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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/taxicamera/old/applicationold/views/admin/setting/editaccident - Copy.php
		<div class="main-content">
						<div class="content-wrapper">
								<div class="container-fluid"><!-- Basic form layout section start -->
									      <?php if ($this->session->flashdata('success_msg')) : ?>
                <div class="alert alert-success">
                  <a href="#" class="close" data-dismiss="alert" aria-label="close" title="close">×</a>
                  <?php echo $this->session->flashdata('success_msg') ?>
                </div>
              <?php endif ?>
              <?php if ($this->session->flashdata('error_msg')) : ?>
                <div class="alert alert-danger">
                  <a href="#" class="close" data-dismiss="alert" aria-label="close" title="close">×</a>
                  <?php echo $this->session->flashdata('error_msg') ?>
                </div>
              <?php endif ?>
										<section id="basic-form-layouts">
												<div class="row">
														<div class="col-md-12">
																<div class="card">
																		<div class="card-header">
																				<div class="page-title-wrap">
																					   <a class="title_btn t_btn_list" href="<?= base_url();?>admin/settings/manageaccident"><span><i class="fa fa-list-ul" aria-hidden="true"></i></span> Accident List</a>
																						<h4 class="card-title">Accident Form</h4>
																						</div>
																		             </div>
	<div class="card-body">
			<div class="px-3">
				<!--  <form class="form" method="Post" action="<?= base_url();?>admin/settings/update_accident"> -->
				
							<div class="form-body">
								<!-- start -->
								<div class="row">
									<div class="col-md-12">
										<div class="staff_tab_area">
											<?php  $tab = $this->uri->segment(5); //echo $tab; die;?>
												<ul class="nav nav-tabs" role="tablist">
													<li class="nav-item">
														<a class="nav-link <?php if(empty($tab)){ echo "active"; } elseif($tab==1){ echo "active"; } else { echo ""; } ?>" data-toggle="tab" href="#ac_form1">Info</a>
													</li>
													<li class="nav-item">
														<a class="nav-link <?php if(empty($tab)){ echo ""; } elseif($tab==2){ echo "active"; } else { echo ""; } ?>"  data-toggle="tab" href="#ac_form2">Accident Photo</a>
													</li>
													<li class="nav-item">
														<a class="nav-link <?php if(empty($tab)){ echo ""; } elseif($tab==3){ echo "active"; } else { echo ""; }?>"  data-toggle="tab" href="#ac_form3">Witness Details</a>
													</li>
													<li class="nav-item">
														<a class="nav-link <?php if(empty($tab)){ echo ""; } elseif($tab==4){ echo "active"; } else { echo ""; }?>"  data-toggle="tab" href="#ac_form4">Accident Details</a>
													</li>
												</ul>
												
													<!-- Tab panes -->
												<div class="tab-content">
													<div id="ac_form1" class="tab-pane <?php if(empty($tab)){ echo "active"; } elseif($tab==1){ echo "active"; } else { echo ""; } ?>">
														<div class="accident_tab_area">
														 <form class="form" method="post" name="info_form" action="<?= base_url();?>admin/settings/update_accident_form1" enctype="multipart/form-data" >
                                                        <?php if(isset($singl_accidents) && $singl_accidents):?>
												     
														<?php

                                                  // pr($singl_accidents);

														?>
														<div class="row clearfix">
															<div class="col-md-4">
																		<div class="form-group">
																			<label>No. Of cars involved in accident</label>
																			<input type="number" class="form-control"  value="<?php echo $no_of_car;?>" name="no_of_car" required readonly>
																		</div>
																	</div>
																</div>

														<?php $i=1;?>
                                                        <?php foreach($singl_accidents as $key =>$singl_accident):?>
                                                          		<h4 class="form-section">Car No:<?php echo $i;?></h4>
															<div class="row clearfix">
																<!-- <div class="col-md-4">
																		<div class="form-group">
																			<label>No. Of cars involved in accident</label>
																			<input type="number" class="form-control"  value="<?php echo $no_of_car;?>" name="no_of_car" required>
																		</div>
																	</div> -->
														
																	<div class="col-md-4">
																		<div class="form-group">
																			<label>Make</label>
																			<input type="text" class="form-control"  value="<?= $singl_accident['make'];?>" name="make[]" required>
																		</div>
																	</div>
																	<div class="col-md-4">
																		<div class="form-group">
																			<label>Rego</label>
																			<input type="text" class="form-control"  value="<?= $singl_accident['rego'];?>" name="rego[]" required>
																		</div>
																	</div>
																	
