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📄 add_new_enquiry1.php

📁 Path: /home/u621169360/domains/goreswarcollege.ac.in/public_html/olddd/web/teacher/add_new_enquiry1.php
📊 Size: 33.42 KB
🔒 Perm: 0644
📝 MIME: text/x-php
<?php 
ob_start();
include('configure.php');
DB::connect();
require_once("check.php");

$id = $_REQUEST['id'];
$start = $_REQUEST['start'];
if(isset($_POST['submit12345'])){
	
	
	$from_dealer    =  $_POST['from_dealer'];
	$cus_name    =  $_POST['cus_name'];
	$cus_email    =  $_POST['cus_email'];
	$cus_address    =  $_POST['cus_address'];
	$cus_road    =  $_POST['cus_road'];
	$cus_house    =  $_POST['cus_house'];
	$cus_apart    =  $_POST['cus_apart'];
	$cus_mobile    =  $_POST['cus_mobile'];
	$cus_city    =  $_POST['cus_city'];
	$cus_location    =  $_POST['cus_location'];
	$cus_state    =  $_POST['cus_state'];
	$cus_product    =  $_POST['cus_product'];
	$cus_requirement    =  $_POST['cus_requirement'];
	$cus_tank_cap    =  $_POST['cus_tank_cap'];
	$cus_dis_plant    =  $_POST['cus_dis_plant'];
	$cus_problem    =  $_POST['cus_problem'];
	$cus_daily_use    =  $_POST['cus_daily_use'];
	$cus_pump_cap    =  $_POST['cus_pump_cap'];
	$cus_under_tank    =  $_POST['cus_under_tank'];
	$cus_pipe_type    =  $_POST['cus_pipe_type'];
	$cus_visit_date    =  $_POST['cus_visit_date'];
	$dealer_id    =  $_POST['dealer_id'];
	
	
	$insert_accounts = "INSERT `enquiry` SET
	
	from_dealer='".addslashes($from_dealer)."',
	cus_name='".addslashes($cus_name)."',
	cus_email='".addslashes($cus_email)."',
	cus_address='".addslashes($cus_address)."',
	cus_road='".addslashes($cus_road)."',
	cus_house='".addslashes($cus_house)."',
	cus_apart='".addslashes($cus_apart)."',
	cus_mobile='".addslashes($cus_mobile)."',
	cus_city='".addslashes($cus_city)."',
	cus_location='".addslashes($cus_location)."',
	cus_state='".addslashes($cus_state)."',
	cus_product='".addslashes($cus_product)."',
	cus_requirement='".addslashes($cus_requirement)."',
	cus_tank_cap='".addslashes($cus_tank_cap)."',
	cus_dis_plant='".addslashes($cus_dis_plant)."',
	cus_problem='".addslashes($cus_problem)."',
	cus_daily_use='".addslashes($cus_daily_use)."',
	cus_pump_cap='".addslashes($cus_pump_cap)."',
	cus_under_tank='".addslashes($cus_under_tank)."',
	cus_pipe_type='".addslashes($cus_pipe_type)."',
	cus_visit_date='".addslashes($cus_visit_date)."',
	dealer_id='".$_SESSION['id']."'
	";  

$sql_insert = $dbconn->prepare($insert_accounts);
$sql_insert->execute();


	
	$message="Details successfully updated.";
	$status="success";
	header("Location: my_enquiries.php?id=$id&message=1&status=success");
		
}


 $select_user="SELECT * FROM dealers where id = '".$_SESSION['id']."' ";
 $sql=$dbconn->prepare($select_user);
 $sql->execute();
 $wlvd=$sql->fetchAll(PDO::FETCH_OBJ);
 foreach($wlvd as $rows);
?>

<!DOCTYPE html>
<html lang="en" dir="ltr">

<?php include('inc/header.php'); ?>

<script src="https://ajax.googleapis.com/ajax/libs/jquery/2.2.4/jquery.min.js"></script>
<script>
		$(function() {
		
			
			
			$("#cus_product").change(function() {
			
				var $dropdown = $(this);
			
				$.getJSON("jsondata/data.json", function(data) {
				
					var key = $dropdown.val();
					var vals = [];
										
					switch(key) {
						case 'Products':
							vals = data.Products.split(",");
							break;
						case 'Services':
							vals = data.Services.split(",");
							break;
						case 'base':
							vals = ['Please choose from above'];
					}
					
					var $jsontwo = $("#cus_requirement");
					$jsontwo.empty();
					$.each(vals, function(index, value) {
						$jsontwo.append("<option>" + value + "</option>");
					});
			
