<?php include "layouts/menu.php"; ?>
<script>
	function autocomplet() {
	var min_length = 0; // min caracters to display the autocomplete
	var keyword = $('#did').val();
	if (keyword.length >= min_length) {
		$.ajax({
			url: 'ajax_area.php',
			type: 'POST',
			data: {keyword:keyword},
			success:function(data){
				$('#country_list_id').show();
				$('#country_list_id').html(data);
			}
		});
	} else {
		$('#country_list_id').hide();
	}
}
function set_item(item) {
	// change input value
	$('#did').val(item);
	// hide proposition list
	$('#country_list_id').hide();
}
	</script>
	 <script>
	function autocomp() {
	var min_length = 0; // min caracters to display the autocomplete
	var keyword = $('#didn').val();
	if (keyword.length >= min_length) {
		$.ajax({
			url: 'ajax_color.php',
			type: 'POST',
			data: {keyword:keyword},
			success:function(data){
				$('#dname').show();
				$('#dname').html(data);
			}
		});
	} else {
		$('#dname').hide();
	}
}

// set_item : this function will be executed when we select an item
function set_itemm(item) {
	// change input value
	$('#didn').val(item);
	// hide proposition list
	$('#dname').hide();
}
	</script>
 <script>
	function autocomplett() {
	var min_length = 0; // min caracters to display the autocomplete
	var keyword = $('#zxcvb').val();
	if (keyword.length >= min_length) {
		$.ajax({
			url: 'ajax_refreshvname.php',
			type: 'POST',
			data: {keyword:keyword},
			success:function(data){
				$('#qwertyu').show();
				$('#qwertyu').html(data);
			}
		});
	} else {
		$('#qwertyu').hide();
	}
}
// set_item : this function will be executed when we select an item
function set_itemmm(item) {
	// change input value
	$('#zxcvb').val(item);
	// hide proposition list
	$('#qwertyu').hide();
}
	</script>
 <script>
function add3()
{
var x = document.getElementById("1").value;
var y = document.getElementById("bba").value;
document.getElementById("1").value =(x*1)+(y*1);
}
</script>
 <script>
function interr()
{
var x = document.getElementById("5555").value;
var y = (x*1)/(12);
document.getElementById("2").value = (y).toFixed(2);
}
</script>

 <script>
function add11()
{
var x = document.getElementById("44").value;
var y = document.getElementById("33").value;
document.getElementById("1").value =(x*1)+(y*1);
}
</script>
  <script>
function add()
{
var x = document.getElementById("txt1").value;
var y = document.getElementById("txt2").value;
document.getElementById("tot").value =(x*1)+(y*1);
}
</script>
<script>
function add1()
{
var x1 = document.getElementById("1").value;
var y1 = document.getElementById("2").value;
var g = (x1*1)*(y1/100);
document.getElementById("txt2").value =Math.round(g);
//var y = (x*1)/(12);
//document.getElementById("2").value =Math.round(y);
}
</script>
<script>
function add2()
{
var x1 = document.getElementById("1").value;
var y1 = document.getElementById("3").value;
document.getElementById("txt1").value =parseInt((x1*1)/(y1*1));
var x = document.getElementById("txt1").value;
var y = document.getElementById("txt2").value;
document.getElementById("tot").value =(x*1)+(y*1);
}

function due()
{
var x = document.getElementById("txt1").value;
var y = document.getElementById("tot").value;
document.getElementById("txt2").value =(y*1)-(x*1);
}

function ddate()
{
	
	var x = 1; //or whatever offset
var CurrentDate = document.getElementById("hpdate").value;
document.getElementById("hpdate2").value = CurrentDate.setMonth(CurrentDate.getMonth() + x);
}

navigator.geolocation.getCurrentPosition();
var latitude = position.coords.latitude;
var longitude = position.coords.longitude;

if (e.keyCode == 37)
   e.preventDefault();
   
