%= simple_form_for @crm_customer,:url => crm_customers_path, :method => :post do |f| %>
<%= f.hidden_field :id, :class => "form-control " %>
">
<%= f.input :name, :class => "form-control col-md-6 name", :required => true %>
<% flash.each do |test, msg| %>
<%
str="[\"#{msg['name']}\"]"
str.gsub!('["', '')
str.gsub!('"]', '') %>
<%= str %>
<% end -%>
<%= f.input :nrc_no,:label => "NRC No", :class => "form-control nrc_no" %>
<%= f.input :company, :class => "form-control col-md-6 company"%>
<% 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['email']}\"]"
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=>"datepicker form-control col-md-12"%>
<%= f.input :tax_profiles, :collection => @taxes, :input_html => { :multiple => true }, :class => "form-control col-md-6 tax_profiles" %>
">
<%= f.input :card_no, :class => "form-control col-md-6 card_no"%>
<% flash.each do |name, msg| %>
<% str="[\"#{msg['card_no']}\"]"
str.gsub!('["', '')
str.gsub!('"]', '') %>
<%= str %>
<% end %>
<%end%>
<%= t :card_tap %>