@if($setting['form-method'] =='native')
<div class="card">
	<div class="card-body">
@endif
		<div class="form-ajax-box">
		{!! Form::open(array('url'=>'customerrun?return='.$return, 'class'=>'form-horizontal  sximo-form validated','files' => true , 'parsley-validate'=>'','novalidate'=>' ','id'=> 'customerrunFormAjax')) !!}

		<div class="toolbar-nav">	
			<div class="row">	
					
				<div class="col-md-6 ">
					<a href="javascript://ajax" onclick="ajaxViewClose('#{{ $pageModule }}')" class="tips btn btn-sm  btn-danger" title="{{ __('core.btn_back') }}" ><i class="fa  fa-times"></i></a>			
				</div>
				<div class="col-sm-6 text-right">	
					<div class="btn-group">
						<button type="submit" class="btn btn-sm btn-primary  " name="apply">{{ Lang::get('core.sb_apply') }} </button>
						<button type="submit" class="btn btn-sm btn-success " name="save">  {{ Lang::get('core.sb_save') }} </button>
					</div>	
				</div>
						
			</div>
		</div>	


		<div class="col-md-12">
						<fieldset><legend> Customer Module</legend>
				{!! Form::hidden('customer_code', $row['customer_code']) !!}					
									  <div class="form-group row  " >
										<label for="Customer Name" class=" control-label col-md-4 "> Customer Name </label>
										<div class="col-md-8">
										  <input  type='text' name='customer_name' id='customer_name' value='{{ $row['customer_name'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Customer Name Hindi" class=" control-label col-md-4 "> Customer Name Hindi </label>
										<div class="col-md-8">
										  <input  type='text' name='customer_name_Hindi' id='customer_name_Hindi' value='{{ $row['customer_name_Hindi'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Company Name" class=" control-label col-md-4 "> Company Name </label>
										<div class="col-md-8">
										  <input  type='text' name='company_name' id='company_name' value='{{ $row['company_name'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Company Name Hindi" class=" control-label col-md-4 "> Company Name Hindi </label>
										<div class="col-md-8">
										  <input  type='text' name='company_name_hindi' id='company_name_hindi' value='{{ $row['company_name_hindi'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Customer Alias Name" class=" control-label col-md-4 "> Customer Alias Name </label>
										<div class="col-md-8">
										  <input  type='text' name='customer_alias_name' id='customer_alias_name' value='{{ $row['customer_alias_name'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Gender" class=" control-label col-md-4 "> Gender </label>
										<div class="col-md-8">
										  
										<select name='gender' rows='5'   class='select2 '  > 
						<option  value =''  selected='selected' >none</option><option  value ='Male' >Male</option><option  value ='Female' >Female</option></select> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Profession" class=" control-label col-md-4 "> Profession </label>
										<div class="col-md-8">
										  <input  type='text' name='profession' id='profession' value='{{ $row['profession'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Visit Day" class=" control-label col-md-4 "> Visit Day </label>
										<div class="col-md-8">
										  
										<select name='visit_day' rows='5'   class='select2 '  > 
						<option  value =''  selected='selected' >none</option><option  value ='Sunday' >Sunday</option><option  value ='Monday' >Monday</option><option  value ='Tuesday' >Tuesday</option><option  value ='Wednesday' >Wednesday</option><option  value ='Thrusday' >Thrusday</option><option  value ='Friday' >Friday</option><option  value ='Saturday' >Saturday</option></select> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Visit Time" class=" control-label col-md-4 "> Visit Time </label>
										<div class="col-md-8">
										  <input  type='text' name='visit_time' id='visit_time' value='{{ $row['visit_time'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Anniversary" class=" control-label col-md-4 "> Anniversary </label>
										<div class="col-md-8">
										  
				
					{!! Form::text('anniversary', $row['anniversary'],array('class'=>'form-control form-control-sm date')) !!} 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Birthday" class=" control-label col-md-4 "> Birthday </label>
										<div class="col-md-8">
										  