</script>
<script>
$('body').on('keydown', 'input, select, textarea', function(e) {
    var self = $(this)
      , form = self.parents('form:eq(0)')
      , focusable
      , next
      ;
    if (e.keyCode == 13) {
        focusable = form.find('input,a,select,button,textarea').filter(':visible');
        next = focusable.eq(focusable.index(this)+1);
        if (next.length) {
            next.focus();
        } else {
            form.submit();
        }
        return false;
    }
});
</script>
<script src="https://code.jquery.com/jquery-1.12.4.min.js"></script>
<script>
    $(document).on("keypress", "input", function(e){
        if(e.which == 13){
         event.stopPropagation();
        event.preventDefault();
        $(this).next("input").focus();
        }
    }); </script>
  <!--  page-wrapper -->
         <div class="right_col" role="main">
      <h5 class="page-header  alert alert-danger">New Registration For Auto Due Loan</h5>   
            <div class="row">
                <div class="col-lg-12">
                    <!-- Form Elements -->
                    <div class="panel panel-default">
                        
                        <div class="panel-body">
                            <div class="row">
                               
                                   <?php
								   $idd=$_REQUEST['id'];
								   $qry=mysqli_query($conn, "select * from customerdetails where id='$idd'");
						$n=mysqli_num_rows($qry);
						$row = mysqli_fetch_array($qry);
						 ?>
						
  <form role="form" name="form1" id="form1" method="post" action="save.php" enctype="multipart/form-data">
	<div id="wizard" class="form_wizard wizard_horizontal">
                      <ul class="wizard_steps">
                        <li>
                          <a href="#step-1">
                            <span class="step_no">1</span>
                            <span class="step_descr">
                                              Party & Vehicle Details<br />
                                              <small>Customer</small>
                                          </span>
                          </a>
                        </li>
                        <li>
                          <a href="#step-2">
                            <span class="step_no">2</span>
                            <span class="step_descr">
                                              Loan Details<br />
                                              <small>Step 2 description</small>
                                          </span>
                          </a>
                        </li>
                        <li>
                          <a href="#step-3">
                            <span class="step_no">3</span>
                            <span class="step_descr">
                                              Dealer,Broker & Co Obligate<br />
                                              <small>Details</small>
                                          </span>
                          </a>
                        </li>
                        <li>
                          <a href="#step-4">
                            <span class="step_no">4</span>
                            <span class="step_descr">
                                              Other's<br />
                                              <small>Upload's</small>
                                          </span>
                          </a>
                        </li>
                      </ul>         <?php	$qry11=mysqli_query($conn, "select * from customerdetails where mfin='$mfin' order by id DESC");
						$n11=mysqli_num_rows($qry11);
						if($n11==0)
						{
							$rty11 = 1;
						}
						else
					    {
						$row11=mysqli_fetch_array($qry11);
						
						$sss11 = $row11['hpl'];
							$hpdate11 = $row11['hpdate'];
						$rtyy11 = $sss11 + 1;
						$rty11 = $rtyy11;
						} ?>
                      <div id="step-1">					
  <div class="col-lg-4">
   <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >HPL *</label>
      <input type="text" class="form-control" id="inputPassword3" name="hpl" value="<?php echo $rty11;?>" placeholder="E.g 1008" required>
<span class="glyphicon glyphicon-pencil form-control-feedback"></span> 
 </div>
  <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >Name *</label>
      <input type="text" class="form-control" id="inputPassword3" name="name" value="<?php echo $row['name']; ?>" placeholder="Name">
       <input type="hidden" class="form-control" id="inputPassword3" name="mfin55" value="<?php echo $row['mfin']; ?>" placeholder="Name">
 <span class="glyphicon glyphicon-user form-control-feedback"></span>
  </div>
    <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >Father's Name</label>
      <input type="text" class="form-control" id="inputPassword3" name="fname" value="<?php echo $row['fname']; ?>" placeholder="Name">
 <span class="glyphicon glyphicon-user form-control-feedback"></span>
  </div>
    <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >Husband's Name</label>
      <input type="text" class="form-control" id="inputPassword3" name="hname" value="<?php echo $row['hname']; ?>" placeholder="Name">
 <span class="glyphicon glyphicon-user form-control-feedback"></span>
  </div>
    <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >Phone Number</label>
      <input type="text" class="form-control" id="inputPassword3" name="pno" value="<?php echo $row['pno']; ?>" placeholder="Eg: 9876543210">
 <span class="glyphicon glyphicon-phone-alt form-control-feedback"></span>
  </div>
     
