{!! Form::label('customer_id', 'Customer Id:') !!} {!! Form::text('customer_id', null, ['class' => 'form-control']) !!}
{!! Form::label('id_type', 'Id Type:') !!}
{!! Form::label('id_number', 'Id Number:') !!} {!! Form::text('id_number', null, ['class' => 'form-control']) !!}
{!! Form::label('issuing_authority', 'Issuing Authority:') !!} {!! Form::text('issuing_authority', null, ['class' => 'form-control']) !!}
{!! Form::label('place_of_issue', 'Place Of Issue:') !!} {!! Form::text('place_of_issue', null, ['class' => 'form-control']) !!}
{!! Form::label('date_of_issue', 'Date Of Issue:') !!} {!! Form::date('date_of_issue', null, ['class' => 'form-control']) !!}
{!! Form::label('expiry_date', 'Expiry Date:') !!} {!! Form::date('expiry_date', null, ['class' => 'form-control']) !!}
{!! Form::label('issuing_country', 'Issuing Country:') !!}
{!! Form::label('points', 'Points:') !!} {!! Form::text('points', null, ['class' => 'form-control']) !!}
{!! Form::submit('Save', ['class' => 'btn btn-primary']) !!} Cancel