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System:

Linux 4.18.0-553.54.1.lve.el8.x86_64

PHP Version:

7.3.33

User:

u435171512

Directory:

/home/u435171512/domains/jojomomos.com/public_html/jojo-template3453/application/modules/lead/views

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4 TB

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✏️ Editing: lead_form_view.php

<section class="content home">
<div class="container-fluid">
<div class="block-header">
   <h2>Lead</h2>
</div>
<div class="row clearfix">
   <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
      <div class="card">
         <div class="header">
            <h2>Add</h2>
         </div>
         <div class="body">
            <form id="leads" action="<?php echo site_url('lead/add'); ?>" method="post">
              
               <div class="col-md-3">
                  <div class="form-group">
                     <div class="form-line">
                        <input type ="text" name="lead_data_collection_date_and_time" class="datetimepicker form-control" value="<?php echo set_value('lead_data_collection_date_and_time'); ?>" placeholder = "Data Collection Date" required>
                     </div>
                  </div>
               </div>
               <div class="col-md-3">
                  <div class="form-group">
                     <div class="form-line">
                        <select name="ref_data_source_id" class="form-control" id="select_data_source" style="width:83%;float:left;" required>
                           <option value="" disabled selected>Data Source</option>
                           <?php echo $this->Common_model->getOptionList('data_source',''); ?>
                        </select>
                        <a class="js-open-modal btn btn-info" id="data_source" alt="Add New Data Source" style="margin-left:9px;"><i class="fa fa-plus" ></i></a> 
                     </div>
                  </div>
               </div>
               <div class="col-md-3">
                  <div class="form-group">
                     <div class="form-line">
                        <input class="form-control" type ="text" name="lead_data_source_link" value="" placeholder = "Data Source Link">
                     </div>
                  </div>
               </div>
               <div class="col-md-3">
                  <select name="ref_business_category_id" required class="form-control" id="select_business_category" style="width:83%;float:left;">
                     <option value="" disabled selected>Business category</option>
                     <?php echo $category; ?>
                  </select>
                  <a class="btn btn-info waves-effect" data-toggle="modal" data-target="#popup_category" style="margin-left:9px;"><i class="fa fa-plus"></i></a>
               </div>
               <div class="clearfix"></div>
               <div class="col-md-3" >
                  <div class="form-group">
                     <div class="form-line">
                        <select name="ref_salutation_id"  class="form-control" required>
                           <option value="" disabled selected>Salutation</option>
                           <?php echo $this->Common_model->getOptionList('salutation'); ?>
                        </select>
                     </div>
                  </div>
               </div>
               <div class="col-md-3">
                  <div class="form-group">
                     <div class="form-line">
                        <input type ="text" name="lead_name" id="LeadName" value="<?php echo set_value('lead_name'); ?>" placeholder = "Name" required class="form-control">
                     </div>
                  </div>
               </div>
               <div class="col-md-3">
                  <div class="form-group">
                     <div class="form-line">
                        <input type ="text" name="lead_address_line1" value="<?php echo set_value('lead_address_line1'); ?>" placeholder = "Addres Line 1"  required class="form-control">
                     </div>
                  </div>
               </div>
               <div class="col-md-3">
                  <div class="form-group">
                     <div class="form-line">
                        <input type ="text" name="lead_address_line2" value="<?php echo set_value('lead_address_line2'); ?>" placeholder = "Addres Line 2" class="form-control">
                     </div>
                  </div>
               </div>
               <div class="col-md-3">
                  <div class="form-group">
                     <div class="form-line">
                        <input type ="text" name="lead_address_line3" value="<?php echo set_value('lead_address_line3'); ?>"placeholder = "Addres Line 3" class="form-control">
                     </div>
                  </div>
               </div>
               <div class="col-md-3">
                  <div class="form-group">
                     <div class="form-line">
                        <input maxlength="6"  type ="text" name="lead_pincode" value="<?php echo set_value('lead_pincode'); ?>" placeholder = "Pincode" class="form-control" onkeypress="return isNumber(event)">
                     </div>
                  </div>
               </div>
               <div class="col-md-3" >
                  <div class="form-group">
                     <div class="form-line">
                        <select name="ref_country_id" id="select_country" class="form-control" required>
                           <option value="" disabled selected>Country</option>
                           <?php echo $this->Common_model->getOptionList('country','99'); ?>
                        </select>
                     </div>
                  </div>
               </div>
               <div class="col-md-3">
                  <div class="form-group">
                     <div class="form-line">
                        <select name="ref_state_id" id="select_state" class="form-control" required>
                           <option value="" disabled selected>State</option>
                           <?php echo $this->Common_model->getOptionList('state','1503','ref_country_id','99'); ?>
                        </select>
                     </div>
                  </div>
               </div>
               <div class="col-md-3" >
                  <div class="form-group">
                     <div class="form-line">
                        <select name="ref_district_id"  class="form-control" id="select_district" required>
                           <option value="" disabled selected>District</option>
                           <?php echo $this->Common_model->getOptionList('district','533','ref_state_id','1503'); ?>
                        </select>
                     </div>
                  </div>
               </div>
               <div class="col-md-3" >
                  <div class="form-group">
                     <div class="form-line">
                        <select name="ref_city_id"  class="form-control"  id="select_city" style="width:83%;float:left;" required>
                           <option value="" disabled selected>City</option>
                           <?php echo $this->Common_model->getOptionList('city','4'); ?>
                        </select>
                        <a class="btn btn-info" data-toggle="modal" data-target="#popup_city" style="margin-left:9px;"><i class="fa fa-plus"></i></a> 
                     </div>
                  </div>
               </div>
               <div class="col-md-3">
                  <div class="form-group">
                     <div class="form-line">
                        <input type ="text" name="lead_referred_date" class="datepicker form-control" value="<?php echo set_value('lead_referred_date'); ?>" placeholder = "Referred Date" class="form-control">
                     </div>
                  </div>
               </div>
               <div class="col-md-3">
                  <div class="form-group">
                     <div class="form-line">
                        <input type ="text" name="lead_referred_by" value="<?php echo set_value('lead_referred_by'); ?>" placeholder = "Referred By" class="form-control">
                     </div>
                  </div>
               </div>
               <div class="clearfix"></div>
               <div class=""> 
                  <?php echo $contact_number_block; ?>
               </div>
               <div class=""> 
                  <?php echo $contact_email_block; ?>
               </div>
              
               <div class="clearfix"></div>
               <div class="text-right" style="margin-right:15px;margin-bottom:15px;">
                  <button class="btn btn-primary" type="submit" value="save">Save</button>
                  <a href="<?php echo site_url('lead');?>" class=" btn btn-danger">Cancel</a>
               </div>
            </form>
         </div>
      </div>
   </div>
</div>

<?php include(APPPATH.'views/common/popup_general_master_form.php'); ?> 
<?php include(APPPATH.'views/common/popup_category_form.php'); ?> 
<?php include(APPPATH.'views/common/popup_city_form.php'); ?> 
<?php include( 'script_lead.php'); ?>

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