| Şuanki Dizin: /home/wwwdreamtechnolo/public_html/swamipolytechnic.org/ |
| Şuanki Dosya : /home/wwwdreamtechnolo/public_html/swamipolytechnic.org/form.php |
<?php
include('78enc22_main7sqww_8d9/lib/functions.php');
$db = new login_function();
$SuccessMsg="";
$contact_no_error = 0 ;
$actual_image_name="";
$flag=0;
$firstname="";
$middlename="";
$lastname="";
$mobile_no="";
$email_id="";
$address="";
$district="";
$taluka="";
$applicant="";
$college_name="";
$grievance_category="";
$grievance_subj="";
$grievance_details="";
$document="";
$declaration="";
if(isset($_POST['add']))
{
$firstname = $_POST['firstname'];
$middlename = $_POST['middlename'];
$lastname = $_POST['lastname'];
$mobile_no = $_POST['mobile_no'];
if(strlen($mobile_no)!=10)
{
$contact_no_error = 1 ;
$flag=1;
}
$email_id = $_POST['email_id'];
$address = $_POST['address'];
$district = "";
$taluka = "";
$applicant = $_POST['applicant'];
$college_name = $_POST['college_name'];
$grievance_category = $_POST['grievance_category'];
$grievance_subj = $_POST['grievance_subj'];
$grievance_details = $_POST['grievance_details'];
//$declaration = $_POST['declaration'];
$enroll_no = $_POST['enroll_no'];
$qualification_id = $_POST['qualification'];
$occupation_id = $_POST['occupation'];
$designation_id = $_POST['designation'];
$department_id = $_POST['department'];
if(isset($_POST['declaration']))
{
$declaration = 1;
}
$valid_formats = array("jpg","png","gif","bmp","jpeg","pdf","JPEG","JPG","BMP","PNG","GIF","PDF");
if(isset($_POST) and $_SERVER['REQUEST_METHOD'] == "POST")
{
$name = $_FILES['document']['name'];
$size = $_FILES['document']['size'];
if(strlen($name))
{
list($txt, $ext) = explode(".", $name);
if(in_array($ext,$valid_formats))
{
$documents = array();
function generateRandomString($length = 10) {
$characters = '0123456789abcdefghijklmnopqrstuvwxyzABCDEFGHIJKLMNOPQRSTUVWXYZ';
$charactersLength = strlen($characters);
$randomString = '';
for ($i = 0; $i < $length; $i++)
{
$randomString .= $characters[rand(0, $charactersLength - 1)];
}
return $randomString;
}
$current_random_string = generateRandomString();
$actual_image_name = $current_random_string.".".strtolower($ext);
$tmp = $_FILES['document']['tmp_name'];
$img_Dir = "78enc22_main7sqww_8d9/attachments/";
if(!file_exists($img_Dir))
{
mkdir($img_Dir);
}
if(move_uploaded_file($tmp,$img_Dir.$actual_image_name))
{
}
else
{
$image_error = "failed" ;
$flag = 1;
}
}
else
{
$image_error = "Invalid document format";
$flag = 1;
}
}
}
if($flag==0)
{
if($db->save_grievance_form($firstname,$middlename,$lastname,$mobile_no,$email_id,$address,$district,$taluka,$applicant,$college_name,$grievance_category,$grievance_subj,$grievance_details,$actual_image_name,$declaration,$enroll_no,$qualification_id,$occupation_id,$designation_id,$department_id))
{
$SuccessMsg = 1;
$firstname="";
$middlename="";
$lastname="";
$mobile_no="";
$email_id="";
$address="";
$district="";
$taluka="";
$applicant="";
$college_name="";
$grievance_category="";
$grievance_subj="";
$grievance_details="";
$document="";
$declaration="";
}
else
{
$SuccessMsg = 2;
}
}
else
{
$SuccessMsg = 3;
}
}
?>
<html>
<head>
<title>SVSMD's Grievance Form</title>
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="stylesheet" href="css/bootstrap.min.css">
<script src="js/jquery.min.js"></script>
<script src="js/bootstrap.min.js"></script>
<style>
.form-control
{
}
.heading
{
padding:20px;
}
@media only screen and (max-width: 800px)
{
.form-control
{
width:100%;
margin:auto;
padding:8px;
}
h3
{
pading:10px;
margin:12px;
margin-top:25px;
}
.heading
{
padding:8px;
}
}
.form-row
{
}
</style>
<script>
function validateForm() {
var i = document.forms["myForm"]["applicant"].value;
var a = document.forms["myForm"]["firstname"].value;
var b = document.forms["myForm"]["middlename"].value;
var c = document.forms["myForm"]["lastname"].value;
var d = document.forms["myForm"]["mobile_no"].value;
