{!! Form::text('rep_level_1') -> label(trans('representative::representative.label.rep_level_1')) -> required() -> placeholder(trans('representative::representative.placeholder.rep_level_1'))!!}

{!! Form::text('rep_level_2') -> label(trans('representative::representative.label.rep_level_2')) -> required() -> placeholder(trans('representative::representative.placeholder.rep_level_2'))!!}

{!! Form::text('rep_level_3') -> label(trans('representative::representative.label.rep_level_3')) -> required() -> placeholder(trans('representative::representative.placeholder.rep_level_3'))!!}

{!! Form::text('rep_level_4') -> label(trans('representative::representative.label.rep_level_4')) -> required() -> placeholder(trans('representative::representative.placeholder.rep_level_4'))!!}

{!! Form::text('rep_level_5') -> label(trans('representative::representative.label.rep_level_5')) -> required() -> placeholder(trans('representative::representative.placeholder.rep_level_5'))!!}