				});
			});

		});
	</script>
	
	
	
<body>
    <?php include('inc/preloader.php'); ?>
    <!-- ============================================================== -->
    <!-- Main wrapper - style you can find in pages.scss -->
    <!-- ============================================================== -->
    <div id="main-wrapper">
        <!-- ============================================================== -->
        <!-- Topbar header - style you can find in pages.scss -->
        <!-- ============================================================== -->
        <?php include('inc/top_menu.php'); ?>
        <!-- ============================================================== -->
        <!-- End Topbar header -->
        <!-- ============================================================== -->
        <!-- ============================================================== -->
        <!-- Left Sidebar - style you can find in sidebar.scss  -->
        <!-- ============================================================== -->
        <?php include('inc/main_menu.php'); ?>
        <!-- ============================================================== -->
        <!-- End Left Sidebar - style you can find in sidebar.scss  -->
        <!-- ============================================================== -->
        <!-- ============================================================== -->
        <!-- Page wrapper  -->
        <!-- ============================================================== -->
        <div class="page-wrapper">
            <!-- ============================================================== -->
            <!-- Bread crumb and right sidebar toggle -->
            <!-- ============================================================== -->
            <div class="page-breadcrumb">
                <div class="row">
                    <div class="col-5 align-self-center">
                        <h4 class="page-title">Add an Enquiry</h4>
                        <div class="d-flex align-items-center">

                        </div>
                    </div>
                    
                </div>
            </div>
            <!-- ============================================================== -->
            <!-- End Bread crumb and right sidebar toggle -->
            <!-- ============================================================== -->
            <!-- ============================================================== -->
            <!-- Container fluid  -->
            <!-- ============================================================== -->
            <div class="container-fluid">
                <!-- ============================================================== -->
                <!-- Start Page Content -->
                <!-- ============================================================== -->
                <!-- row -->
                <div class="row">
                    <div class="col-12">
                        <div class="card">
                            <div class="card-body">
							
							<?php if($message!="") { ?>
	  
	  <?php
				switch($vendor_status) {
					case "success":
						echo $db->success_message_info($message);
						break;
					case "failed":
						echo $db->error_message_info($message);
						break;
					default:
						echo "Nothing Done";
						break;
				}
			?>
      <?php } ?>
                                
                                
                                <form id="formID" class="m-t-30" method="post" action="">    
									
									<div class="form-group">
                                       
										<input name="from_dealer" type="hidden" class="form-control" id="from_dealer" aria-describedby="emailHelp" required="" value="<?php echo $rows->dealer_name; ?>" >
                                        <small id="emailHelp" class="form-text text-muted"></small>	
                                    </div>
									
									<div class="form-group">
                                        <label for="exampleInputEmail1">Customer Name</label>
										<input name="cus_name" type="text" class="form-control" id="cus_name" aria-describedby="emailHelp" required="" value="<?php echo $rows->cus_name; ?>" >
                                        <small id="emailHelp" class="form-text text-muted"></small>	
                                    </div>
									
									
                                    <div class="form-group">
                                        <label for="exampleInputEmail1">Mobile No</label>
										<input name="cus_mobile" type="text" class="form-control" id="cus_mobile" aria-describedby="emailHelp" required="" value="<?php echo $rows->cus_mobile; ?>" >
                                        <small id="emailHelp" class="form-text text-muted"></small>	
                                    </div>
									
									
									
									<div class="form-group">
                                        <label for="exampleInputEmail1">Email</label>
										<input name="cus_email" type="email" class="form-control" id="cus_email" aria-describedby="emailHelp"  value="<?php echo $rows->cus_email; ?>" >
                                        <small id="emailHelp" class="form-text text-muted"></small>	
                                    </div>
									
									
									<div class="form-group">
                                        <label for="exampleInputEmail1">Address</label>
										<input name="cus_address" type="text" class="form-control" id="cus_address" aria-describedby="emailHelp" required="" value="<?php echo $rows->cus_address; ?>" >
                                        <small id="emailHelp" class="form-text text-muted"></small>	
                                    </div>
									
