Elehhjhjjkjkfpf6df56fd65ffff

korsygfhrfggfhfgfffgffg6655665dtggggggzangaiide Elehhjhjjkjkfpf6df56fd65ffff

<?php
include 'includes/config.php';
ob_start();

if(!isset($_GET['enquiry_no'])) 
{
header ("Location: ./");
        exit();
}
 $enquiry_no = $_GET['enquiry_no'];

$check_query = "SELECT * FROM srvc_dtls WHERE enquiry_no='$enquiry_no'  AND is_completed='0' ";
  $result4 = mysqli_query($conn, $check_query);
  
  if (mysqli_num_rows($result4) !== 1) 
    {
     header ("Location: ./");
        exit();
      }

if(isset($_POST['p_submit1'])) 
{
    
$aadhr_crd = filter_var($_POST['aadhr_crd'], FILTER_SANITIZE_STRING);
$pan_card = filter_var($_POST['pan_card'], FILTER_SANITIZE_STRING);
$voter_crd = filter_var($_POST['voter_crd'], FILTER_SANITIZE_STRING);
$elct_bill = filter_var($_POST['elct_bill'], FILTER_SANITIZE_STRING);
$land_doc = filter_var($_POST['land_doc'], FILTER_SANITIZE_STRING);
$dl_dtls = filter_var($_POST['dl_dtls'], FILTER_SANITIZE_STRING);
$bank_pssbk = filter_var($_POST['bank_pssbk'], FILTER_SANITIZE_STRING);
$other_doc = filter_var($_POST['other_doc'], FILTER_SANITIZE_STRING);
$no_copies = filter_var($_POST['no_copies'], FILTER_SANITIZE_STRING);

date_default_timezone_set('Asia/Kolkata');
$date_time = date('d-m-Y h:i:s A', time());

$content1 = base64_encode($long_desc);

$sql = "UPDATE srvc_dtls SET 
aadhr_crd='$aadhr_crd',
pan_card = '$pan_card', 
voter_crd  = '$voter_crd' ,
elct_bill = '$elct_bill', 
land_doc = '$land_doc' ,
dl_dtls = '$dl_dtls', 
bank_pssbk = '$bank_pssbk', 
other_doc='$other_doc', 
no_copies='$no_copies',

posted_on = '$date_time'

WHERE enquiry_no='$enquiry_no'  AND is_completed='0' ";

$result2 = mysqli_query($conn, $sql);

if($result2 == 1)
{

header ("Location: upload_document.php?enquiry_no=$enquiry_no");

}

else

{
  
 $eror_msg = "<i class=\"fa fa-exclamation-triangle\" style=\"color: red;\"></i> &nbsp; Please try after sometime !!";
header( "refresh: 2;url=./" );
}

}

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

<title>APC - Registration Form Details</title>

<link href="assets/css/styles.css" rel="stylesheet">
<link rel="icon" href="assets/img/logo/apc_logo.png" />
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.7.0/css/font-awesome.min.css">

.select2-results {
    display: block;
    border: 1px solid #48b5dd;
}

.select2-container--open .select2-dropdown--below {
      border: 1px solid #48b5dd;

}
    .call_action_wrap-wrap {
    padding: 30px 0;
}

/*[data-overlay]:before {*/
/*    position: absolute;*/
/*    content: '';*/
/*    background: #112848;*/
/*    width: 100%;*/
/*    height: 70%;*/
/*    top: 0;*/
/*    left: 0;*/
/*    z-index: 1;*/
/*}*/

/*.page-title {*/
/*    width: 100%;*/
/*    min-height: 200px;*/
/*}*/

/*progressbar*/

.form-card {
	text-align: left;
	color: #000;
	font-weight: bold;
}

/*Next Buttons*/
#msform .action-button {
    width: 100px;
    background: #48b5dd;
    font-weight: bold;
    color: white;
    border: 0 none;
    border-radius: 0px;
    cursor: pointer;
    padding: 10px 5px;
    margin: 10px 0px 10px 5px;
    float: right;
}

#msform .action-button:hover, #msform .action-button:focus {
    background-color: #311B92;
}

/*Previous Buttons*/
#msform .action-button-previous {
    width: 100px;
    background: #616161;
    font-weight: bold;
    color: white;
    border: 0 none;
    border-radius: 0px;
    cursor: pointer;
    padding: 10px 5px;
    margin: 10px 5px 10px 0px;
    float: right;
}

#msform .action-button-previous:hover, #msform .action-button-previous:focus {
    background-color: #000000;
}

/*The background card*/
.card {
    z-index: 0;
    border: none;
    position: relative;
}

.purple-text {
	color: #48b5dd;
    font-weight: normal;
}

/*Step Count*/
.steps {
	font-size: 15px;
    color: gray;
    margin-bottom: 10px;
    font-weight: normal;
    text-align: right;
}

