<div class="row">
    <div class="col-md-6">
        <div class="form-group">
            <?php echo Form::label('client_no', trans('application.client_no').'*'); ?>
            <?php echo Form::text('client_no', isset($client_num) ? $client_num : null, ['class' => 'form-control input-sm', 'required']); ?>
        </div>
        <div class="form-group">
            <?php echo Form::label('name', trans('application.name').'*'); ?>
            <?php echo Form::text('name', null, ['class' => 'form-control input-sm', 'required']); ?>
        </div>
        <div class="form-group">
            <?php echo Form::label('email', trans('application.email').'*'); ?>
            <?php echo Form::text('email', null, ['class' => 'form-control input-sm', 'required']); ?>
        </div>
        <div class="form-group">
            <?php echo Form::label('phone', trans('application.phone')); ?>
            <?php echo Form::text('phone', null, ['class' => 'form-control input-sm']); ?>
        </div>
        <div class="form-group">
            <?php echo Form::label('mobile', trans('application.mobile')); ?>
            <?php echo Form::text('mobile', null, ['class' => 'form-control input-sm']); ?>
        </div>
        <div class="form-group">
            <?php echo Form::label('address1', trans('application.address_1')); ?>
            <?php echo Form::text('address1', null, ['class' => 'form-control input-sm']); ?>
        </div>
        <div class="form-group">
            <?php echo Form::label('address2', trans('application.address_2')); ?>
            <?php echo Form::text('address2', null, ['class' => 'form-control input-sm']); ?>
        </div>
        <div class="form-group">
            <?php echo Form::label('password',  trans('application.password').'*'); ?>
            <?php echo Form::password('password', ['class' => 'form-control input-sm', isset($client) ? '' : 'required']); ?>
        </div>
    </div>
    <div class="col-md-6">
        <div class="form-group">
            <?php echo Form::label('city', trans('application.city')); ?>
            <?php echo Form::text('city', null, ['class' => 'form-control input-sm']); ?>
        </div>
        <div class="form-group">
            <?php echo Form::label('state', trans('application.state')); ?>
            <?php echo Form::text('state', null, ['class' => 'form-control input-sm']); ?>
        </div>
        <div class="form-group">
            <?php echo Form::label('postal_code', trans('application.postal_code')); ?>
            <?php echo Form::text('postal_code', null, ['class' => 'form-control input-sm']); ?>
        </div>
        <div class="form-group">
            <?php echo Form::label('country', trans('application.country')); ?>
            <?php echo Form::text('country', null, ['class' => 'form-control input-sm']); ?>
        </div>
        <div class="form-group">
            <?php echo Form::label('website', trans('application.website')); ?>
            <?php echo Form::text('website', null, ['class' => 'form-control input-sm']); ?>
        </div>
        <div class="form-group">
            <?php echo Form::label('notes', trans('application.notes')); ?>
            <?php echo Form::textarea('notes', null, ['class' => 'form-control input-sm', 'rows' => '5']); ?>
        </div>
        <div class="form-group">
            <?php echo Form::label('password_confirmation', trans('application.confirm_password').'*'); ?>
            <?php echo Form::password('password_confirmation', ['class' => 'form-control input-sm', isset($client) ? '' : 'required']); ?>
        </div>
    </div>
</div>