									
									<div class="form-group">
                                        <label for="exampleInputEmail1">Road / Byelane Name</label>
										<input name="cus_road" type="text" class="form-control" id="cus_road" aria-describedby="emailHelp" required="" value="<?php echo $rows->cus_road; ?>" >
                                        <small id="emailHelp" class="form-text text-muted"></small>	
                                    </div>
									
									
									
									
									
									<div class="form-group">
                                        <label for="exampleInputEmail1">Flat / House No</label>
										<input name="cus_house" type="text" class="form-control" id="cus_house" aria-describedby="emailHelp" required="" value="<?php echo $rows->cus_house; ?>" >
                                        <small id="emailHelp" class="form-text text-muted"></small>	
                                    </div>
									
									
									
									<div class="form-group">
                                        <label for="exampleInputEmail1">Apartment Name</label>
										<input name="cus_apart" type="text" class="form-control" id="cus_apart" aria-describedby="emailHelp" required="" value="<?php echo $rows->cus_apart; ?>" >
                                        <small id="emailHelp" class="form-text text-muted"></small>	
                                    </div>
									
									
									
									
									
									<div class="form-group">
                                        <label for="exampleInputEmail1">City</label>
										
										<select class="form-control" id="cus_city" name="cus_city" >
                                            <option selected>Select</option>
                                            <option value="Abhayapuri">Abhayapuri</option>
											<option value="Ambicapur Pt VI">Ambicapur Pt VI</option>
											<option value="Ambicapur Pt VIII">Ambicapur Pt VIII</option>
											<option value="Ambikapur Part-X">Ambikapur Part-X</option>
											<option value="Amguri">Amguri</option>
											<option value="Amin Gaon">Amin Gaon</option>
											<option value="Anand Nagar">Anand Nagar</option>
											<option value="Asudubi">Asudubi</option>
											<option value="Azara">Azara</option>
											<option value="Badarpur">Badarpur</option>
											<option value="Badarpur Railway Town">Badarpur Railway Town</option>
											<option value="Bahbari Gaon">Bahbari Gaon</option>
											<option value="Bali Koria">Bali Koria</option>
											<option value="Bamun Sualkuchi">Bamun Sualkuchi</option>
											<option value="Bangaon">Bangaon</option>
											<option value="Barbari (AMC Area)">Barbari (AMC Area)</option>
											<option value="Barika Chuburi">Barika Chuburi</option>
											<option value="Barpathar">Barpathar</option>
											<option value="Barpeta">Barpeta</option>
											<option value="Barpeta Road">Barpeta Road</option>
											<option value="Barua Bari Gaon">Barua Bari Gaon</option>
											<option value="Basugaon">Basugaon</option>
											<option value="Batarashi">Batarashi</option>
											<option value="Belsor">Belsor</option>
											<option value="Bhalukdubi">Bhalukdubi</option>
											<option value="Bhuragaon Rev. Town">Bhuragaon Rev. Town</option>
											<option value="Bihpuria">Bihpuria</option>
											<option value="Bijni">Bijni</option>
											<option value="Bilasipara">Bilasipara</option>
											<option value="Biswanath Chariali">Biswanath Chariali</option>
											<option value="Bohari">Bohari</option>
											<option value="Bokajan">Bokajan</option>
											<option value="Bokakhat">Bokakhat</option>
											<option value="Bongaigaon">Bongaigaon</option>
											<option value="Bongaigaon Refinery & Petro-Chemical Ltd Township">Bongaigaon Refinery & Petro-Chemical Ltd Township</option>
											<option value="Borgolai Grant No.11">Borgolai Grant No.11</option>
											<option value="Borpukhuri">Borpukhuri</option>
											<option value="Chabua">Chabua</option>
											<option value="Chalantapara Pt IV">Chalantapara Pt IV</option>
											<option value="Chandrapur Baghicha">Chandrapur Baghicha</option>
											<option value="Changsari">Changsari</option>
											<option value="Chapakhowa Town">Chapakhowa Town</option>
											<option value="Chapar">Chapar</option>
											<option value="Chapra">Chapra</option>
											<option value="Charingia Gaon">Charingia Gaon</option>
											<option value="Chatibor Gaon">Chatibor Gaon</option>
											<option value="Chekonidhara">Chekonidhara</option>
											<option value="Chota Haibor">Chota Haibor</option>
											<option value="Dahali">Dahali</option>
