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That's just a drop down box or select option

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The dropdown box can with bootstrap select and a countries table. For a full list of cities you would need to find a DB table of those.

For starters take a look at this page:

http://www.elcoderino.com/use-concat-when-populating-dropdown-list-from-database-with-laravel/

A free list can be had from geonames.org :

http://download.geonames.org/export/dump/cities15000.zip

source: http://stackoverflow.com/questions/7457297/where-can-i-find-country-and-city-tables

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Found a package with countries, capitals, and currencies:

https://packagist.org/packages/webpatser/laravel-countries

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That's actually a select2 js select box that fetches data with ajax, you can also try google places api

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