jpsagrisolution.com - UnknownSec 403

UnknownSec Bypass 403

: /var/www/jpsagrisolution/cpanel/ [ drwxr-xr-x ]
name : add_anudaan_form1.php
 <?php include "top.php";

 if(isset($_GET['id']))
  {
    $id = $_GET['id'];
    $sql = "select * from anudaanfarmerdocumenttb where regno='".$id."'";
    $result = mysqli_query($conn,$sql);
    $data=mysqli_fetch_array($result);
  }

?>

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


    var id = getUrlVars()['id'];
    var op = getUrlVars()['op'];


    if (id != "") {
        $.ajax({
            method: 'POST',
            url: 'get_anudaanfarmerreg_detials.php',
            data: '&id=' + id,
            dataType: "JSON",

            success: function(data) {

                //var obj = JSON.stringify(data);

                // var str = $.parseJSON(obj);
                $('#hdid').val(data.hdid);
                $('#regno').val(data.hdid);
                $('#farmername').val(data.farmername);
                $('#fathername').val(data.fathername);
                $('#mobileno').val(data.mobileno1);
                $('#cast').val(data.cast);

                $('#village').val(data.villagename);
                  $('#block').val(data.blockname);
                $('#district').val(data.blockname);

                  $('#col5a').val(data.blockname);
                  $('#col6').val(data.totalarea);
                     $('#col7').val(data.system);
                  $('#col9').val(data.system);
                  $('#col10').val(data.cropname);
                  $('#col11').val(data.area);
                  $('#col13').val(data.area);

                $('#col14a').val(data.jalasaytype);


            if(data.jalasaytype=="Kunwa")
            {
                $('#col14b').val(data.jalasaydeep);
            }
            if(data.jalasaytype=="Tyoobale")
            {
                $('#col14c').val(data.jalasaydeep);
            }
            if(data.jalasaytype=="Jalasay")
            {
                $('#col14d').val(data.jalasaydeep);
            }

            $('#col14_1a').val(data.lightduration);
            $('#col14_1b').val(data.lightduration);
            if(data.pumptype=="Light Pump")
            {
            $('#col14_1c').val(data.pumpcapacity);
          }
            if(data.pumptype=="Diesel Pump")
            {
                $('#col14_1d').val(data.pumpcapacity);
            }
            $('#col15').val(data.area);


                    $('#col18a').val(data.bankname);
                    $('#col18b').val(data.accountno);

                    $('#col18c').val(data.ifsccode);
                    $('#col19').val(data.farmname);

                     $('#col19a').val(data.companyname);
                      $('#col19b').val(data.farmname);

                        $('#laname').val(data.farmername);

                  getfarmerotherdetails(data.hdid)

                if (op == "Update") {
                    $('#pageheading').text("Edit Farmer");
                    $('#pageheading1').text("Edit Farmer Details");
                    $('#btnopration').text("Update");
                    document.getElementById("farmername").focus();

                } else if (op == "Delete") {
                    $('#pageheading').text("Delete Farmer");
                    $('#pageheading1').text("Delete Farmer Details");
                    $('#btnopration').text("Delete");
                    document.getElementById("village").setAttribute('disabled', true);
                    document.getElementById("state").setAttribute('disabled', true);
                    document.getElementById("district").setAttribute('disabled', true);
                    document.getElementById("block").setAttribute('disabled', true);
                    document.getElementById("fathername").setAttribute('disabled', true);
                    document.getElementById("mobileno1").setAttribute('disabled', true);
                    document.getElementById("mobileno2").setAttribute('disabled', true);
                    document.getElementById("age").setAttribute('disabled', true);
                    document.getElementById("gender").setAttribute('disabled', true);
                    document.getElementById("col5a").setAttribute('disabled', true);
                    document.getElementById("col9").setAttribute('disabled', true);
                    document.getElementById("col10").setAttribute('disabled', true);
                    document.getElementById("col11").setAttribute('disabled', true);
                    document.getElementById("col18a").setAttribute('disabled', true);
                    document.getElementById("col18b").setAttribute('disabled', true);
                    document.getElementById("col18c").setAttribute('disabled', true);
                    document.getElementById("laname").setAttribute('disabled', true);

