/
inc_rez.php
81 lines (77 loc) · 1.55 KB
/
inc_rez.php
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
<table width="300" border="0" align="center" cellpadding="0" cellspacing="1">
<tr>
<td><form name="form1" method="post" action="inc-ac.php">
<table width="100%" border="0" cellspacing="1" cellpadding="3">
<tr>
<td colspan="3"><strong>Introducere incasari </strong></td>
</tr>
<tr>
<td width="71">Partida</td>
<td width="6">:</td>
<td width="301"><input name="par" type="number" id="par"></td>
</tr>
<tr>
<td>Nume</td>
<td>:</td>
<td><input name="nume" type="text" id="nume"></td>
</tr>
<tr>
<td>Data</td>
<td>:</td>
<td><input name="data" type="date" id="data" </td>
</tr>
<tr>
</tr>
<tr>
<td width="71">Perioada</td>
<td width="6">:</td>
<td width="301"><input name="per" type="text" id="per"></td>
</tr>
<tr>
<td>Chitanta</td>
<td>:</td>
<td><input name="chit" type="number" id="nrch"></td>
</tr>
<tr>
<td>Taxa inscriere</td>
<td>:</td>
<td><input name="txi" type="number" id="txi" </td>
</tr>
<tr>
<td>Cot.1%</td>
<td>:</td>
<td><input name="cot" type="number" id="cot" </td>
</tr>
<tr>
<td>Rata</td>
<td>:</td>
<td><input name="rata" type="number" id="rata" </td>
</tr>
<tr>
<td>SAD</td>
<td>:</td>
<td><input name="cotd" type="number" id="cotd" </td>
</tr>
<tr>
<td>Dobinda</td>
<td>:</td>
<td><input name="dob" type="number" id="dob" </td>
</tr>
<tr>
<td>Cot.benevole</td>
<td>:</td>
<td><input name="cotb" type="number" id="cotb" </td>
</tr>
<tr>
<td>Alte incasari</td>
<td>:</td>
<td><input name="ainc" type="number" id="ainc" </td>
</tr>
<tr>
<td colspan="3" align="center"><input type="submit" name="Submit" value="Confirmare"></td>
</tr>
</table>
</form>
</td>
</tr>
</table>