Application Number :*

{!! Form::text('application_number', Input::old('application_number'), array('id'=> 'name', 'class' => 'form-control', 'readonly' => 'readonly')) !!}

Email :

{!! Form::text('email', Input::old('email'), array('id'=> 'name', 'class' => 'form-control', 'readonly' => 'readonly')) !!}

{!! 'Phone Number' !!} :

{!! Form::text('phone', Input::old('phone'), array('id'=> 'name', 'class' => 'form-control', 'readonly' => 'readonly')) !!}

@if ($target->service_type == 'School')

{!! 'School Name' !!} :

{!! Form::text('service_name', Input::old('service_name'), array('id'=> 'name', 'class' => 'form-control', 'readonly' => 'readonly')) !!}

@elseif($target->service_type == 'College')

{!! 'College Name' !!} :

{!! Form::text('service_name', Input::old('service_name'), array('id'=> 'name', 'class' => 'form-control', 'readonly' => 'readonly')) !!}

@elseif($target->service_type == 'Service')

{!! 'Service Name' !!} :

{!! Form::text('service_name', Input::old('service_name'), array('id'=> 'name', 'class' => 'form-control', 'readonly' => 'readonly')) !!}

{!! 'Country Name' !!} :

{!! Form::text('service_country', Input::old('service_country'), array('id'=> 'name', 'class' => 'form-control', 'readonly' => 'readonly')) !!}

@elseif($target->service_type == 'Country')

{!! 'Service Name' !!} :

{!! Form::text('service_name', Input::old('service_name'), array('id'=> 'name', 'class' => 'form-control', 'readonly' => 'readonly')) !!}

{!! 'Country Name' !!} :

{!! Form::text('service_country', Input::old('service_country'), array('id'=> 'name', 'class' => 'form-control', 'readonly' => 'readonly')) !!}

@else @endif

{!!trans('Application Status')!!} :

{!! Form::select('application_status', array('' => 'Not Processed', 'Cancelled' => 'Cancelled', 'Pending' => 'Pending', 'Processing' => 'Processing', 'On hold' => 'On hold', 'Completed' => 'Completed'), Input::old('application_status'), array('class' => 'selectpicker form-control', 'id' => 'status-id'))!!}