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System: Linux ip-172-31-40-18 4.14.146-93.123.amzn1.x86_64 #1 SMP Tue Sep 24 00:45:23 UTC 2019 x86_64
User: apache (48)
PHP: 5.6.40
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File: /var/www/html/nt/home.php
<!-- ======= Hero Section ======= -->
<section id="hero" class="d-flex align-items-center justify-content-center">
	<div class="container" data-aos="fade-up">

		<div class="row justify-content-center" data-aos="fade-up" data-aos-delay="150">
			<div class="col-xl-10 col-lg-12">
				<h1>West Bengal Industrial Development Corporation</h1>
				<h2>an undertaking of Industry, Commerce and Enterprises Department Government of West Bengal</h2>
			</div>
		</div>

		<div class="row gy-4 justify-content-center align-items-center" data-aos="zoom-in" data-aos-delay="250">
			<div class="col-xl-9 col-md-12">
				<div class="form_area">
					<form class="row" id="payment_form" method="post" action="<?= base_url("submit-application-form");?>" enctype="multipart/form-data" autocomplete="off">
					<input type="hidden" value="Razorpay" id="payment_mode"  />
						<div class="col-xl-12 col-lg-12">
							<h3><img src="<?= base_url();?>public/frontend_assets/assets2/img/edit.png" width="26" alt="" class="me-2"> Land Revenue & Cess Payment System</h3>
							<hr>
						</div>
						<div class="col-xl-12 col-lg-12">
							<?php if ($this->session->flashdata('success_msg')) : ?>
							   <div class="alert alert-success">
									 <a href="" class="close" data-dismiss="alert" aria-label="close" title="close" style="position: absolute;right: 15px;font-size: 30px;color: red;top: 5px;">x</a>
									<?= $this->session->flashdata('success_msg') ?>
								</div>
							<?php endif ?>
							<?php if ($this->session->flashdata('error_msg')) : ?>
								<div class="alert alert-danger">
									<a href="" class="close" data-dismiss="alert" aria-label="close" title="close" style="position: absolute;right: 15px;font-size: 30px;color: red;top: 5px;">x</a>
									<?= $this->session->flashdata('error_msg') ?>
								</div>
							<?php endif ?>
						</div>
						<div class="col-lg-12">
							<div class="mb-3">
								<label>Name of Entity <span class="color-red">*</span></label>
								<input type="text" class="form-control" placeholder="Enter Name of Entity" name="entity_name" id="entity_name" required>
								<span id="entity_nameError" style="color: red;"></span>
							</div>
						</div>
						<div class="col-lg-12">
							<div class="mb-3">
								<label class="d-block">Is the occupied unit within an Industrial park? <span class="color-red">*</span></label><!--Text massage-->
								<div class="form-check form-check-inline">
									<input class="form-check-input unit_within_industrial_park" type="radio" name="unit_within_industrial_park" id="inlineRadio1" value="Yes" checked="checked">
									<label class="form-check-label organisation_item" for="inlineRadio1">Yes</label>
								</div>
								<div class="form-check form-check-inline">
									<input class="form-check-input unit_within_industrial_park" type="radio" name="unit_within_industrial_park" id="inlineRadio2" value="No">
									<label class="form-check-label private_item" for="inlineRadio2">No </label>
								</div>
							</div>
						</div>
						<div class="col-lg-12 park_show">
							<div class="mb-3">
								<label>Name of Industrial Park  <span class="color-red">*</span></label>
								<div class="select_sec">
									<select name="industrial_park_id" id="industrial_park_id" class="form-control">
										<option value="">Select Industrial Park</option>
										<?php
										if(!empty($industrialParks)){
											foreach($industrialParks as $row){
										?>
										<option value="<?= $row['industrial_park_id'];?>"><?= $row['park_name'];?></option>
										<?php
											}
										}
										?>
									</select>
								</div>
							</div>
						</div>
						<div class="col-lg-12 detail_show" style="display: none;">
							<div class="mb-3">
								<label>Provide details of the occupied unit <span class="color-red">*</span></label>
								<input type="text" class="form-control" placeholder="Provide details of the occupied unit" name="unit_without_ind_park_detail" id="unit_without_ind_park_detail">
							</div>
						</div>
						<div class="col-lg-6">
							<div class="mb-3">
								<label>Memo/Reference Number <span class="color-red">*</span></label>
								<input type="text" class="form-control" placeholder="Enter Memo/Reference Number" name="memo_reference_no" id="memo_reference_no" required>
							</div>
						</div>
						<div class="col-lg-6">
							<div class="mb-3">
								<label>Date <span class="color-red">*</span></label>
								<input type="text" class="form-control" name="memo_date" id="memo_date" readonly="" required>
							</div>
						</div>
						<div class="col-lg-12">
							<div class="mb-3">
								<label>Amount (in Indian Rupees) <small class="text-warning">Please tender exactly the same amount that is written in the above mention memo.</small><span class="color-red">*</span></label>
								<input type="text" class="form-control" placeholder="Enter Amount" name="amount" id="amount" required>
								<span id="amountError" style="color: red;"></span>
							</div>
						</div>