/*Field names*/
.fieldlabels {
	color: gray;
	text-align: left;
}

/*Icon progressbar*/
#progressbar {
    margin-bottom: 30px;
    overflow: hidden;
    color: lightgrey;
}

#progressbar .active {
    color: #48b5dd;
}

#progressbar li {
    list-style-type: none;
    font-size: 15px;
    width: 25%;
    float: left;
    position: relative;
    font-weight: 400;
}

/*Icons in the ProgressBar*/
#progressbar #account:before {
    font-family: FontAwesome;
    content: "\f13e";
}

#progressbar #personal:before {
    font-family: FontAwesome;
    content: "\f007";
}

#progressbar #payment:before {
    font-family: FontAwesome;
    content: "\f030";
}

#progressbar #confirm:before {
    font-family: FontAwesome;
    content: "\f09d";
}

/*Icon ProgressBar before any progress*/
#progressbar li:before {
    width: 50px;
    height: 50px;
    line-height: 45px;
    display: block;
    font-size: 20px;
    color: #ffffff;
    background: lightgray;
    border-radius: 50%;
    margin: 0 auto 10px auto;
    padding: 2px;
}

/*ProgressBar connectors*/
#progressbar li:after {
    content: '';
    width: 100%;
    height: 2px;
    background: lightgray;
    position: absolute;
    left: 0;
    top: 25px;
    z-index: -1;
}

/*Color number of the step and the connector before it*/
#progressbar li.active:before, #progressbar li.active:after {
    background: #48b5dd;
}

/*Animated Progress Bar*/
.progress {
	height: 15px;
}

.progress-bar {
	background-color: #48b5dd;
}

/*Fit image in bootstrap div*/
.fit-image{
    width: 100%;
    object-fit: cover;
}

@media (max-width: 767px)
{
  #progressbar li {
    list-style-type: none;
    font-size: 10px;
    width: 25%;
    float: left;
    position: relative;
  }  
}

/*Select2*/

.select2-selection__rendered {
    line-height: 40px !important;
}
.select2-container .select2-selection--single {
    height: 45px !important;
    border-radius: 40px;
        border: 1px solid #f1993f;       
        width: 100% !important;

}
.select2-selection__arrow {
    height: 34px !important;
}
.select2-search__field {
   height: 40px;
      outline: none;        width: 100% !important;

}

@media screen and (max-width: 767px) {
    /*.select2 */
    /*{*/
    /*    width: 100% !important;*/
    /*}*/
}

.select2-results__option 
{

padding-left: 20px;
}

.select2-container .select2-selection--single .select2-selection__rendered 
{
    padding-left: 5px;
}

/*Previous Buttons*/
#msform .action-button-previous {
    width: 32%;
    background: #616161;
    font-weight: bold;
    color: white;
    border: 0 none;
    border-radius: 50px;
    cursor: pointer;
    padding: 10px 5px;
    margin: 10px 5px;
}

#msform .action-button-previous:hover, #msform .action-button-previous:focus {
    box-shadow: 0 0 0 2px white, 0 0 0 3px #616161;
}

.fr-infos-deatil .btn {
    height: 40px;
    display: inline-flex;
    align-items: center;
    justify-content: center;
    margin: 0 5px;
    border-radius: 4px;
    background: #232c3d;
    font-weight: 600;
    color: #ffffff;
}

.form-control
{
    height: 40px;
}

[type="radio"]:checked+label:after, [type="radio"]:not(:checked)+label:after 
{
    content: '';
    width: 12px;
    height: 12px;
    background: #48b5dd;
    
}

label
{
    color: #000;
}

[type="radio"]:checked+label:before, [type="radio"]:not(:checked)+label:before 
{
 
    border: 1px solid #000;
    
}

#form_alert
                           {
                           background-color: #FFCCCB;
                           margin-left: 10px;
                           margin-right: 10px;
                           padding: 10px;
                           }
</style>
</head>

<div class="preloader"></div>

<div id="main-wrapper">

<?php include 'includes/header.php'; ?>

<div class="page-title" style="background:#f4f4f4 url(assets/img/bg.jpg);" data-overlay="5" >
            <div class="container" >
                <div class="row">
                    <div class="col-lg-12 col-md-12">

<div class="breadcrumbs-wrap">
                           
                            <h2 class="breadcrumb-title" style="text-align: center;">Registration Form</h2>
                        </div>

</div>
                </div>
            </div>
        </div>

<section style="padding: 30px 0 80px;">

<div class="frm_submit_block">
                                
                                <br>
                                
                    <h3 style="font-weight: bold;font-size: 40px;
    font-weight: 600;
    font-family: Recoleta;
    line-height: 1.2;
    color: rgb(66, 66, 66);">REGISTRATION  <span style="color: #48b5dd;">DETAILS</span></h3>
                    

