

		 {!! Form::open(array('url'=>'finassurenetwork', 'class'=>'form-horizontal','files' => true , 'parsley-validate'=>'','novalidate'=>' ')) !!}

	@if(Session::has('messagetext'))
	  
		   {!! Session::get('messagetext') !!}
	   
	@endif
	<ul class="parsley-error-list">
		@foreach($errors->all() as $error)
			<li>{{ $error }}</li>
		@endforeach
	</ul>		


<div class="col-md-12">
						<fieldset><legend> Réseau Finassure</legend>
									
									  <div class="form-group row  " >
										<label for="Id" class=" control-label col-md-4 text-left"> Id <span class="asterix"> * </span></label>
										<div class="col-md-6">
										  <input  type='text' name='id' id='id' value='{{ $row['id'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 <div class="col-md-2">
										 	
										 </div>
									  </div> 					
									  <div class="form-group row  " >
										<label for="Name" class=" control-label col-md-4 text-left"> Name <span class="asterix"> * </span></label>
										<div class="col-md-6">
										  <input  type='text' name='name' id='name' value='{{ $row['name'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 <div class="col-md-2">
										 	
										 </div>
									  </div> 					
									  <div class="form-group row  " >
										<label for="Type" class=" control-label col-md-4 text-left"> Type <span class="asterix"> * </span></label>
										<div class="col-md-6">
										  <input  type='text' name='type' id='type' value='{{ $row['type'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 <div class="col-md-2">
										 	
										 </div>
									  </div> 					
									  <div class="form-group row  " >
										<label for="Address" class=" control-label col-md-4 text-left"> Address <span class="asterix"> * </span></label>
										<div class="col-md-6">
										  <input  type='text' name='address' id='address' value='{{ $row['address'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 <div class="col-md-2">
										 	
										 </div>
									  </div> 					
									  <div class="form-group row  " >
										<label for="City" class=" control-label col-md-4 text-left"> City <span class="asterix"> * </span></label>
										<div class="col-md-6">
										  <input  type='text' name='city' id='city' value='{{ $row['city'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 <div class="col-md-2">
										 	
										 </div>
									  </div> 					
									  <div class="form-group row  " >
										<label for="Phone" class=" control-label col-md-4 text-left"> Phone <span class="asterix"> * </span></label>
										<div class="col-md-6">
										  <input  type='text' name='phone' id='phone' value='{{ $row['phone'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 <div class="col-md-2">
										 	
										 </div>
									  </div> 					
									  <div class="form-group row  " >
										<label for="Fax" class=" control-label col-md-4 text-left"> Fax <span class="asterix"> * </span></label>
										<div class="col-md-6">
										  <input  type='text' name='fax' id='fax' value='{{ $row['fax'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 <div class="col-md-2">
										 	
										 </div>
									  </div> 					
									  <div class="form-group row  " >
										<label for="Email" class=" control-label col-md-4 text-left"> Email <span class="asterix"> * </span></label>
										<div class="col-md-6">
										  <input  type='text' name='email' id='email' value='{{ $row['email'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 <div class="col-md-2">
										 	
										 </div>
									  </div> 					
									  <div class="form-group row  " >
										<label for="Activity" class=" control-label col-md-4 text-left"> Activity <span class="asterix"> * </span></label>
										<div class="col-md-6">
										  <input  type='text' name='activity' id='activity' value='{{ $row['activity'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 <div class="col-md-2">
										 	
										 </div>
									  </div> 					
									  <div class="form-group row  " >
										<label for="Module" class=" control-label col-md-4 text-left"> Module <span class="asterix"> * </span></label>
										<div class="col-md-6">
										  <input  type='text' name='module' id='module' value='{{ $row['module'] }}' 
						     class='form-control form-control-sm ' /> 
										 </div> 
										 <div class="col-md-2">
										 	
										 </div>
									  </div> </fieldset>
			</div>
			
			

			<div style="clear:both"></div>	
				
					
				  <div class="form-group">
					<label class="col-sm-4 text-right">&nbsp;</label>
					<div class="col-sm-8">	
					<button type="submit" name="apply" class="btn btn-default btn-sm" ><i class="fa  fa-check-circle"></i> {{ Lang::get('core.sb_apply') }}</button>
					<button type="submit" name="submit" class="btn btn-default btn-sm" ><i class="fa  fa-save "></i> {{ Lang::get('core.sb_save') }}</button>
				  </div>	  
			
		</div> 
		 <input type="hidden" name="action_task" value="public" />
		 {!! Form::close() !!}
		 
   <script type="text/javascript">
	$(document).ready(function() { 
		
		 

		$('.removeCurrentFiles').on('click',function(){
			var removeUrl = $(this).attr('href');
			$.get(removeUrl,function(response){});
			$(this).parent('div').empty();	
			return false;
		});		
		
	});
	</script>		 
