{!! Form::text('refno') -> label(trans('contact::contact.label.refno')) -> placeholder(trans('contact::contact.placeholder.refno'))!!}
{!! Form::select('agent_id') -> options(trans('contact::contact.options.agent_id')) -> label(trans('contact::contact.label.agent_id')) -> placeholder(trans('contact::contact.placeholder.agent_id'))!!}
{!! Form::select('location_id') -> options(trans('contact::contact.options.location_id')) -> label(trans('contact::contact.label.location_id')) -> placeholder(trans('contact::contact.placeholder.location_id'))!!}
{!! Form::select('city_id') -> options(trans('contact::contact.options.city_id')) -> label(trans('contact::contact.label.city_id')) -> placeholder(trans('contact::contact.placeholder.city_id'))!!}
{!! Form::select('district_id') -> options(trans('contact::contact.options.district_id')) -> label(trans('contact::contact.label.district_id')) -> placeholder(trans('contact::contact.placeholder.district_id'))!!}
{!! Form::select('state_id') -> options(trans('contact::contact.options.state_id')) -> label(trans('contact::contact.label.state_id')) -> placeholder(trans('contact::contact.placeholder.state_id'))!!}
{!! Form::select('country_id') -> options(trans('contact::contact.options.country_id')) -> label(trans('contact::contact.label.country_id')) -> placeholder(trans('contact::contact.placeholder.country_id'))!!}
{!! Form::text('salutation') -> label(trans('contact::contact.label.salutation')) -> placeholder(trans('contact::contact.placeholder.salutation'))!!}
{!! Form::text('firstname') -> label(trans('contact::contact.label.firstname')) -> required() -> placeholder(trans('contact::contact.placeholder.firstname'))!!}
{!! Form::text('middlename') -> label(trans('contact::contact.label.middlename')) -> placeholder(trans('contact::contact.placeholder.middlename'))!!}
{!! Form::text('lastname') -> label(trans('contact::contact.label.lastname')) -> required() -> placeholder(trans('contact::contact.placeholder.lastname'))!!}
{!! Form::text('dob') -> placeholder(trans('contact::contact.placeholder.dob')) ->raw()!!}
{!! Form::tel('phone') -> label(trans('contact::contact.label.phone')) -> placeholder(trans('contact::contact.placeholder.phone'))!!}
{!! Form::tel('mobile') -> label(trans('contact::contact.label.mobile')) -> required() -> placeholder(trans('contact::contact.placeholder.mobile'))!!}
{!! Form::email('email') -> label(trans('contact::contact.label.email')) -> required() -> placeholder(trans('contact::contact.placeholder.email'))!!}
{!! Form::tel('fax') -> label(trans('contact::contact.label.fax')) -> placeholder(trans('contact::contact.placeholder.fax'))!!}
{!! Form::text('company') -> label(trans('contact::contact.label.company')) -> placeholder(trans('contact::contact.placeholder.company'))!!}
{!! Form::text('designation') -> label(trans('contact::contact.label.designation')) -> placeholder(trans('contact::contact.placeholder.designation'))!!}
{!! Form::text('website') -> label(trans('contact::contact.label.website')) -> placeholder(trans('contact::contact.placeholder.website'))!!}
{!! Form::text('facebook') -> label(trans('contact::contact.label.facebook')) -> placeholder(trans('contact::contact.placeholder.facebook'))!!}
{!! Form::text('linkdlen') -> label(trans('contact::contact.label.linkdlen')) -> placeholder(trans('contact::contact.placeholder.linkdlen'))!!}
{!! Form::text('twitter') -> label(trans('contact::contact.label.twitter')) -> placeholder(trans('contact::contact.placeholder.twitter'))!!}
{!! Form::textarea ('address') -> label(trans('contact::contact.label.address')) -> placeholder(trans('contact::contact.placeholder.address'))!!}
{!! Form::inline_radios('status') -> radios(trans('contact::contact.options.status')) -> label(trans('contact::contact.label.status'))!!}