82 lines
2.8 KiB
PHP
82 lines
2.8 KiB
PHP
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<div class="panel panel-flat">
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<fieldset class="content-group">
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<legend id="driver_name" class="text-bold"><?= $form_title ?></legend>
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<input type="hidden" id="driver_id" name="driver_id" value="0">
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<!-- Basic text input -->
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<div class="form-group">
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<label class="control-label col-lg-3">Description <span class="text-danger">*</span></label>
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<div class="col-lg-9">
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<input type="text" id="email" name="description" class="form-control" required="required" placeholder="Description">
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</div>
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</div>
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<!-- /basic text input -->
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<!-- Basic text input -->
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<div class="form-group">
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<label class="control-label col-lg-3">Licence Number <span class="text-danger">*</span></label>
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<div class="col-lg-3">
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<input type="text" id="lic_number" name="lic_number" class="form-control" required="required" placeholder="Licence Number">
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</div>
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<label class="control-label col-lg-3">Licence State</label>
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<div class="col-lg-3">
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<?= $lic_states_combo ?>
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</div>
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</div>
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<!-- /basic text input -->
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<!-- Multiple select -->
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<div class="form-group">
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<label class="control-label col-lg-3">Expr Month <span class="text-danger">*</span></label>
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<div class="col-lg-3">
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<select id="expr_month" name="expr_month" class="form-control" required="required">
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<? for ($i = 1; $i <= 12; $i++) { ?><option value="<?= $i ?>"><?= $i ?></option><? } ?>
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</select>
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</div>
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<label class="control-label col-lg-3">Expr Year <span class="text-danger">*</span></label>
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<div class="col-lg-3">
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<select id="expr_year" name="expr_year" class="form-control" required="required">
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<? for ($i = date("Y") + 20; $i >= date("Y"); $i--) { ?><option value="<?= $i ?>"><?= $i ?></option><? } ?>
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</select>
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</div>
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</div>
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<!-- /multiple select -->
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<div class="text-right">
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<button type="submit" class="btn btn-primary btn-xs">Submit <i class="icon-arrow-right14 position-right"></i></button>
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</div>
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</fieldset>
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</div>
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<script type="text/javascript">
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<!--
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function saveDevice(locID, device_id) {
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$('#accs' + locID).prop('disabled', true);
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$.ajax({
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url: "/transp/adddevices?proc=NCOMPLETE&locID=" + locID + "&device_id=" + device_id
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}).done(function (data) {
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$('#device_form').html(data);
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$('#accs' + locID).prop('disabled', false);
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});
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return false;
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}
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// -->
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</script>
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<!--
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vi:ts=2
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