var e = document.forms["myForm"]["email_id"].value;
var f = document.forms["myForm"]["address"].value;
var j = document.forms["myForm"]["college_name"].value;
var k = document.forms["myForm"]["grievance_category"].value;
var l = document.forms["myForm"]["grievance_subj"].value;
var m = document.forms["myForm"]["grievance_details"].value;
if (i == "" || i=="Select Applicant Type") {
alert("Please Select Applicant Type");
return false;
}
if (a == "") {
alert("Enter Your First Name");
return false;
}
if (b == "") {
alert("Enter Your Middle Name");
return false;
}
if (c == "") {
alert("Enter Your Last Name");
return false;
}
if (d == "") {
alert("Enter Your Mobile Number");
return false;
}
if (e == "") {
alert("Enter Email Address");
return false;
}
if (f == "") {
alert("Enter Address")
return false;
}
if (j == "") {
alert("Enter Your College Name");
return false;
}
if (k == "" || k=="select") {
alert("Please Select Grievance Category")
return false;
}
if (l == "") {
alert("Enter Grievance Subject");
return false;
}
if (m == "") {
alert("Enter Grievance Details");
return false;
}
}
</script>
<script type="text/javascript">
function changeFunc() {
var selectBox = document.getElementById("applicant_id");
var selectedValue = selectBox.options[selectBox.selectedIndex].value;
if (selectedValue=="Student"){
$('#enroll_id').show();
}
else {
$('#enroll_id').hide();
}
if (selectedValue=="Parents"){
$('#qualification_id').show();
$('#occupation_id').show();
}
else {
$('#qualification_id').hide();
$('#occupation_id').hide();
}
if (selectedValue=="Faculty / Staff"){
$('#designation_id').show();
$('#department_id').show();
}
else {
$('#designation_id').hide();
$('#department_id').hide();
}
}
</script>
<script>
function check()
{
var pass1 = document.getElementById('mobile');
var message = document.getElementById('message');
var goodColor = "#0C6";
var badColor = "#E6DCDC";
if(mobile.value.length!=10){
mobile.style.backgroundColor = badColor;
message.style.color = badColor;
message.innerHTML = "required 10 digits mobile number"
}}
</script>
</head>
<body style="background-color:#C80032;">
<?php include('header.php'); ?>
<div class="container heading">
<h3><center><span style="color:white; color: linear-gradient(blue, pink); font-weight:bold; text-shadow:4px 2px black; margin-bottom:0px;font-family: 'Archivo Black', sans-serif;">SVSMD's Grievance Form</span></center></h3>
</div>
<div class="container">
<form method="post" action="<?php echo $_SERVER['PHP_SELF']?>" name="myForm" onsubmit="return validateForm()" enctype="multipart/form-data" autocomplete="off">
<?php
if($SuccessMsg == 1)
{
?>
<div class="alert alert-success">
<span class="alert-link">Successfully ! </span> Your Details are Sent
</div>
<?php
}
?>
<div class="form-row">
<div class="form-group col-md-4">
<select class="form-control" name="applicant" id="applicant_id" onchange="changeFunc();">
<option value="Select Applicant Type">Select Applicant Type</option>
<option value="Student"<?php if($applicant=="Student"){ ?> Selected <?php } ?>>Student</option>
<option value="Parents" <?php if($applicant=="Parents"){ ?> Selected <?php } ?>>Parents</option>
<option value="Faculty / Staff" <?php if($applicant=="Faculty / Staff"){ ?> Selected <?php } ?> >Faculty / Staff</option>
<option value="Other" <?php if($applicant=="Other"){ ?> Selected <?php } ?> >Other</option>
</select>
</div>
<div class="form-group col-md-4" id="enroll_id" style="display:none;">
<input type="text" class="form-control" placeholder="Enter Your Enrollment Number" name="enroll_no" value="<?php //echo $enroll_no; ?>" />
</div>
<div class="form-group col-md-4" id="qualification_id" style="display:none;">
<input type="text" class="form-control" placeholder="Enter Parent Qualification" name="qualification" value="<?php //echo $enroll_no; ?>" />
</div>
<div class="form-group col-md-4" id="occupation_id" style="display:none;">