                                              <br>
                                                  <br>

<div class="container-fluid">
<div class="row justify-content-center">
		<div class="col-12 col-sm-12 col-md-12 col-lg-12 col-xl-12 text-center p-0 mt-1 mb-2">
            <div class="card px-0 pt-1 pb-0 mt-0 mb-0">

<form id="add_visitor_form" name="myForm"  onsubmit="return validateForm()" class="ui form add-user" method="post" accept-charset="utf-8"  enctype="multipart/form-data"  >
                    
                    <ul id="progressbar" style="padding: 0px !important;" >
                        <li class="active" id="account"><strong>Service Details</strong></li>
                        <li  class="active" id="personal"><strong>Vendor Details</strong></li>
                        <li class="active" id="payment"><strong>Document Details</strong></li>
                        <li id="confirm"><strong>Upload Documents</strong></li>
                    </ul>
                    
                    
                    
                    <div class="progress">
                    	<div class="progress-bar progress-bar-striped progress-bar-animated" role="progressbar" style="width: 75%" aria-valuemin="20" aria-valuemax="100"></div>
                	</div>
                    <br>
                    
                    
                    
                    <fieldset>
                        <div class="form-card">
                        	<div class="row">
                        		<div class="col-7">
                            		<h2 class="fs-title">Check Documents</h2>
                            	</div>
                            	<div class="col-5">
                            		<h2 class="steps">Step 3 - 4</h2>
                            	</div>
                            </div>
                            
                            
                                                                    
<div class="alert alert-danger alert-dismissible fade show" id="form_alert" style="display:none;">

</div>

<?php if( isset($eror_msg) && $eror_msg != '' ) 
{ ?>

<?php
}
?>

<div class="form-group col-md-6 mt-4">
    <label>1. &nbsp;Aadhar Card</label>
</div>

<div class="form-group col-md-6 mt-4">
    
    
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="aadhr_crd" id="inlineRadio1" value="Yes">
  <label class="form-check-label" for="inlineRadio1">Yes</label>
</div>
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="aadhr_crd" id="inlineRadio2" value="No">
  <label class="form-check-label" for="inlineRadio2">No</label>
</div>
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="aadhr_crd" id="inlineRadio3" value="N/A" >
  <label class="form-check-label" for="inlineRadio3">Not Required</label>
</div>

</div>

<div class="form-group col-md-6 mt-4">
    
    
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="pan_card" id="inlineRadio4" value="Yes">
  <label class="form-check-label" for="inlineRadio4">Yes</label>
</div>
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="pan_card" id="inlineRadio5" value="No">
  <label class="form-check-label" for="inlineRadio5">No</label>
</div>
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="pan_card" id="inlineRadio6" value="N/A">
  <label class="form-check-label" for="inlineRadio6">Not Required</label>
</div>

</div>

<div class="form-group col-md-6 mt-4">
    <label>3. &nbsp;VOTER Card</label>
</div>
                    
<div class="form-group col-md-6 mt-4">
    
    
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="voter_crd" id="inlineRadio7" value="Yes">
  <label class="form-check-label" for="inlineRadio7">Yes</label>
</div>
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="voter_crd" id="inlineRadio8" value="No">
  <label class="form-check-label" for="inlineRadio8">No</label>
</div>
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="voter_crd" id="inlineRadio9" value="N/A">
  <label class="form-check-label" for="inlineRadio9">Not Required</label>
</div>

</div>

<div class="form-group col-md-6 mt-4">
    <label>4. &nbsp;Electricity Bill</label>
</div>
                    
<div class="form-group col-md-6 mt-4">
    
    
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="elct_bill" id="inlineRadio10" value="Yes">
  <label class="form-check-label" for="inlineRadio10">Yes</label>
</div>
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="elct_bill" id="inlineRadi11" value="No">
  <label class="form-check-label" for="inlineRadi11">No</label>
</div>
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="elct_bill" id="inlineRadio12" value="N/A">
  <label class="form-check-label" for="inlineRadio12">Not Required</label>
</div>

</div>

<div class="form-group col-md-6 mt-4">
    <label>5. &nbsp;Land Documents </label>
</div>
                    
<div class="form-group col-md-6 mt-4">
    
    
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="land_doc" id="inlineRadio13" value="Yes">
  <label class="form-check-label" for="inlineRadio13">Yes</label>
</div>
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="land_doc" id="inlineRadi14" value="No">
  <label class="form-check-label" for="inlineRadi14">No</label>
</div>
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="land_doc" id="inlineRadio15" value="N/A">
  <label class="form-check-label" for="inlineRadio15">Not Required</label>
</div>