						<div class="col-lg-12">
							<div class="mb-3">
								<label><input type="checkbox" name="termsCheck" required>  I accept <a href="javascript:void(0)" data-bs-toggle="modal" data-bs-target="#terms-and-conditions">terms and conditions</a> <span class="color-red">*</span></label>
							</div>
							
							<div class="mb-3">
								<button type="button" class="btn btn-green" id="show_preview" data-bs-toggle="modal" data-bs-target="#entity-form">Submit</button>
								<!--<button type="submit" class="btn btn-green" id="pay_form_submit_btn">Submit</button>-->
							</div>
						</div>
						
						
						</form>
					
				</div>
			</div>                
		</div>

	</div>
</section>
<!-- End Hero -->

<!-- Modal -->
<div class="modal fade" id="entity-form" tabindex="-1" aria-labelledby="exampleModalLabel" aria-hidden="true">
	<div class="modal-dialog modal-dialog-centered">
		<div class="modal-content">
			<div class="modal-header">
				<h1 class="modal-title fs-5" id="exampleModalLabel"><img src="<?= base_url();?>public/frontend_assets/assets2/img/preview_img.png" width="26" alt="" class="me-2"> Preview Details</h1>
				<button type="button" class="btn-close" data-bs-dismiss="modal" aria-label="Close"></button>
			</div>
			<div class="modal-body entity-form-data">
				<div class="row">
					<div class="col-lg-5">
						<label>Name of Entity </label>
					</div>
					<div class="col-lg-7">
						: <span id="ent_name"></span>
					</div>
				</div>
				<div class="col-md-12"><hr></div>
				<div class="row">
					<div class="col-lg-5">
						<label>Is the occupied unit within Industrial park </label>
					</div>
					<div class="col-lg-7">
						: <span id="uwip"></span>
					</div>
				</div>
				<div class="col-md-12"><hr></div>
				<div class="row">
					<div class="col-lg-5">
						<label id="uwipv"> </label>
					</div>
					<div class="col-lg-7">
						: <span id="uwipv_value"> </span>
					</div>
				</div>
				<div class="col-md-12"><hr></div>
				<div class="row">
					<div class="col-lg-5">
						<label>Memo/Reference Number </label>
					</div>
					<div class="col-lg-7">
						:  <span id="mrn"></span>
					</div>
				</div>
				
				<div class="col-md-12"><hr></div>
				<div class="row">
					<div class="col-lg-5">
						<label>Date </label>
					</div>
					<div class="col-lg-7">
						: <span id="mrd"></span>
					</div>
				</div>
				<div class="col-md-12"><hr></div>
				<div class="row">
					<div class="col-lg-5">
						<label>Amount </label>
					</div>
					<div class="col-lg-7">
						: <span id="amt"></span>
					</div>
				</div>
				
			</div>
			<div class="modal-footer entity-form-data">
				<button type="button" class="get-started-btn" data-bs-dismiss="modal">Back to Edit</button>
				<button type="button" class="btn btn-green" id="pay_form_submit_btn">Proceed to Pay</button>
			  </div>
		</div>
	</div>
</div>
<!-- Modal -->

<script type="text/javascript">
$(function() {
   $('#pay_form_submit_btn').click(function(e) {
        e.preventDefault();
        $("#payment_form").submit();
    });
});
</script>