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Current File : D:/INETPUB/VHOSTS/lensai.com/httpdocs/admin/add_user.php

<script type="text/javascript">  
function showState(id)
{
	$.ajax({
		type: "POST",
		url: "ajax.php",
		data: { id : id, view_state : '1'},
		success: function(html){
			$('#stateajax').html(html);
			
		}
	});
	$('#cityajax').html('<option value="">Select</option>');
}
function showCity(id)
{
	$.ajax({
		type: "POST",
		url: "ajax.php",
		data: { id : id, view_city : '1'},
		success: function(html){
			$('#cityajax').html(html);
			
		}
	});
}
</script>
<script>
function validate()
{
	if(document.form.role.value=="")
	{
		alert("please Select Role");
		
		document.form.role.focus();
			document.form.role.value ="";
		return false;
	}
	
	if(document.form.fullname.value=="")
	{
		alert("please enter full name");
		
		document.form.fullname.focus();
			document.form.fullname.value ="";
		return false;
	}
	
	if(document.form.username.value=="")
	{
		alert("please enter User Name");
	
		document.form.username.focus();
			document.form.username.value ="";
		return false;
	}
	if(document.form.password.value=="")
	{
		alert("please enter Password");
	
		document.form.password.focus();
			document.form.password.value ="";
		return false;
	}	
	
	if(document.form.mobile_no.value=="")
	{
		alert("please enter contact no");
		document.form.mobile_no.focus();
		return false;
	}
	
	if((document.form.phoneno.value==""))
	{
		alert("please Enter phone no");
		document.form.phoneno.focus();
		return false;
	}
	if(document.form.email.value=="")
	{
		alert("please enter email address");
		document.form.email.focus();
		return false;
	}
	
	if(document.form.address.value=="")
	{
		alert("please enter address");
		document.form.address.focus();
		return false;
	}
	if(document.form.zipcode.value=="")
	{
		alert("please enter area zipcode");
		document.form.zipcode.focus();
		return false;
	}
	
}

</script>

		<section class="content-header">
          <a href="index.php?p=view_user"class="btn btn-primary">View User</a>
          <ol class="breadcrumb">
            <li><a href="#"><i class="fa fa-dashboard"></i> <b>Home</b></a></li>
            <li class="active"><b>Table</b></li>
            <li class="active"><b>User</b></li>
          </ol>
        </section>

		<!-- Main content -->
        <section class="content">
          <div class="row">
            <!-- left column -->
            <div class="col-md-6">
              <!-- general form elements -->
              <div class="box box-primary">
                <div class="box-header">
                  <h3 class="box-title">Add User</h3>
                </div><!-- /.box-header -->
                <!-- form start -->
                <form role="form" name="form" action="controller.php" method="post" onsubmit="return validate();" enctype="multipart/form-data">
                  <div class="box-body">
                    
					<div class="form-group">
                      <label>Role</label>
                      <select class="form-control" name="role">
                        <option value="">Select Role</option>
                        <?php
							
							$query="select * from role";
							$exe=mysql_query($query);
							while($row=mysql_fetch_array($exe)){
								?>
								
							<option value="<?php echo $row['rid']; ?>"><?php echo $row['rname']; ?></option>
							
							<?php	
							}
							?>
						
						
                      </select>
                    </div>
					<div class="form-group">
                      <label>Full Name</label>
                      <input type="text" class="form-control" name="fullname" value="" placeholder="Enter Full Name">
                    </div>
					<div class="form-group">
                      <label>User Name</label>
                      <input type="text" class="form-control" name="username" value="" placeholder="Enter User Name">
                    </div>
					<div class="form-group">
                      <label>Password</label>
                      <input type="password" class="form-control" name="password" value="" placeholder="Enter Password">
                    </div>
					<div class="form-group">
                      <label>Mobile No</label>
                      <input type="text" class="form-control" name="mobileno" value="" maxlength="10" placeholder="Enter Mobile No.">
                    </div>
					<div class="form-group">
                      <label>Phone No</label>
                      <input type="text" class="form-control" name="phoneno" value="" placeholder="Enter Phone No.">
                    </div>
					<div class="form-group">
                      <label for="exampleInputEmail1">Email address</label>
                      <input type="text" class="form-control" name="email" value="" id="exampleInputEmail1" placeholder="Enter email">
                    </div>
                    
                  </div><!-- /.box-body -->

                  
           
              </div><!-- /.box -->
            </div><!--/.col (left) -->
            <!-- right column -->
            <div class="col-md-6">
              <!-- general form elements disabled -->
              <div class="box box-warning">
                <div class="box-body">
                    <!-- textarea -->
                    <div class="form-group">
                      <label>Address</label>
                      <textarea class="form-control" rows="2" name="address" placeholder="Enter Address"></textarea>
                    </div>
					<div class="form-group">
                      <label>Country</label>
                      <select class="form-control select2" name="country" style="padding:0%"  onchange="showState(this.value)">
					  <option value="">Select</option>
					  <?php
							
							$query="select * from country";
							$exe=mysql_query($query);
							while($row=mysql_fetch_array($exe)){
								?>
							<option value="<?php echo $row['cid']; ?>"><?php echo $row['cname']; ?></option>
							
							<?php	
							}
							?>
                        
                      </select>
                    </div>
					<div class="form-group">
                      <label>State</label>
                      <select class="form-control select2" id="stateajax" style="padding:0%" name="state" onchange="showCity(this.value)">
                        <option value="">Select</option>
						<?php
							
							$query="select * from state";
							$exe=mysql_query($query);
							while($row=mysql_fetch_array($exe)){
								?>
							<option value="<?php echo $row['sid']; ?>"><?php echo $row['sname']; ?></option>
							
							<?php	
							}
							?>
						
                      </select>
                    </div>
					<div class="form-group" >
                      <label>City</label>
                      <select class="form-control select2" style="padding:0%" id="cityajax" name="city">
                        <option value="">Select</option>
						<?php
							
							$query="select * from city";
							$exe=mysql_query($query);
							while($row=mysql_fetch_array($exe)){
								?>
							<option value="<?php echo $row['ciid']; ?>"><?php echo $row['ciname']; ?></option>
							
							<?php	
							}
							?>
						
                      </select>
                    </div>
					
					<div class="form-group">
                      <label for="exampleInputFile">Image</label>
                      <input type="file"name="image" id="exampleInputFile">
                    </div>
					<div class="box-footer" style="padding-top:8%;">
                    <button type="submit" name="adduser"  class="btn btn-primary">Submit</button>
                  </div>
                    <!-- input states -->
                    

                  </form>
                </div><!-- /.box-body -->
              </div><!-- /.box -->
            </div><!--/.col (right) -->
          </div>   <!-- /.row -->
        </section><!-- /.content -->