@extends('layouts.app')
@section('content')

        <div class="dashboard-main-body-wrapper1">
            <div class="headerPart">
                <div class="lediv">
                    <h3>Add New Lead</h3>
                </div>
            </div>
            <div class="bodyPart">
                <div class="common-add-new-form-content">
                    <div class="row">
                        <div class="col-12 col-md-6">
                            <div class="form-group">
                                <label>Source</label>
                                <select class="form-control select1">
                                    <option>Select Source</option>
                                </select>
                            </div>
                        </div>
                        <div class="col-12 col-md-6">
                            <div class="form-group">
                                <label>Name</label>
                                <input type="text" placeholder="Enter Name" class="form-control">
                            </div>
                        </div>
                        <div class="col-12 col-md-6">
                            <div class="form-group">
                                <label>Title</label>
                                <input type="text" placeholder="Enter Title" class="form-control">
                            </div>
                        </div>
                        <div class="col-12 col-md-6">
                            <div class="form-group">
                                <div class="label-with-right-add-btn">
                                    <div class="left-label">
                                        <label>Company</label>
                                    </div>
                                    <div class="right-add-btn">
                                        <button type="button" class="add-btn" data-toggle="modal"
                                            data-target="#addCompany-modal">
                                            <img src="assets/images/add-sm-icon.svg" alt=""> add Company</button>
                                    </div>
                                </div>
                                <div class="search-dropdown-filter-lists">
                                    <div class="search-dropdown-input-with-right-search-btn">
                                        <input type="text" placeholder="Acme Corporation (Looney Tunes)"
                                            class="form-control">
                                        <button type="button" class="right-btn">
                                            <img src="assets/images/white-search.svg">
                                        </button>
                                    </div>
                                    <div class="dropdown-filter-lists">
                                        <div class="dropdown-filter-li active">Acme Corporation (Looney Tunes)</div>
                                        <div class="dropdown-filter-li">Globex Corporation (The Simpsons)</div>
                                        <div class="dropdown-filter-li">Umbrella Corporation (Resident Evil)</div>
                                        <div class="dropdown-filter-li">Vehement Capital Partners (Weeds)</div>
                                        <div class="dropdown-filter-li">Massive Dynamic (Fringe)</div>
                                        <div class="dropdown-filter-li">Massive Dynamic (Fringe)</div>
                                    </div>
                                </div>
                            </div>
                        </div>

                        <div class="col-12 col-md-6">
                            <div class="form-group">
                                <label>Email</label>
                                <input type="text" placeholder="Enter Email" class="form-control">
                            </div>
                        </div>
                        <div class="col-12 col-md-6">
                            <div class="form-group">
                                <div class="label-with-right-add-btn">
                                    <div class="left-label">
                                        <label>Phone Number</label>
                                    </div>
                                    <div class="right-add-btn">
                                        <button type="button" class="add-btn"><img src="assets/images/add-sm-icon.svg"
                                                alt=""> add More</button>
                                    </div>
                                </div>
                                <input type="text" placeholder="Enter Phone Number" class="form-control">
                            </div>
                        </div>


                        <div class="col-12 col-md-6">
                            <div class="form-group">
                                <label>Industry</label>
                                <select class="form-control select1">
                                    <option></option>
                                    <option></option>
                                </select>
                            </div>
                        </div>
                        <div class="col-12 col-md-12">
                            <div class="row">
                                <div class="col-12 col-md-6">
                                    <div class="form-group">
                                        <label>Requirement</label>
                                        <textarea class="form-control h265px" placeholder="Write here..."></textarea>
                                    </div>
                                </div>
                            </div>
                        </div>
                        <div class="col-12 col-md-12">
                            <div class="form-group">
                                <label>Additional Documents</label>
                                <div class="additional-documents">
                                    <div class="additional-document-col">
                                        <div class="additional-document-box">
                                            <input type="file">
                                            <div class="icon-container">
                                                <img src="assets/images/uploadimg.svg">
                                            </div>
                                            <div class="text-container">
                                                <div class="textInfo">Drop your Image or <a>browse</a></div>
                                                <div class="importantNote">(.jpg or .png only. Up to 16mb)</div>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="additional-document-col">
                                        <div class="additional-document-box">
                                            <input type="file">
                                            <div class="icon-container">
                                                <img src="assets/images/uploadimg.svg">
                                            </div>
                                            <div class="text-container">
                                                <div class="textInfo">Drop your Image or <a>browse</a></div>
                                                <div class="importantNote">(.jpg or .png only. Up to 16mb)</div>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="additional-document-col">
                                        <div class="additional-document-box">
                                            <input type="file">
                                            <div class="icon-container">
                                                <img src="assets/images/uploadimg.svg">
                                            </div>
                                            <div class="text-container">
                                                <div class="textInfo">Drop your Image or <a>browse</a></div>
                                                <div class="importantNote">(.jpg or .png only. Up to 16mb)</div>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="additional-document-col addmore-col">
                                        <div class="additional-document-box">
                                            <div class="icon-container">
                                                <img src="assets/images/addmore.svg">
                                            </div>
                                            <div class="text-container">
                                                <div class="textInfo">Add More</div>
                                            </div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>

                        <div class="col-12 col-md-6">
                            <div class="form-group">
                                <label>Category</label>
                                <select class="form-control select1">
                                    <option>Select Category</option>
                                </select>
                            </div>
                        </div>
                        <div class="col-12 col-md-6">
                            <div class="form-group">
                                <label>Status</label>
                                <select class="form-control select1">
                                    <option>Select Status</option>
                                </select>
                            </div>
                        </div>
                        <div class="col-12 col-md-6">
                            <div class="form-group">
                                <label>Assigned Salesperson</label>
                                <select class="form-control select1">
                                    <option>Select Assigned Salesperson</option>
                                </select>
                            </div>
                        </div>
                        <div class="col-12 col-md-6">
                            <div class="form-group">
                                <label>Estimated Order Value</label>
                                <select class="form-control select1">
                                    <option>Select Estimated Order Value</option>
                                </select>
                            </div>
                        </div>
                        <div class="col-12 col-md-12">
                            <div class="form-submit-group">
                                <button type="button" class="custom-primary-btn custom-btn">Submit</button>
                                <a href="{{ url()->previous() }}" ><button type="button" class="custom-gray-outline-btn custom-btn">Cancel</button></a>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>

@endsection