											<option value="Damara Patpara">Damara Patpara</option>
											<option value="Dergaon">Dergaon</option>
											<option value="Dhakuakhana">Dhakuakhana</option>
											<option value="Dharapur">Dharapur</option>
											<option value="Dhekiajuli">Dhekiajuli</option>
											<option value="Dhekorgorha">Dhekorgorha</option>
											<option value="Dhemaji">Dhemaji</option>
											<option value="Dhing">Dhing</option>
											<option value="Dhubri">Dhubri</option>
											<option value="Dibrugarh">Dibrugarh</option>
											<option value="Digaru Gaon">Digaru Gaon</option>
											<option value="Digboi">Digboi</option>
											<option value="Digboi Oil Town">Digboi Oil Town</option>
											<option value="Digheli">Digheli</option>
											<option value="Dimaruguri">Dimaruguri</option>
											<option value="Diphu">Diphu</option>
											<option value="Doboka">Doboka</option>
											<option value="Dokmoka">Dokmoka</option>
											<option value="Donkamokam">Donkamokam</option>
											<option value="Doom Dooma">Doom Dooma</option>
											<option value="Dudhpatil Pt V">Dudhpatil Pt V</option>
											<option value="Dudhpatil Pt VI">Dudhpatil Pt VI</option>
											<option value="Duliajan Oil Town">Duliajan Oil Town</option>
											<option value="Durga Nagar Part-V">Durga Nagar Part-V</option>
											<option value="Forest Village Lakhipathar">Forest Village Lakhipathar</option>
											<option value="Garal">Garal</option>
											<option value="Gauripur">Gauripur</option>
											<option value="Gerimari Chapori">Gerimari Chapori</option>
											<option value="Goalpara">Goalpara</option>
											<option value="Gobindapur">Gobindapur</option>
											<option value="Gohpur">Gohpur</option>
											<option value="Golaghat">Golaghat</option>
											<option value="Golaghatia Basti">Golaghatia Basti</option>
											<option value="Golokganj">Golokganj</option>
											<option value="Gossaigaon">Gossaigaon</option>
											<option value="Gutlong Gaon">Gutlong Gaon</option>
											<option value="Guwahati">Guwahati</option>
											<option value="Haflong">Haflong</option>
											<option value="Hailakandi">Hailakandi</option>
											<option value="Hamren">Hamren</option>
											<option value="Hindustan Paper Corporation Ltd. Township">Hindustan Paper Corporation Ltd. Township</option>
											<option value="Hojai">Hojai</option>
											<option value="Howli">Howli</option>
											<option value="Howraghat">Howraghat</option>
											<option value="Irongmara">Irongmara</option>
											<option value="Jagiroad">Jagiroad</option>
											<option value="Jalah">Jalah</option>
											<option value="Jamunamukh">Jamunamukh</option>
											<option value="Jhagra Pt.III">Jhagra Pt.III</option>
											<option value="Jonai Bazar">Jonai Bazar</option>
											<option value="Jorhat">Jorhat</option>
											<option value="Kachujan Gaon">Kachujan Gaon</option>
											<option value="Kahi Kuchi">Kahi Kuchi</option>
											<option value="Kakaya">Kakaya</option>
											<option value="Kalaigaon">Kalaigaon</option>
											<option value="Kamalabaria N.C.">Kamalabaria N.C.</option>
											<option value="Kampur Town">Kampur Town</option>
											<option value="Kanakpur I">Kanakpur I</option>
											<option value="Kanakpur Part-II">Kanakpur Part-II</option>
											<option value="Kanisail Pt I">Kanisail Pt I</option>
											<option value="Karimganj">Karimganj</option>
											<option value="Katirail T.E.">Katirail T.E.</option>
											<option value="Khaira Bari">Khaira Bari</option>
											<option value="Kharijapikon">Kharijapikon</option>
											<option value="Kharupatia">Kharupatia</option>
											<option value="Kochpara">Kochpara</option>
											<option value="Kokrajhar">Kokrajhar</option>
											<option value="Kumar Kaibarta Gaon">Kumar Kaibarta Gaon</option>
											<option value="Laharijan Natun Bosti">Laharijan Natun Bosti</option>
											<option value="Lakhi Nepali">Lakhi Nepali</option>
											<option value="Lakhipur">Lakhipur</option>
											<option value="Lala">Lala</option>
											<option value="Lanka">Lanka</option>
											<option value="Lido Tikok">Lido Tikok</option>
											<option value="Lumding">Lumding</option>
											<option value="Lumding Railway Colony">Lumding Railway Colony</option>
											<option value="Mahur">Mahur</option>
											<option value="Maibong">Maibong</option>
											<option value="Mairabari Town">Mairabari Town</option>
											<option value="Majarkuri">Majarkuri</option>
											<option value="Majgaon">Majgaon</option>
											<option value="Majir Gaon">Majir Gaon</option>
