109 lines
6.1 KiB
PHP
Executable File
109 lines
6.1 KiB
PHP
Executable File
<?php include('layout/header.php'); ?>
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<div class="row">
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<div class="col-12">
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<div class="page-title-box page-title-box-alt">
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<h4 class="page-title"><?php echo $page_name ?></h4>
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<div class="page-title-right">
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<ol class="breadcrumb m-0">
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</ol>
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</div>
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-md-12">
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<div class="card">
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<div class="card-body">
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<form id=branch_add_form action="<?= base_url() . "edit_branch_form/". session()->get('logged_user_branch_id'); ?>" method="post">
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<div class="form-row">
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<div class="form-group col-md-6">
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<label for="inputEmail4" class="col-form-label">Branch Name</label>
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<input type="text" class="form-control" name="branch_name" placeholder="Name" value="<?= isset($branch['branch_name']) ? $branch['branch_name'] : '' ?>" required>
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</div>
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<div class="form-group col-md-6">
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<label for="inputPassword4" class="col-form-label">GST No</label>
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<input type="text" class="form-control" name="gstno" pattern="[0-9]{2}[A-Z]{5}[0-9]{4}[A-Z]{1}[0-9]{1}[Z]{1}[0-9A-Z]{1}" placeholder="GSTNO"value="<?= isset($branch['gstno']) ? $branch['gstno'] : '' ?>" required>
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</div>
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</div>
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<div class="form-row">
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<div class="form-group col-md-12" style="margin-bottom: -7px;">
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<h5>Contact Details</h5>
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</div>
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<div class="form-group col-md-6">
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<label for="inputEmail4" class="col-form-label">Email</label>
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<input type="email" class="form-control" name="email" placeholder="Email" value="<?= isset($branch['email']) ? $branch['email'] : '' ?>" required>
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</div>
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<div class="form-group col-md-6">
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<label for="inputAddress" class="col-form-label">Contact 1</label>
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<input type="text" class="form-control" name="contact_1" placeholder="Contact 1" value="<?= isset($branch['contact_1']) ? $branch['contact_1'] : '' ?>" required maxlength="16" minlength="5">
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</div>
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<div class="form-group col-md-6">
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<label for="inputAddress" class="col-form-label">Contact 2</label>
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<input type="text" class="form-control" name="contact_2" placeholder="Contact 2" value="<?= isset($branch['contact_2']) ? $branch['contact_2'] : '' ?>" required maxlength="16" minlength="5">
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</div>
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</div>
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<div class="form-row">
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<div class="form-group col-md-12" style="margin-bottom: -7px;">
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<h5>Address Details</h5>
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</div>
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<div class="form-group col-md-6">
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<label for="inputPassword4" class="col-form-label">Address</label>
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<!-- <textarea name="" id="" class="form-control"></textarea> -->
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<input type="text" class="form-control" name="address" placeholder="Address"value="<?= isset($branch['address']) ? $branch['address'] : '' ?>" required>
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</div>
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<!-- <div class="form-group col-md-8"> -->
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<!-- </div> -->
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<input type="hidden" id="business_id" name="business_id" value="<?= isset($branch['business_id']) ? $branch['business_id'] : '' ?>">
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<div class="form-group col-md-6">
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<label for="inputPassword4" class="col-form-label">City</label>
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<input type="text" class="form-control" name="city" placeholder="City"value="<?= isset($branch['city']) ? $branch['city'] : '' ?>" required>
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</div>
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<div class="form-group col-md-6">
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<label for="inputPassword4" class="col-form-label">State</label>
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<input type="text" class="form-control" name="state" placeholder="State"value="<?= isset($branch['state']) ? $branch['state'] : '' ?>" required>
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</div>
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<div class="form-group col-md-6">
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<label for="inputPassword4" class="col-form-label">Country</label>
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<input type="text" class="form-control" name="country" placeholder="Country"value="<?= isset($branch['country']) ? $branch['country'] : '' ?>" required>
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</div>
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<div class="form-group col-md-6">
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<label for="inputPassword4" class="col-form-label">Postal Code</label>
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<input type="text" class="form-control" name="postal_code" placeholder="Postal Code"value="<?= isset($branch['postal_code']) ? $branch['postal_code'] : '' ?>" required maxlength="6" minlength="6">
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</div>
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<div class="form-group col-md-6">
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<label for="inputPassword4" class="col-form-label">State Code</label>
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<input type="text" class="form-control" name="state_code" placeholder="Code"value="<?= isset($branch['state_code']) ? $branch['state_code'] : '' ?>" required>
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</div>
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</div>
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<button type="submit" class="btn btn-primary">Submit</button>
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</form>
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</div>
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</div>
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</div>
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</div>
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<script>
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$('#branch_add_form').submit(function(event) {
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event.preventDefault();
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// $('#branch_add_form').submit(); // This will submit the form
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});
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</script>
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<?php include('layout/footer.php'); ?>
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