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Mini Shell

Mini Shell

Direktori : /home/ugotscom/public_html/dg/application/modules/followup/views/
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Current File : /home/ugotscom/public_html/dg/application/modules/followup/views/add.php

<div class="content-wrapper">
     <section class="content-header">
          <h1>Add a New Lead</h1>
     </section>

     <section class="content">
          <div class="container">
          <div class="row">
        
       <div class="col-md-offset-3 col-md-6">
         <form action="<?php echo site_url('emp/save');?>" method="post">



          <div class="form-group">
              <label for="Enquiry_source">Enquiry Source:</label>
                         <select name="enquiry_source" class="form-control" placeholder="enquiry_source" required>
                            <?php foreach ($category->result() as $row) :?>
                              <option value="<?php echo $row->enquiry_id;?>"><?php echo $row->source;?></option>
                            <?php endforeach;?>
                         </select>
                     </div>
           <div class="form-group">
             <label for="customer_name">Customer name:</label>
             <input name="customer_name" type="text" id="customer_name" class="form-control" placeholder="">
           </div>
            <div class="form-group">
             <label for="mobile_no">Customer Mobile No:</label>
             <input name="mobile_no" type="text" id="mobile_no" class="form-control" placeholder="">
           </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" class="form-control" placeholder="">
           </div>
             <div class="form-group">
             <label for="landline_no">landline No:</label>
             <input name="landline_no" type="text" id="landline_no" class="form-control" placeholder="">
           </div>
           <div class="form-group">
             <label for="email">email:</label>
             <input name="email" type="text" id="email" class="form-control" placeholder="">
           </div>

            <!-- <div class="form-group">
              <label for="location">Locations:</label>
                         <select name="location" class="form-control" placeholder="" required>
                            <?php foreach ($locations->result() as $row) :?>
                              <option value="<?php echo $row->location_id;?>"><?php echo $row->location;?></option>
                            <?php endforeach;?>
                         </select>
                     </div>-->
                    <div class="form-group">
             <label for="location">location:</label>
             <input name="location" type="text" id="location" class="form-control" placeholder="">
           </div>     
               <div class="form-group">
             <label for="gender">Gender:</label>
             <div class="form-check form-check-inline">
  <input class="form-check-input" name="gender" type="radio" id="gender" value="male">
  <label class="form-check-label" for="gender">male</label>
</div>
           <div class="form-check form-check-inline">
  <input class="form-check-input" name="gender" type="radio" id="gender" value="female">
  <label class="form-check-label" for="gender">female</label>
</div>

           </div> 

           <div class="form-group">
             <label for="landline_no">Date of Birth:</label>
             <input name="dob" type="date" id="dob" class="form-control" placeholder="">
           </div>  
            <div class="form-group">
             <label for="aadhar_no">aadhar No:</label>
             <input name="aadhar_no" type="text" id="aadhar_no" class="form-control" placeholder="">
           </div>   
                         <div class="form-group">
             <label for="model_name">Model Name:</label>
             <input name="model_name" type="text" id="model_name" class="form-control" placeholder="">
           </div>     
                 <div class="form-group">
             <label for="payment_type">Payment Type:</label>
             <div class="form-check form-check-inline">
  <input class="form-check-input" name="payment_type" type="radio" id="payment_type" value="Cash">
  <label class="form-check-label" for="payment_type">Cash</label>
</div>
           <div class="form-check form-check-inline">
  <input class="form-check-input" name="payment_type" type="radio" id="payment_type" value="Finance">
  <label class="form-check-label" for="payment_type">Finance</label>
</div>

           </div> 
                            <div class="form-group">
             <label for="enquiry_status">Enquiry Status:</label>
             <input name="enquiry_status" type="text" id="enquiry_status" class="form-control" placeholder="">
           </div>  
                  <div class="form-group">
             <label for="lead_type_id">Enquiry Type:</label>
             <div class="form-check form-check-inline">
  <input class="form-check-input" name="lead_type_id" type="radio" id="lead_type_id" value="1">
  <label class="form-check-label" for="lead_type_id">Hot</label>
</div>
           <div class="form-check form-check-inline">
  <input class="form-check-input" name="lead_type_id" type="radio" id="lead_type_id" value="2">
  <label class="form-check-label" for="lead_type_id">Warm</label>
</div>
       <div class="form-check form-check-inline">
  <input class="form-check-input" name="lead_type_id" type="radio" id="lead_type_id" value="3">
  <label class="form-check-label" for="lead_type_id">Cold</label>
</div>
  <div class="form-check form-check-inline">
  <input class="form-check-input" name="lead_type_id" type="radio" id="lead_type_id" value="4">
  <label class="form-check-label" for="lead_type_id">Closed</label>
</div>
</div>
       <div class="form-group">
             <label for="test_ride_taken">Test Ride Taken:</label>
             <div class="form-check form-check-inline">
  <input class="form-check-input" name="test_ride_taken" type="radio" id="test_ride_taken" value="Yes">
  <label class="form-check-label" for="test_ride_taken">yes</label>
</div>
              <div class="form-check form-check-inline">
  <input class="form-check-input" name="test_ride_taken" type="radio" id="test_ride_taken" value="No">
  <label class="form-check-label" for="test_ride_taken">NO</label>
</div>

           </div> 

             <div class="form-group">
             <label for="customer_type">Customer Type:</label>
             <div class="form-check form-check-inline">
  <input class="form-check-input" name="customer_type" type="radio" id="customer_type" value="N">
  <label class="form-check-label" for="customer_type">N</label>
</div>
              <div class="form-check form-check-inline">
  <input class="form-check-input" name="customer_type" type="radio" id="customer_type" value="Y">
  <label class="form-check-label" for="customer_type">Y</label>
</div>
            <div class="form-check form-check-inline">
  <input class="form-check-input" name="customer_type" type="radio" id="customer_type" value="C">
  <label class="form-check-label" for="customer_type">C</label>
</div>
           </div> 
          <div class="form-group">
             <label for="cus_int_exe">Customer Interested in Exchange:</label>
             <div class="form-check form-check-inline">
  <input class="form-check-input" name="cus_int_exe" type="radio" id="cus_int_exe" value="Yes">
  <label class="form-check-label" for="cus_int_exe">yes</label>
</div>
              <div class="form-check form-check-inline">
  <input class="form-check-input" name="cus_int_exe" type="radio" id="cus_int_exe" value="No">
  <label class="form-check-label" for="cus_int_exe">NO</label>
</div>

           </div>  
              <div class="form-group">
             <label for="remarks">Remarks:</label>
             <input name="remarks" type="text" id="remarks" class="form-control" placeholder="">
           </div>
              <div class="form-group">
             <label for="followup_date">Follow up Date:</label>
             <input name="followup_date" type="date" id="followup_date" class="form-control" placeholder="">
           </div>
                <div class="form-group">
             <label for="added_by">added_by:</label>
              <input name="added_by" type="hidden" id="added_by" class="form-control" placeholder="added_by" value="<?php echo $_SESSION['user_id'];?>">
           </div>

  <button type="submit" class="btn btn-default">Submit</button>
                                
              </form>
</div>

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

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