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<!DOCTYPE html>
<html lang="en">

<head>
<title>My Payment entry</title>

<?php echo link_tag('assests/vendor/bootstrap/css/bootstrap.min.css'); ?>

<?php echo link_tag('assests/vendor/fontawesome-free/css/all.min.css'); ?>

<?php echo link_tag('assests/vendor/datatables/dataTables.bootstrap4.css'); ?>

<?php echo link_tag('assests/css/sb-admin.css'); ?>
<style>.gradient-custom {
/* fallback for old browsers */
/*background: #f093fb;*/

/* Chrome 10-25, Safari 5.1-6 */
/*background: -webkit-linear-gradient(to bottom right, rgba(240, 147, 251, 1), rgba(245, 87, 108, 1));*/

/* W3C, IE 10+/ Edge, Firefox 16+, Chrome 26+, Opera 12+, Safari 7+ */
/*background: linear-gradient(to bottom right, rgba(240, 147, 251, 1), rgba(245, 87, 108, 1))*/
}

.card-registration .select-input.form-control[readonly]:not([disabled]) {
font-size: 1rem;
line-height: 2.15;
padding-left: .75em;
padding-right: .75em;
}
.card-registration .select-arrow {
top: 13px;
}</style>
  </head>

<?php include APPPATH.'views/user/includes/header.php';?>

<?php include APPPATH.'views/user/includes/sidebar.php';?>

<ol class="breadcrumb">
            <li class="breadcrumb-item">
              <a href="<?php echo site_url('user/Dashboard'); ?>">User</a>
            </li>
            <li class="breadcrumb-item active">My Payment entry</li>
          </ol>

<h1>My Profile</h1>
          <hr>

<?php if ($this->session->flashdata('success')) { ?>
<p style="color:green; font-size:18px;"><?php echo $this->session->flashdata('success'); ?></p>
</div>
<?php } ?>

<?php echo form_open_multipart('user/Payment/insert');?>

<section class="vh-100 gradient-custom">
  <div class="container py-5 h-100">
    <div class="row justify-content-center align-items-center h-100">
      <div class="col-12 col-lg-9 col-xl-7">
        <div class="card shadow-2-strong card-registration" style="border-radius: 15px;">
          <div class="card-body p-4 p-md-5">
            <h3 class="mb-4 pb-2 pb-md-0 mb-md-5">My Payment Entry</h3>
            <form>

<div class="row">
                 <div class="col-md-6 mb-4">
 
                  <select name="for_type" class="select form-control-lg">
                    
                    <option value="Membership Fees">Registration Fees</option>
                    <option value="Donation">Admission Fees</option>
                    <option value="Special Drive Contribution">Session Fees</option>
                    <option value="Other">Other</option>
                  </select>
                 
<label class="form-label select-label">Reason For</label>
                </div>
              </div>
<div class="row">
                 <div class="col-md-6 mb-4">
 
                  <select name="mode" class="select form-control-lg">
                    
                    <option value="Online Pay">Online Pay</option>
                    <option value="Cheque">Cheque</option>
                    <option value="Cash">Cash</option>
                    <option value="Other">Other</option>
                  </select>
                 <label class="form-label select-label">Payment Mode</label>

</div>
              </div>

<div class="form-outline">
                    <input name="amount" type="number" id="firstName" class="form-control form-control-lg" />
                    <label class="form-label" for="firstName">Amount</label>
                  </div>

</div>
                <div class="col-md-6 mb-4">

<div  class="form-outline">
                    <input  name="pdate"type="date" id="lastName" class="form-control form-control-lg" />
                    <label class="form-label" for="lastName">Payment Date</label>
                  </div>

</div>
              </div>

<div class="form-outline datepicker w-100">
                    <input name="comments" type="text-area" class="form-control form-control-lg" id="birthdayDate" />
                    <label for="birthdayDate" class="form-label">Comments</label>
                  </div>

</div>
                <div class="col-md-6 mb-4 d-flex align-items-center">

<div class="form-outline datepicker w-100">
                    <input name="bill" type="file" class="form-control form-control-lg" id="mybill" />
                    <label for="mybill" class="form-label">Upload Bill</label>
                  </div>

</div>
                <!-- <div class="col-md-6 mb-4">

<h6 class="mb-2 pb-1">Gender: </h6>

<div class="form-check form-check-inline">
                    <input class="form-check-input" type="radio" name="inlineRadioOptions" id="femaleGender"
                      value="option1" checked />
                    <label class="form-check-label" for="femaleGender">Female</label>
                  </div>

<div class="form-check form-check-inline">
                    <input class="form-check-input" type="radio" name="inlineRadioOptions" id="otherGender"
                      value="option3" />
                    <label class="form-check-label" for="otherGender">Other</label>
                  </div>

</div>
              </div> -->

<!-- <div class="row">
                <div class="col-md-6 mb-4 pb-2">

<div class="form-outline">
                    <input type="email" id="emailAddress" class="form-control form-control-lg" />
                    <label class="form-label" for="emailAddress">Email</label>
                  </div>

</div>
                <div class="col-md-6 mb-4 pb-2">

<div class="form-outline">
                    <input type="tel" id="phoneNumber" class="form-control form-control-lg" />
                    <label class="form-label" for="phoneNumber">Phone Number</label>
                  </div>

</div>
              </div> -->

<!-- <div class="row">
                <div class="col-12">

<select class="select form-control-lg">
                    <option value="1" disabled>Choose option</option>
                    <option value="2">Subject 1</option>
                    <option value="3">Subject 2</option>
                    <option value="4">Subject 3</option>
                  </select>
                  <label class="form-label select-label">Choose option</label>

</div>
              </div> --><br>
  <div class="row">
                <div class="col-md-6 mb-4 d-flex align-items-center">

</div>
            </div>
            </form>
          </div>
        </div>
      </div>
    </div>
  </div>
</section>

<?php echo form_close();?>

</div>

<?php include APPPATH.'views/user/includes/footer.php';?>

</div>

</div>

<a class="scroll-to-top rounded" href="#page-top">
      <i class="fas fa-angle-up"></i>
    </a>
  
    <script src="<?php echo base_url('assests/vendor/jquery/jquery.min.js'); ?>"></script>
    <script src="<?php echo base_url('assests/vendor/bootstrap/js/bootstrap.bundle.min.js'); ?>"></script>
    
    <script src="<?php echo base_url('assests/vendor/jquery-easing/jquery.easing.min.js'); ?>"></script>
    
    <script src="<?php echo base_url('assests/js/sb-admin.min.js '); ?>"></script>

</body>

</html>

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