File manager - Edit - /home/autoph/public_html/connectv1/resources/views/lto/orcr_plate_update/modals/orcr_plate.php
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<div class="modal fade" id="modal_orcr_plate"> <div class="modal-dialog modal-dialog-centered"> <div class="modal-content"> <div class="overlay modal_orcr_plate_overlay" style="display:none;"> <i class="fas fa-2x fa-sync fa-spin"></i> </div> <form id="OrcrPlateForm"> <input type="hidden" name="csrf_token" id="csrf_token" value="<?= csrf_token(); ?>"> <div class="modal-header bg-light py-1"> <span class="modal-title text-md font-weight-bold" id="car_club_import_modal_title">Create OR/CR & Plate Update</span> <button type="button" class="close" data-dismiss="modal" aria-label="Close"> <span aria-hidden="true">×</span> </button> </div> <div class="modal-body"> <div class="col-sm-12"> <!-- <label class=" mx-0 my-0 font-weight-normal">Update Type<span></span></label> <span style="color:red;"><strong>*</strong></span> --> <div class="form-group mb-1"> <div class="row"> <div class="col-sm-6"> <div class="custom-control custom-checkbox"> <input class="custom-control-input " type="checkbox" id="chk_orcr" name="chk_orcr" value="1" checked> <label for="chk_orcr" class="custom-control-label font-weight-normal">OR/CR</label> </div> </div> <div class="col-sm-6"> <div class="custom-control custom-checkbox"> <input class="custom-control-input" type="checkbox" id="chk_plate" name="chk_plate" value="0"> <label for="chk_plate" class="custom-control-label font-weight-normal">Plate</label> </div> </div> </div> </div> </div> <hr class="mt-1 mb-2"> <div class="row"> <div class="col-sm-6"> <div class="form-group mb-2"> <label class=" mx-0 my-0 font-weight-normal">Conduction Sticker</label> <span style="color:red;"><strong>*</strong></span> <input id="txt_cs" name="txt_cs" type="text" class=" uppercase form-control form-control-sm"> </div> </div> <div class="col-sm-6"> <div class="mb-1 form-group dropdown-input"> <label class=" mx-0 my-0 font-weight-normal ">Registration Date </label> <div class=" input-group date" id="div_received_date" data-target-input="nearest"> <input name="txt_received_date" json-modal="true" id="txt_received_date" data-inputmask-alias="datetime" data-inputmask-inputformat="mm/dd/yyyy" data-mask type="text" class="form-control form-control-sm datetimepicker-input" data-target="#div_received_date" /> <div class=" input-group-append" data-target="#div_received_date" data-toggle="datetimepicker"> <div class="input-group-text"><i class="fa fa-calendar"></i></div> </div> </div> </div> </div> <div class="col-sm-6"> <div class=" form-group mb-2"> <label class=" mx-0 my-0 font-weight-normal">Plate no. <span class="text-muted text-sm font-italic" hidden>(Optional)</span></label> <!-- <span style="color:red;"><strong>*</strong></span> --> <input id="txt_plate" name="txt_plate" type="text" class=" uppercase form-control form-control-sm" disabled> </div> </div> <div class="col-sm-6"> <div class="form-group mb-2"> <label class=" mx-0 my-0 font-weight-normal">MV File <span class="text-muted text-sm font-italic" hidden>(Optional)</span></label> <!-- <span style="color:red;"><strong>*</strong></span> --> <input id="txt_mv" name="txt_mv" type="text" class=" uppercase form-control form-control-sm"> </div> </div> <div class="col-sm-6"> <div class="form-group mb-2"> <label class=" mx-0 my-0 font-weight-normal">Engine Number <span class="text-muted text-sm font-italic" hidden>(Optional)</span></label> <!-- <span style="color:red;"><strong>*</strong></span> --> <input id="txt_en" name="txt_en" type="text" class=" uppercase form-control form-control-sm"> </div> </div> <div class="col-sm-6"> <div class="form-group mb-2"> <label class=" mx-0 my-0 font-weight-normal">Chassis Number <span class="text-muted text-sm font-italic" hidden>(Optional)</span></label> <!