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xD��blob 17400�<?php include 'header.php';?> <div class="dashboard-wrapper"> <div class="dashboard-ecommerce"> <div class="container-fluid dashboard-content"> <div class="row"> <div class="col-xl-12 col-lg-12 col-md-12 col-sm-12 col-12"> <div class="page-header"> <h2 class="pageheader-title">Enquiry Form</h2> <p class="pageheader-text">Proin placerat ante duiullam scelerisque a velit ac porta, fusce sit amet vestibulum mi. Morbi lobortis pulvinar quam.</p> <div class="page-breadcrumb"> <nav aria-label="breadcrumb"> <ol class="breadcrumb"> <li class="breadcrumb-item"><a href="./" class="breadcrumb-link">Dashboard</a></li> <li class="breadcrumb-item active" aria-current="page">New Enquiry</li> </ol> </nav> </div> </div> </div> </div> <?php include 'settings.php'; $sid=""; $sql = "select * from enquiry_ldh"; $exc = $mysqli->query($sql); if(mysqli_num_rows($exc)==0){ $sid = "TCD/LDH/001"; }else{ $sql2 = "select max(id) as id from enquiry"; $exc2 = $mysqli->query($sql2); $row = $exc2->fetch_assoc(); $sid = $row["id"]; $sid = $sid+1; $sid = "TCD/LDH/00".$sid; } ?> <div class="row"> <!-- ============================================================== --> <!-- validation form --> <!-- ============================================================== --> <div class="col-xl-12 col-lg-12 col-md-12 col-sm-12 col-12"> <div class="card"> <div class="card-body"> <form id="itemmaster" class="needs-validation" novalidate> <div class="form-row"> <div class="col-xl-4 col-lg-4 col-md-12 col-sm-12 col-12 mb-2"> <label for="validationCustom03">Date</label> <input type="date" class="form-control" id="rdate" name="rdate" placeholder="Date" value="<?php echo date('Y-m-d');?>" "> </div> <div class="col-xl-4 col-lg-4 col-md-12 col-sm-12 col-12 mb-2"> <label for="validationCustom05">Center Code</label> <input type="text" class="form-control" id="centercode" name="centercode" placeholder="Center Code" value="TCD/LDH" readonly=""> <input type="hidden" class="form-control" value="<?php echo $sid;?>" id="regno" name="regno" placeholder="Reg No" required> </div> <div class="col-xl-4 col-lg-4 col-md-12 col-sm-12 col-12 mb-2"> <label for="validationCustom03">Name</label> <input type="text" class="form-control" id="cname" name="cname" placeholder="Name" required> </div> </div> <div class="form-row"> <div class="col-xl-4 col-lg-4 col-md-12 col-sm-12 col-12 mb-2"> <label for="validationCustom05">Address</label> <input type="text" class="form-control" id="address" name="address" placeholder="Address" required> <input type="hidden" class="form-control" id="fname" name="fname" placeholder="Father Name" required> </div> <div class="col-xl-4 col-lg-4 col-md-12 col-sm-12 col-12 mb-2"> <label for="validationCustom03">Date of Birth</label> <input type="date" class="form-control" id="dob" name="dob" placeholder="Date of birth" required> </div> <div class="col-xl-4 col-lg-4 col-md-12 col-sm-12 col-12 mb-2"> <label for="validationCustom04">Email Id.</label> <input type="text" class="form-control" id="email" name="email" placeholder="Email id" required> </div> </div> <div class="form-row"> <div class="col-xl-4 col-lg-4 col-md-12 col-sm-12 col-12 mb-2"> <label for="validationCustom05">Qualification</label> <input type="text" class="form-control" id="qualification" name="qualification" placeholder="Qualification" required> </div> <div class="col-xl-4 col-lg-4 col-md-12 col-sm-12 col-12 mb-2"> <label for="validationCustom03">College/Work Place</label> <input type="text" class="form-control" id="college" name="college" placeholder="College" required> </div> <div class="col-xl-4 col-lg-4 col-md-12 col-sm-12 col-12 mb-2"> <label for="validationCustom04">Phone No.