</div>

<div class="form-group col-md-6 mt-4">
    <label>6. &nbsp;Driving Licence </label>
</div>
                    
<div class="form-group col-md-6 mt-4">
    
    
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="dl_dtls" id="inlineRadio16" value="Yes">
  <label class="form-check-label" for="inlineRadio16">Yes</label>
</div>
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="dl_dtls" id="inlineRadi17" value="No">
  <label class="form-check-label" for="inlineRadi17">No</label>
</div>
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="dl_dtls" id="inlineRadio18" value="N/A">
  <label class="form-check-label" for="inlineRadio18">Not Required</label>
</div>

</div>

<div class="form-group col-md-6 mt-4">
    <label>7. &nbsp;Bank Passbook Copy </label>
</div>
                    
<div class="form-group col-md-6 mt-4">
    
    
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="bank_pssbk" id="inlineRadio19" value="Yes">
  <label class="form-check-label" for="inlineRadio19">Yes</label>
</div>
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="bank_pssbk" id="inlineRadi20" value="No">
  <label class="form-check-label" for="inlineRadi20">No</label>
</div>
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="bank_pssbk" id="inlineRadio21" value="N/A">
  <label class="form-check-label" for="inlineRadio21">Not Required</label>
</div>

</div>

<div class="form-group col-md-6 mt-4">
    <label>8. &nbsp;Other Documents Copy </label>
</div>
                    
<div class="form-group col-md-6 mt-4">
    
    
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="other_doc" id="inlineRadio22" value="Yes">
  <label class="form-check-label" for="inlineRadio22">Yes</label>
</div>
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="other_doc" id="inlineRadi23" value="No">
  <label class="form-check-label" for="inlineRadi23">No</label>
</div>
<div class="form-check form-check-inline">
  <input class="form-check-input" type="radio" name="other_doc" id="inlineRadio24" value="N/A">
  <label class="form-check-label" for="inlineRadio24">Not Required</label>
</div>

</div>

<div class="form-group col-md-12 mt-2">
    <label>No of Copies <span style="color: red;">*</span></label>
                                            
                             <input type="tel" class="form-control" name="no_copies" placeholder="Enter No of copies">
                                            
                                        </div>

</script>

</div>
                                </div>
                                
                                
                            
                            
                            
                            
                            
                        </div>

<div class="row">
    <div class="col-6">
  <a href="vendor_details.php?enquiry_no=<?php echo $enquiry_no; ?>"  tabindex="-1" style="padding: 10px 20px 10px 20px;float: left;color: #232c3d;">
 <i class="fa fa-long-arrow-left"></i>&nbsp; Back 
</a>
    </div>
    <div class="col-6">
        
       
       
        
<button class="btn btn-theme" type="submit"  name="p_submit1" class="btn agent-btn theme-bg" tabindex="-1" style="padding: 10px 30px 10px 30px;float: right">
                                        Proceed & Next <i class="fa fa-long-arrow-right"></i> </button>
            
            
    </div>
  </div>
  
  
  </div>

</fieldset>

</form>
                
            </div>
        </div>
	</div>

</div>                
                                
                                
           
                   <script>
function validateForm() {

var x = document.forms["myForm"]["no_copies"].value;
  if (x == "" || x == null) {

document.getElementById('form_alert').innerHTML = "* Please Enter No of Copies !";
    document.myForm.no_copies.focus();
        document.getElementById('form_alert').style.display = "block";

return false;
  }

}

</script>
             
                                
                               
                                
                                
                                
                               
                               
                               
                            </div>

</div>
                    </div>

</div>
            </div>

</section>

<section class="theme-bg call_action_wrap-wrap">
            <div class="container">
                <div class="row">
                    <div class="col-lg-12">

<div class="call_action_wrap">
                            <div class="call_action_wrap-head">
                                <h3>Do You Have Questions ?</h3>
                                <span>We'll help you to grow your career and growth.</span>
                            </div>
                            <a href="#" class="btn btn-call_action_wrap">Contact Us Today</a>
                        </div>

</div>
                </div>
            </div>
        </section>

<?php include 'includes/footer.php'; ?>

</div>

<script src="assets/js/jquery.min.js"></script>
    <script src="assets/js/popper.min.js"></script>
    <script src="assets/js/bootstrap.min.js"></script>
    <script src="assets/js/ion.rangeSlider.min.js"></script>
    <script src="assets/js/select2.min.js"></script>
    <script src="assets/js/jquery.magnific-popup.min.js"></script>
    <script src="assets/js/slick.js"></script>
    <script src="assets/js/slider-bg.js"></script>
    <script src="assets/js/lightbox.js"></script>
    <script src="assets/js/imagesloaded.js"></script>
    <script src="assets/js/daterangepicker.js"></script>
    <script src="assets/js/custom.js"></script>

</body>

</html>