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customer_add.php
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customer_add.php
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<?php
include "validate_admin.php";
include "header.php";
include "user_navbar.php";
include "admin_sidebar.php";
include "session_timeout.php";
?>
<!DOCTYPE html>
<html>
<head>
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<link rel="stylesheet" href="customer_add_style.css">
</head>
<body>
<form class="add_customer_form" action="customer_add_action.php" method="post">
<div class="flex-container-form_header">
<h1 id="form_header">Please fill in the following details . . .</h1>
</div>
<div class="flex-container">
<div class=container>
<label>First Name :</label><br>
<input name="fname" size="30" type="text" required />
</div>
<div class=container>
<label>Last Name :</b></label><br>
<input name="lname" size="30" type="text" required />
</div>
</div>
<div class="flex-container">
<div class=container>
<label>Gender :</label>
</div>
<div class="flex-container-radio">
<div class="container">
<input type="radio" name="gender" value="male" id="male-radio" checked>
<label id="radio-label" for="male-radio"><span class="radio">Male</span></label>
</div>
<div class="container">
<input type="radio" name="gender" value="female" id="female-radio">
<label id="radio-label" for="female-radio"><span class="radio">Female</span></label>
</div>
<div class="container">
<input type="radio" name="gender" value="others" id="other-radio">
<label id="radio-label" for="other-radio"><span class="radio">Others</span></label>
</div>
</div>
</div>
<div class="flex-container">
<div class=container>
<label>Date of Birth :</label><br>
<input name="dob" size="30" type="text" placeholder="yyyy-mm-dd" required />
</div>
</div>
<div class="flex-container">
<div class=container>
<label>Aadhar No :</label><br>
<input name="aadhar" size="25" type="text" required />
</div>
</div>
<div class="flex-container">
<div class=container>
<label>Email-ID :</label><br>
<input name="email" size="30" type="text" required />
</div>
<div class=container>
<label>Phone No. :</b></label><br>
<input name="phno" size="30" type="text" required />
</div>
</div>
<div class="flex-container">
<div class=container>
<label>Address :</label><br>
<textarea name="address" required /></textarea>
</div>
</div>
<div class="flex-container">
<div class=container>
<label>Bank Branch :</label>
</div>
<div class=container>
<select name="branch">
<option value="SHIVAMOGA">SHIVAMOGA</option>
<option value="BANGALORE">BANGALORE</option>
<option value="CHITRADURGA">CHIRADURGA</option>
<option value="BHADRAVATHI">BHADRAVATHI</option>
<option value="MYSORE">MYSORE</option>
</select>
</div>
</div>
<div class="flex-container">
<div class=container>
<label>Account No :</label><br>
<input name="acno" size="25" type="text" required />
</div>
</div>
<div class="flex-container">
<div class=container>
<label>Opening Balance :</label><br>
<input name="o_balance" size="20" type="text" required />
</div>
<div class=container>
<label>PIN(4 digit) :</b></label><br>
<input name="pin" size="15" type="password" required />
</div>
</div>
<div class="flex-container">
<div class=container>
<label>Username :</label><br>
<input name="cus_uname" size="30" type="text" required />
</div>
<div class=container>
<label>Password :</b></label><br>
<input name="cus_pwd" type="password" required />
</div>
</div>
<div class="flex-container">
<div class="container">
<button type="submit">Submit</button>
</div>
<div class="container">
<button type="reset" class="reset" onclick="return confirmReset();">Reset</button>
</div>
</div>
</form>
<script>
function confirmReset() {
return confirm('Do you really want to reset?')
}
</script>
</body>
</html>