@extends('admin.layout.index')

@section('content')


<div class="row">
    <div class="col-md-12">
        <div class="card">
            <div class="card-header">
                <h4 class="card-title">Two Column Horizontal Form</h4>
            </div>
            <div class="card-body">
                <form action="#">
                    <div class="row">
                        <div class="col-xl-6">
                            <h4 class="card-title">Personal Details</h4>
                            <div class="form-group row">
                                <label class="col-lg-3 col-form-label">First Name</label>
                                <div class="col-lg-9">
                                    <input type="text" class="form-control">
                                </div>
                            </div>
                            <div class="form-group row">
                                <label class="col-lg-3 col-form-label">Last Name</label>
                                <div class="col-lg-9">
                                    <input type="text" class="form-control">
                                </div>
                            </div>
                            <div class="form-group row">
                                <label class="col-lg-3 col-form-label">Password</label>
                                <div class="col-lg-9">
                                    <input type="password" class="form-control">
                                </div>
                            </div>
                            <div class="form-group row">
                                <label class="col-lg-3 col-form-label">State</label>
                                <div class="col-lg-9">
                                    <select class="custom-select">
                                        <option>Select State</option>
                                        <option value="1">California</option>
                                        <option value="2">Texas</option>
                                        <option value="3">Florida</option>
                                    </select>
                                </div>
                            </div>
                            <div class="form-group row">
                                <label class="col-lg-3 col-form-label">About</label>
                                <div class="col-lg-9">
                                    <textarea rows="4" cols="5" class="form-control" placeholder="Enter message"></textarea>
                                </div>
                            </div>
                        </div>
                        <div class="col-xl-6">
                            <h4 class="card-title">Personal details</h4>
                            <div class="row">
                                <label class="col-lg-3 col-form-label">Name</label>
                                <div class="col-lg-9">
                                    <div class="row">
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <input type="text" placeholder="First Name" class="form-control">
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <input type="text" placeholder="Last Name" class="form-control">
                                            </div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div class="form-group row">
                                <label class="col-lg-3 col-form-label">Email</label>
                                <div class="col-lg-9">
                                    <input type="text" class="form-control">
                                </div>
                            </div>
                            <div class="form-group row">
                                <label class="col-lg-3 col-form-label">Phone</label>
                                <div class="col-lg-9">
                                    <input type="text" class="form-control">
                                </div>
                            </div>
                            <div class="form-group row">
                                <label class="col-lg-3 col-form-label">Address</label>
                                <div class="col-lg-9">
                                    <input type="text" class="form-control m-b-20">
                                    <div class="row">
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <select class="custom-select">
                                                    <option>Select Country</option>
                                                    <option value="1">USA</option>
                                                    <option value="2">France</option>
                                                    <option value="3">India</option>
                                                    <option value="4">Spain</option>
                                                </select>
                                            </div>
                                            <div class="form-group">
                                                <input type="text" placeholder="ZIP code" class="form-control">
                                            </div>
                                        </div>
                                        <div class="col-md-6">
                                            <div class="form-group">
                                                <div class="form-group">
                                                    <select class="custom-select">
                                                        <option>Select Country</option>
                                                        <option value="1">USA</option>
                                                        <option value="2">France</option>
                                                        <option value="3">India</option>
                                                        <option value="4">Spain</option>
                                                    </select>
                                                </div>
                                            </div>
                                            <div class="form-group">
                                                <input type="text" placeholder="City" class="form-control">
                                            </div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>
                    </div>
                    <div class="text-right">
                        <button type="submit" class="btn btn-primary">Submit</button>
                    </div>
                </form>
            </div>
        </div>
    </div>
</div>


						</div>
					</div>
@endsection