																	
																	<div class="col-md-4">
																		<div class="form-group">
																			
																			<label>Name of Insurance Company</label>
																			<input type="text" class="form-control" value="<?= $singl_accident['insurance_company'];?>"  name="insurance_company[]">
																		</div>
																	</div>
																	<div class="col-md-4">
																		<div class="form-group">
																		<!-- 	<label>is_insured</label> -->
																		
																			<label>Insured</label>
																			<div class="input-group">
																				<div class="custom-control custom-radio">
																					<input type="radio" id="customRadioInline<?=$key?>"  value="1" <?php if($singl_accident['is_insured'] == '1') { echo "checked";}?> name="is_insured" class="custom-control-input">
																					<label class="custom-control-label" for="customRadioInline<?=$key?>">Yes</label>
																				</div>
																				<?php $key1=$i++; //echo $key1;die;?>
																				<div class="custom-control custom-radio display-inline-block">
																					<input type="radio" id="customRadioInline<?=$key1?>"  value="2" <?php if($singl_accident['is_insured'] == '2') { echo "checked";}?> name="is_insured" class="custom-control-input">
																					<label class="custom-control-label" for="customRadioInline<?=$key1?>">No</label>
																				</div>
																			</div>
																		</div>
																	</div>
															</div>



															<h4 class="form-section">Owner Type</h4>
														
									<!-- new  -->
									<div class="row">
									<div class="col-md-4">
										<div class="form-group">
										
											<div class="input-group">
										
												<div class="custom-control custom-radio display-inline-block mr-2">
												<input type="radio" id="comType<?=$key?>" <?php //if($singl_accident['owner_driver_flag'] == '1') { echo "checked";}?> name="comTypeRadio" checked class="custom-control-input" value="2">
												<label class="custom-control-label" for="comType<?=$key?>">Owner Driver</label>
											</div>
											<div class="custom-control custom-radio display-inline-block">
												<input type="radio" id="comType<?=$key?>" <?php //if($singl_accident['owner_driver_flag'] == '2') { echo "checked";}?> name="comTypeRadio" class="custom-control-input" value="3">
												<label class="custom-control-label" for="comType<?=$key?>">Driver</label>
											</div>
										</div>
										</div>
									</div>
								</div> 
								<div id="myRadioGroup">

									<div id="Cars2" class="desc">
										<div class="row clearfix">
											<div class="col-md-4">
												<div class="form-group">
													<label>Owner Name</label>
													<input type="text" class="form-control"  name="owner_name[]" value="<?= $singl_accident['owner_name'];?>" required="required">
												</div>
											</div>
											
											<div class="col-md-4">
												<div class="form-group">
													<label>Mobile/Landline</label>
													<input type="number" class="form-control"  name="owner_contact_no[]" value="<?= $singl_accident['owner_contact_no'];?>" required="required">
												</div>
											</div>
											<div class="col-md-4">
												<div class="form-group">
													<label>Email</label>
													<input type="email" class="form-control"  name="owner_email[]" value="<?= $singl_accident['owner_email'];?>" required="required">
												</div>
											</div>
											<div class="col-md-4">
												<div class="form-group">
													<label>Owner's Address</label>
													<textarea class="form-control" name="owner_address[]"><?= $singl_accident['owner_address'];?></textarea>
												</div>
											</div>
										</div>
									</div>
									<div id="Cars3" class="desc" style="display: none;">
											<div class="row clearfix">
											<div class="col-md-4">
												<div class="form-group">
													<label>Driver Name</label>
													<input type="text" class="form-control"  name="driver_name[]" value="<?= $singl_accident['driver_name'];?>" required="required">
												</div>
											</div>
											
											<div class="col-md-4">
												<div class="form-group">
													<label>Mobile/Landline</label>
													<input type="number" class="form-control" name="driver_contact_no[]" value="<?= $singl_accident['driver_contact_no'];?>" required="required">
												</div>
											</div>
											<div class="col-md-4">
												<div class="form-group">
													<label>Email</label>
													<input type="email" class="form-control" name="driver_email[]" value="<?= $singl_accident['driver_email'];?>" required="required">
												</div>
											</div>
											<div class="col-md-4">
												<div class="form-group">
													<label>Driver Address</label>
													<textarea class="form-control" name="driver_address[]"><?= $singl_accident['driver_address'];?></textarea>
												</div>
											</div>

