<div class="modal-dialog" role="document">
  <div class="modal-content">

    {!! Form::open(['url' => action([\App\Http\Controllers\SalesCommissionAgentController::class, 'store']), 'method' => 'post', 'id' => 'sale_commission_agent_form' ]) !!}

    <div class="modal-header">
      <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">&times;</span></button>
      <h4 class="modal-title">@lang( 'lang_v1.add_sales_commission_agent' )</h4>
    </div>

    <div class="modal-body">
      <div class="row">
        <div class="col-md-2">
        <div class="form-group">
          {!! Form::label('surname', __( 'business.prefix' ) . ':') !!}
            {!! Form::text('surname', null, ['class' => 'form-control', 'placeholder' => __( 'business.prefix_placeholder' ) ]); !!}
        </div>
      </div>
      <div class="col-md-5">
        <div class="form-group">
          {!! Form::label('first_name', __( 'business.first_name' ) . ':*') !!}
            {!! Form::text('first_name', null, ['class' => 'form-control', 'required', 'placeholder' => __( 'business.first_name' ) ]); !!}
        </div>
      </div>
      <div class="col-md-5">
        <div class="form-group">
          {!! Form::label('last_name', __( 'business.last_name' ) . ':') !!}
            {!! Form::text('last_name', null, ['class' => 'form-control', 'placeholder' => __( 'business.last_name' ) ]); !!}
        </div>
      </div>
      <div class="clearfix"></div>
      <div class="col-md-6">
        <div class="form-group">
          {!! Form::label('email', __( 'business.email' ) . ':') !!}
            {!! Form::text('email', null, ['class' => 'form-control', 'placeholder' => __( 'business.email' ) ]); !!}
        </div>
      </div>
      <div class="col-md-6">
        <div class="form-group">
          {!! Form::label('contact_no', __( 'lang_v1.contact_no' ) . ':') !!}
            {!! Form::text('contact_no', null, ['class' => 'form-control', 'placeholder' => __( 'lang_v1.contact_no' ) ]); !!}
        </div>
      </div>
      <div class="col-md-12">
        <div class="form-group">
          {!! Form::label('address', __( 'business.address' ) . ':') !!}
            {!! Form::textarea('address', null, ['class' => 'form-control', 'placeholder' => __( 'business.address'), 'rows' => 3 ]); !!}
        </div>
      </div>

      <div class="col-md-6">
        <div class="form-group">
          {!! Form::label('cmmsn_percent', __( 'lang_v1.cmmsn_percent' ) . ':') !!}
            {!! Form::text('cmmsn_percent', null, ['class' => 'form-control input_number', 'placeholder' => __( 'lang_v1.cmmsn_percent' ), 'required' ]); !!}
        </div>
      </div>

      </div>
    </div>

    <div class="modal-footer">
      <button type="submit" class="btn btn-primary">@lang( 'messages.save' )</button>
      <button type="button" class="btn btn-default" data-dismiss="modal">@lang( 'messages.close' )</button>
    </div>

    {!! Form::close() !!}

  </div><!-- /.modal-content -->
</div><!-- /.modal-dialog -->