{{ Form::label('first_name', __('messages.client.first_name') . ':', ['class' => 'form-label required mb-3']) }} {{ Form::text('first_name', null, ['class' => 'form-control form-control-solid user-first-name', 'placeholder' => __('messages.client.first_name'), 'required']) }}
{{ Form::label('last_name', __('messages.client.last_name') . ':', ['class' => 'form-label required mb-3']) }} {{ Form::text('last_name', null, ['class' => 'form-control form-control-solid user-last-name', 'placeholder' => __('messages.client.last_name'), 'required']) }}
{{ Form::label('contact', __('messages.client.contact_no') . ':', ['class' => 'form-label mb-3']) }} {{ Form::tel('contact', null, ['class' => 'form-control form-control-solid user-contact-number', 'onkeyup' => 'if (/\D/g.test(this.value)) this.value = this.value.replace(/\D/g,"")', 'id' => 'phoneNumber']) }} {{ Form::hidden('region_code', null, ['id' => 'prefix_code']) }} ✓ {{ __('messages.placeholder.valid_number') }}
{{ Form::label('meter_number', __('Client Meter Number') . ':', ['class' => 'form-label required mb-3']) }} {{ Form::text('meter_number', null, ['class' => 'form-control form-control-solid meter-number', 'placeholder' => __('Client Meter Number'), 'required']) }}
{{ Form::submit(__('messages.common.save'), ['class' => 'btn btn-primary me-3']) }} {{ __('messages.common.discard') }}