{!! Form::hidden('id', null, ['id' => 'id']) !!}
{!! Form::hidden('provider_id', null, ['id' => 'provider_id']) !!}
{!! Form::hidden('type_id', null, ['id' => 'type_id']) !!}

<div class = "form-group">
    {!! Form::label('name', 'Name:', ['class' => 'control-label col-sm-2']) !!}
    <div class="col-sm-10">
     {!! Form::text('name', null, ['class' => 'form-control', 'required', 'maxlength' => 30]) !!}
    </div>
</div>

  
<div class = "form-group">       
    {!! Form::label('address1', 'Address:', ['class' => 'control-label col-sm-2']) !!}
    <div class="col-sm-10">
        {!! Form::text('address1', null, ['class' => 'form-control margin-bottom', 'maxlength' => 40]) !!}
        {!! Form::text('address2', null, ['class' => 'form-control', 'maxlength' => 40]) !!}
    </div>     
</div>
    
 <div class = "form-group">
    {!! Form::label('suburb', 'Suburb:', ['class' => 'control-label col-sm-2']) !!}
     <div class="col-sm-10">
    {!! Form::text('suburb', null, ['class' => 'form-control', 'maxlength' => 40]) !!}
    </div>      
 </div>
      
<div class = "form-group">  
    {!! Form::label('city', 'City:', ['class' => 'control-label col-sm-2']) !!}
     <div class="col-sm-10">
    {!! Form::text('city', null, ['class' => 'form-control', 'maxlength' => 40]) !!}
    </div>     
</div>
        
<div class = "form-group">
    {!! Form::label('province_id', 'Province:', ['class' => 'control-label col-sm-2']) !!}
    <div class="col-sm-10">
    {!! Form::select('province_id', $province_list, null, ['class' => 'form-control']) !!}
    </div>     
</div>
    
<div class = "form-group">     
    {!! Form::label('postalcode', 'Post Code:', ['class' => 'control-label col-sm-2', 'maxlength' => 20]) !!}
     <div class="col-sm-10">
        {!! Form::text('postalcode', null, ['class' => 'form-control']) !!}
    </div>      
</div>
    
<div class = "form-group">
    {!! Form::label('id_no', 'ID No:', ['class' => 'control-label col-sm-2']) !!}
    <div class="col-sm-10">
     {!! Form::text('id_no', null, ['class' => 'form-control', 'maxlength' => 20]) !!}
    </div>
</div>
    
<div class = "form-group">
    {!! Form::label('cell', 'Cell:', ['class' => 'control-label col-sm-2']) !!}
    <div class="col-sm-10">
    {!! Form::text('cell', null, ['class' => 'form-control', 'maxlength' => 20]) !!}
    </div>
</div>
    
<div class = "form-group">
    {!! Form::label('position_id', 'Position:', ['class' => 'control-label col-sm-2']) !!}
    <div class="col-sm-10">
    {!! Form::select('position_id', $position_list, null, ['class' => 'form-control']) !!}
    </div>
</div>
    
<div class = "form-group">
    {!! Form::label('qualification', 'Qualification:', ['class' => 'control-label col-sm-2']) !!}
    <div class="col-sm-10">
    {!! Form::text('qualification', null, ['class' => 'form-control', 'maxlength' => 30]) !!}
    </div>
</div>
    
<div class = "form-group">
    {!! Form::label('year', 'Since:', ['class' => 'control-label col-sm-2']) !!}
    <div class="col-sm-10">
    {!! Form::text('year', null, ['class' => 'form-control', 'maxlength' => 4]) !!}
    </div>
</div>
    
<div class = "form-group">
    {!! Form::label('percent_held', '% Held:', ['class' => 'control-label col-sm-2']) !!}
    <div class="col-sm-10">
    {!! Form::text('percent_held', null, ['class' => 'form-control', 'maxlength' => 3]) !!}
    </div>
</div>