                }
            }
        });
    }
});

function getUrlVars() {
    var vars = [],
        hash;
    var hashes = window.location.href.slice(window.location.href.indexOf('?') + 1).split('&');
    for (var i = 0; i < hashes.length; i++) {
        hash = hashes[i].split('=');
        vars.push(hash[0]);
        vars[hash[0]] = hash[1];
    }
    return vars;
}




function getfarmerotherdetails(id)
{


        $.ajax({
            method: 'POST',
            url: 'get_anudaanfarmerreg_details1.php',
            data: '&id=' + id,
            dataType: "JSON",

            success: function(data) {



                         $('#col5b').val(data.col5b);      $('#col17').val(data.col17)


                         $('#col8a').val(data.col8a);
                         $('#col8b').val(data.col8b);

                         $('#col12').val(data.col12);
                         $('#col12a').val(data.col12a);

                         $('#col14').val(data.col14);


                          if(data.regdate=="01-01-1900")
                           $('#regdate').val("");
                          else
                          $('#regdate').val(data.regdate);

                        

                         $('#col14e').val(data.col14e);







            }
        });




}


 function saveformer() {
    var flag = true;


           

                



    var regno = document.getElementById("regno").value;
    var col5a = document.getElementById("col5a").value;
    var col5b = document.getElementById("col5b").value;
    var col6 = document.getElementById("col6").value;
    var col7 = document.getElementById("col7").value;

    var col8a = document.getElementById("col8a").value;
    var col8b = document.getElementById("col8b").value;
    var col9 = document.getElementById("col9").value;
    var col10 = document.getElementById("col10").value;
    var col11 = document.getElementById("col11").value;
    var col12 = document.getElementById("col12").value;
    var col12a = document.getElementById("col12a").value;
    var col13 = document.getElementById("col13").value;
    var col14 = document.getElementById("col14").value;
    var col14a = document.getElementById("col14a").value;
    var col14b = document.getElementById("col14b").value;
    var col14c = document.getElementById("col14c").value;
    var col14d = document.getElementById("col14d").value;
    var col14e = document.getElementById("col14e").value;
    var col14_1a = document.getElementById("col14_1a").value;
    var col14_1b = document.getElementById("col14_1b").value;
    var col14_1c = document.getElementById("col14_1c").value;
    var col14_1d = document.getElementById("col14_1d").value;
    var col15 = document.getElementById("col15").value;
    var col16 = document.getElementById("col16").value;
    var col17 = document.getElementById("col17").value;
    var col18 = document.getElementById("col18").value;
    var col18a = document.getElementById("col18a").value;
    var col18b = document.getElementById("col18b").value;
    var col18c = document.getElementById("col18c").value;
    var col19 = document.getElementById("col19").value;
    var col19a = document.getElementById("col19a").value;
    var col19b = document.getElementById("col19b").value;
    var regdate = document.getElementById("regdate").value;
    var sig = document.getElementById("sig").value;
    var laname = document.getElementById("laname").value;



    var hdid = document.getElementById("hdid").value;
    var btnopration = document.getElementById("btnopration").innerHTML;

    var text = "Do you want " + btnopration + " Farmer Details";
    if (confirm(text) == false) {
        flag = false;
        return false;
    }
    try {
        if (flag == true) {
            var urlgetcode = 'manage_farmaer_anudaan_details1.php';
            $.ajax({
                method: 'POST',
                url: urlgetcode,
                data: '&regno=' + regno + '&col5a=' + col5a + '&col5b=' + col5b + '&col6=' + col6 +'&col7=' + col7
                 +'&col8a=' + col8a+'&col8b=' + col8b+'&col9=' + col9+'&col10=' + col10+'&col11=' + col11 + '&col12=' + col12+'&col12a=' + col12a+
                 '&col13=' + col13 +  '&col14=' + col14+'&col14a=' + col14a+'&col14b=' + col14b +'&col14c=' + col14c+ '&col14d=' + col14d+ '&col14e=' + col14e+
                  '&col14_1a=' + col14_1a + '&col14_1b=' + col14_1b + '&col14_1c=' + col14_1c+'&col14_1d=' + col14_1d+'&col15=' + col15+
                  '&col16=' + col16+'&col17=' + col17+'&col18=' + col18+'&col18a=' + col18a +'&col18b=' + col18b+'&col18c=' + col18c +'&col19=' + col19+
                  '&col19a=' + col19a+'&col19b=' + col19b+'&regdate=' + regdate+'&sig=' + sig+'&laname=' + laname  + '&hdid=' + hdid + '&btnopration=' + btnopration,
                dataType: 'json',
                async: true,
                cache: false,
                success: function(msg) {
                        ;

                    if (msg == "1") {
                        alert("Save Successfully");
                        $('#hdid').val("");

