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

{{ $pageNote }}

{!! Form::open(array('url'=>'withdrawrequests/save', 'class'=>'form-horizontal','files' => true , 'parsley-validate'=>'','novalidate'=>' ')) !!}
{!! Form::select('user_id',$users_list,$row['user_id'],array('class'=>'select2','id'=>'user_id','required'=>true,'placeholder'=>Lang::get('core.please_select'))) !!}
{!! Form::text('paypal_id', $row['paypal_id'],array('class'=>'form-control email-validation', 'placeholder'=>'','required'=>true, 'parsley-type'=>'email')) !!}
{!! Form::input('number','amount', $row['amount'],array('class'=>'form-control amount-validation', 'placeholder'=>'', 'min'=>'0','step'=>'any','required'=>true, 'parsley-type'=>'number','parsley-pattern'=> '/^[0-9]+$/')) !!}
@if($row['requested_on'] !="")
{!! $row['requested_on']!!}
@endif
{!! Form::close() !!}
@stop