				
					{!! Form::text('birthday', $row['birthday'],array('class'=>'form-control form-control-sm date')) !!} 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Sales Account" class=" control-label col-md-4 "> Sales Account </label>
										<div class="col-md-8">
										  <input  type='text' name='sales_account' id='sales_account' value='{{ $row['sales_account'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Mobile1" class=" control-label col-md-4 "> Mobile1 </label>
										<div class="col-md-8">
										  <input  type='text' name='mobile1' id='mobile1' value='{{ $row['mobile1'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Correspondence Delivery Address" class=" control-label col-md-4 "> Correspondence Delivery Address </label>
										<div class="col-md-8">
										  
										<select name='correspondence_Delivery_address' rows='5'   class='select2 '  > 
						<option  value =''  selected='selected' >none</option><option  value ='Home' >Home</option><option  value ='Business' >Business</option></select> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Payment Terms" class=" control-label col-md-4 "> Payment Terms </label>
										<div class="col-md-8">
										  <input  type='text' name='payment_terms' id='payment_terms' value='{{ $row['payment_terms'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Retail Discount%" class=" control-label col-md-4 "> Retail Discount% </label>
										<div class="col-md-8">
										  <input  type='text' name='retail_discount%' id='retail_discount%' value='{{ $row['retail_discount%'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Website1" class=" control-label col-md-4 "> Website1 </label>
										<div class="col-md-8">
										  <input  type='text' name='website1' id='website1' value='{{ $row['website1'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Email" class=" control-label col-md-4 "> Email </label>
										<div class="col-md-8">
										  <input  type='text' name='email' id='email' value='{{ $row['email'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Credit Limit" class=" control-label col-md-4 "> Credit Limit </label>
										<div class="col-md-8">
										  <input  type='text' name='credit_limit' id='credit_limit' value='{{ $row['credit_limit'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Customer Groups" class=" control-label col-md-4 "> Customer Groups </label>
										<div class="col-md-8">
										  <input  type='text' name='customer_groups' id='customer_groups' value='{{ $row['customer_groups'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Home Address" class=" control-label col-md-4 "> Home Address </label>
										<div class="col-md-8">
										  <input  type='text' name='home_address' id='home_address' value='{{ $row['home_address'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Home City" class=" control-label col-md-4 "> Home City </label>
										<div class="col-md-8">
										  <input  type='text' name='home_city' id='home_city' value='{{ $row['home_city'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Home State" class=" control-label col-md-4 "> Home State </label>
										<div class="col-md-8">
										  <input  type='text' name='home_state' id='home_state' value='{{ $row['home_state'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Home Country" class=" control-label col-md-4 "> Home Country </label>
										<div class="col-md-8">
										  <input  type='text' name='home_country' id='home_country' value='{{ $row['home_country'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Home Station" class=" control-label col-md-4 "> Home Station </label>
										<div class="col-md-8">
										  <input  type='text' name='home_station' id='home_station' value='{{ $row['home_station'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Bussiness Address" class=" control-label col-md-4 "> Bussiness Address </label>
										<div class="col-md-8">
										  <input  type='text' name='bussiness_address' id='bussiness_address' value='{{ $row['bussiness_address'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Bussiness Station" class=" control-label col-md-4 "> Bussiness Station </label>
										<div class="col-md-8">
										  <input  type='text' name='bussiness_station' id='bussiness_station' value='{{ $row['bussiness_station'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Bussiness City" class=" control-label col-md-4 "> Bussiness City </label>
										<div class="col-md-8">
										  <input  type='text' name='bussiness_city' id='bussiness_city' value='{{ $row['bussiness_city'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Bussiness State" class=" control-label col-md-4 "> Bussiness State </label>
										<div class="col-md-8">
										  <input  type='text' name='bussiness_state' id='bussiness_state' value='{{ $row['bussiness_state'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Bussiness Country" class=" control-label col-md-4 "> Bussiness Country </label>
										<div class="col-md-8">
										  <input  type='text' name='bussiness_country' id='bussiness_country' value='{{ $row['bussiness_country'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Home Postal Code" class=" control-label col-md-4 "> Home Postal Code </label>
										<div class="col-md-8">
										  <input  type='text' name='home_postal_code' id='home_postal_code' value='{{ $row['home_postal_code'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Bussiness Postal Code" class=" control-label col-md-4 "> Bussiness Postal Code </label>
										<div class="col-md-8">
										  <input  type='text' name='bussiness_postal_code' id='bussiness_postal_code' value='{{ $row['bussiness_postal_code'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Home Phone No" class=" control-label col-md-4 "> Home Phone No </label>
										<div class="col-md-8">
										  <input  type='text' name='home_phone_no' id='home_phone_no' value='{{ $row['home_phone_no'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Bussiness Phone No" class=" control-label col-md-4 "> Bussiness Phone No </label>
										<div class="col-md-8">
										  <input  type='text' name='bussiness_phone_no' id='bussiness_phone_no' value='{{ $row['bussiness_phone_no'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="GSTIN" class=" control-label col-md-4 "> GSTIN </label>
										<div class="col-md-8">
										  <input  type='text' name='GSTIN' id='GSTIN' value='{{ $row['GSTIN'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Closed On" class=" control-label col-md-4 "> Closed On </label>
										<div class="col-md-8">
										  <input  type='text' name='closed_on' id='closed_on' value='{{ $row['closed_on'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="CST TIN" class=" control-label col-md-4 "> CST TIN </label>
