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📊 Server Information

Server:

LiteSpeed

System:

Linux 4.18.0-553.54.1.lve.el8.x86_64

PHP Version:

7.3.33

User:

u435171512

Directory:

/home/u435171512/domains/demo.sigmacomputers.in/public_html/avatar_coupon/admin

Free Space:

4.08 TB

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✏️ Editing: deliver-coupon.php

<?php include ('header.php');?>

<div class="main-content">

<div class="row">
                        <div class="col-12">
                            <div class="page-title-box d-sm-flex align-items-center justify-content-between">
                                <h4 class="mb-sm-0">Add District Posting</h4>

<div class="page-title-right">
                                    <ol class="breadcrumb m-0">
                                        <li class="breadcrumb-item"><a href="javascript: void(0);">Home</a></li>
                                        <li class="breadcrumb-item active">Add District Posting</li>    
                                    </ol>
                                </div>

</div>
                        </div>
                    </div>
                     <div class="row">
        <div class="col-xl">
            <div class="card mb-4">
                <div class="card-header text-center">
                    <h3 style="color: #20478a;" class="mb-0">Add District Posting</h3 style="color: #20478a;">
                </div>
                <div class="card-body">
                    <form action="" method="post" enctype="multipart/form-data">

<div class="card-body">
                            <div class="row">
                            <div class="col-md-4">
                              <label><b>Token </b></label>
                              <input type="text" name="token" class="form-control" placeholder="Enter Token" value="" required>
                </div>
                              <div class="col-md-4">
                              <label><b>Category </b></label>
                              <input type="text" name="category" class="form-control" placeholder="Enter Category" value="" required>
                </div>
                <div class="col-md-4">
                              <label><b>Post </b></label>
                              <input type="text" name="post" class="form-control" placeholder="Enter Post" value="" required>
                </div>
                <div class="col-md-4"><br>
                              <label><b>Position</b></label>
                              <input type="text" name="position" class="form-control" placeholder="Enter position" required>
                </div>
                <div class="col-md-4"><br>
                              <label><b>Name</b></label>
                              <input type="text" name="name" class="form-control" placeholder="Enter Name" required>
                </div>
                <div class="col-md-4"><br>
                              <label><b>Club Name</b></label>
                              <input type="text" name="club_name" class="form-control" placeholder="Enter Club Name" required>
                </div>
                <div class="col-md-4"><br>
                              <label><b>Phone Number</b></label>
                              <input type="text" name="phone" class="form-control" placeholder="Enter Phone Number"  pattern="^\d{10}$" 
                              title="Please enter a valid 10-digit phone number (numbers only)" required>
                </div>
                <div class="col-md-4"><br>
                              <label><b>Email Id</b></label>
                              <input type="email" name="Email Id" class="form-control" placeholder="Enter Email Id" required>
                </div>
                <div class="col-md-4"><br>
                              <label><b>Zone Number </b></label>
                              <input type="text" name="zone_no" class="form-control" placeholder="Enter Zone Number" value="">
                </div>
                <div class="col-md-4"><br>
                              <label><b>Region Number </b></label>
                              <input type="text" name="region_no" class="form-control" placeholder="Enter Region Number" value="">
                </div>
                <div class="col-md-4"><br>
    <label><b>Approval Status</b></label><br>
    <div class="form-check form-check-inline">
        <input class="form-check-input" type="radio" name="approved" value="1" required>
        <label class="form-check-label">Yes</label>
    </div>
    <div class="form-check form-check-inline">
        <input class="form-check-input" type="radio" name="approved" value="2">
        <label class="form-check-label">No</label>
    </div>
</div>

<div class="row">
                                <div class="col-md-4"><br>
                                    <input type="submit" id="submitBtn" class="me-5 btn btn-success submit" name="submit" value="Submit">
                                </div>
                            </div>  
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
</div>
<script>
  document.querySelector("input[name='Phone Number']").addEventListener("input", function(event) {
    this.value = this.value.replace(/\D/g, ''); // Remove non-numeric characters
  });
</script>
<?php  include('footer.php');?>

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