                         $('#col5a').val("");    $('#col16').val("")
                         $('#col5b').val("");      $('#col17').val("")
                         $('#col6').val("");
                         $('#col7').val("");        $('#col18').val("")
                         $('#col8a').val("");
                         $('#col8b').val("");         $('#col18a').val("")
                         $('#col9').val("");
                         $('#col10').val("");            $('#col18b').val("")
                         $('#col11').val("");
                         $('#col12').val("");              $('#col18c').val("")
                         $('#col12a').val("");
                         $('#col13').val("");             $('#col19').val("")
                         $('#col14').val("");                $('#col19a').val("")
                         $('#col14a').val("");
                         $('#col14b').val("");              $('#col19b').val("")
                         $('#col14c').val("");
                         $('#col14d').val("");                $('#regdate').val("")
                         $('#col14e').val("");
                         $('#col14_1a').val("");                $('#sig').val("")
                         $('#col14_1b').val("");                 $('#laname').val("")
                         $('#col14_1c').val("");
                         $('#col14_1d').val("");
                         $('#col15').val("");


                            window.location.href = "list_anudaan_farmer.php";

                        $('#btnopration').text("Save");

                    } else if (msg == "2") {
                        alert("Mobile No. Already Exist");
                        $('#col5a').val("Select");
                        $('#block').val("Select");
                        $('#state').val("Select");
                        $('#district').val("Select");
                        $('#farmername').val("");
                        $('#fathername').val("");
                        $('#mobileno1').val("");
                        $('#mobileno2').val("");
                        $('#age').val("");
                        $('#gender').val("");
                        $('#btnopration').text("Save");
                        window.location.href = "list_anudaan_farmer.php";
                    } else if (msg == "3") {
                        alert("Update Successfully");
                        $('#village').val("Select");
                        $('#block').val("Select");
                        $('#state').val("Select");
                        $('#district').val("Select");
                        $('#farmername').val("");
                        $('#fathername').val("");
                        $('#mobileno1').val("");
                        $('#mobileno2').val("");
                        $('#age').val("");
                        $('#gender').val("");
                        $('#btnopration').text("Save");
                        window.location.href = "list_anudaan_farmer.php";
                    } else if (msg == "4") {
                        alert("Delete Successfully");
                        $('#village').val("Select");
                        $('#block').val("Select");
                        $('#state').val("Select");
                        $('#district').val("Select");
                        $('#farmername').val("");
                        $('#fathername').val("");
                        $('#mobileno1').val("");
                        $('#mobileno2').val("");
                        $('#age').val("");
                        $('#gender').val("");
                        $('#btnopration').text("Save");
                        window.location.href = "list_anudaan_farmer.php";
                    }
                },
                error: function(request) {
                    alert(request.responseText);
                }
            });
        }
    } catch (Error) {
        alert(Error);
    }
    return;
}





</script>


<div id="page-wrapper" class="gray-bg dashbard-1">
  <div class="content-main">
    <!--banner-->
     <div class="banner">
        <table width="100%">
          <tr>
            <td width="50%"><b><label name="pageheading" id="pageheading">Add Anudaan Farmer</label></b></td>
            <td width="50%" align="right"><a class="btn btn-default" href="list_anudaan_farmer.php">Anudaan Farmer List</a></td>
          </tr>
        </table>
      </div>
   <!--//banner-->