										<div class="col-md-8">
										  <input  type='text' name='CST_TIN' id='CST_TIN' value='{{ $row['CST_TIN'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Select Users" class=" control-label col-md-4 "> Select Users </label>
										<div class="col-md-8">
										  <input  type='text' name='select_users' id='select_users' value='{{ $row['select_users'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Discount%" class=" control-label col-md-4 "> Discount% </label>
										<div class="col-md-8">
										  <input  type='text' name='discount%' id='discount%' value='{{ $row['discount%'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Credit Status" class=" control-label col-md-4 "> Credit Status </label>
										<div class="col-md-8">
										  <input  type='text' name='credit_status' id='credit_status' value='{{ $row['credit_status'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Customer Branches" class=" control-label col-md-4 "> Customer Branches </label>
										<div class="col-md-8">
										  <input  type='text' name='customer_branches' id='customer_branches' value='{{ $row['customer_branches'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Last Updated" class=" control-label col-md-4 "> Last Updated </label>
										<div class="col-md-8">
										  <input  type='text' name='last_updated' id='last_updated' value='{{ $row['last_updated'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Select Status" class=" control-label col-md-4 "> Select Status </label>
										<div class="col-md-8">
										  <input  type='text' name='select_status' id='select_status' value='{{ $row['select_status'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="General Notes" class=" control-label col-md-4 "> General Notes </label>
										<div class="col-md-8">
										  <input  type='text' name='general_notes' id='general_notes' value='{{ $row['general_notes'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Visit Notes" class=" control-label col-md-4 "> Visit Notes </label>
										<div class="col-md-8">
										  <input  type='text' name='visit_notes' id='visit_notes' value='{{ $row['visit_notes'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Condition Notes For So" class=" control-label col-md-4 "> Condition Notes For So </label>
										<div class="col-md-8">
										  <input  type='text' name='condition_notes_for_so' id='condition_notes_for_so' value='{{ $row['condition_notes_for_so'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Condition Notes For Sa" class=" control-label col-md-4 "> Condition Notes For Sa </label>
										<div class="col-md-8">
										  <input  type='text' name='condition_notes_for_sa' id='condition_notes_for_sa' value='{{ $row['condition_notes_for_sa'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Condition Notes For Sr" class=" control-label col-md-4 "> Condition Notes For Sr </label>
										<div class="col-md-8">
										  <textarea name='condition_notes_for_sr' rows='5' id='condition_notes_for_sr' class='form-control form-control-sm '  
				           >{{ $row['condition_notes_for_sr'] }}</textarea> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Condition Notes For Po" class=" control-label col-md-4 "> Condition Notes For Po </label>
										<div class="col-md-8">
										  <textarea name='condition_notes_for_po' rows='5' id='condition_notes_for_po' class='form-control form-control-sm '  
				           >{{ $row['condition_notes_for_po'] }}</textarea> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Condition Notes For Pu" class=" control-label col-md-4 "> Condition Notes For Pu </label>
										<div class="col-md-8">
										  <textarea name='condition_notes_for_pu' rows='5' id='condition_notes_for_pu' class='form-control form-control-sm '  
				           >{{ $row['condition_notes_for_pu'] }}</textarea> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Condition Notes For Pr" class=" control-label col-md-4 "> Condition Notes For Pr </label>
										<div class="col-md-8">
										  <textarea name='condition_notes_for_pr' rows='5' id='condition_notes_for_pr' class='form-control form-control-sm '  
				           >{{ $row['condition_notes_for_pr'] }}</textarea> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Condition Notes For Re" class=" control-label col-md-4 "> Condition Notes For Re </label>
										<div class="col-md-8">
										  <textarea name='condition_notes_for_re' rows='5' id='condition_notes_for_re' class='form-control form-control-sm '  
				           >{{ $row['condition_notes_for_re'] }}</textarea> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Condition Notes For Pa" class=" control-label col-md-4 "> Condition Notes For Pa </label>
										<div class="col-md-8">
										  <textarea name='condition_notes_for_pa' rows='5' id='condition_notes_for_pa' class='form-control form-control-sm '  
				           >{{ $row['condition_notes_for_pa'] }}</textarea> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Condition Notes For Je" class=" control-label col-md-4 "> Condition Notes For Je </label>
										<div class="col-md-8">
										  <textarea name='condition_notes_for_je' rows='5' id='condition_notes_for_je' class='form-control form-control-sm '  
				           >{{ $row['condition_notes_for_je'] }}</textarea> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Image Upload" class=" control-label col-md-4 "> Image Upload </label>
										<div class="col-md-8">
										  <textarea name='image_upload' rows='5' id='image_upload' class='form-control form-control-sm '  
				           >{{ $row['image_upload'] }}</textarea> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Blogger" class=" control-label col-md-4 "> Blogger </label>
										<div class="col-md-8">
										  <textarea name='blogger' rows='5' id='blogger' class='form-control form-control-sm '  
				           >{{ $row['blogger'] }}</textarea> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Food Photography" class=" control-label col-md-4 "> Food Photography </label>
										<div class="col-md-8">
										  <textarea name='food_photography' rows='5' id='food_photography' class='form-control form-control-sm '  
				           >{{ $row['food_photography'] }}</textarea> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Food Videography" class=" control-label col-md-4 "> Food Videography </label>
										<div class="col-md-8">
										  <textarea name='food_videography' rows='5' id='food_videography' class='form-control form-control-sm '  
				           >{{ $row['food_videography'] }}</textarea> 
										 </div> 
										 