											<option value="Makum">Makum</option>
											<option value="Mangaldoi">Mangaldoi</option>
											<option value="Mankachar">Mankachar</option>
											<option value="Margherita">Margherita</option>
											<option value="Mariani">Mariani</option>
											<option value="Marigaon">Marigaon</option>
											<option value="Marowa">Marowa</option>
											<option value="Mohmaiki">Mohmaiki</option>
											<option value="Moranhat">Moranhat</option>
											<option value="Moran Town">Moran Town</option>
											<option value="Morongial">Morongial</option>
											<option value="Mosli Pt I">Mosli Pt I</option>
											<option value="Nagaon">Nagaon</option>
											<option value="Naharkatiya">Naharkatiya</option>
											<option value="Nahira">Nahira</option>
											<option value="Nakhula Grant">Nakhula Grant</option>
											<option value="Nalbari">Nalbari</option>
											<option value="Namrup">Namrup</option>
											<option value="Narayanpur">Narayanpur</option>
											<option value="Naubaisa Goan">Naubaisa Goan</option>
											<option value="Nazira">Nazira</option>
											<option value="New Bongaigaon Railway Colony">New Bongaigaon Railway Colony</option>
											<option value="Nidanpur Pt-II">Nidanpur Pt-II</option>
											<option value="Niz-Bahjani">Niz-Bahjani</option>
											<option value="Niz-Hajo">Niz-Hajo</option>
											<option value="Niz Katigorah Pt III">Niz Katigorah Pt III</option>
											<option value="Niz - Mankata">Niz - Mankata</option>
											<option value="No.2 Goreswar">No.2 Goreswar</option>
											<option value="North Guwahati">North Guwahati</option>
											<option value="North Lakhimpur">North Lakhimpur</option>
											<option value="Nowsolia Gaon">Nowsolia Gaon</option>
											<option value="Numaligarh Refinery Township">Numaligarh Refinery Township</option>
											<option value="Padmabil">Padmabil</option>
											<option value="Palasbari">Palasbari</option>
											<option value="Parlli Part">Parlli Part</option>
											<option value="Pathsala">Pathsala</option>
											<option value="Pipalibari">Pipalibari</option>
											<option value="Pub - Dhaniram Pather">Pub - Dhaniram Pather</option>
											<option value="Raha">Raha</option>
											<option value="Rangapara">Rangapara</option>
											<option value="Rangia">Rangia</option>
											<option value="Rupahi Town">Rupahi Town</option>
											<option value="Rupiabathan">Rupiabathan</option>
											<option value="Salakati">Salakati</option>
											<option value="Salpara Molandubi Pt.-I">Salpara Molandubi Pt.-I</option>
											<option value="Sanpara">Sanpara</option>
											<option value="Sapatgram">Sapatgram</option>
											<option value="Sarbhog">Sarbhog</option>
											<option value="Sarpara">Sarpara</option>
											<option value="Sarthebari">Sarthebari</option>
											<option value="Sarupathar">Sarupathar</option>
											<option value="Sarupathar Bengali">Sarupathar Bengali</option>
											<option value="Sepon">Sepon</option>
											<option value="Silapathar">Silapathar</option>
											<option value="Silchar">Silchar</option>
											<option value="Silchar Part-X">Silchar Part-X</option>
											<option value="Simaluguri">Simaluguri</option>
											<option value="Sivasagar">Sivasagar</option>
											<option value="Sonapur Gaon">Sonapur Gaon</option>
											<option value="Sonari">Sonari</option>
											<option value="Sualkuchi">Sualkuchi</option>
											<option value="Takhlibilar Pathar">Takhlibilar Pathar</option>
											<option value="Tangla">Tangla</option>
											<option value="Tarapur Pt VI">Tarapur Pt VI</option>
											<option value="Tarapur VII">Tarapur VII</option>
											<option value="Tegheria">Tegheria</option>
											<option value="Teok">Teok</option>
											<option value="Tezpur">Tezpur</option>
											<option value="Thekashu Pt-I">Thekashu Pt-I</option>
											<option value="Thekashu Pt.-II">Thekashu Pt.-II</option>
											<option value="Tihu">Tihu</option>
											<option value="Tinsukia">Tinsukia</option>
											<option value="Titabor Town">Titabor Town</option>
											<option value="Tupkhana Pt I">Tupkhana Pt I</option>
											<option value="Udalguri">Udalguri</option>
											<option value="Udiana">Udiana</option>
											<option value="Umrangso">Umrangso</option>
											<option value="Upar Hali">Upar Hali</option>
											<option value="Uttar Athiabari">Uttar Athiabari</option>
											<option value="Uttar Krishnapur Part-I">Uttar Krishnapur Part-I</option>
											<option value="Uttar Krishnapur Pt III">Uttar Krishnapur Pt III</option>
																			
