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Mini Shell

Mini Shell

Direktori : /home/ugotscom/public_html/dg/application/modules/bemp/views/
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Current File : /home/ugotscom/public_html/dg/application/modules/bemp/views/edit.php

<div class="content-wrapper">
     <section class="content-header">
          <h1>Dashboard</h1>
     </section>

     <section class="content">
          <div class="container">
          <div class="row">

       
         <form action="<?=base_url()?>emp/update" class="form-horizontal"  method="POST">


              <div class="form-group">
                <input type="hidden" name="lead_id" value="<?=$customer['lead_id']?>">
             <label for="customer_name">enquiry Source:</label>

             <input name="enquiry_source" type="text" id="enquiry_source" value="<?=$customer['enquiry_source']?>" class="form-control" placeholder="enquiry_source" readonly>
           </div>
          
           <div class="form-group">
             <label for="customer_name">customer_name:</label>
             <input name="customer_name" type="text" id="customer_name" value="<?=$customer['customer_name']?>" class="form-control" placeholder="customer_name" readonly>
           </div>
         
              <div class="form-group">
             <label for="mobile_no">Mobile no:</label>
             <input name="mobile_no" type="text" id="mobile_no" value="<?=$customer['mobile_no']?>" class="form-control" placeholder="mobile_no" readonly>
           </div>
               <div class="form-group">
             <label for="alt_mobile_no">Alternate Mobile no:</label>
             <input name="alt_mobile_no" type="text" id="alt_mobile_no" value="<?=$customer['alt_mobile_no']?>" class="form-control" placeholder="alt_mobile_no" readonly>
           </div>
                <div class="form-group">
             <label for="landline_no">landline no:</label>
             <input name="landline_no" type="text" id="landline_no" value="<?=$customer['landline_no']?>" class="form-control" placeholder="landline_no" readonly>
           </div>
                        <div class="form-group">
             <label for="location">location:</label>
             <input name="location" type="text" id="location" value="<?=$customer['location']?>" class="form-control" placeholder="" readonly>
           </div>

                   <div class="form-group">
             <label for="gender">Gender:</label>
<input name="gender" type="text" id="gender" value="<?=$customer['gender']?>" class="form-control" placeholder="" readonly>

           </div> 

           <div class="form-group">
             <label for="dob">Date of Birth:</label>
             <input name="dob" type="date" id="dob" class="form-control" value="<?=$customer['dob']?>" placeholder="" readonly>
           </div>  
            <div class="form-group">
             <label for="aadhar_no">aadhar No:</label>
             <input name="aadhar_no" type="text" id="aadhar_no" class="form-control"  value="<?=$customer['aadhar_no']?>" placeholder="" readonly>
           </div>      
             <div class="form-group">
             <label for="model_name">Model Name:</label>
             <input name="model_name" type="text" id="model_name" class="form-control" value="<?=$customer['model_name']?>" placeholder="" readonly>
           </div>     
               <div class="form-group">
             <label for="lead_type_id">lead_type_id:</label>
             <input name="lead_type_id" type="text" id="lead_type_id" class="form-control" value="<?=$customer['lead_type_id']?>" placeholder="" readonly>
           </div>
                 <div class="form-group">
             <label for="added_date">Added Date:</label>
             <input name="added_date" type="text" id="added_date" class="form-control" value="<?=$customer['added_date']?>" placeholder="" readonly>
           </div>
                <div class="form-group">
             <label for="followup_date">Followup Date:</label>
             <input name="followup_date" type="text" id="followup_date" class="form-control" value="<?=$customer['followup_date']?>" placeholder="" >
           </div>
                <div class="form-group">
             <label for="payment_type">Payment Type:</label>
             <input name="payment_type" type="text" id="payment_type" class="form-control" value="<?=$customer['payment_type']?>" placeholder="" readonly>
           </div>
              <div class="form-group">
             <label for="test_ride_taken">Test Ride Taken:</label>
             <input name="test_ride_taken" type="text" id="test_ride_taken" class="form-control" value="<?=$customer['test_ride_taken']?>" placeholder="" readonly>
           </div>
                 <div class="form-group">
             <label for="customer_type">Test Ride Taken:</label>
             <input name="customer_type" type="text" id="customer_type" class="form-control" value="<?=$customer['customer_type']?>" placeholder="" readonly>
           </div>
               <div class="form-group">
             <label for="cus_int_exe">Customer Interested in Exchange:</label>
             <input name="cus_int_exe" type="text" id="cus_int_exe" class="form-control" value="<?=$customer['cus_int_exe']?>" placeholder="" readonly>
           </div>
               <div class="form-group">
             <label for="remarks">Remarks:</label>
             <input name="remarks" type="text" id="remarks" class="form-control" value="<?=$customer['remarks']?>" placeholder="" readonly>
           </div>
                   
 
  <button type="submit" class="btn btn-default">Submit</button>
                                
              </form>


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

Zerion Mini Shell 1.0