{{ Form::textGroup('client_name[]', 'Client name', '', []) }}

{{ Form::selectGroup('refer_country[]', 'Country', $countries, null, ['data-live-search'=>'true', 'id'=>'country_'.$ncc, 'onchange'=>'getStates('.$ncc.')']) }}

{{ Form::selectGroup('refer_state[]', 'State', [], null, [ 'data-live-search'=>'true', 'id'=>'state_'.$ncc, 'onchange'=>'getCities('.$ncc.')']) }}

{{ Form::selectGroup('refer_city[]', 'City', [], null, [ 'data-live-search'=>'true', 'id'=>'city_'.$ncc]) }}

{{ Form::textGroup('supervisor_name[]', 'Supervisor name', '', []) }}

{{ Form::textGroup('supervisor_phone[]', 'Supervisor phone', '', ['pattern'=>'^[\+]?[(]?[0-9]{3}[)]?[-\s\.]?[0-9]{3}[-\s\.]?[0-9]{4,6}$', 'id'=>'supervisor_phone']) }}

{{ Form::emailGroup('supervisor_email[]', 'Supervisor email', '', []) }}

{{ Form::textGroup('supervisor_designation[]', 'Supervisor designation', '', []) }}