											<div class="col-md-4">
												<div class="form-group">
													<label>Owner Name</label>
													<input type="text" class="form-control"  name="owner_name[]" value="<?= $singl_accident['owner_name'];?>" required="required">
												</div>
											</div>
											
											<div class="col-md-4">
												<div class="form-group">
													<label>Mobile/Landline</label>
													<input type="number" class="form-control"  name="owner_contact_no[]" value="<?= $singl_accident['owner_contact_no'];?>" required="required">
												</div>
											</div>
											<div class="col-md-4">
												<div class="form-group">
													<label>Email</label>
													<input type="email" class="form-control"  name="owner_email[]" value="<?= $singl_accident['owner_email'];?>" required="required">
												</div>
											</div>
											<div class="col-md-4">
												<div class="form-group">
													<label>Owner's Address</label>
													<textarea class="form-control"  name="owner_address[]"><?= $singl_accident['owner_address'];?></textarea>
												</div>
											</div>
										</div>
									</div>
							    </div>                                      	<input type="hidden" name="tab" value="#ac_form1">
																			<!-- <input type="hidden" name="accident_id" value="<?php echo $singl_accident['accident_id'];?>"> -->
																			<input type="hidden" name="accident_id[]" value="<?php echo $singl_accident['accident_id'];?>">
																			<!-- <input type="submit" name="submit" value="Update"> -->
																			<input type="hidden" name="involved_car_id[]"  value="<?php echo $singl_accident['involved_car_id'];?>">

															        <?php $i++; ?>
															        <?php endforeach ?>
                                                                    <?php endif ?>

								                               <div class="col-md-12">
																		<div class="form-actions">
																		
																			<button type="reset" class="btn btn-danger mr-1">
																			<i class="icon-trash"></i> Cancel
																			</button>
																			<input type="hidden" name="aid" value="<?php echo $singl_accident['accident_id'];?>">
																			<button type="submit" class="btn btn-success"  name="submit">
																			<i class="icon-note"></i> Update
																			</button> 

																		<!-- 	 <input type="submit" name="submit" value="update">  -->
																		</div>
																	</div>

																	
						                                        </form>
							
															<!-- new end -->
														</div>
													</div>
													<div id="ac_form2" class="tab-pane <?php if(empty($tab)){ echo ""; } elseif($tab==2){ echo "active"; } else { echo ""; } ?>">
														<div class="accident_tab_area">
															 <!--  <form class="form" method="Post" action="<?= base_url();?>admin/settings/update_accident_form2" enctype="multipart/form-data">   -->
															<div class="photo_upload_area clearfix">


                                                             <h3>Driver Personal Images</h3>
                                                              <?php if($accident_car_number_plate){?>
                                                              <form class="form" method="Post" action="<?= base_url();?>admin/settings/accident_car_number_plate" enctype="multipart/form-data"  onsubmit="return(validate1());">
																<div class="ac_photo_box">
																	<div class="ac_img">
																		<div class="upload-btn-wrapper btn" style="padding:0">
																		<img id="blah" src="<?php echo base_url()?>./public/upload_image/accident_media/<?php echo $accident_car_number_plate['media_link'];?>" alt=""/>
																	<input type="file" name="media_link" id="file-input" />
																    </div>
																	</div>
																	 <input type="hidden" name="accident_id" value="<?php echo $accident_car_number_plate['accident_id'];?>">
																	 <input type="hidden" name="accident_car_number_plate" value="<?php echo $accident_car_number_plate['accident_media_id'];?>">
																	 <input type="hidden" name="car_number_plate_image" value="<?php echo $accident_car_number_plate['media_link'];?>">
																	<button type="submit" class="btn btn-success"  name="submit"><i class="icon-note"></i></button>
																	<div class="ac_txt">
																		<h4>Car Number Plate</h4>
																	</div>
																</div>
															</form>
																<?php }else{?>
                                                                        <form class="form" method="Post" action="<?= base_url();?>admin/settings/accident_car_number_plate_save" enctype="multipart/form-data">
																<div class="ac_photo_box">
																	<div class="ac_img">
																		<div class="upload-btn-wrapper btn" style="padding:0">
																		<img id="blahcar" src="<?php echo base_url()?>./public/upload_image/accident_media/no-image.png" alt="" />
																	<input type="file" name="media_link" id="car" />
																    </div>
																	</div>
																	<input type="hidden" name="car_number_plate_image" value="<?php echo "no-image.png";?>">
																	 <input type="hidden" name="accident_id" value="<?php echo $this->uri->segment(4);?>">
																	 <input type="hidden" name="accident_car_number_plate" value="car_number_plate">
																	
