{!! Form::number('pension_day[]', 1) !!}

{!! Form::selectMonth('pension_month[]', (int)date('m')) !!}

{!! Form::selectYear('pension_year[]', 1990, date('Y')+50, date('Y')) !!}

{!! Form::text('basic_pension[]', 0) !!}

{!! Form::text('reduced_pension[]', 0) !!}

{!! Form::text('child_pension[]', 0) !!}

{!! Form::selectMonth('loan_month[]', (int)date('m')) !!}

{!! Form::selectYear('loan_year[]', 1990, date('Y')+50, date('Y')) !!}

{!! Form::text('loan_emi[]', 0) !!}

{!! Form::selectMonth('loan_end_month[]', (int)date('m')) !!}

{!! Form::selectYear('loan_end_year[]', 1990, date('Y')+50, date('Y')) !!}