Agency Name

Agency Description

</div>
											</div>
										<div class="profile-info-row">
                                                <div class="profile-info-name">Brand Name </div>
                                                <div class="profile-info-value">
                                                    <select id="brand_name" name="brand_name" data-kfn="selecttext" data-itemtype="single" data-change="false">
                                                        <option selected value="">--Select--</option>
                                                    </select>					
                                                </div>
                                            </div>
											<div class="profile-info-row">
                                                <div class="profile-info-name">Status </div>
                                                <div class="profile-info-value">
													<select id="agency_status" name="agency_status" data-kfn="selecttext" data-itemtype="single">
														<option selected value="">--Select--</option>
														<option value="Active">Active</option>
														<option value="Inactive">Inactive</option>
													</select>										
                                                </div>
                                            </div>
                                        </div>
                                    </div>
								</div>

</div>
                           
                        </div>
                    </form>

</div>
                <div class="modal-footer">
                    <button id="saveMaster">Save</button>
                </div>
            </div>
        </div>
    </div>
</body>
</html>