																	<button type="submit" class="btn btn-success"  name="submit"><i class="icon-note"></i></button>
																	<div class="ac_txt">
																		<h4>Car Number Plate</h4>
																	</div>
																</div>
															</form>
																<?php } ?>
																 <?php if($accident_driving_licence_front){?>
																  <form class="form" method="Post" action="<?= base_url();?>admin/settings/accident_driving_licence_front" enctype="multipart/form-data"  onsubmit="return(validate2());">
																<div class="ac_photo_box">
																	<div class="ac_img">
																		<div class="upload-btn-wrapper btn" style="padding:0">
																		<img id="blah1" src="<?php echo base_url()?>./public/upload_image/accident_media/<?php echo $accident_driving_licence_front['media_link'];?>" alt=""/>
																	<input type="file" name="media_link" id="file-input1" />
																   </div>
																	</div>
																	 <input type="hidden" name="driving_licence_front" value="<?php echo $accident_driving_licence_front['media_link'];?>">
																	 <input type="hidden" name="accident_id" value="<?php echo $accident_driving_licence_front['accident_id'];?>">
																	 <input type="hidden" name="accident_driving_licence_front" value="<?php echo $accident_driving_licence_front['accident_media_id'];?>">
																	<button type="submit" class="btn btn-success"  name="submit"><i class="icon-note"></i></button>
																	<div class="ac_txt">
																		<h4>Driving Licence Front</h4>
																	</div>
																</div>
															</form>
																<?php }else{ ?>
                                                                       <form class="form" method="Post" action="<?= base_url();?>admin/settings/accident_driving_licence_front_save" enctype="multipart/form-data">
																<div class="ac_photo_box">
																	<div class="ac_img">
																		<div class="upload-btn-wrapper btn" style="padding:0">
																		<img id="blah4" src="<?php echo base_url()?>./public/upload_image/accident_media/no-image.png" alt="" />
																	<input type="file" name="media_link" id="file-input4" />
																   </div>
																	</div>
																	<input type="hidden" name="accident_id" value="<?php echo $this->uri->segment(4);?>">
																	  <input type="hidden" name="driving_licence_front_image" value="<?php echo "no-image.png";?>">
																	 <input type="hidden" name="driving_licence_font" value="<?php echo "driving_licence_front";?>">
																	<button type="submit" class="btn btn-success"  name="submit"><i class="icon-note"></i></button>
																	<div class="ac_txt">
																		<h4>Driving Licence Front</h4>
																	</div>
																</div>
															</form>
																<?php } ?>
																 <?php if($accident_driving_licence_back){?>
																  <form class="form" method="Post" action="<?= base_url();?>admin/settings/accident_driving_licence_back" enctype="multipart/form-data"  onsubmit="return(validate3());">
																<div class="ac_photo_box">
																	<div class="ac_img">
																		<div class="upload-btn-wrapper btn" style="padding:0">
																		<img id="blah2" src="<?php echo base_url()?>./public/upload_image/accident_media/<?php echo $accident_driving_licence_back['media_link'];?>" alt="" />
																	<input type="file" name="media_link" id="file-input2" />
																   </div>
																</div>
																 <input type="hidden" name="driving_licence_back" value="<?php echo $accident_driving_licence_back['media_link'];?>">
																 <input type="hidden" name="accident_id" value="<?php echo $accident_driving_licence_back['accident_id'];?>">
																	 <input type="hidden" name="accident_driving_licence_back" value="<?php echo $accident_driving_licence_back['accident_media_id'];?>">
																	<button type="submit" class="btn btn-success"  name="submit"><i class="icon-note"></i></button>
																	<div class="ac_txt">
																		<h4>Driving Licence Back</h4>
																	</div>
																</div>
															</form>
															<?php }else{ ?>
                                                                       <form class="form" method="Post" action="<?= base_url();?>admin/settings/accident_driving_licence_back_save" enctype="multipart/form-data">
																<div class="ac_photo_box">
																	<div class="ac_img">
																		<div class="upload-btn-wrapper btn" style="padding:0">
																		<img id="blah5" src="<?php echo base_url()?>./public/upload_image/accident_media/no-image.png" alt="" />
																	<input type="file" name="media_link" id="file-input5" />
																   </div>
																	</div>
																	<input type="hidden" name="accident_id" value="<?php echo $this->uri->segment(4);?>">
																	 <input type="hidden" name="driving_licence_back_image" value="<?php echo "no-image.png";?>">
																	 <input type="hidden" name="driving_licence_back" value="<?php echo "driving_licence_back";?>">
																	<button type="submit" class="btn btn-success"  name="submit"><i class="icon-note"></i></button>
																	<div class="ac_txt">
																		<h4>Driving Licence Front</h4>
																	</div>
																</div>
															</form>
																<?php } ?>



