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Direktori : /home2/selectio/www/geniusgroove.in/crm/application/views/user/offlinepayment/ |
Current File : //home2/selectio/www/geniusgroove.in/crm/application/views/user/offlinepayment/index.php |
<?php $currency_symbol = $this->customlib->getSchoolCurrencyFormat(); ?> <div class="content-wrapper"> <section class="content-header"> <h1> <i class="fa fa-ioxhost"></i> <?php //echo $this->lang->line('front_office'); ?></h1> </section> <section class="content"> <div class="row"> <div class="col-md-12"> <!-- general form elements --> <div class="box box-primary"> <div class="box-header ptbnull"> <h3 class="box-title titlefix"><?php echo $this->lang->line('offline_bank_payments'); ?></h3> <div class="box-tools pull-right"> </div><!-- /.box-tools --> </div><!-- /.box-header --> <?php if ($setting->offline_bank_payment_instruction) {?> <div class="box-body pb0"> <div class="row"> <div class="col-md-12"> <label class="font15" for="payment_date_error"><?php echo $this->lang->line('instructions'); ?></label> <div class="unorder-list"> <?php echo $setting->offline_bank_payment_instruction; ?> </div> </div> </div> </div> <?php }?> <form id="form1" action="<?php echo site_url('user/offlinepayment') ?>" name="offlinepayment" method="post" accept-charset="utf-8" enctype="multipart/form-data"> <div class="box-body"> <?php if ($this->session->flashdata('msg')) { ?> <?php echo $this->session->flashdata('msg'); $this->session->unset_userdata('msg'); ?> <?php }?> <?php echo $this->customlib->getCSRF(); ?> <div class="row"> <div class="col-md-6"> <div class="form-group"> <label for="payment_date_error"><?php echo $this->lang->line('date_of_payment'); ?></label><small class="req"> *</small> <input id="payment_date" name="payment_date" placeholder="" type="text" class="form-control date" value="<?php echo set_value('payment_date'); ?>" /> <span class="text-danger"><?php echo form_error('payment_date'); ?></span> </div> </div> <div class="col-md-6"> <div class="form-group"> <label for="bank_from"><?php echo $this->lang->line('payment_mode'); ?></label><small class="req"> *</small> <input id="bank_from" name="bank_from" placeholder="" type="text" class="form-control" value="<?php echo set_value('bank_from'); ?>" /> <span class="text-danger"><?php echo form_error('bank_from'); ?></span> </div> </div> </div> <div class="row"> <div class="col-md-6"> <div class="form-group"> <label for="bank_account_transferred"><?php echo $this->lang->line('payment_from'); ?></label><small class="req"> *</small> <input id="bank_account_transferred" name="bank_account_transferred" placeholder="" type="text" class="form-control" value="<?php echo set_value('bank_account_transferred'); ?>" /> <span class="text-danger"><?php echo form_error('bank_account_transferred'); ?></span> </div> </div> <div class="col-md-6"> <div class="form-group"> <label for="reference"><?php echo $this->lang->line('reference'); ?> </label> <input id="reference" name="reference" placeholder="" type="text" class="form-control" value="<?php echo set_value('reference'); ?>" /> <span class="text-danger"><?php echo form_error('reference'); ?></span> </div> </div> </div> <div class="row"> <div class="col-md-6"> <div class="form-group"> <label for="amount"><?php echo $this->lang->line('amount_paid'); ?> (<?php echo $currency_symbol; ?>) </label><small class="req"> *</small> <input id="amount" name="amount" placeholder="" type="number" class="form-control" value="<?php echo set_value('amount'); ?>" /> <span class="text-danger"><?php echo form_error('amount'); ?></span> </div> </div> <div class="col-md-6"> <div class="form-group"> <label for="exampleInputEmail1"><?php echo $this->lang->line('proof_of_payment'); ?></label> <input id="attachment" name="attachment" type="file" class="filestyle form-control" /> <span class="text-danger"><?php echo form_error('attachment'); ?></span> </div> </div> </div> </div><!-- /.box-body --> <div class="box-footer"> <button type="submit" class="btn btn-primary pull-right"> <?php echo $this->lang->line('save'); ?></button> </div> </form> </div> </div><!--/.col (left) col-8 end--> <!-- right column --> </div> </section><!-- /.content --> </div><!-- /.content-wrapper -->