/home/mip/mip/app/Modules/Client/Views/pages/contact-us/includes/form.blade.php
<div class="form-group">
<label class="control-label col-md-3">Name <i class="required">*</i></label>
<div class="col-md-6">
{!! Form::text('name', null , ['class'=>'form-control', 'autocomplete'=>'off', 'placeholder'=>'Name']) !!}
</div>
</div>
<div class="form-group">
<label class="control-label col-md-3">Email <i class="required">*</i></label>
<div class="col-md-6">
{!! Form::text('email', null , ['class'=>'form-control', 'autocomplete'=>'off', 'placeholder'=>'Email']) !!}
</div>
</div>
<div class="form-group">
<label class="control-label col-md-3">Contact Number <i class="required">*</i></label>
<div class="col-md-6">
<!-- <div class="input-group"> -->
{!! Form::text('contact', null , ['class'=>'form-control', 'autocomplete'=>'off', 'placeholder'=>'Contact Number']) !!}
<!-- <span class="input-group-btn">
<button class="btn btn-primary btn-flat" type="button" data-toggle="tooltip" title=""><i class="fa fa-plus"></i></button>
</span> -->
<!-- </div> -->
</div>
</div>
<div class="form-group">
<label class="control-label col-md-3">Recruitment Building</label>
<div class="col-md-4">
{!! Form::text('building_name', null , ['class'=>'form-control uppercaseFirst', 'autocomplete'=>'off', 'placeholder' => 'Building Name']) !!}
</div>
<div class="col-md-2">
{!! Form::text('building_floor', null , ['class'=>'form-control uppercaseFirst', 'autocomplete'=>'off', 'placeholder' => 'Floor']) !!}
</div>
</div>
<div class="form-group">
<label class="control-label col-md-3">Recruitment Office Address <i class="required">*</i></label>
<div class="col-md-3">
{!! Form::text('rec_number', null , ['class'=>'form-control', 'autocomplete'=>'off', 'placeholder' => 'Number']) !!}
</div>
<div class="col-md-3">
{!! Form::text('rec_street', null , ['class'=>'form-control pascal', 'autocomplete'=>'off', 'placeholder' => 'Street']) !!}
</div>
</div>
<div class="form-group">
<label class="control-label col-md-3"></label>
<div class="col-md-6">
{!! Form::text('rec_city', null , ['class'=>'form-control', 'autocomplete'=>'off', 'placeholder'=>'City']) !!}
</div>
</div>
<!-- <div class="form-group">
<label class="control-label col-md-3"></label>
<div class="col-md-6">
<div class="panel panel-default">
<div class="panel-body">
<div class="form-group">
<input id="search" type="text" placeholder="Search.." style="width: 150px; height: 30px; margin-top: 10px;">
<div id="map" style="width: 100%; height: 250px;"></div>
</div>
<div class="form-group">
<label class="control-label col-md-3">Latitude: <i class="required">*</i></label>
<div class="col-md-8">
{!! Form::text('lat', null , ['class'=>'form-control', 'id'=>'lat', 'autocomplete'=>'off']) !!}
</div>
</div>
<div class="form-group">
<label class="control-label col-md-3">Longitude: <i class="required">*</i></label>
<div class="col-md-8">
{!! Form::text('lng', null , ['class'=>'form-control', 'id'=>'lng', 'autocomplete'=>'off']) !!}
</div>
</div>
</div>
</div>
</div>
</div> -->
<div class="form-group">
<label class="control-label col-md-3">Status <i class="required">*</i></label>
<div class="col-md-6">
{!! Form::select('status', $status , null , ['class'=>'form-control']) !!}
</div>
</div>