															</div>
																<div class="photo_upload_area clearfix">
																	  <form class="form" method="Post" action="<?= base_url();?>admin/settings/accident_media" enctype="multipart/form-data" onsubmit="return(validate());">
																<h3>Accident Images</h3>
																    <?php if(isset($accident_medi) && $accident_medi){?>
																     <?php $i=1;?>
                                                                      <?php foreach($accident_medi as $key =>$accident_media):?>
                                                                  
                                                            <div class="ac_photo_box">
                                                                    <div class="ac_img">
                                                                     <img  src="<?php echo base_url()?>./public/upload_image/accident_media/<?php echo $accident_media['media_link'];?>" alt="" style="width: 200px"/>
                                                                   </div>
                                                                        <input type="hidden" name="driving_licence_back" value="<?php echo $accident_car_number_plate['media_link'];?>">
                                                                        <input type="hidden" name="accident_media_id" value="<?php echo $accident_media['accident_media_id'];?>">
                                                                        <input type="hidden" name="accident_id" value="<?php echo $accident_media['accident_id'];?>">
                                                                        <a class="btn_action delete_icon" href="<?php echo base_url('admin/settings/delete_accident_image/')?><?php echo $accident_media['accident_media_id'];?>" title='Delete'><i class="fa fa-trash" aria-hidden="true"></i></a> 
                                                                        <div class="ac_txt">
                                                                       <h4>Accident media <?php echo $i;?></h4>
                                                                    </div>
                                                                </div>
                                                           
                                                                 <?php $i++;?>
                                                                   <?php endforeach?>
                                                                   <?php } ?>

                                                                   <div class="ac_photo_upload">
																	<div class="upload-btn-wrapper">
																		<button class="btn"><i class="fa fa-plus" aria-hidden="true"></i></button>
																	<img id="blah_img" src="" alt="" style="width: 100px"/>
																	<!-- 	<input type="file" multiple name="myfile" /> -->
																			<input type="file" name="media_link" id="accident_img"/>
																	</div>
																</div> 
																	</div>
																	<div class="col-md-12">
																		<div class="form-actions">
																<button type="reset" class="btn btn-danger mr-1">
																			<i class="icon-trash"></i> Cancel
																			</button>
																			 <input type="hidden" name="type" value="<?php echo "accident_media";?>" >
																			 <input type="hidden" name="accident_id" <?php if(!empty($accident_media)){?> value="<?php echo $accident_media['accident_id'];?>" <?php }else{?> value="<?php echo $this->uri->segment(4);?>" <?php }?> >
																			<button type="submit" class="btn btn-success"  name="submit">
																			<i class="icon-note"></i> Update
																			</button>
																		</div>
																	</div>
																</form>
                                                                        
