@extends('layouts.admindefault') 

@section('title')
{{ trans('users::users.register.title') }} -
@stop

@section('content')
<div class="content_wrapper">
	<div class="title-content clearfix">
    	<h2 class="title left">{{ trans('users::users.register.title') }}</h2>
    </div>
	@include('includes.messages')
	<div class="form_container">
	{{ Form::open(['route' => 'merchant:register:post', 'files' => true,'id'=>'form-reg','class'=>'reg-val']) }}
		
		<div class="form_group">
			<label for='name'>{{trans('users::users.register.name')}}<em>*</em></label>
				{{ Form::text('name', Input::old('name'), ['class' => 'txtbox required','maxlength'=>'60']) }}
		</div>
		
			<div class="gender"> 
                <label>{{trans('users::users.register.gender')}}<em>*</em></label> 
					 <div class="maleRadio">
					  	 {{Form::radio('gender','Male',true,['id'=>'myGenderMale','class'=>'male'])}}
					    <label for="myGenderMale" class="male register_sprite"><span>{{trans('users::users.register.male')}}</span></label>
					    
					  </div> 
					  <div class="femaleRadio">
					    {{Form::radio('gender','Female',false,['id'=>'myGenderFemale','class'=>'female'])}}
					    <label for="myGenderFemale"  class="female register_sprite"><span>{{trans('users::users.register.female')}}</span></label>
					  </div> 
			    </div>
			    
		<div class="form_group">
			 <label for='email'>{{trans('users::users.register.email')}}<em>*</em></label>
				{{ Form::text('email', Input::old('email'), ['class' => 'txtbox required email']) }}
				
				</div>
		<div class="form_group">
			<label for='phone'>{{trans('users::users.register.phone')}}<em>*</em></label>
				{{ Form::text('mobile', '', ['maxlength'=>'15','type'=>'number','class'=>'txtbox digits']) }}
				</div>
		<div class="form_group">
			<label for='address'>{{trans('users::users.register.address')}}<em>*</em></label>
				{{ Form::text('address', '', ['class' => 'txtbox','maxlength'=>'150']) }}
		</div>
		<div class="form_group">
			 <label for='city_id'>{{trans('users::users.register.cityname')}}<em>*</em></label>
			  {{ Form::text('city',Input::old('city_name'),['maxlength'=>'50','class'=>'txtbox required'])}}
             </div>
		
		<div class="form_group">
			{{Form::submit(trans('users::users.register.register_button'),['class'=>'blue_btn'])}}
			<input type="button" value="Cancel" class="cancel_btn"/>
		</div>
		
		{{Form::close()}}
	</div>
</div>
@stop