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

{{getPhrase('contact_details')}}

{{ Form::label('guardian_name', getphrase('guardian_name')) }} {{ Form::text('guardian_name', $value =null , $attributes = array('class'=>'form-control', 'placeholder' => 'Guardian name')) }}
{{ Form::label('guardian_phone', getphrase('guardian_phone')) }} {{ Form::text('guardian_phone', $value =null , $attributes = array('class'=>'form-control', 'placeholder' => 'Phone number')) }}
{{ Form::label('relationship_with_guardian', getphrase('relationship_with_guardian')) }} {{ Form::text('relationship_with_guardian', $value =null , $attributes = array('class'=>'form-control', 'placeholder' => 'Relation')) }}
{{ Form::label('address_lane1', getphrase('Present Home Address')) }} {{ Form::textarea('address_lane1', $value = null , $attributes = array('class'=>'form-control', 'rows'=>'5', 'placeholder' => 'Present Home Address')) }}
{{ Form::label('mobile', getphrase('mobile')) }} * {{ Form::text('mobile', $ph_no , $attributes = array('class'=>'form-control', 'placeholder' => '1234567891')) }}
{{ Form::label('home_phone', getphrase('home_phone')) }} {{ Form::text('home_phone', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => '1234567891')) }}
{{ Form::label('city', getphrase('city')) }} {{ Form::text('city', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'Aberdeen City')) }}
{{ Form::label('state', getphrase('state')) }} {{ Form::text('state', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'United Kingdom')) }}
{{ Form::label('country', getphrase('country')) }} {{Form::select('country', $countries, null, ['placeholder' => getPhrase('select'),'class'=>'form-control'])}}
{{ Form::label('zipcode', 'ZIP '.getPhrase('code')) }} {{ Form::text('zipcode', $value = null , $attributes = array('class'=>'form-control', 'placeholder' => 'AB11')) }}
{!! Form::close() !!}