                                                            	<div class="col-md-12">
																		<div class="form-actions">
																		
																		</div>
																	</div>
													
														</div>
													</div>
													<div id="ac_form3" class="tab-pane <?php if(empty($tab)){ echo ""; } elseif($tab==3){ echo "active"; } else { echo ""; } ?>">
														<div class="accident_tab_area">
																<form method="post" action="<?php echo base_url()?>admin/settings/update_accident_form3">
															<div class="row clearfix">
																<div class="col-md-4">
																	<div class="form-group">
																		<label>Name</label>
																		<input type="text" name="witness_name" value="<?= $singl_accident['witness_name'];?>" required="required" class="form-control">
																	</div>
																</div>
																<div class="col-md-4">
																	<div class="form-group">
																		<label>Address</label>
																		<input type="text" name="witness_address" value="<?= $singl_accident['witness_address'];?>"  required="required" class="form-control">
																	</div>
																</div>
																<div class="col-md-4">
																	<div class="form-group">
																		<label>Mobile</label>
																		<input type="number" name="witness_mobile" value="<?= $singl_accident['witness_mobile'];?>"  required="required" class="form-control">
																	</div>
																</div>
																<div class="col-md-4">
																		<div class="form-group">
																		<!-- 	<label>is_police_attended</label> -->
																			<label>Is Police Attended?</label>
																			<div class="input-group">
																				<div class="custom-control custom-radio display-inline-block mr-2">
																					<input type="radio" id="police1" value="<?php echo $singl_accident['is_police_attended']?>"  <?php if($singl_accident['is_police_attended'] == '1') { echo "checked";}?> name="is_police_attended" class="custom-control-input">
																					<label class="custom-control-label" for="police1">Yes</label>
																				</div>
																				<div class="custom-control custom-radio display-inline-block">
																					<input type="radio" id="police2"  value="<?php echo $singl_accident['is_police_attended']?>" <?php if($singl_accident['is_police_attended'] == '2') { echo "checked";}?> name="is_police_attended" class="custom-control-input">
																					<label class="custom-control-label" for="police2">No</label>
																				</div>
																			</div>
																		</div>
																	</div>
																	<div class="col-md-4">
																	<div class="form-group">
																		<label>Name</label>
																		<input type="text"  name="officer_name" class="form-control" value="<?= $singl_accident['officer_name'];?>"  required="required">
																	</div>
																</div>
																<div class="col-md-4">
																	<div class="form-group">
																		<label>Police Station</label>
																		<input type="text" name="police_station" class="form-control" value="<?= $singl_accident['police_station'];?>"  required="required">
																	</div>
																</div>
																<div class="col-md-4">
																	<div class="form-group">
																		<label>Phone No.</label>
																		<input type="number" name="officer_phone_no" class="form-control" value="<?= $singl_accident['officer_phone_no'];?>"  required="required">
																	</div>
																</div>
																<div class="col-md-4">
																	<div class="form-group">
																		<label>Ref No.</label>
																		<input type="number" name="officer_reference_no" class="form-control" value="<?= $singl_accident['officer_reference_no'];?>" required="required">
																	</div>
																</div>
																	<div class="col-md-12">
																		<div class="form-actions">

																			<input type="hidden" name="accident_id" value="<?php echo $singl_accident['accident_id'];?>">
																			<input type="hidden" name="tab" value="#ac_form3">
																			<!-- <input type="submit" name="submit" value="Update"> -->
																			<button type="reset" class="btn btn-danger mr-1">
																			<i class="icon-trash"></i> Cancel
																			</button>
																			<button type="submit" class="btn btn-success"  name="submit">
																			<i class="icon-note"></i> Update
																			</button>
																		</div>
																	</div>
																
															</div>
														</form>
														</div>
													</div>
												
						                        <div id="ac_form4" class="tab-pane <?php if(empty($tab)){ echo ""; } elseif($tab==4){ echo "active"; } else { echo ""; } ?>">


														<div class="accident_tab_area">
															<form method="post" action="<?php echo base_url()?>admin/settings/update_accident_form4">
															<div class="row clearfix">
																<!-- 	<div class="col-md-4">
																		<div class="form-group">
																			<label>No. Of cars involved in accident</label>
																			<input type="number" class="form-control"  value="<?php echo $singl_accident['no_of_car'];?>" name="no_of_car" required>
																		</div>
																	</div> -->
																<div class="col-md-4">
																		<div class="form-group">
																			<label>Date</label>
																			<div class="input-group">
																				<input type="text" class="form-control pickadate" placeholder=""  value="<?php echo $singl_accident['accident_datetime'];?>" name="accident_datetime" required/>
																				<div class="input-group-append">
																					<span class="input-group-text">
																						<span class="fa fa-calendar-o"></span>
																					</span>
																				</div>
																			</div>
																		</div>
																	</div>
																	<div class="col-md-4">
																		<div class="form-group">
																			<label>Time</label>
																			<div class="input-group time_pick">
																				<input id="timepicker" class="form-control"   value="<?php echo $singl_accident['accident_datetime'];?>" name="accident_datetime" required/>
																				<!--<input type="time" class="form-control" placeholder="" />-->
																				
																			</div>
																		</div>
																	</div>
																	<div class="col-md-4">
																		<div class="form-group">
																			<label>Place</label>
																			<input type="text" class="form-control" placeholder=""  value="<?php echo $singl_accident['place'];?>" name="place" required/>
																		</div>
																	</div>
																	<div class="col-md-4">
																		<div class="form-group">
																			<label>Description</label>
																			<textarea class="form-control" name="description" required><?php echo $singl_accident['description'];?></textarea>
																		</div>
																	</div>
																	<div class="col-md-12">
																		<div class="form-actions">
																			<input type="hidden" name="accident_id" value="<?php echo $singl_accident['accident_id'];?>">
																			<input type="hidden" name="tab" value="#ac_form3">
																			<button type="reset" class="btn btn-danger mr-1">
																			<i class="icon-trash"></i> Cancel
																			</button>
																			<button type="submit" class="btn btn-success"  name="submit">
																			<i class="icon-note"></i> Update
																			</button>
																			<!-- <input type="submit" name="submit" value="Update" class="btn btn-success">
                                                                             <i class="icon-note"></i> -->
																		</div>
																	</div>
															</div>
														</form>
														</div>




