{!! Form::label('type_id', 'Type:') !!}
{!! Form::select('type_id', $types, null, ['class' => 'form-control custom-select','min' => 1]) !!}
{!! Form::label('app_user_id', 'App User:') !!}
{!! Form::select('app_user_id', $appUsers, null, ['class' => 'form-control custom-select','min' => 1]) !!}
{!! Form::label('mobile_no', 'Mobile No:') !!}
{!! Form::text('mobile_no', null, ['class' => 'form-control']) !!}
{!! Form::label('new_mobile_no', 'New Mobile No:') !!}
{!! Form::text('new_mobile_no', null, ['class' => 'form-control']) !!}
{!! Form::label('name', 'Name:') !!}
{!! Form::text('name', null, ['class' => 'form-control']) !!}
{!! Form::label('dob', 'Date of birth:') !!}
{!! Form::text('dob', null, ['class' => 'form-control']) !!}
{!! Form::label('state_id', 'State:') !!}
{!! Form::select('state_id', $states, null, ['class' => 'form-control custom-select','min' => 1]) !!}
{!! Form::label('city_id', 'City:') !!}
{!! Form::select('city_id', $cities, null, ['class' => 'form-control custom-select','min' => 1]) !!}
{!! Form::label('center_id', 'Center:') !!}
{!! Form::select('center_id', $centers, null, ['class' => 'form-control custom-select','min' => 1]) !!}
{!! Form::label('fitness_center_id', 'Fitness Center:') !!}
{!! Form::select('fitness_center_id', $fitness_centers, null, ['class' => 'form-control custom-select','min' => 1]) !!}
@if($application->type_id >= 48 && $application->type_id <= 63)
{!! Form::label('buyer_aadhar_mobile_no', 'Buyer Aadhar Link Mobile No.:') !!}
{!! Form::text('buyer_aadhar_mobile_no', null, ['class' => 'form-control']) !!}
{!! Form::label('seller_aadhar_mobile_no', 'Seller Aadhar Link Mobile No.:') !!}
{!! Form::text('seller_aadhar_mobile_no', null, ['class' => 'form-control']) !!}
@endif
{!! Form::label('vehicle_no', 'Vehicle No:') !!}
{!! Form::text('vehicle_no', null, ['class' => 'form-control']) !!}
@if($application->type_id == 102)
{!! Form::label('insurance_type', 'Insurance Type:') !!}
{!! Form::select('insurance_type', config('constants.insurance_type'), null, ['class' => 'form-control custom-select','min' => 1]) !!}
@endif
{!! Form::label('status_id', 'Status:') !!}
{!! Form::select('status_id', $statuses, null, ['class' => 'form-control custom-select','min' => 1]) !!}
{!! Form::label('assigned_to', 'Assigned To:') !!}
{!! Form::select('assigned_to', $users, null, ['class' => 'form-control custom-select','min' => 1]) !!}
@if(Route::currentRouteName() == 'applications.edit')
{!! Form::label('sarathi_app_no', 'Sarathi Application No:') !!}
{!! Form::text('sarathi_app_no', null, ['class' => 'form-control']) !!}
{!! Form::label('payment_code', 'Payment Code:') !!}
{!! Form::text('payment_code', $application->type_id, ['class' => 'form-control']) !!}
{!! Form::label('govt_fees', 'Government Fees:') !!}
{!! Form::text('govt_fees', null, ['class' => 'form-control', 'readonly' => 'readonly']) !!}
{!! Form::label('conv_fees', 'Convenient Fees:') !!}
{!! Form::text('conv_fees', null, ['class' => 'form-control', 'readonly' => 'readonly']) !!}
{!! Form::label('extra_fees', 'Extra Fees:') !!}
{!! Form::text('extra_fees', null, ['class' => 'form-control']) !!}
{!! Form::label('documents_request', 'Request Documents:') !!}
{!! Form::select('documents_request[]', $requestTypes, $documentRequests, ['multiple'=>'multiple','id'=>'documents_request', 'class' => 'form-control custom-select', 'size' => '10']) !!}
{!! Form::label('upload_documents', 'Upload Documents:') !!}
@push('page_scripts')
@endpush
@endif