143 lines
4.7 KiB
PHP
143 lines
4.7 KiB
PHP
<div class="content-wrapper" style="min-height:537">
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<!-- Content Header (Page header) -->
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<section class="content">
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<div class="row">
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<div class="col-xs-12">
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<div class="box">
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<div class="box-header">
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<center><h3 class="box-title">Siddharth Industries - Enquiry Form</h3></center>
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</div>
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<!-- /.box-header -->
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<div class="box-body">
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<div id="content"></div>
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<?php
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$attributes = array('class' => 'form-label-left advancerequest','name' => 'enquiry','id' => 'enquiry');
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// echo form_open($this->config->base_url().'purchaseorder/addadvancerequest',$attributes);
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?>
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<div class="row" style="padding:0% 2%">
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<div class="col-md-12" >
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<div class="col-md-3">
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<label>Customer Name</label>
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<?php
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$data = array('name' => 'Contact','value' => set_value('Contact'),'id'=>'Contact' ,'class' => 'form-control num' ,'required' => 'true');
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echo form_input($data);
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?>
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</div>
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<div class="col-md-2">
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<label>Date</label>
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<?php
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$data = array('name' => 'Date','value' => set_value('Date',$CurrentDate),'id'=>'Date', 'class' => 'form-control' ,'required' => 'true', 'onkeypress'=>'return false;');
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echo form_input($data);
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?>
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</div>
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<div class="col-md-2">
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<label>Contact Person</label>
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<?php
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$data = array('name' => 'Contact','value' => set_value('Contact'),'id'=>'Contact' ,'class' => 'form-control num' ,'required' => 'true');
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echo form_input($data);
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?>
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</div>
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<div class="col-md-2">
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<label>Requirement</label>
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<?php
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$data = array('name' => 'requirement','value' => set_value('requirement'),'id'=>'requirement' ,'class' => 'form-control num' ,'required' => 'true');
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echo form_input($data);
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?>
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</div>
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<div class="col-md-3">
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<label>Feasible</label>
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<div class="form-group">
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<?php
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$optionsnew=array('0'=>'Select','1'=>'YES','2'=>'NO');
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echo form_dropdown('Feasible', $optionsnew,set_value('Feasible'),'id="Feasible"' ,'required="true"' ,'class="form-control select2');
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?>
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</div>
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</div>
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</div>
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<div class="col-md-12">
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<div class="col-md-3">
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<label for="selectmonth">Customer Order No</label>
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<?php
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$data = array('name' => 'Corder','value' => set_value('Corder'),'id'=>'Corder', 'class' => 'form-control num' ,'required' => 'true','style'=>'text-align:left;');
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echo form_input($data);
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?>
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</div>
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<div class="col-md-3">
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<label>Requested Quantity</label>
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<div class="form-group">
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<?php
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$data = array('name' => 'ReqQty','value' => set_value('ReqQty'),'id'=>'ReqQty' ,'class' => 'form-control num' ,'required' => 'true');
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echo form_input($data);
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?>
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</div>
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</div>
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<div class="col-md-3">
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<label>Supplied Quantity</label>
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<div class="form-group">
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<?php
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$data = array('name' => 'SupQty','value' => set_value('SupQty'),'id'=>'SupQty' ,'class' => 'form-control' ,'style'=>'text-align:left;');
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echo form_input($data);
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?>
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</div>
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</div>
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<div class="col-md-3">
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<label>Remarks</label>
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<div class="form-group">
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<!-- <?php
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$data = array('name' => 'Remarks','value' => set_value('Remarks'),'id'=>'Remarks' ,'class' => 'form-control' ,'style'=>'text-align:left;');
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echo form_input($data);
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?> -->
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<div class="form-group">
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<?php
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$data = array('name' => 'Remark','value' => set_value('Remark'),'id'=>'Remark', 'class' => 'form-control' ,'rows' => '10', 'cols' => '100','maxlength' => '500');
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echo Form_textarea($data);
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?>
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-md-2 col-md-offset-11">
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<a class="btn btn-primary Save" ID="Save" onclick="Save()" > <span class="bold">Save</span></a>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</section>
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</div>
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