													</div>
												</div>
										</div>
									</div>
								</div>
								<!-- end -->

                        	   </div>

								<div class="form-actions">
								
								
								</div>
							<!-- 	</form> -->
								</div>
								</div>
																</div>
														</div>
												</div>
										</section>
										<!-- // Basic form layout section end --> 
								</div>
						</div>
				</div>

<script>
	$(document).ready(function() {
	    $("input[name$='comTypeRadio']").click(function() {
		    var test = $(this).val();

			$("div.desc").hide();
			$("#Cars" + test).show();
			});
	});
</script>
<script>

///////////////////thumbnail////////////////////////////////
function readURL(input) {

    var FileUploadPath = input.value;
    if (FileUploadPath == '') {
                alert("Please upload an image");

      } else {
        var Extension = FileUploadPath.substring(FileUploadPath.lastIndexOf('.') + 1).toLowerCase();

    //The file uploaded is an image

    if (Extension == "gif" || Extension == "png" || Extension == "bmp"|| Extension == "jpeg" || Extension == "jpg") {
        if (input.files && input.files[0]) {

            var reader = new FileReader();

            reader.onload = function (e) {

                $('#blah').attr('src', e.target.result);
                $('#blah').show();
            }

            reader.readAsDataURL(input.files[0]);

        }
      }
      else
      {
        alert("Thumbnail only allows image file types - GIF, PNG, JPG, JPEG. ");
        $("#file-input").val('');
      }
    }

}



$("#file-input").change(function(){

    readURL(this);

});
///////////////////thumbnail////////////////////////////////
function readURL1(input) {

    var FileUploadPath = input.value;
    if (FileUploadPath == '') {
                alert("Please upload an image");

      } else {
        var Extension = FileUploadPath.substring(FileUploadPath.lastIndexOf('.') + 1).toLowerCase();

    //The file uploaded is an image

    if (Extension == "gif" || Extension == "png" || Extension == "bmp"|| Extension == "jpeg" || Extension == "jpg") {
        if (input.files && input.files[0]) {

            var reader = new FileReader();

            reader.onload = function (e) {

                $('#blah1').attr('src', e.target.result);
                $('#blah1').show();
            }

            reader.readAsDataURL(input.files[0]);

        }
      }
      else
      {
        alert("Thumbnail only allows image file types - GIF, PNG, JPG, JPEG. ");
        $("#file-input1").val('');
      }
    }

}



$("#file-input1").change(function(){

    readURL1(this);

});
///////////////////thumbnail////////////////////////////////
function readURL2(input) {

    var FileUploadPath = input.value;
    if (FileUploadPath == '') {
                alert("Please upload an image");

      } else {
        var Extension = FileUploadPath.substring(FileUploadPath.lastIndexOf('.') + 1).toLowerCase();

    //The file uploaded is an image

    if (Extension == "gif" || Extension == "png" || Extension == "bmp"|| Extension == "jpeg" || Extension == "jpg") {
        if (input.files && input.files[0]) {

            var reader = new FileReader();

            reader.onload = function (e) {

                $('#blah2').attr('src', e.target.result);
                $('#blah2').show();
            }

            reader.readAsDataURL(input.files[0]);

        }
      }
      else
      {
        alert("Thumbnail only allows image file types - GIF, PNG, JPG, JPEG. ");
        $("#file-input2").val('');
      }
    }

}



$("#file-input2").change(function(){

    readURL2(this);

});
</script>

<script>
///////////////////thumbnail////////////////////////////////
function readURL3(input) {

    var FileUploadPath = input.value;
    if (FileUploadPath == '') {
                alert("Please upload an image");

      } else {
        var Extension = FileUploadPath.substring(FileUploadPath.lastIndexOf('.') + 1).toLowerCase();

    //The file uploaded is an image

    if (Extension == "gif" || Extension == "png" || Extension == "bmp"|| Extension == "jpeg" || Extension == "jpg") {
        if (input.files && input.files[0]) {

            var reader = new FileReader();

            reader.onload = function (e) {

                $('#blahcar').attr('src', e.target.result);
                $('#blahcar').show();
            }

            reader.readAsDataURL(input.files[0]);