<input type="text" class="form-control" placeholder="Enter Parent Occupation" name="occupation" value="<?php //echo $enroll_no; ?>" />
</div>
<div class="form-group col-md-4" id="designation_id" style="display:none;">
<input type="text" class="form-control" placeholder="Enter Faculty Designation" name="designation" value="<?php //echo $enroll_no; ?>" />
</div>
<div class="form-group col-md-4" id="department_id" style="display:none;">
<input type="text" class="form-control" placeholder="Enter Faculty Department" name="department" value="<?php //echo $enroll_no; ?>" />
</div>
</div>
<div class="form-row">
<div class="form-group col-md-4">
<input type="text" class="form-control" placeholder="Enter Your First Name" name="firstname" value="<?php echo $firstname; ?>" />
</div>
<div class="form-group col-md-4">
<input type="text" class="form-control" placeholder="Enter Your Middle Name" name="middlename" value="<?php echo $middlename; ?>" />
</div>
<div class="form-group col-md-4">
<input type="text" class="form-control" placeholder="Enter Your Last Name" name="lastname" value="<?php echo $lastname; ?>" />
</div>
<div class="form-group col-md-4">
<input type="number" class="form-control" id="mobile" onkeyup="check(); return false;" placeholder="Enter Your Mobile Number" name="mobile_no" value="<?php echo $mobile_no; ?>" /><span id="message"></span>
<?php
if($contact_no_error == 1)
{
?>
<div>
<span style="color:white;">Please Enter 10 Digit Mobile number</span>
</div>
<?php } ?>
</div>
<div class="form-group col-md-4">
<input type="email" class="form-control" placeholder="Enter Email Address" name="email_id" value="<?php echo $email_id; ?>" />
</div>
<div class="form-group col-md-12">
<textarea type="text" class="form-control" placeholder="Enter Address" name="address" /><?php echo $address; ?></textarea>
</div>
<div class="form-group col-md-4">
<input type="text" class="form-control" placeholder="Enter College / Organisation Name where you belong" name="college_name" value="<?php echo $college_name; ?>" />
</div>
<div class="form-group col-md-4">
<select class="form-control" name="grievance_category">
<option value="select" >Select Grievance Category</option>
<option value="Academic" <?php if($grievance_category=="Academic"){ ?> Selected <?php } ?>>Academic</option>
<option value="Anti Ragging" <?php if($grievance_category=="Anti Ragging"){ ?> Selected <?php } ?>>Anti Ragging</option>
<option value="Anti Sexual Harassment" <?php if($grievance_category=="Anti Sexual Harassment"){ ?> Selected <?php } ?>>Anti Sexual Harassment</option>
<option value="Any Other" <?php if($grievance_category=="Any Other"){ ?> Selected <?php } ?>>Any Other</option>
</select>
</div>
<div class="form-group col-md-4">
<input type="text" class="form-control" placeholder="Enter Grievance Subject" name="grievance_subj" value="<?php echo $grievance_subj; ?>" />
</div>
<div class="form-group col-md-6">
<textarea type="text" class="form-control" height="100" placeholder="Enter Grievance Details" name="grievance_details" /><?php echo $grievance_details; ?></textarea>
</div>
<div class="form-group col-md-6">
<label style="color:white;">Upload Supporting Document if any:</label>
<input type="file" class="form-control" placeholder="" name="document" />
</div>
<div class="form-group col-md-12" style="color:white;">
<b>Declaration:</b> <input type="checkbox" name="declaration" id="declaration" value="1"> I hereby state that the facts mentioned above are true to best of my knowledge and belief
</div>
<div class="form-group col-md-12">
<center><button type="submit" name="add" id="sumbit" onClick="return validate()" class="btn btn-success">Submit</button></center>
</div>
<input type="hidden" name="flg" value="1">
</div>
</form>
</div>
<?php include('footer.php'); ?>
</body>
</html>
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