Viewing file:  loan_new_form.php (6.74 KB) -rw-r--r--
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<?php
include('session.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>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">
table {
border: 0px solid green;
border-collapse: collapse;
width:100%;
}
table td {
border: 0px solid green;
}
table td.shrink {
white-space:nowrap
}
table td.expand {
width: 99%
}
</style>
<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 id="form1" name="form1" method="post" action="loannewform.php" enctype="multipart/form-data">
<table border="0" bgcolor="#FFFFFF">
<tr>
<td ><?php include('header.php'); ?></td>
></tr>
<tr>
<td colspan="3">
<table width="945" 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">
</td>
</tr>
<tr>
<td colspan="2"> </td> </tr>
<tr>
<td colspan="2">
</td>
</tr>
<tr>
<td colspan="2"></td></tr>
<tr>
<td colspan="2"></td> </tr>
<tr>
<td colspan="3" bgcolor="#66CCFF" align="left">
<table width="944" border="0">
<tr>
<td colspan="6" bgcolor="#D72427"> </td>
</tr>
<tr>
<td width="127" bgcolor="#66CCFF" align="left" align="left" align="left">GROUP NAME</td>
<td colspan="4" bgcolor="#66CCFF" align="left">
<?php
// Create connection
$con=mysqli_connect("localhost","sarkmicr_user","rb!sar838","sarkmicr_data");
// Check connection
if (mysqli_connect_errno())
// Check connection
if (mysqli_connect_errno())
{
echo "Failed to connect to MySQL: " . mysqli_connect_error();
} else {
echo "We are connected.";
}
$result = mysqli_query($con,"SELECT ID, groupname FROM micfinance ");
?>
<select name="q" id="q" >
<?
while($row = mysqli_fetch_array($result))
{
echo "<option value='" . $row['groupname'] . "'>" . $row['groupname'] . "</option>";
}
?>
</select>
</td>
<td width="182" bgcolor="#66CCFF" align="left"><label for="textfield"></label>
<label for="textfield14"></label></td>
</tr>
<tr>
<td bgcolor="#66CCFF" align="left">Name</td>
<td colspan="5" bgcolor="#66CCFF" align="left"><input name="pname" type="text" id="pname" size="60" maxlength="80" r required="required"/></td>
</tr>
<tr>
<td bgcolor="#66CCFF" align="left">Father/Husband</td>
<td colspan="5" bgcolor="#66CCFF" align="left"><input name="fname" type="text" id="fname" size="60" maxlength="80" required="required"/></td>
</tr>
<tr>
<td bgcolor="#66CCFF" align="left">Address</td>
<td colspan="5" bgcolor="#66CCFF" align="left"><input name="address" type="text" id="address" size="60" maxlength="80" r required="required"/></td>
</tr>
<tr>
<td bgcolor="#66CCFF" align="left">Mobile No</td>
<td colspan="5" bgcolor="#66CCFF" align="left"><input name="mobile" type="text" id="mobile" size="60" maxlength="80" r required="required"/></td>
</tr>
<tr>
<td bgcolor="#66CCFF" align="left">ID NO</td>
<td colspan="5" bgcolor="#66CCFF" align="left"><input name="idno" type="text" id="idno" size="60" maxlength="80" r required="required"/></td>
</tr>
<tr>
<td bgcolor="#66CCFF" align="left">Address Proof</td>
<td colspan="5" bgcolor="#66CCFF" align="left"><input name="addprof" type="text" id="addprof" size="60" maxlength="80" r required="required"/></td>
</tr>
<tr>
<td bgcolor="#66CCFF" align="left">Registation Fees Amount</td>
<td colspan="5" bgcolor="#66CCFF" align="left"><input name="ramount" type="text" id="ramount" size="60" maxlength="80" r required="required"/></td>
</tr>
<tr>
<td bgcolor="#66CCFF" align="left">Loan Amount</td>
<td colspan="5" bgcolor="#66CCFF" align="left"><input name="lamount" type="text" id="lamount" size="60" maxlength="80" r required="required"/></td>
</tr>
<tr>
<td bgcolor="#66CCFF" align="left">Primemum Turm</td>
<td colspan="5" bgcolor="#66CCFF" align="left"><input name="pamount" type="text" id="pamount" size="60" maxlength="80" value="50" required="required" readonly="readonly"/></td>
</tr>
<tr>
<td height="38" bgcolor="#66CCFF" align="left">Form Apply Date</td>
<td colspan="2" bgcolor="#66CCFF" align="left"><input name="fdate" type="text" id="fdate" size="60" maxlength="80" /></td>
<tr>
<td height="38" bgcolor="#66CCFF" align="left">Loan Sanctioned Date</td>
<td colspan="2" bgcolor="#66CCFF" align="left"><input name="sndate" type="text" id="sndate" size="60" maxlength="80" /></td>
<td width="105" bgcolor="#66CCFF" align="left">Branch Name</td>
<td colspan="2" bgcolor="#66CCFF" align="left"><input name="branchname" type="text" required id="branchname" readonly="readonly" value="<?php echo $user ?>" tabindex="21" /></td>
</tr>
<tr>
<td colspan="6" align="center" bgcolor="#D72427"><input type="submit" name="ADD" id="ADD" value="ADD" tabindex="22" /></td>
</tr>
</table>
</td>
</tr>
</table>
</form>
</body></center>
</html>
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