-- <span style="color:red;"><strong>*</strong></span> --> <input id="txt_cn" name="txt_cn" type="text" class=" uppercase form-control form-control-sm"> </div> </div> <div class="col-sm-6" hidden> <div class=" form-group mb-2"> <label class=" mx-0 my-0 font-weight-normal">Official Receipt <span class="text-muted text-sm font-italic">(Optional)</span></label> <!-- <span style="color:red;"><strong>*</strong></span> --> <input id="txt_or" name="txt_or" type="text" class=" form-control form-control-sm"> </div> </div> <div class="col-sm-6" hidden> <div class="form-group mb-2"> <label class=" mx-0 my-0 font-weight-normal">Certificate of Registration <span class="text-muted text-sm font-italic">(Optional)</span></label> <!-- <span style="color:red;"><strong>*</strong></span> --> <input id="txt_cr" name="txt_cr" type="text" class=" form-control form-control-sm"> </div> </div> <div class="col-sm-12"> <div class="form-group mb-2"> <label class=" mx-0 my-0 font-weight-normal">Notes / Remarks <span class="text-muted text-sm font-italic" hidden>(Optional)</span></label> <textarea class="form-control" rows="3" placeholder="" id="txt_notes" name="txt_notes"></textarea> </div> </div> <!-- <div class="col-sm-6"> <div class="row mb-2"> <div class="col-sm-8"> <div class="mb-1 form-group"> <label class=" mx-0 my-0 font-weight-normal">Official Receipt <span class="text-muted text-sm font-italic">(Optional)</span></label> <input id="txt_or" type="text" maxlength="30" class=" form-control form-control-sm"> </div> </div> <div class="col-sm-4"> <div class="mb-1 form-group dropdown-input"> <label class=" mx-0 my-0 font-weight-normal text-muted">OR Date </label> <div class="edit-customer input-group date" id="mod-birth-date" data-target-input="nearest"> <input name="mod-birthdate" json-modal="true" id="mod-birthdate" data-inputmask-alias="datetime" data-inputmask-inputformat="mm/dd/yyyy" data-mask type="text" class="form-control form-control-sm datetimepicker-input" data-target="#mod-birth-date" /> <div class="edit-customer input-group-append" data-target="#mod-birth-date" data-toggle="datetimepicker"> <div class="input-group-text"><i class="fa fa-calendar"></i></div> </div> </div> </div> </div> </div> </div> <div class="col-sm-6"> <div class="row mb-2"> <div class="col-sm-8"> <div class="mb-1 form-group"> <label class=" mx-0 my-0 font-weight-normal">Certificate of Registration <span class="text-muted text-sm font-italic">(Optional)</span></label> <input id="txt_cr" type="text" maxlength="30" class=" form-control form-control-sm"> </div> </div> <div class="col-sm-4"> <div class="mb-1 form-group dropdown-input"> <label class=" mx-0 my-0 font-weight-normal text-muted">CR Date </label> <div class="edit-customer input-group date" id="mod-birth-date" data-target-input="nearest"> <input name="mod-birthdate" json-modal="true" id="mod-birthdate" data-inputmask-alias="datetime" data-inputmask-inputformat="mm/dd/yyyy" data-mask type="text" class="form-control form-control-sm datetimepicker-input" data-target="#mod-birth-date" /> <div class="edit-customer input-group-append" data-target="#mod-birth-date" data-toggle="datetimepicker"> <div class="input-group-text"><i class="fa fa-calendar"></i></div> </div> </div> </div> </div> </div> </div> --> </div> </div> <div class="modal-footer justify-content-between py-1 px-3"> <button type="button" class="btn btn-default" data-dismiss="modal">Close</button> <div class="custom-control custom-checkbox ml-auto resend-sms" style="display:none;"> <input class="custom-control-input " type="checkbox" id="chk_send_sms" name="chk_send_sms" value="0" disabled> <label for="chk_send_sms" class="custom-control-label font-weight-normal">Send SMS Update</label> </div> <button id="btn_save_orcr_plate" type="submit" class="btn btn-primary">Save</button> </div> </form> </div> <!-- /.modal-content --> </div> <!-- /.modal-dialog --> </div> <!-- /.modal -->
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