</label> <input type="text" class="form-control" id="mobile" name="mobile" placeholder="Phone No" required> </div> </div> <div class="form-row"> <div class="col-xl-4 col-lg-4 col-md-12 col-sm-12 col-12 mb-2"> <label for="validationCustom05">Phone No 2</label> <input type="text" class="form-control" id="phone" name="phone" placeholder="Phone No" required> </div> <div class="col-xl-4 col-lg-4 col-md-12 col-sm-12 col-12 mb-2"> </div> <div class="col-xl-4 col-lg-4 col-md-12 col-sm-12 col-12 mb-2"> </div> </div> <h5 class="card-header" style="margin-bottom: 20px;padding: 0!important;">Course Details</h5> <div class="form-row"> <div class="col-xl-4 col-lg-4 col-md-12 col-sm-12 col-12 mb-2"> <label for="validationCustom03">Name of Course</label> <input type="text" class="form-control" id="course" name="course" placeholder="Name of Course" required> </div> <div class="col-xl-4 col-lg-4 col-md-12 col-sm-12 col-12 mb-2"> <label for="validationCustom04">Software Covered.</label> <input type="text" class="form-control" id="software" name="software" placeholder="Software Convered" required> </div> <div class="col-xl-4 col-lg-4 col-md-12 col-sm-12 col-12 mb-2"> <label for="validationCustom05">Registration Date</label> <input type="date" class="form-control" id="jdate" name="jdate" placeholder="Joining Date" required> </div> </div> <div class="form-row"> <div class="col-xl-12 col-lg-12 col-md-12 col-sm-12 col-12 mb-2"> <label for="validationCustom03">Course Fee</label> <input type="text" class="form-control" id="cfee" name="cfee" placeholder="Course Fee" required> </div> </div> <div class="form-row"> <div class="col-xl-6 col-lg-6 col-md-12 col-sm-12 col-12 mb-2"> <label for="validationCustom03">Enquiry Type</label> <select id="type" name="type" class="form-control"> <option value="Walk-In">Walk-In</option> <option value="Calling">Calling</option> </select> </div> <div class="col-xl-6 col-lg-6 col-md-12 col-sm-12 col-12 mb-2"> <label>User Image (Size: 75X75)</label><br> <input id="userImage" class="form-control" name="userImage" type="file" /> <div id="imgdisp"></div> <input type="hidden" id="img1" name="img1" /> </div> </div> <div class="form-row"> <div class="col-xl-6 col-lg-6 col-md-6 col-sm-6 col-6 mb-2"> <label for="validationCustom03">Trade</label> <select id="tred" name="tred" class="form-control"> <option value="Any">Any</option> <option value="Civil">Civil</option> <option value="Mechanical">Mechanical</option> <option value="IT">IT</option> <option value="Architecture">Architecture</option> <option value="Electrical">Electrical</option> <option value="12th">12th</option> </select> </div> <div class="col-xl-6 col-lg-6 col-md-12 col-sm-12 col-12 mb-2"> <label>Follow Up Date</label><br> <input id="fdate" class="form-control" name="fdate" type="date" /> </div> </div> <div class="form-row"> <div class="col-xl-6 col-lg-6 col-md-12 col-sm-12 col-12 mb-2"> <label for="validationCustom03">Refrence Name 1</label> <input type="text" class="form-control" id="refname1" name="refname1" placeholder="Refrence Name 1" required> </div> <div class="col-xl-6 col-lg-6 col-md-12 col-sm-12 col-12 mb-2"> <label for="validationCustom03">Refrence Mobile 1</label> <input type="text" class="form-control" id="refmobile1" name="refmobile1" placeholder="Refrence Mobile 1" required> </div> </div> <div class="form-row"> <div class="col-xl-6 col-lg-6 col-md-12 col-sm-12 col-12 mb-2"> <label for="validationCustom03">Refrence Name 2</label> <input type="text" class="form-control" id="refname2" name="refname2" placeholder="Refrence Name 2" required> </div> <div class="col-xl-6 col-lg-6 col-md-12 col-sm-12 col-12 mb-2"> <label for="validationCustom03">Refrence Mobile 2</label> <input type="text" class="form-control" id="refmobile2" name="refmobile2" placeholder="Refrence Mobile 2" required> </div> </div> </div> </div> </form> <div class="col-xl-12 col-lg-12 col-md-12 col-sm-12 col-12 "> <button class="btn btn-primary" type="submit" onclick="savedata();" style="margin-bottom: 50px;">Submit</button> </div> </div> </div> </div> <!-- ============================================================== --> <!-- end validation form --> <!-- ============================================================== --> </div> </div> </div> </div> <?php include 'footer.php';?> <script type="text/javascript"> function savedata(){ // alert('test'); var pdata = new FormData(document.getElementById("itemmaster")); $.ajax({ url: "controls/enquiry.php", type: "POST", data: pdata, contentType: false, cache: false, processData:false, success: function(data) { alert(data); $("#outputdisp").html(data); loaddata(); location.reload(); }, error: function() { } }); } </script>Zd