Craft Development Institute : SRINAGAR

Create New Account

{!! Form::open(['url' => 'create-account', 'class' => 'form-horizontal','files'=>true]) !!}

User Type

{!! Form::select('usertype',usertype(),null,['class' => 'form-control','required'=>'required']) !!} @if ($errors->has('usertype')) {{ $errors->first('usertype') }} @endif

Name

{!! Form::text('name',null,['class' => 'form-control','required'=>'required']) !!} @if ($errors->has('name')) {{ $errors->first('name') }} @endif

{!! Form::email('email',null,['class' => 'form-control']) !!} @if ($errors->has('email')) {{ $errors->first('email') }} @endif

Contact No

{!! Form::text('mobile',null,['class' => 'form-control','onkeypress'=>'return isNumber(event)','required'=>'required','min'=>'10','max'=>'10']) !!} @if ($errors->has('mobile')) {{ $errors->first('mobile') }} @endif

GI Registration NO (Mandatory for GI Users)

{!! Form::text('gis_no',null,['class' => 'form-control']) !!} @if ($errors->has('gis_no')) {{ $errors->first('gis_no') }} @endif

GI Certificate Picture (Mandatory for GI Users)

@if ($errors->has('gis_pic')) {{ $errors->first('gis_pic') }} @endif

District

{!! Form::select('district',['' => '--Select District--']+districts(),null,['class' => 'form-control js-tags','required'=>'required']) !!}

Area

{!! Form::select('area',[''=>'---Select---'],null,['class' => 'form-control js-tags','required'=>'required']) !!}

Pincode

{!! Form::text('pincode',null,['id'=>'areacode','class' => 'form-control','Placeholder'=>'Pincode']) !!}

Password

{!! Form::text('pwd',null,['class' => 'form-control','required'=>'required']) !!} @if ($errors->has('pwd')) {{ $errors->first('pwd') }} @endif

{!! Form::submit('Create',['class' => 'btn btn-raised btn-primary btn-round waves-effect','id'=>'submit-btn']) !!} {!! Form::close() !!}

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