siddharth_application/application/views/advancerequest.php

<script> 
$(function() {
     //Initialize Select2 Elements
    $("#PurchaseOrderNumber").select2();
   
 });     
</script>
<style>
.num{
    text-align:right;
}
</style>
<div class="content-wrapper" style="min-height:537">
    <!-- Content Header (Page header) -->
    <section class="content-header">
      <h1>
       <center>Siddharth Industries - Advance Request</center>
        
      </h1>
    </section>
    <section class="content">
        <div class="row" style="padding:0% 2%">    
        <div class="col-md-12"  >
                    <div class="col-md-3">
                    <label>Purchase Order Number</label>
                    <?php
                                $options = array("0"=>'Purchase Order Number');    
                                echo form_dropdown('PurchaseOrderNumber', $options,set_value('PurchaseOrderNumber'),'id="PurchaseOrderNumber"' ,'class="form-control select2"' , 'required="true"' );                                   
                                 ?> 
                     </div>
					  
					<div class="col-md-2">
						<label>Purchase Order Type</label>
						  <?php
						 $data = array('name' => 'PurchaseOrderType','value' => set_value('PurchaseOrderType'),  'class' => 'form-control' ,'required' => 'true' ,'readonly'=>'true');
						echo form_input($data);
						?>  
					</div>
						
						
				    <div class="col-md-2">
							<label>PO Created Date</label>
							  <?php
						 $data = array('name' => 'PoCreatedDate','value' => set_value('PoCreatedDate'),  'class' => 'form-control num' ,'required' => 'true' , 'readonly'=>'true');
						echo form_input($data);
						?> 
							
					</div>
					
					 <div class="col-md-2">
                                        <label>Released On</label>
                                          <?php
                                     $data = array('name' => 'ReleasedOn','value' => set_value('ReleasedOn'),  'class' => 'form-control num' ,'required' => 'true' , 'readonly'=>'true');
                                    echo form_input($data);
                                    ?> 
                      </div>
					  
					<div class="col-md-3"> 
					<label>Total Order Value In INR</label>
					<div class="form-group">
											  
						<?php
						 $data = array('name' => 'TotalOrderValue','value' => set_value('TotalOrderValue'),  'class' => 'form-control num' ,'required' => 'true' , 'readonly'=>'true');
						echo form_input($data);
						?> 
					 </div>
                     </div>
					 </div>

					  <div class="col-md-12">
					  <div class="col-md-3">
						 <label for="selectmonth">Department</label>
						<?php
						 $data = array('name' => 'Department','value' => set_value('Department'),  'class' => 'form-control num' ,'required' => 'true' , 'readonly'=>'true');
						 echo form_input($data);
						?> 
					 </div>
								
						<div class="col-md-3"> 
						   <label>Cost Center Code</label>
						   <div class="form-group">
													  
							<?php
							 $data = array('name' => 'CostCenterCode','value' => set_value('CostCenterCode'),  'class' => 'form-control num' ,'required' => 'true' , 'readonly'=>'true');
							echo form_input($data);
							?> 
						 </div>
					    </div>
					 
						  <div class="col-md-3">
						<label>Supplier Name</label>
						 <?php
						 $data = array('name' => 'SupplierName','value' => set_value('SupplierName'),  'class' => 'form-control' ,'required' => 'true' , 'readonly'=>'true');
						echo form_input($data);
						?> 
						</div>
                             
                       
                   
             
                                    
                             <div class="col-md-3">
							 <label for="selectmonth">Delivery Date</label>
								 <?php
							 $data = array('name' => 'DeliveryDate','value' => set_value('DeliveryDate'),  'class' => 'form-control num' ,'required' => 'true' , 'readonly'=>'true');
						echo form_input($data);
						?> 
							</div>
							
							</div>
							
                      <legend>Payment Details</legend>           
                        <div class="col-md-12">
						<div class="col-md-3">
						<label for="payablefrom">Payment Terms</label>
							 <?php
								$data = array('name' => 'PaymenyTerms','value' => set_value('PaymentTerms'),  'class' => 'form-control' ,'readonly' => 'true'  );
								echo form_input($data);
							?>
						</div>
						
			
                
                               
                       <div class="col-md-3">
			           <label for="payablefrom">Advance In %</label>
				        <?php
						$data = array('name' => 'AdvanceIn','value' => set_value('Advance In'),  'class' => 'form-control' );
						echo form_input($data);
						?>
                       </div>
					  
					  
						<div class="col-md-3">
						<label for="selectmonth">Advance Amount In INR</label>
						<?php
						 $data = array('name' => 'AdvanceAmount','value' => set_value('AdvanceAmount'), 'class' => 'form-control num' ,'required' => 'true','readonly'=>'true');
						echo form_input($data);
						?> 
					    </div>
						
					    <div class="col-md-3">
						 <label for="selectmonth">Remarks</label>
						<?php
						 $data = array('name' => 'Remarks','value' => set_value('Remarks'), 'class' => 'form-control num' ,'required' => 'true');
						echo form_input($data);
						?> 
					   </div>
</div>
</div>
						 <div  class="col-md-12" align = "right"><br/>
						<input type="Submit" class="btn btn-primary" value="Raise Request" style="margin-right:28px" />
						</div>
						
</section>
</div>