<%= simple_form_for @crm_customer,:url => crm_customers_path, :method => :post do |f| %>
<%= f.hidden_field :id, :class => "form-control col-md-6 " %>
">
<%= f.input :card_no, :class => "form-control col-md-6 card_no"%>
<% flash.each do |name, msg| %>
<% str="[\"#{msg['name']}\"]"
str.gsub!('["', '')
str.gsub!('"]', '') %>
<%= str %>
<% end -%>
<%= f.radio_button :salutation,"Mr", :class => "salutation mr", :value=>"Mr", :style=>"width: 30px"%>
<%= f.radio_button :salutation,"Mrs", :class => "salutation mrs", :value=>"Mrs", :style=>"width: 30px"%>
<%= f.radio_button :salutation,"Miss", :class => "salutation miss", :value=>"Miss", :style=>"width: 30px"%>
<%= f.radio_button :salutation,"Mdm", :class => "salutation mdm", :value=>"Mdm", :style=>"width: 30px"%>
">
<%= f.input :name, :class => "form-control col-md-6 name", :required => true %>
<% flash.each do |name, msg| %>
<% str="[\"#{msg['name']}\"]"
str.gsub!('["', '')
str.gsub!('"]', '') %>
<%= str %>
<% end -%>
<%= f.radio_button :gender,"Male", :class => "gender male", :value=>"Male", :style=>"width: 30px"%>
<%= f.radio_button :gender,"Female", :class => "gender female", :value=>"Female", :style=>"width: 30px"%>
<%= f.input :nrc_no, :class => "form-control nrc_no" %>
<%= f.input :company, :class => "form-control col-md-6 company",:required => true%>
<% flash.each do |name, msg| %>
<% str="[\"#{msg['company']}\"]"
str.gsub!('["', '')
str.gsub!('"]', '') %>
<%= str %>
<% end -%>
">
<%= f.input :contact_no, :class => "form-control col-md-6 contact_no" ,:required => true%>
<% flash.each do |name, msg| %>
<% str="[\"#{msg['contact_no']}\"]"
str.gsub!('["', '')
str.gsub!('"]', '') %>
<%= str %>
<% end -%>
">
<%= f.input :email, :class => "form-control col-md-6 email" ,:required => true%>
<% flash.each do |name, msg| %>
<% str="[\"#{msg['contact_no']}\"]"
str.gsub!('["', '')
str.gsub!('"]', '') %>
<%= str %>
<% end -%>
<%= f.input :address, :class => "form-control col-md-6 address" %>
<%= f.text_field :date_of_birth,:value=>"01-01-1990",:class=>"form-control datepicker"%>
<%= f.button :submit, "Submit",:class => 'btn btn-primary ', :id => 'submit_customer' %>
<%= f.button :submit, "Update",:class => 'btn btn-primary ', :disabled =>'', :id => 'update_customer' %>
<%= f.button :button, "Reset",:class => 'btn btn-danger ', :id => 'reset' %>
<%end%>