Viewing file:  createaccountfd.php (10.49 KB) -rw-r--r--
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<?php include('session.php'); ?>
<?php include ('account_fd.php'); ?>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
</head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Fixed Deposit Account Create</title>
<script src="SpryAssets/SpryMenuBar.js" type="text/javascript"></script>
<link href="SpryAssets/SpryMenuBarHorizontal.css" rel="stylesheet" type="text/css" />
<style type="text/css">
a:link {
text-decoration: none;
}
a:visited {
text-decoration: none;
}
a:hover {
text-decoration: none;
}
a:active {
text-decoration: none;
}
body {
background-color: #CCC;
}
</style>
<script language="JavaScript" type="text/javascript">
<!--
function Toggle(obj){
var val=obj.value;
if (!obj.m){ obj.m=''; }
if (!obj.m.match(val)){ obj.m+=','+val+','; }
var hide=obj.m.split(',');
for (var zxc0=0;zxc0<hide.length;zxc0++){
if (document.getElementById(hide[zxc0])){
document.getElementById(hide[zxc0]).style.display='none';
}
}
var show=val.split(',');
for (var zxc1=0;zxc1<show.length;zxc1++){
if (document.getElementById(show[zxc1])){
document.getElementById(show[zxc1]).style.display='';
}
}
}
//-->
</script>
</head>
<center>
<body>
<form name="autoSumForm">
<table width="100%" border="0" bgcolor="#FFFFFF">
<tr>
<td ><?php include('header.php'); ?></td>
<td colspan="2"></td
></tr>
<tr>
<td colspan="3">
<table width="100%" border="0">
<tr>
<td colspan="3" bgcolor="#CCCCCC"><?php include('menubar.php'); ?></td>
</tr>
<tr>
<td width="210" bgcolor="#6699CC">Welcome <?php echo $user ?></td>
<td width="335" bgcolor="#6699CC"><a href="logout.php">Logout</a></td>
<td width="386" bgcolor="#6699CC"><?php echo "Today is " . date("d/m/y") . "<br>";?></td>
</tr>
</table>
</td>
</tr>
<tr>
<td colspan="2" align="left">
<form action="" method="get" name="form">
Enter Member Code :
<input name="q" type="text" />
<input type="submit" name="Submit" value="Search" />
</form>
</td>
</tr>
<tr>
<td colspan="2"> </td> </tr>
<tr>
<td colspan="2">
<form id="form1" name="form1" method="post" action="acc_printfd.php" enctype="multipart/form-data">
<?php
// Get the search variable from URL
$var = @$_GET['q'] ;
$trimmed = trim($var); //trim whitespace from the stored variable
?>
</td>
</tr>
<tr>
<td colspan="2"></td></tr>
<tr>
<td colspan="2"></td> </tr>
<tr>
<td colspan="3" bgcolor="#66CCFF">
<table width="944" border="0">
<tr>
<td align="left" bgcolor="#66CCFF">Account No</td>
<td colspan="5" align="left" bgcolor="#66CCFF"><input name="account" type="text" id="account" tabindex="1" size="20" maxlength="20" required="required" readonly="readonly" value=<?php echo $accountnew ?> /></td>
</tr>
<tr>
<td width="105" align="left" bgcolor="#66CCFF">Name</td>
<td colspan="4" align="left" bgcolor="#66CCFF"><input name="cname" type="text" id="cname" size="60" maxlength="80" /> <label for="textfield2" ></label></td>
<td width="182" align="left" bgcolor="#66CCFF">
</td>
</tr>
<tr>
<td align="left" bgcolor="#66CCFF">Father/Husband Name</td>
<td colspan="5" align="left" bgcolor="#66CCFF"><input name="fname" type="text" id="fname" size="60" maxlength="80" /></td>
</tr>
<tr>
<td height="38" align="left" bgcolor="#66CCFF">Join Date</td>
<td colspan="2" align="left" bgcolor="#66CCFF"><select name="jdate" size="1" id="da">
<option><?php echo date(d) ?></option>
<option>01</option>
<option>02</option>
<option>03</option>
<option>04</option>
<option>05</option>
<option>06</option>
<option>07</option>
<option>08</option>
<option>09</option>
<option>10</option>
<option>11</option>
<option>12</option>
<option>13</option>
<option>14</option>
<option>15</option>
<option>16</option>
<option>17</option>
<option>18</option>
<option>19</option>
<option>20</option>
<option>21</option>
<option>22</option>
<option>23</option>
<option>24</option>
<option>25</option>
<option>26</option>
<option>27</option>
<option>28</option>
<option>29</option>
<option>30</option>
<option>31</option>
</select>
<select name="jmonth" id="jmonth">
<option><?php echo date(m) ?></option>
<option>01</option>
<option>02</option>
<option>03</option>
<option>04</option>
<option>05</option>
<option>06</option>
<option>07</option>
<option>08</option>
<option>09</option>
<option>10</option>
<option>11</option>