<!--grid-->
<div class="validation-system">
  <div class="validation-form">
  <!---->
        <input type="hidden" class="form-control1" id="hdid" name="hdid">
        <h3  align="center">राष्ट्रिय कृषि विकास योजना "पर ड्राप मोर क्रॉप" Micro Irrigation अनुदान/राज सहायता प्राप्त करने हेतु आवेदन पत्र-वर्ष २०२२-२०२३</h3>
        <br>
          <div class="vali-form vali-form1">
             <div class="col-md-12 form-group1">
               <label class="control-label" style="font-size:22px;">पंजीकरण संख्या:</label>
               <input type="text" class="form-control1" id="regno" name="regno" readonly  placeholder="">
             </div>
             <div class="clearfix"> </div>
          </div>
          <div class="vali-form vali-form1">
             <div class="col-md-12 form-group1">
               <label class="control-label" style="font-size:22px;">1. लाभार्थी का नाम</label>
               <input type="text" class="form-control1" id="farmername" name="farmername" readonly placeholder="">
             </div>
             <div class="clearfix"> </div>
          </div>
          <div class="vali-form vali-form1">
             <div class="col-md-12 form-group1">
               <label class="control-label" style="font-size:22px;">दूरभाष स०/मो० न०</label>
               <input type="text" class="form-control1" id="mobileno" name="mobileno" readonly placeholder="">
             </div>
             <div class="clearfix"> </div>
          </div>
          <div class="vali-form vali-form1">
             <div class="col-md-12 form-group1">
               <label class="control-label" style="font-size:22px;">2. पिता/पति का नाम</label>
               <input type="text" class="form-control1" id="fathername" name="fathername" readonly placeholder="">
             </div>
             <div class="clearfix"> </div>
          </div>
          <div class="vali-form vali-form1">
             <div class="col-md-12 form-group1">
               <label class="control-label" style="font-size:22px;">3. जाति (अनु.जाति/जनजाति/महिला/अन्य पिछड़ा वर्ग/अन्य)</label>
               <input type="text" class="form-control1" id="cast" name="cast" readonly placeholder="">
             </div>
             <div class="clearfix"> </div>
          </div>
          <div class="vali-form vali-form1">
             <div class="col-md-12 form-group1">
               <label class="control-label" style="font-size:22px;">4. ग्राम का नाम</label>
               <input type="text" class="form-control1" id="village" name="village" readonly placeholder="">
             </div>
             <div class="clearfix"> </div>
          </div>
           <div class="vali-form vali-form1">
              <div class="col-md-6 form-group1 form-last">
                <label class="control-label" style="font-size:22px;">5. विकास खण्ड</label>
                <input type="text" class="form-control1" id="block" name="block" readonly placeholder="">
              </div>
              <div class="col-md-6 form-group1">
                <label class="control-label" style="font-size:22px;">जनपद</label>
                <input type="text" class="form-control1" id="district" name="district" readonly placeholder="">
              </div>
              <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">अ) विकास खण्ड का नाम</label>
                 <input type="text" class="form-control1" id="col5a" name="col5a" readonly placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">ब) अतिदोहित/क्रिटिकल/सेमी क्रिटिकल</label>
                 <input type="text" class="form-control1" id="col5b" name="col5b" value="No" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">6. लाभार्थी के नाम कुल क्षेत्रफल (हे०) के रूप में खतौनी की सत्यापित प्रति जो 6 माह से पुरानी न हो|</label>
                 <input type="text" class="form-control1" id="col6" readonly name="col6" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">7. प्रक्षेत्र का सर्वेक्षण रिपोर्ट जहाँ ड्रिप/स्प्रिकलर पद्धति लगाना है (प्रमाण पत्र संलगन करें) </label>
                 <input type="text" class="form-control1" id="col7" name="col7" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">8 अ). क्या लाभार्थी स्वयं/उसके परिवार के सदस्य द्वारा 10 वर्षो में केन्द्र पोषित ड्रिप/स्प्रिंकलर योजना का लाभ/अनुदान प्राप्त किये है? </label>
                 <input type="text" class="form-control1" id="col8a" name="col8a" value="No" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">ब) यदि हाँ तो उनका विवरण दें </label>
                 <input type="text" class="form-control1" id="col8b" name="col8b" value="No" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">9. ड्रिप/स्प्रिंकलर पद्धति जिनके लिए लाभार्थी इच्छुक है </label>
                 <input type="text" class="form-control1" id="col9" name="col9" readonly placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">10. फसल का नाम जिसमें पद्धति स्थापित करना है </label>
                 <input type="text" class="form-control1" id="col10" name="	col10" readonly placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">11. प्रस्तावित क्षे (हे०)    </label>
                 <input type="text" class="form-control1" id="col11" name="col11" readonly placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">12. अंतराशस्य फसलों की स्थिति    </label>
                 <input type="text" class="form-control1" id="col12" name="col12" value="No" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">(यदि हाँ तो फसल का नाम)    </label>
