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<?php $__env->startSection('content'); ?>
<div class="page-content">
<!-- BEGIN PAGE HEADER-->
<div class="page-bar">
<ul class="page-breadcrumb">
<li>
<i class="fa fa-home"></i>
<a href="<?php echo url(''); ?>"><?php echo e(trans('general.breadcrumbs_home')); ?></a>
<i class="fa fa-angle-right"></i>
</li>
<li>
<a href="<?php echo route('admin.users.clients.index'); ?>"><?php echo e(trans('users::clients.breadcrumbs_title')); ?></a>
<i class="fa fa-angle-right"></i>
</li>
<li>
<a href="<?php echo route('admin.users.clients.index'); ?>"><?php echo e(trans('users::clients.page_title')); ?></a>
<i class="fa fa-angle-right"></i>
</li>
<li>
<a href="#"><?php echo e(trans('users::clients.create_new_title')); ?></a>
</li>
</ul>
</div>
<!-- END PAGE HEADER-->
<!-- BEGIN PAGE CONTENT-->
<div class="row margin-top-20">
<div class="col-md-12">
<!-- BEGIN PROFILE CONTENT -->
<div class="profile-content">
<div class="row">
<div class="col-md-12">
<div class="portlet light">
<div class="portlet-title tabbable-line">
<div class="caption caption-md">
<i class="icon-globe theme-font hide"></i>
<span class="caption-subject font-blue-madison bold uppercase"><?php echo e(trans('users::clients.profile_title')); ?></span>
</div>
</div>
<div class="portlet-body">
<?php echo Form::open(array('url' => URL::to('admin/users/clients'), 'method' => 'post', 'class' => 'bf', 'files'=> true)); ?>
<div class="portlet">
<div class="portlet-body">
<div class="row">
<div class="col-md-6">
<!--name-->
<div class="form-group <?php echo e($errors->has('first_name') ? 'has-error' : ''); ?>">
<label class="control-label col-md-3">
<?php echo e(trans('users::clients.form_first_name')); ?>
<span class="required" aria-required="true">*</span>
</label>
<div class="col-md-9">
<?php echo Form::text('first_name', null, array('class' => 'form-control','placeholder'=>'')); ?>
<span class="help-block"><?php echo e($errors->first('first_name', ':message')); ?></span>
</div>
</div>
<!--end name-->
<!--last name-->
<div class="form-group <?php echo e($errors->has('last_name') ? 'has-error' : ''); ?>">
<label class="control-label col-md-3">
<?php echo e(trans('users::clients.form_last_name')); ?>
<span class="required" aria-required="true">*</span>
</label>
<div class="col-md-9">
<?php echo Form::text('last_name', null, array('class' => 'form-control','placeholder'=>'')); ?>
<span class="help-block"><?php echo e($errors->first('last_name', ':message')); ?></span>
</div>
</div>
<!--end last name-->
<!--mobile number-->
<div class="form-group <?php echo e($errors->has('mobile_number') ? 'has-error' : ''); ?>">
<label class="control-label col-md-3">
<?php echo e(trans('users::clients.form_mobile_number')); ?>
<span class="required" aria-required="true">*</span>
</label>
<div class="col-md-9">
<?php echo Form::text('mobile_number', null, array('class' => 'form-control','placeholder'=>'')); ?>
<span class="help-block"><?php echo e($errors->first('mobile_number', ':message')); ?></span>
</div>
</div>
<!--end mobile number-->
</div>
<div class="col-md-6">
<!--email-->
<div class="form-group <?php echo e($errors->has('email') ? 'has-error' : ''); ?>">
<label class="control-label col-md-3">
<?php echo e(trans('users::clients.form_email')); ?>
<span class="required" aria-required="true">*</span>
</label>
<div class="col-md-9">
<?php echo Form::text('email', null, array('class' => 'form-control','placeholder'=>'')); ?>
<span class="help-block"><?php echo e($errors->first('email', ':message')); ?></span>
</div>
</div>
<!--end email-->
<!--password-->
<div class="form-group <?php echo e($errors->has('password') ? 'has-error' : ''); ?>">
<label class="control-label col-md-3">
<?php echo e(trans('users::clients.form_password')); ?>
<span class="required" aria-required="true">*</span>
</label>
<div class="col-md-9">
<?php echo Form::password('password', array('class' => 'form-control','placeholder'=>'password')); ?>
<span class="help-block"><?php echo e($errors->first('password', ':message')); ?></span>
</div>
</div>
<!--end password-->
<!--confirm password-->
<div class="form-group <?php echo e($errors->has('password_confirmation') ? 'has-error' : ''); ?>">
<label class="control-label col-md-3">
<?php echo e(trans('users::clients.form_confirm_password')); ?>
<span class="required" aria-required="true">*</span>
</label>
<div class="col-md-9">
<?php echo Form::password('password_confirmation', array('class' => 'form-control','placeholder'=>'confirm password')); ?>
<span class="help-block"><?php echo e($errors->first('confirm_password', ':message')); ?></span>
</div>
</div>
<!--end confirm password-->
</div>
</div>
<div class="row">
<hr>
<div class="col-md-6">
<!--address-->
<div class="form-group <?php echo e($errors->has('address') ? 'has-error' : ''); ?>">
<label class="control-label col-md-3">
<?php echo e(trans('users::clients.form_address')); ?>
<span class="required" aria-required="true">*</span>
</label>
<div class="col-md-9">
<?php echo Form::text('address', null, array('class' => 'form-control','placeholder'=>'')); ?>
<span class="help-block"><?php echo e($errors->first('address', ':message')); ?></span>
</div>
</div>
<!--end address-->
<!--county-->
<div class="form-group <?php echo e($errors->has('county') ? 'has-error' : ''); ?>">
<label class="control-label col-md-3">
<?php echo e(trans('users::clients.form_county')); ?>
<span class="required" aria-required="true">*</span>
</label>
<div class="col-md-9">
<?php echo Form::text('county', null, array('class' => 'form-control','placeholder'=>'')); ?>
<span class="help-block"><?php echo e($errors->first('county', ':message')); ?></span>
</div>
</div>
<!--end county-->
<!--postcode-->
<div class="form-group <?php echo e($errors->has('postcode') ? 'has-error' : ''); ?>">
<label class="control-label col-md-3">
<?php echo e(trans('users::clients.form_postcode')); ?>
<span class="required" aria-required="true">*</span>
</label>
<div class="col-md-9">
<?php echo Form::text('postcode', null, array('class' => 'form-control','placeholder'=>'')); ?>
<span class="help-block"><?php echo e($errors->first('postcode', ':message')); ?></span>
</div>
</div>
<!--end postcode-->
</div>
</div>
</div>
<!--actions-->
<div class="portlet-title">
<hr>
<div class="actions btn-set pull-right">
<a href="<?php echo e(route('admin.users.clients.index')); ?>" name="back" class="btn btn-sm default"><i class="fa fa-angle-left"></i> <?php echo e(trans('general.action_back')); ?></a>
<button class="btn default btn-sm" type="reset"><i class="fa fa-reply"></i> <?php echo e(trans('general.action_reset')); ?></button>
<button class="btn green btn-sm" name="save_exit" value="save_exit"><i class="fa fa-check"></i> <?php echo e(trans('general.action_save')); ?></button>
</div>
</div>
<!--/actions-->
</div>
<?php echo Form::close(); ?>
</div>
</div>
</div>
</div>
<!-- END PROFILE CONTENT -->
</div>
</div>
</div>
<!-- END PAGE CONTENT-->
</div>
<?php $__env->stopSection(); ?>
<?php echo $__env->make('admin.layouts.profile', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>