									  </div> 					
									  <div class="form-group row  " >
										<label for="Writing Food Content" class=" control-label col-md-4 "> Writing Food Content </label>
										<div class="col-md-8">
										  <textarea name='writing_food_content' rows='5' id='writing_food_content' class='form-control form-control-sm '  
				           >{{ $row['writing_food_content'] }}</textarea> 
										 </div> 
										 
									  </div> </fieldset></div>									
							
		<input type="hidden" name="action_task" value="save" />

		{!! Form::close() !!}
		</div>
@if($setting['form-method'] =='native')

	</div>
</div>
@endif
@include('sximo.module.template.ajax.formjavascript')


<script type="text/javascript">
$(document).ready(function() { 
	 
	
	 	
	 
	
	var form = $('#customerrunFormAjax'); 
	form.parsley();
	form.submit(function(){
		
		if(form.parsley().isValid()){			
			var options = { 
				dataType:      'json', 
				beforeSubmit :  function() {
				},
				success		:   function(data) {

					if(data.status == 'success')
					{
						ajaxViewClose('#{{ $pageModule }}');
						ajaxFilter('#{{ $pageModule }}','{{ $pageUrl }}/data');
						notyMessage(data.message);	
						$('#sximo-modal').modal('hide');	
					} else {
						notyMessageError(data.message);	
						return false;
					}	

				}  
			}  
			$(this).ajaxSubmit(options); 
			return false;
						
		} else {
			return false;
		}		
	
	});

});

</script>