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x2*��blob 10791�<!DOCTYPE html> <html lang="en"> <head> <meta charset="utf-8"> <meta name="viewport" content="width=device-width, initial-scale=1"> <title>TECHCADD</title> <!-- Google Font: Source Sans Pro --> <link rel="stylesheet" href="https://fonts.googleapis.com/css?family=Source+Sans+Pro:300,400,400i,700&display=fallback"> <!-- Font Awesome --> <link rel="stylesheet" href="plugins/fontawesome-free/css/all.min.css"> <!-- Theme style --> <link rel="stylesheet" href="dist/css/adminlte.min.css"> <script src="plugins/jquery/jquery.min.js"></script> <script src="plugins/bootstrap/js/bootstrap.bundle.min.js"></script> <!-- jquery-validation --> <script src="plugins/jquery-validation/jquery.validate.min.js"></script> <script src="plugins/jquery-validation/additional-methods.min.js"></script> <style> td { padding:10px; } th { padding-left:10px; } </style> <script> $(document).ready(function() { //alert("joo"); $("#quickForm1").submit(function(e) { //alert("jii"); e.preventDefault(); $.ajax( { type: 'post', url: 'back.php', data: $("#quickForm1").serialize(), success: function (reslt) { //alert(reslt); if($.trim(reslt)=="done") { alert("Enquiry add successfully"); window.location.reload(); } }, error: function(e) { alert(Error); } }); }); }); $(function(){ var dtToday = new Date(); var month = dtToday.getMonth() + 1; var day = dtToday.getDate(); var year = dtToday.getFullYear(); if(month < 10) month = '0' + month.toString(); if(day < 10) day = '0' + day.toString(); var minDate= year + '-' + month + '-' + day; $('#txtDate').attr('min', minDate); }); </script> </head> <body class="hold-transition sidebar-mini"> <div class="wrapper"> <?php include("header.php"); ?> <!-- Content Wrapper. Contains page content --> <div class="content-wrapper"> <!-- Content Header (Page header) --> <section class="content-header"> <div class="container-fluid"> <div class="row mb-2"> <div class="col-sm-6"> <h1>Registration Form</h1> </div> <div class="col-sm-6"> <ol class="breadcrumb float-sm-right"> <li class="breadcrumb-item"><a href="#">Home</a></li> <li class="breadcrumb-item active">Enquiry Form</li> </ol> </div> </div> </div><!-- /.container-fluid --> </section> <!-- Main content --> <section class="content"> <div class="container-fluid"> <div class="row"> <!-- left column --> <div class="col-md-12"> <!-- jquery validation --> <div class="card card-success"> <div class="card-header"> <h3 class="card-title">WELCOME TO TECHCADD</h3> </div> <!-- /.card-header --> <!-- form start --> <?php date_default_timezone_set("Asia/Kolkata"); $date = date('Y-m-d'); ?> <form id="quickForm1"> <div class="card-body"> <table border="0" width="100%"> <tr><th>Date</th><th>Centre Code</th></tr> <tr> <td><input type="date" name="dt" class="form-control" value="<?php echo $date; ?>" id="exampleInputEmail1"></td> <td> <?php include"../db_config/connection.php"; $result = $conn->query("select code, name from branch"); echo "<select name='code' class='form-control' required>"; echo"<option>Select Centre Code</option>"; while ($row = $result->fetch_assoc()) { $id = $row['code']; $name = $row['name']; echo '<option value="'.$id.'">'.$id.'</option>'; } echo "</select>"; ?> </td></tr> <tr> <th>Name</th> <th>Mobile</th> </tr> <tr> <td><input type="text" name="nm" class="form-control" id="exampleInputEmail1" placeholder="Enter Name" required></td> <td> <input type="text" name="phone" class="form-control" id="exampleInputEmail1" placeholder="Enter Mobile"></td></tr> <tr><th>Date of Birth</th><th>Email</th></tr> <tr> <td><input type="date" name="dob" class="form-control" id="exampleInputEmail1"></td> <td><input type="email" name="mail" class="form-control" id="exampleInputEmail1" placeholder="Enter