                                        </select>	
                                    </div>

									
									
									
									<div class="form-group">
                                        <label for="exampleInputEmail1">Landmark (If any)</label>
										<input name="cus_location" type="text" class="form-control" id="cus_location" aria-describedby="emailHelp"  value="<?php echo $rows->cus_location; ?>" >
                                        <small id="emailHelp" class="form-text text-muted"></small>	
                                    </div>
																		
									
									<div class="form-group">
                                        <label for="exampleInputEmail1">State</label>
										
										<select class="form-control" id="cus_state" name="cus_state" >
                                            <option selected>Select</option>
                                            <option value="Baksa">Baksa</option>
											<option value="Barpeta">Barpeta</option>
											 <option value="Bongaigaon">Bongaigaon</option>
											<option value="Cachar">Cachar</option>
											<option value="Darrang">Darrang</option>
											<option value="Dhemaji">Dhemaji</option>
											<option value="Dhubri">Dhubri</option>
											<option value="Dibrugarh">Dibrugarh</option>
											<option value="Dima Hasao">Dima Hasao</option>
											<option value="Goalpara">Goalpara</option>
											<option value="Golaghat">Golaghat</option>
											<option value="Hailakandi">Hailakandi</option>
											<option value="Jorhat">Jorhat</option>
											<option value="Kamrup">Kamrup</option>
											<option value="Kamrup Metropolitan">Kamrup Metropolitan</option>
											<option value="Karbi Anglong">Karbi Anglong</option>
											<option value="Karimganj">Karimganj</option>
											<option value="Kokrajhar">Kokrajhar</option>
											<option value="Lakhimpur">Lakhimpur</option>
											<option value="Morigaon">Morigaon</option>
											<option value="Nagaon">Nagaon</option>
											<option value="Nalbari">Nalbari</option>
											<option value="Sivasagar">Sivasagar</option>
											<option value="Sonitpur">Sonitpur</option>
											<option value="Tinsukia">Tinsukia</option>
											<option value="Udalguri">Udalguri</option>
																			
                                        </select>	
                                    </div>

						
									
									
									<div class="form-group">
									<label for="exampleInputEmail1">Customer's Requirement</label>
                                        <select class="form-control" id="cus_product" name="cus_product" onchange="selectchange()">
                                            <option selected value="base">Select</option>
                                            <option value="Products">Products</option>
											<option value="Services">Services</option>
                                            
                                            
                                        </select>
                                    </div>
									
									
									<div class="form-group">
									<label for="exampleInputEmail1">Select Product / Services</label>
                                        <select class="form-control" id="cus_requirement" name="cus_requirement" >
                                            <option>Please choose from above</option>
                                            
                                            
                                        </select>
                                    </div>
									
									
									<div class="form-group">
                                        <label for="exampleInputEmail1">Problem</label>
																	
										<select class="form-control" id="cus_problem" name="cus_problem" >
                                           
                                            <option>Please choose from above</option>
											
                                        </select>
										
										
                                    </div>
									
									
									<div class="form-group">
                                        <label for="exampleInputEmail1">Daily Usage</label>
										<select class="form-control" id="cus_daily_use" name="cus_daily_use" >
                                            <option selected>Select</option>
                                            <option value="500-1000 LPD">500-1000 LPD</option>
											<option value="1000 - 2000 LPD">1000 - 2000 LPD</option>
											<option value="2000 - 3000 LPD">2000 - 3000 LPD</option>
											<option value="3000 - 4000 LPD">3000 - 4000 LPD</option>
											<option value="4000 - 5000 LPD">4000 - 5000 LPD</option>
											<option value="5000 - 10000 LPD">5000 - 10000 LPD</option>
                                            <option value="10000 - 15000 LPD">10000 - 15000 LPD</option>
                                            <option value="15000 - 20000 LPD">15000 - 20000 LPD</option>
											 <option value="Above 20000 LPD">Above 20000 LPD</option>
                                        </select>
										