        }
      }
      else
      {
        alert("Thumbnail only allows image file types - GIF, PNG, JPG, JPEG. ");
        $("#car").val('');
      }
    }

}



$("#car").change(function(){

    readURL3(this);

});


</script>

<script>
///////////////////thumbnail////////////////////////////////
function readURL4(input) {

    var FileUploadPath = input.value;
    if (FileUploadPath == '') {
                alert("Please upload an image");

      } else {
        var Extension = FileUploadPath.substring(FileUploadPath.lastIndexOf('.') + 1).toLowerCase();

    //The file uploaded is an image

    if (Extension == "gif" || Extension == "png" || Extension == "bmp"|| Extension == "jpeg" || Extension == "jpg") {
        if (input.files && input.files[0]) {

            var reader = new FileReader();

            reader.onload = function (e) {

                $('#blah4').attr('src', e.target.result);
                $('#blah4').show();
            }

            reader.readAsDataURL(input.files[0]);

        }
      }
      else
      {
        alert("Thumbnail only allows image file types - GIF, PNG, JPG, JPEG. ");
        $("#file-input4").val('');
      }
    }

}



$("#file-input4").change(function(){

    readURL4(this);

});
</script>
<script>
///////////////////thumbnail////////////////////////////////
function readURL5(input) {

    var FileUploadPath = input.value;
    if (FileUploadPath == '') {
                alert("Please upload an image");

      } else {
        var Extension = FileUploadPath.substring(FileUploadPath.lastIndexOf('.') + 1).toLowerCase();

    //The file uploaded is an image

    if (Extension == "gif" || Extension == "png" || Extension == "bmp"|| Extension == "jpeg" || Extension == "jpg") {
        if (input.files && input.files[0]) {

            var reader = new FileReader();

            reader.onload = function (e) {

                $('#blah5').attr('src', e.target.result);
                $('#blah5').show();
            }

            reader.readAsDataURL(input.files[0]);

        }
      }
      else
      {
        alert("Thumbnail only allows image file types - GIF, PNG, JPG, JPEG. ");
        $("#file-input5").val('');
      }
    }

}



$("#file-input5").change(function(){

    readURL5(this);

});
</script>


<script>

function readURLM(input) {
var FileUploadPath = input.value;
    if (FileUploadPath == '') {
                alert("Please upload an video");

      } else {
        var Extension = FileUploadPath.substring(FileUploadPath.lastIndexOf('.') + 1).toLowerCase();

    //The file uploaded is an image
   if (Extension == "gif" || Extension == "png" || Extension == "bmp"|| Extension == "jpeg" || Extension == "jpg") {
   // if (Extension == "mp4" || Extension == "mov" || Extension == "3gp"|| Extension == "ogg" || Extension == "wmv") {
      if (input.files && input.files[0]) {

          var reader = new FileReader();

          reader.onload = function (e) {

              $('#blah_img').attr('src', e.target.result);
              $('#blah_img').show();

          }

          reader.readAsDataURL(input.files[0]);

      }

      }
      else
      {
        alert("Thumbnail only allows image file types - GIF, PNG, JPG, JPEG. ");
        $("#accident_img").val('');
      }
    }

}


$("#accident_img").change(function(){

    readURLM(this);

});

</script>
<script>
function validate(){

    if($('#accident_img')[0].files.length === 0){

    	$.alert({
				title: 'Alert!',
				content: 'Please Select an image!',
			});
			
        $('#accident_img').focus();

        return false;
    }
}
</script>

<script>
function validate1(){

    if($('#file-input')[0].files.length === 0){
    	$.alert({
				title: 'Alert!',
				content: 'Please Select an image!',
			});
       // alert("Please Select an image");
        $('#file-input').focus();

        return false;
    }
}
</script>
<script>
function validate2(){

    if($('#file-input1')[0].files.length === 0){
    	$.alert({
				title: 'Alert!',
				content: 'Please Select an image!',
			});
       // alert("Please Select an image");
        $('#file-input1').focus();

        return false;
    }
}
</script>
<script>
function validate3(){

    if($('#file-input2')[0].files.length === 0){
    	$.alert({
				title: 'Alert!',
				content: 'Please Select an image!',
			});
       // alert("Please Select an image");
        $('#file-input2').focus();

        return false;
    }
}
</script>