  <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >Address</label>
 <input type="text" class="form-control" id="inputPassword3" name="address" value="<?php echo $row['address']; ?>" placeholder="Line 1">
 <input type="text" class="form-control" id="inputPassword3" name="address1" value="<?php echo $row['address1']; ?>" placeholder="Line 2">
 <input type="text" class="form-control" id="inputPassword3" name="address2" value="<?php echo $row['address2']; ?>" placeholder="Line 3"> 

  <span class="glyphicon glyphicon-home form-control-feedback"></span>
  </div>
  
  </div>
  <div class="col-lg-4">
  <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >Land Mark</label>
      <input type="text" class="form-control" id="inputPassword3" name="lmark" value="<?php echo $row['lmark']; ?>" placeholder="">
 <span class="glyphicon glyphicon-phone-alt form-control-feedback"></span>
  </div>
  <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >Office PhoneNo</label>
      <input type="text" class="form-control" id="inputPassword3" name="pnooffice" value="<?php echo $row['pnooffice']; ?>" placeholder="Eg: 9876543210">
 <span class="glyphicon glyphicon-phone-alt form-control-feedback"></span>
  </div>
  <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >Office Address</label>
 <input type="text" class="form-control" id="inputPassword3" name="oaddress" value="<?php echo $row['oaddress']; ?>" placeholder="Line 1">
 <input type="text" class="form-control" id="inputPassword3" name="oaddress1" value="<?php echo $row['oaddress1']; ?>" placeholder="Line 2">
 <input type="text" class="form-control" id="inputPassword3" name="oaddress2" value="<?php echo $row['oaddress2']; ?>" placeholder="Line 3">
  <span class="glyphicon glyphicon-home form-control-feedback"></span>
  </div>
  <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >House Phone No</label>
      <input type="text" class="form-control" id="inputPassword3" name="pnoresi" value="<?php echo $row['pnoresi']; ?>" placeholder="Eg: 9876543210">
 <span class="glyphicon glyphicon-phone-alt form-control-feedback"></span>
  </div>
  <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >Area</label>
      <input type="text" class="form-control" id="did" name="area" value="<?php echo $row['area']; ?>" onkeyup="autocomplet()" placeholder="Area">
	   <ul id="country_list_id"></ul>
 <span class="glyphicon glyphicon-phone-alt form-control-feedback"></span>
  </div>
   <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >Profession</label>
      <input type="text" class="form-control" id="inputPassword3" name="profession" value="<?php echo $row['profession']; ?>" placeholder="Eg: 9876543210">
 <span class="glyphicon glyphicon-phone-alt form-control-feedback"></span>
  </div>	
  </div>
  <div class="col-lg-4">
  <div class="form-group has-success has-feedback">
    <label for="inputEmail3" >Vehicle No</label>
      <input type="text" class="form-control" id="inputEmail3" name="vno" value="<?php echo $row['vno']; ?>" placeholder="E.g TN 21 S 2676">
  <span class="glyphicon glyphicon-shopping-cart form-control-feedback"></span>
    </div>
 
  <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >Vehicle Name</label>
       <input type="text" class="form-control" id="zxcvb" name="vname" value="<?php echo $row['vname']; ?>"  onkeyup="autocomplett()" placeholder="Vehicle Name">
	    <ul id="qwertyu"></ul>
    <span class="glyphicon glyphicon-plane form-control-feedback"></span>

