<div class="modal fade" id="createMerchantModal" tabindex="-1" role="dialog"  aria-hidden="true">
    <div class="modal-dialog" role="document">
        <div class="modal-content">
            <div class="color-line"></div>
            <div class="modal-header">
                <h4 class="modal-title titleHead" ></h4>
                <small class="font-bold">Merchant Registration</small>
            </div>
            <div class="modal-body">
                <div class="alert alert-danger hidden" id="topupError"></div>
                <div class="alert alert-success hidden" id="topupSuccess"></div>
                <!-- {{ url('organisation/merchant') }} -->
                <form action="" id="newMerchantForm" method="POST" class="form-horizontal">
                    {{ csrf_field() }}
                    <div class="form-group">
                        <label class="col-sm-2 control-label">Fullname</label>
                        <div class="col-sm-10">
                            <input type="text" class="form-control" name="fullname" placeholder="Full Name of Merchant " required>
                        </div>
                    </div>
                
                    <div class="hr-line-dashed"></div>
                    <div class="form-group"><label class="col-sm-2 control-label">Phone</label>
                        <div class="col-sm-10">
                        <input type="text"  name="phone_number" class="form-control" id="merchantPhone" placeholder="Phone number " required >
                        </div>
                    </div>
                    <div class="hr-line-dashed"></div>
                    <div class="form-group"><label class="col-sm-2 control-label">Language</label>
                        <div class="col-sm-10">
                            <select class="form-control" name="language" id="merchantLanguage">
                                <option value="">-- Select Language --</option>
                                <option value="english">English</option>
                                <option value="chichewa">Chichewa</option>
                            </select>
                        </div>
                    </div>
                    <div class="hr-line-dashed"></div>
                    <div class="form-group">
                        <div class="col-sm-12 ">
                            <button class="btn btn-primary btn-block" type="submit">Submit</button>
                            <button class="btn btn-default btn-block" type="button">Cancel</button> <br>
                        </div>
                    </div>
                </form>
            </div>
            
        </div>
    </div>
</div>