{{ Form::model($record, array('url' => ['online_student/profile/edit/personal', $userRecord->slug], 'method'=>'patch')) }}

{{getPhrase('personal_details')}}

{{ Form::label('first_name', getphrase('first_name')) }} * {{ Form::text('first_name', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Jack')) }}
{{ Form::label('middle_name', getphrase('middle_name')) }} {{ Form::text('middle_name', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Jarvis')) }}
{{ Form::label('last_name', getphrase('last_name')) }} {{ Form::text('last_name', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Magi')) }}
@if($birth_date=='')
{{ Form::label('date_of_birth', getphrase('date_of_birth')) }} *
{{ Form::text('date_of_birth', $value = date('Y/m/d') , $attributes = array('class'=>'form-control', 'placeholder' => '2015/7/17', 'id'=>'dp')) }}
@else
{{ Form::label('date_of_birth', getphrase('date_of_birth')) }} *
{{ Form::text('date_of_birth', $value = $birth_date , $attributes = array('class'=>'form-control', 'placeholder' => '2015/7/17', 'id'=>'dp')) }}
@endif
{{ Form::label('gender', getphrase('gender')) }}
{{ Form::radio('gender', 'male', true, array('id'=>'free')) }}
{{ Form::radio('gender', 'female', true, array('id'=>'paid')) }}
{{ Form::label('blood_group', getphrase('blood_group')) }} {{Form::select('blood_group', getBloodGroups(), null, ['placeholder' => getPhrase('select'),'class'=>'form-control'])}}
{{ Form::label('weight', getphrase('weight')) }} {{ Form::text('weight', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Weight')) }}
{{ Form::label('height', getphrase('height')) }} {{ Form::text('height', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Height')) }}
{{ Form::label('eye_sight', getphrase('eye_sight')) }} {{ Form::text('eye_sight', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Eye Sight')) }}
{{ Form::label('student_disablity', getphrase('student_disablity')) }} {{ Form::text('student_disablity', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Student Disablity')) }}
{{ Form::label('last_attended_school', getphrase(' Name of Previous School ')) }} {{ Form::text('last_attended_school', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Name of Previous School')) }}
{{ Form::label('last_school_class', getphrase(' Class in which studied in the last school')) }} {{ Form::text('last_school_class', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => ' Class in which studied in the last school')) }}
{{ Form::label('student_hobby', getphrase('Proficiency in games/co-curricular/outstanding achievements')) }} {{ Form::text('student_hobby', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Proficiency in games/co-curricular/outstanding achievements')) }}
{{ Form::label('last_school_class_mark', getphrase('Marks obtained in the last examination in the previous school')) }} {{ Form::text('last_school_class_mark', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Marks obtained in the last examination in the previous school')) }}
{{ Form::label('last_school_medium', getphrase('Medium of instruction in previous school(English/Hindi) ')) }} {{ Form::text('last_school_medium', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Medium of instruction in previous school(English/Hindi) ')) }}
{{ Form::label('nationality', getphrase('nationality')) }} {{Form::select('nationality', $countries, null, ['placeholder' => getPhrase('select'),'class'=>'form-control select1'])}}
{{ Form::label('mother_tongue', getphrase('mother_tongue')) }} {{ Form::text('mother_tongue', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'English')) }}
{{ Form::label('religion_id', getphrase('religion')) }} {{Form::select('religion_id', $religions, null, ['placeholder' => getPhrase('select'),'class'=>'form-control select1'])}}
{{ Form::label('caste', getphrase('Caste')) }} {{ Form::text('caste', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Caste')) }}
{{ Form::label('category_id', getphrase('category')) }} {{Form::select('category_id', $categories, null, ['placeholder' => getPhrase('select'),'class'=>'form-control select1'])}}
Parent Details
{{ Form::label('fathers_name', getphrase('fathers_name')) }} {{ Form::text('fathers_name', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Jim')) }}
{{ Form::label('mothers_name', getphrase('mothers_name')) }} {{ Form::text('mothers_name', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Arlo')) }}
{{ Form::label('father_qualification', getphrase('father_qualification')) }} {{ Form::text('father_qualification', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Father Qualification')) }}
{{ Form::label('mother_qualification', getphrase('mother_qualification')) }} {{ Form::text('mother_qualification', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Mother Qualification')) }}
{{ Form::label('father_occupation', getphrase('father_occupation')) }} {{ Form::text('parent_occupation', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Father Occupation')) }}
{{ Form::label('mother_occupation', getphrase('mother_occupation')) }} {{ Form::text('mother_occupation', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Mother Occupation')) }}
{{ Form::label('father_desigation', getphrase('father_desigation')) }} {{ Form::text('father_desigation', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Father Desigation')) }}
{{ Form::label('mother_desigation', getphrase('mother_desigation')) }} {{ Form::text('mother_desigation', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Mother Desigation')) }}
{{ Form::label('father_occupation_address', getphrase('father_occupation_address')) }} {{ Form::text('father_occupation_address', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Father Occupation Address')) }}
{{ Form::label('mother_occupation_address', getphrase('mother_occupation_address')) }} {{ Form::text('mother_occupation_address', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Mother Occupation Address')) }}
{{ Form::label('parent_income', getphrase('father_Income')) }} {{ Form::text('parent_income', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Father Income')) }}
{{ Form::label('mother_income', getphrase('mother_income')) }} {{ Form::text('mother_income', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Mother Income')) }}
Give the name of your brother and or sister studing in this school
{{ Form::label('sibling_name_first', getphrase('first_sibling_name')) }} {{ Form::text('sibling_name_first', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'First Sibling Name')) }}
{{ Form::label('sibling_class_first', getphrase('first_sibling_class')) }} {{ Form::text('sibling_class_first', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'First Sibling Class')) }}
{{ Form::label('sibling_name_second', getphrase('second_sibling_name')) }} {{ Form::text('sibling_name_second', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Second Sibling Name')) }}
{{ Form::label('sibling_class_second', getphrase('second_sibling_class')) }} {{ Form::text('sibling_class_second', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Second Sibling Class')) }}
{!! Form::close() !!}