'form-control', 'autocomplete'=>'off', 'required']) !!}
{!! Form::label('loanId', 'Loan Product:*', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::select('loanId', [''=>'Select Loan Product'], null, ['id'=>'loanId', 'class'=>'form-control', 'autocomplete'=>'off', 'required']) !!}
{!! Form::label('date from', 'Date From:*', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::text('dateFrom', $value = null, ['class' => 'form-control', 'id' => 'dateFrom', 'type' => 'text','autocomplete'=>'off', 'required']) !!}
{!! Form::label('date to', 'Date To:*', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::text('dateTo', $value = null, ['class' => 'form-control datepicker', 'id' => 'dateTo', 'type' => 'text', 'autocomplete'=>'off', 'required']) !!}
{!! Form::label('reschedule purpose', 'Reschedule Purpose:*', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::text('purpose', $value = null, ['class' => 'form-control', 'id' => 'purpose', 'type' => 'text', 'autocomplete'=>'off', 'required']) !!}
{!! Form::submit('Proceed', ['id' => 'submit', 'class' => 'btn btn-info']) !!}
{!! Form::close() !!}
@endsection