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Viewing file:     ani_add_form.php (6.15 KB)      -rw-r--r--
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<?
$this->load->view('cpanel/header');
?>

        <script src="<?=base_url()?>js/jquery.validationEngine-en.js" type="text/javascript"></script>
        <script src="<?=base_url()?>js/jquery.validationEngine.js" type="text/javascript"></script>



        <script>
        $(document).ready(function() {


            $("#formID").validationEngine()


            //$.validationEngine.loadValidation("#date")
            //alert($("#formID").validationEngine({returnIsValid:true}))
            //$.validationEngine.buildPrompt("#date","This is an example","error")              // Exterior prompt build example
            //$.validationEngine.closePrompt(".formError",true)                             // CLOSE ALL OPEN PROMPTS
        });

    </script>



<form id="formID"  method="post" action="<?=site_url('client/addEditAni')?>">

<input type='hidden' name='id' id='id' value='<?= $id?>' >
<input type='hidden' name='action' id='action' value='<?= $action?>' >
<div align="center">
<table width="80%" border="0" align="center" cellpadding="0" cellspacing="0">

  <tr>
    <td colspan="2" valign="top" style="padding-top:20px;">

      <img src="<?=base_url()?>images/s.gif" width="600" height="1" border="0" alt="" />
      <div id="module_info">

                  <span>&nbsp;&nbsp;&raquo;</span> <?=TITLE049?>  <span style='color:#BF0000'><?=$titleErrorMessage?> <span>  </div>

    </td>
  </tr>

  <tr>
    <td width="40%" valign="top" style="padding-top:10px;padding-right:5px;">
    <!-- Account Information -->

<table width="100%" class="tableBorder" border="0"  cellpadding="2" cellspacing="2">
  <tr>
    <td colspan="2" class="mainTableTitle"><?=$titleAccountMessage?></td>
  </tr>

<tr>
    <td class='formLabelRigit' width='30%' style='padding-top:10px;'> Web Login :  </td>
    <td class='formLabelLeft' width='70%' style='padding-top:10px;'><input type='text' class='validate[required,custom[onlyNumberFormate],length[6,15],ajax[ajaxName]] formInput' name='login' id='login' style='width:130px;' value='<?= $login?>' />
    </td>
</tr>

<tr>
    <td class='formLabelRigit'> Web Password :  </td>
    <td class='formLabelLeft'><input type='text' class='validate[required,length[6,15],custom[noSpecialCaracters]] formInput' name='password' id='password' style='width:130px;' value='<?= $password?>' />
    </td>
</tr>

<tr>
    <td class='formLabelRigit'> Register Phone/PIN :  </td>
    <td class='formLabelLeft'><input type='text' class='validate[required,length[8,15],custom[onlyNumberFormate]] formInput' name='pinnumber' id='pinnumber' style='width:120px;' value='<?= $pinnumber?>' />
    </td>
</tr>


<tr>
    <td class='formLabelRigit'>  Parent :  </td>
    <td class='formLabelLeft'>
      <select name="id_reseller" id="id_reseller" class="selectFrom">
        <?=$resellerLevel1List?>
    </select>
    </td>
</tr>

<tr>
    <td class='formLabelRigit'>  Balacne :  </td>
    <td class='formLabelLeft'><input type='text' class='validate[required,custom[onlyNumber]] formInput' name='balance' id='balance' style='width:120px;' value='<?= $balance?>' />
    <span style="padding:5px;font-size:11px;color:#FF0000">    *    </span>
    </td>
</tr>

<tr>
    <td class='formLabelRigit'>  Tariff Name :  </td>
    <td class='formLabelLeft'>
      <select name="id_rate" id="id_rate" class="validate[required] selectFrom">
        <?=$rateList?>
    </select>
    <span style="padding:5px;font-size:11px;color:#FF0000">    *    </span>
    </td>
</tr>



<tr>
    <td class='formLabelRigit'> Auto ANI? :  </td>
    <td class='formLabelLeft'>

<?
if($autoani ==1)
$checkDisableAutoANI = "checked='checked'";
else
$checkDisableAutoANI = "";
?>
<input name="autoani"  type="checkbox" id="autoani" value="1" <?=$checkDisableAutoANI?> />

</td>
</tr>


<tr>
    <td class='formLabelRigit'>Active ? :  </td>
    <td class='formLabelLeft'>

<?
if($status ==1)
$checkStatus = "checked='checked'";
else
$checkStatus = "";
?>
<input name="status"  type="checkbox" id="status" value="1" <?=$checkStatus?> />

</td>
</tr>



  <tr>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
</table>



    <!-- End Account Information -->

    </td>
    <td width="40%" valign="top" style="padding-top:10px;padding-left:5px;">
    <!-- Personal Information -->



        <table width="100%" class="tableBorder" border="0"  cellpadding="2" cellspacing="2">
          <tr>
            <td colspan="2" class="mainTableTitle"><?=$titlePersonalMessage?></td>
          </tr>

        <tr>
            <td class='formLabelRigit' width='30%' style='padding-top:10px;'>  Name :  </td>
            <td class='formLabelLeft' width='70%' style='padding-top:10px;'><input type='text' class='formInput' name='full_name' id='full_name' style='width:150px;' value='<?= $full_name?>' />
            </td>
        </tr>

        <tr>
            <td class='formLabelRigit'>  Email :  </td>
            <td class='formLabelLeft'><input type='text' name='email' id='email' class='formInput' style='width:150px;' value='<?= $email?>' /></td>
        </tr>


        <tr>
            <td class='formLabelRigit'>  Phone No. :  </td>
            <td class='formLabelLeft'><input type='text' name='phone' id='phone' class='formInput' style='width:150px;' value='<?= $phone?>' /></td>
        </tr>

        <tr>
            <td class='formLabelRigit'>  City :  </td>
            <td class='formLabelLeft'><input type='text' name='city' id='city' class='formInput' style='width:150px;' value='<?= $city?>' /></td>
        </tr>


        <tr>
            <td class='formLabelRigit'>  Country :  </td>
            <td class='formLabelLeft'>
                  <select name="country" id="country" class="selectFrom">
                    <?=$countryList?>
                    </select>
            </td>
        </tr>


        <tr>
            <td class='formLabelRigit'>  State :  </td>
            <td class='formLabelLeft'><input type='text' name='state' id='state' class='formInput' style='width:150px;' value='<?= $state?>' /></td>
        </tr>


        <tr>
            <td class='formLabelRigit' valign='top'>  Address :  </td>
            <td class='formLabelLeft'><textarea class='formInputTextArea' NAME='address' id='address' ><?= $address?></textarea></td>
        </tr>


          <tr>
            <td>&nbsp;</td>
            <td>&nbsp;</td>
          </tr>
        </table>


    <!-- End Personal Information -->
    </td>
  </tr>


  <tr>
    <td colspan="2" align="center" style="padding:15px;"><input type="submit" name="submit" value="<?= $action == 'Add' " Submit Now " "Edit Now" ?>" class="input-submit" /></td>
  </tr>


  <tr>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
</table>
</div>
</form>



<?
$this->load->view('cpanel/footer');
?>

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