<option>12</option>
</select>
<select name="jyear" id="jyear">
<option><?php echo date(Y) ?></option>
<option>2014</option>
<option>2015</option>
<option>2016</option>
<option>2017</option>
<option>2018</option>
<option>2019</option>
<option>2020</option>
</select></td>
<td width="199" align="left" bgcolor="#66CCFF"> </td>
<td width="123" align="left" bgcolor="#66CCFF">Application No</td>
<td align="left" bgcolor="#66CCFF"><input type="text" name="applicationno1" id="applicationno1" /></td>
</tr>
<tr>
<td height="37" align="left" bgcolor="#66CCFF">Address</td>
<td colspan="5" align="left" bgcolor="#66CCFF"><input name="address" type="text" id="address" tabindex="3" size="80" maxlength="80" /></td>
</tr>
<tr>
<td align="left" bgcolor="#66CCFF">Email</td>
<td width="180" align="left" bgcolor="#66CCFF"><input type="text" name="email" id="email" tabindex="6" /></td>
<td width="129" align="left" bgcolor="#66CCFF">Date of Birth</td>
<td align="left" bgcolor="#66CCFF"><label for="textfield9"></label>
<input name="dob" type="text" required="required" id="datepicker" tabindex="7" /></td>
<td align="left" bgcolor="#66CCFF">Pan No</td>
<td align="left" bgcolor="#66CCFF"><label for="textfield4"></label>
<input type="text" name="occupation" id="occupation" tabindex="8" required /></td>
</tr>
<tr>
<td align="left" bgcolor="#66CCFF">Qualification</td>
<td align="left" bgcolor="#66CCFF"><label for="textfield5"></label>
<input type="text" name="qualification" id="qualification" tabindex="9" /></td>
<td align="left" bgcolor="#66CCFF">Phone</td>
<td align="left" bgcolor="#66CCFF"> <input type="text" name="mobile" id="mobile" /></td>
<td align="left" bgcolor="#66CCFF">Member Code</td>
<td align="left" bgcolor="#66CCFF"><label for="textfield15">
<input type="text" name="mcode" id="mcode" tabindex="15" value="<?php echo $trimmed ?>" />
</label></td>
</tr>
<tr>
<td align="left" bgcolor="#66CCFF">Nominee Name</td>
<td align="left" bgcolor="#66CCFF"><label for="textfield6"></label>
<input type="text" name="nominee_name" id="nominee_name" tabindex="12" /></td>
<td align="left" bgcolor="#66CCFF">Nominee Age</td>
<td align="left" bgcolor="#66CCFF"><label for="textfield11"></label>
<input type="text" name="nominee_age" id="nominee_age" tabindex="13" /></td>
<td align="left" bgcolor="#66CCFF">Nominee Relation</td>
<td align="left" bgcolor="#66CCFF"><label for="textfield16"></label>
<input type="text" name="nomineerelation" id="nomineerelation" tabindex="14" /></td>
</tr>
<tr>
<td align="left" bgcolor="#66CC66">Deposite Amount</td>
<td bgcolor="#66CC66" align="left" valign="top">
<input name= "amount" id="amount" required="required" >
</td>
<td align="left" bgcolor="#66CC66">Plan Years</td>
<td colspan="3" align="left" bgcolor="#66CC66"><label for="textfield25"></label>
<label for="textfield17">
<select name="plantime" id="plantime">
<option value="12 ">1</option>
<option value="24 ">2</option>
<option value="36 ">3</option>
<option value="48 ">4</option>
<option value="60 ">5</option>
<option value="72 ">6</option>
</select>
</label></td>
</tr>
<tr>
<td align="left" bgcolor="#33CCCC">Receipt No</td>
<td align="left" bgcolor="#33CCCC"><label for="textfield20"></label>
<input name="receipt" type="text" id="receipt" value="<?php echo $receiptnew; ?>" readonly/></td>
<td align="left" bgcolor="#33CCCC">Branch Name</td>
<td align="left" bgcolor="#33CCCC">
<input name="branchname" type="text" id="branchname" readonly="readonly" value="<?php echo $user; ?>" />
</td>
<td align="left" bgcolor="#33CCCC">Scheme Name</td>
<td align="left" bgcolor="#33CCCC">
<input name="schemename" type="text" id="schemename" readonly="readonly" value="FD" />
</td>
</tr>
<tr>
<td align="left" bgcolor="#33CCCC">Photo</td>
<td align="left" bgcolor="#33CCCC"><input type="file" name="fileField" id="fileField" /></td>
<td align="left" bgcolor="#33CCCC">Signature</td>
<td align="left" bgcolor="#33CCCC"><input type="file" name="fileField2" id="fileField2" /></td>
<td align="left" bgcolor="#33CCCC"> </td>
<td align="left" bgcolor="#33CCCC"> </td>
</tr>
<tr>
<td colspan="6" align="center"><input type="submit" name="ADD" id="ADD" value="ADD" tabindex="22" /></td>
</tr>
</table>
<p> </p>
</form>
</td>
</tr>
</table>
</form>
</body></center>
</html>
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