    </div> 
  <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >Model</label>
      <input type="text" class="form-control" id="inputPassword3" name="model" value="<?php echo $row['model']; ?>" placeholder="Vehicle Model">
   <span class="glyphicon glyphicon-time form-control-feedback"></span>
  </div>
  <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >Color</label>
      <input type="text" class="form-control" id="didn" name="color" value="<?php echo $row['color']; ?>" onkeyup="autocomp()" placeholder="E.g RED">
	   <ul id="dname"></ul>
    <span class="glyphicon glyphicon-tint form-control-feedback"></span>
	</div>
	 <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >Engine No</label>
      <input type="text" class="form-control" id="eno" name="eno" value="<?php echo $row['eno']; ?>"  placeholder="">
	   <ul id="dname"></ul>
    <span class="glyphicon glyphicon-tint form-control-feedback"></span>
	</div>
	 <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >Chasis No</label>
      <input type="text" class="form-control" id="cno" name="cno" value="<?php echo $row['cno']; ?>"  placeholder="">
	   <ul id="dname"></ul>
    <span class="glyphicon glyphicon-tint form-control-feedback"></span>
	</div>

    </div> </div>
                      <div id="step-2">
	
  <div class="col-lg-4">	
   <div class="form-group has-error has-feedback">
    <label for="inputPassword3" >H.P Amount</label>
      <input type="text" class="form-control" id="44" name="totalhpamt"  value="<?php echo $row['totalhpamt']; ?>" placeholder="H.P Amount" >
   <span class="glyphicon glyphicon-usd form-control-feedback"></span>
  </div>

   <div class="form-group has-error has-feedback">
    <label for="inputPassword3" >Documentation Charge</label>
      <input type="text" class="form-control" id="33" name="document"  value="<?php echo $row['document']; ?>" onchange="add11()"  placeholder="Documentation Charge" >
   <span class="glyphicon glyphicon-usd form-control-feedback"></span>
  </div>

    <div class="form-group has-error has-feedback">
    <label for="inputPassword3" >Total H.P Amount</label>
      <input type="text" class="form-control" id="1" name="hpamount"  value="<?php echo $row['hpamount']; ?>" placeholder="H.P Amount" onChange="add1()">
   <span class="glyphicon glyphicon-usd form-control-feedback"></span>
  </div>
   <div class="form-group has-error has-feedback">
    <label for="inputPassword3" >Interest in %</label>
	 <input type="text" class="form-control" id="5555" name="inter2"  value="<?php echo $row['inter2']; ?>" placeholder="" Onkeyup="interr()">
      <input type="text" class="form-control" id="2" name="inter"  value="<?php echo $row['inter']; ?>" placeholder="2" Onkeyup="add1()">
      <input type="hidden" class="form-control" id="2fdg" name="mfin2"  value="<?php echo $row['mfin']; ?>" placeholder="2">
    <span class="glyphicon glyphicon-info-sign form-control-feedback"></span>
  </div>
   <div class="form-group has-error has-feedback">
    <label for="inputPassword3" class="control-label">H.P Date</label>
      <input type="text" class="form-control" id="hpdate"  name="hpdate" value="<?php echo $row['hpdate']; ?>" placeholder="H.P Date" >
 <span class="glyphicon glyphicon-calendar form-control-feedback"></span>
    </div>
  </div>
    <div class="col-lg-4">
 
	<div class="form-group has-error has-feedback">
    <label for="inputPassword3" class="control-label">Due Date</label>
      <input type="text" class="form-control" id="hpdate2"  name="hpdate2" value="<?php echo $row['hpdate2']; ?>" placeholder="H.P Date" >
 <span class="glyphicon glyphicon-calendar form-control-feedback"></span>
    </div>
   <div class="form-group has-error has-feedback">
    <label for="inputPassword3" >Due Month</label>
      <input type="text" class="form-control" id="3" name="duemnt" value="<?php echo $row['duemnt']; ?>" placeholder="Due Month" onkeyup="add2()";>
  <span class="glyphicon glyphicon-time form-control-feedback"></span>
  </div>
   <div class="form-group has-error has-feedback">
    <label for="inputPassword3" >Default Percent</label>
      <input type="text" class="form-control" name="defamt" value="<?php echo $row['defamt']; ?>" >
       <input type="hidden" class="form-control" name="defamt55" value="<?php echo $row['defamt']; ?>" >
   <span class="glyphicon glyphicon-usd form-control-feedback"></span>
  </div>
   <div class="form-group has-error has-feedback">
    <label for="txt1" >Principle part</label>
      <input type="text" class="form-control" id="txt1"  name="dueamt" value="<?php echo $row['dueamt']; ?>" placeholder="Due Amount" onChange="add()">
   <span class="glyphicon glyphicon-usd form-control-feedback"></span>
  </div>
  <div class="form-group has-error has-feedback">
    <label for="txt2" >Interest Part</label>
      <input type="text" class="form-control" id="txt2"  name="interest" value="<?php echo $row['interest']; ?>" placeholder="Interest"  >
   <span class="glyphicon glyphicon-usd form-control-feedback"></span>
  </div>
  </div>
    <div class="col-lg-4">
  