Email" required></td></tr> <tr><th>Office/College</th><th>Qualification</th></tr> <tr> <td><input type="text" name="office" class="form-control" id="exampleInputEmail1" placeholder="Enter Office/College"></td> <td><input type="text" name="quali" class="form-control" id="exampleInputEmail1" placeholder="Enter Qualification"></td></tr> <tr><th>Course Intrested in</th><th>Batch Time</th></tr> <tr> <td><input type="text" name="course" class="form-control" id="exampleInputEmail1" placeholder="Enter Course Name"></td> <td><input type="time" name="time" class="form-control" id="exampleInputEmail1"></td></tr> <tr><th>Trade</th><th>Source</th></tr> <tr> <td><select name="trade" class="form-control" id="exampleInputEmail1"> <option>Select Trade</option> <option>IT</option> <option>Civil</option> <option>Mechanical</option> <option>IELTS</option> <option>ECE</option> </select></td> <td> <select name="source" class="form-control" id="exampleInputEmail1"> <option>Select Enquiry Source</option> <option>Social Media</option> <option>Just Dial</option> <option>Random Call</option> <option>Visited</option> </select> </td></tr> <tr> <th>Assign Enquiry</th> <th>Next Follow up Date</th> </tr> <tr> <td><?php include"../db_config/connection.php"; $result = $conn->query("select u_id, username from staff_detail where source='Telecaller'"); echo "<select name='eq' class='form-control' required>"; echo"<option>Assign Enquiry</option>"; while ($row = $result->fetch_assoc()) { $id = $row['u_id']; $name = $row['username']; echo '<option value="'.$id.'">'.$name.'</option>'; } echo "</select>"; ?></td> <td> <input type="date" name="fdt" class="form-control" id="txtDate"></td> </tr> <tr><th>Address</th></tr> <tr> <td><textarea name="add" class="form-control" id="exampleInputEmail1" placeholder="Enter Address"></textarea></td> </tr> </table> </div> <!-- /.card-body --> <div class="card-footer"> <button type="submit" class="btn btn-primary">Submit</button> </div> </form> </div> <!-- /.card --> </div> <!--/.col (left) --> <!-- right column --> <div class="col-md-6"> </div> <!--/.col (right) --> </div> <!-- /.row --> </div><!-- /.container-fluid --> </section> <!-- /.content --> </div> <!-- /.content-wrapper --> <?php include("footer.php"); ?> <!-- Control Sidebar --> <aside class="control-sidebar control-sidebar-dark"> <!-- Control sidebar content goes here --> </aside> <!-- /.control-sidebar --> </div> <!-- ./wrapper --> <!-- jQuery --> <script src="plugins/jquery/jquery.min.js"></script> <!-- Bootstrap 4 --> <script src="plugins/bootstrap/js/bootstrap.bundle.min.js"></script> <!-- jquery-validation --> <script src="plugins/jquery-validation/jquery.validate.min.js"></script> <script src="plugins/jquery-validation/additional-methods.min.js"></script> <!-- AdminLTE App --> <script src="dist/js/adminlte.min.js"></script> <!-- AdminLTE for demo purposes --> <script src="dist/js/demo.js"></script> <!-- Page specific script --> <script> $(function () { $.validator.setDefaults({ submitHandler: function () { alert( "Form successful submitted!" ); } }); $('#quickForm').validate({ rules: { email: { required: true, email: true, }, password: { required: true, minlength: 5 }, terms: { required: true }, }, messages: { email: { required: "Please enter a email address", email: "Please enter a vaild email address" }, password: { required: "Please provide a password", minlength: "Your password must be at least 5 characters long" }, terms: "Please accept our terms" }, errorElement: 'span', errorPlacement: function (error, element) { error.addClass('invalid-feedback'); element.closest('.form-group').append(error); }, highlight: function (element, errorClass, validClass) { $(element).addClass('is-invalid'); }, unhighlight: function (element, errorClass, validClass) { $(element).removeClass('is-invalid'); } }); }); </script> </body> </html> �wB}