										
                                    </div>
									
									
									
									
									
									
									<div class="form-group">
                                        <label for="exampleInputEmail1">Tank Capacity</label>
										<input name="cus_tank_cap" type="text" class="form-control" id="cus_tank_cap" aria-describedby="emailHelp" required="" value="<?php echo $rows->cus_tank_cap; ?>" >
                                        <small id="emailHelp" class="form-text text-muted"></small>	
                                    </div>
									
									
									<div class="form-group">
                                        <label for="exampleInputEmail1"> Height Plant to Tank</label>
										<input name="cus_dis_plant" type="text" class="form-control" id="cus_dis_plant" aria-describedby="emailHelp" required="" value="<?php echo $rows->cus_dis_plant; ?>" >
                                        <small id="emailHelp" class="form-text text-muted"></small>	
                                    </div>
									
									
									
									
									<div class="form-group">
                                        <label for="exampleInputEmail1">Pump Capacity (Optional)</label>
										<input name="cus_pump_cap" type="text" class="form-control" id="cus_pump_cap" aria-describedby="emailHelp"  value="<?php echo $rows->cus_pump_cap; ?>" >
                                        <small id="emailHelp" class="form-text text-muted"></small>	
                                    </div>
									
									
									
									
									<div class="form-group">
                                        <label for="exampleInputEmail1">Underground Tank? (Yes/No)</label>
										<select class="form-control" id="cus_under_tank" name="cus_under_tank" >
                                            <option selected>Select</option>
                                            <option value="Yes">Yes</option>
											<option value="No">No</option>
											
                                        </select>
									
                                    </div>
									
									
									
									<div class="form-group">
                                        <label for="exampleInputEmail1">Pipeline Type</label>
										
										<select class="form-control" id="cus_pipe_type" name="cus_pipe_type" >
                                            <option selected>Select</option>
                                            <option value="CPVC">CPVC</option>
											<option value="UPVC">UPVC</option>
											 <option value="PVC">PVC</option>
											<option value="GI">GI</option>
											<option value="PPR">PPR</option>
                                        </select>	
                                    </div>
									
									
									
									<div class="form-group">
                                        <label for="exampleInputEmail1">Proposed Visit Date</label>
										<input name="cus_visit_date" type="date" class="form-control" id="cus_visit_date" aria-describedby="emailHelp"  value="<?php echo $rows->cus_visit_date; ?>" >
                                        <small id="emailHelp" class="form-text text-muted"></small>	
                                    </div>
									
									
									<button type="submit"  name="submit12345" value="Submit" class="btn btn-primary">Submit</button>
									
									
                                </form>
                            </div>
							
							<script>
    function selectchange(){
        
    var e = document.getElementById("cus_product");
var stropt = e.options[e.selectedIndex].value;
        if(stropt=="Products")
            {
                
                createone();
            }
        
        else if(stropt=="Services")
            {
                
                createtwo();
            }
        
        
        
    }
    function createone(){
     $("#cus_problem").empty();
        var select = document.getElementById("cus_problem");
		select.options[select.options.length] = new Option('Iron', 'Iron');
        select.options[select.options.length] = new Option('Turbidity', 'Turbidity');
		select.options[select.options.length] = new Option('Odor', 'Odor');
		select.options[select.options.length] = new Option('Others', 'Others');

    }
    function createtwo(){
     $("#cus_problem").empty();

        var select = document.getElementById("cus_problem");
		select.options[select.options.length] = new Option('Media Change', 'Media Change');
        select.options[select.options.length] = new Option('Leakage', 'Leakage');
		select.options[select.options.length] = new Option('Water Not Coming', 'Water Not Coming');
		select.options[select.options.length] = new Option('Servicing', 'Servicing');

    }
    </script>
                        </div>
                    </div>
                </div>
                <!-- row -->
                <!-- .row -->
                
				
				
                
            </div>
            <!-- ============================================================== -->
            <!-- End Container fluid  -->
            <!-- ============================================================== -->
            <!-- ============================================================== -->
			
		
            <?php include('inc/footer.php'); ?>
			
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