<div class="modal fade bs-modal-lg" id="add-agency-level" tabindex="-1" role="dialog" aria-hidden="true">
    <div class="modal-dialog modal-dm modal-lg">
        <div class="modal-content">
            <div class="modal-header"><br/>
                <button type="button" class="close" data-dismiss="modal" aria-hidden="false"></button>
                <h4 class="modal-title" style="color:black;">Add Agency Level</h4><br/>
            </div>
            <form class="form-horizontal" role="form" action="{{ route('agency-level.store') }}" method="post">
                @csrf
                <div class="row commission-add-area" style="padding:3%;padding-bottom: 1%;">
                    <div class="row">
                        <div class="col-sm-5">
                            <div class="form-group">
                                <label class="col-sm-4 required control-label">Agency Level</label>
                                <div class="col-sm-8">
                                    <input type="text" name="agency_level[]" class="form-control" value="" required>
                                </div>
                            </div>
                        </div>
                        <div class="col-sm-6">
                            <div class="form-group">
                                <label class="col-sm-5 required control-label">Commission Percent</label>
                                <div class="col-sm-7">
                                    <input type="text" name="commission_level[]" class="form-control commission-percentage" value="" required>
                                </div>
                            </div>
                        </div>
                        <div class="col-sm-1">
                            <button type="button" class="btn btn-md btn-primary" title="add more" id="add-more-comm-condition"><i class="fa fa-plus"></i></button>
                        </div>
                    </div>
                </div>
                <div class="row">
                    <div class="col-sm-11" style="text-align: right;">
                        <div class="form-group">
                            <label class="col-sm-8 required control-label">Percent Remain(%)</label>
                            <div class="col-sm-4" style="padding-right: 3%;padding-left: 2.5%;">
                                <input type="text" readonly name="#" class="form-control commission-percentage-remain" value="0" required>
                            </div>
                        </div>
                    </div>
                </div><br/>
                <div class="modal-footer">
                    <button type="button" data-dismiss="modal" class="button_danger"><i class="fa fa-close"></i> No</button>
                    <button type="submit" class="button_success" data-toggle="modal" id="btn-submit"><i class="fa fa-save"></i> Save</button>
                </div>
            </form>
        </div>
        <!-- /.modal-content -->
    </div>
    <!-- /.modal-dialog -->
</div>
<style>
    .modal-lg {
        width: 1000px;
    }
</style>