                 <input type="text" class="form-control1" id="col12a" name="col12a" value="No" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">13. कुल सिंचित क्षेत्रफल (हे०)    </label>
                 <input type="text" class="form-control1" id="col13" name="col13" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">14. सिंचाई हेतु जल श्रोत    </label>
                 <input type="text" class="form-control1" id="col14" name="col14" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">अ) यदि कूप है तो कुआँ अथवा ट्यूबवेल    </label>
                 <input type="text" class="form-control1" id="col14a" name="col14a" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">ब) कुंए का जल स्तर (मीटर में)    </label>
                 <input type="text" class="form-control1" id="col14b" name="col14b" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">स) ट्यूबवेल की गहराई (मीटर में)    </label>
                 <input type="text" class="form-control1" id="col14c" name="col14c" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">द) जलाशय हो तो उसका आयतन (ल०Xचौ०Xग०)   </label>
                 <input type="text" class="form-control1" id="col14d" name="col14d" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">य) अन्य श्रोतों से फसल उपलब्धता हेतु अनुबन्ध पत्र   </label>
                 <input type="text" class="form-control1" id="col14e" name="col14e" value="No" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">अन्य विवरण   </label>
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">अ)	बिजली की उपलब्धता घन्टे में </label>
                 <input type="text" class="form-control1" id="col14_1a" name="col14_1a" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">ब) बिजली की उपलब्धता का समय </label>
                 <input type="text" class="form-control1" id="col14_1b" name="col14_1b" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">स) पम्प की क्षमता (हार्स पॉवर) </label>
                 <input type="text" class="form-control1" id="col14_1c" name="col14_1c" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">द) डीजल इंजन की क्षमता (हार्स पॉवर) </label>
                 <input type="text" class="form-control1" id="col14_1d" name="col14_1d" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">15. प्रक्षेत्र/खेत का आकार जिसके लिए अनुदान वांछित है मी. में (ल०Xचौ०) </label>
                 <input type="text" class="form-control1" id="col15" name="col15" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">16. मृदा प्रकार (समयाग्रस्त/अच्छी) </label>
                 <input type="text" class="form-control1" id="col16" name="col16" value="good" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">17. मृदा प्रकार (समयाग्रस्त/अच्छी) (मृदा परिक्षण रिपोर्ट संलग्न करें)</label>
                 <input type="text" class="form-control1" id="col17" name="col17" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">18. अनुदान भुगतान हेतु लाभार्थी के ऑरेशन बैंक खाते का विवरण पासबुक / कैंसिल चैक की छाया प्रति सहित</label>
                 <input type="text" class="form-control1" id="col18" name="col18" value="Add" readonly placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">अ)	बैंक एवं शाखा का नाम</label>
                 <input type="text" class="form-control1" id="col18a" name="col18a" readonly placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">ब) खाता संख्या</label>
                 <input type="text" class="form-control1" id="col18b" name="col18b" readonly placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">स) आई० एफ० एस० कोड</label>
                 <input type="text" class="form-control1" id="col18c" name="col18c" readonly placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">19. निर्माता फर्म एवं उनके अधिकृत डीलर का नाम जिससे कार्यकरने हेतु लाभार्थी इच्छुक है |</label>
                 <input type="text" class="form-control1" id="col19" name="col19" readonly placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">अ) निर्माता फर्म का नाम</label>
                 <input type="text" class="form-control1" id="col19a" name="col19a" readonly  placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">ब) अधिकृत डीलर का नाम / पता</label>
                 <input type="text" class="form-control1" id="col19b" name="col19b" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">दिनांक</label>
                 <input type="text" class="form-control1" format="dd MM yyyy" id="regdate" name="regdate" placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">लाभार्थी के हस्ताक्षर</label>


                 <img class="img-responsive " src="anudaan_document_images/<?php echo $data['sign_imagepath']; ?>" id="sig" name="sig" alt="" />

               </div>
               <div class="clearfix"> </div>
            </div>
            <div class="vali-form vali-form1">
               <div class="col-md-12 form-group1">
                 <label class="control-label" style="font-size:22px;">लाभार्थी का नाम</label>
                 <input type="text" class="form-control1" id="laname" name="laname" readonly placeholder="">
               </div>
               <div class="clearfix"> </div>
            </div>


           <div class="col-md-12 form-group">
             <button type="submit" id="btnopration" onclick="saveformer();" class="btn btn-primary">Save</button>
           </div>
         <div class="clearfix"> </div>

  <!---->
  </div>
</div>
<!--//grid-->
<?php include "footer.php";?>