   <div class="form-group has-error has-feedback">
    <label for="inputPassword3" >Total Due Amount</label>
      <input type="text" class="form-control" id="tot" name="total" value="<?php echo $row['total']; ?>" placeholder="Total Amount" onkeyup="due()">
   <span class="glyphicon glyphicon-usd form-control-feedback"></span>
  </div>
<div class="form-group has-error has-feedback">
    <label for="inputPassword3" >IRR %</label>
      <input type="text" class="form-control" name="irr" value="<?php echo $row['irr']; ?>" >
   <span class="glyphicon glyphicon-usd form-control-feedback"></span>
  </div>
  <div class="form-group has-error has-feedback">
    <label for="inputPassword3" >Hand Loan</label>
      <input type="text" class="form-control" name="hlamt" value="<?php echo $row['hlamt']; ?>" >
   <span class="glyphicon glyphicon-usd form-control-feedback"></span>
  </div>
  <div class="form-group has-error has-feedback">
    <label for="inputPassword3" >Hand Loan Remarks</label>
      <input type="text" class="form-control" name="hlreturn" value="<?php echo $row['hlreturn']; ?>" >
   <span class="glyphicon glyphicon-usd form-control-feedback"></span>
  </div>
    <div class="form-group has-error has-feedback">
    <label for="inputPassword3" >Pay mode</label>
      <select type="text" class="form-control" id="pmode" name="pmode" value="">
	  <option><?php echo $row['pmode']; ?></option>	
	<option>Cash A/C</option>
	  <?php
$sen = 'SENTHOOR MOTOR FINANCE';
$sor = 'SOORYA MOTOR FINANCE';
$mat = 'MAATHOOR FINANCE';
 if($mfin==$sor) { ?>
	    <option>Cub A/C No- 510909010029003</option>
		  <option>I.O.B A/C No- 013002000006220</option>  <option>K V B A/C No- 1674135000000062</option> -->
	  <?php  } 
	  if($mfin==$sen) { ?>
	    <option>Cub A/C No- 510909010029001</option>
		  <option>I.O.B A/C No- 013002000005633</option>  <option>K V B A/C No- 1674135000000050</option>
	  <?php } 
	  if($mfin==$mat) { ?>
	    <option>Cub A/C No- -</option>
		  <option>I.O.B A/C No- -</option>  <option>K V B A/C No- -</option>
	  <?php } ?>
	  </select>
   <span class="glyphicon glyphicon-usd form-control-feedback"></span>
  </div>
  
  <div class="form-group has-error has-feedback">
    <label for="inputPassword3" >Chq Amnt</label>
      <input type="text" class="form-control" id="chqamt" name="chqamt" value="<?php echo $row['chqamt']; ?>">
   <span class="glyphicon glyphicon-usd form-control-feedback"></span>
  </div>
 

 </div> </div>
                      <div id="step-3">
					    <div class="col-lg-4">
	<div class="form-group has-warning has-feedback">
    <label for="inputPassword3" >Broker Name</label>
      <select type="text" class="form-control" id="inputPassword3" name="bname" value="" placeholder="Broker Name">
    <span class="glyphicon glyphicon-cloud-download form-control-feedback"></span>
	<option><?php echo $row['bname']; ?></option>
	<?php 
$qry=mysqli_query($conn, "select * from mbroker");
	while($row2=mysqli_fetch_array($qry))
						{ ?> <option><?php echo $row2['name'];?></option>
						<?php } ?> </select>
    </div>  
	 <div class="form-group has-warning has-feedback">
    <label for="inputPassword3" >Boker Commission</label>
      <input type="text" class="form-control" id="txt3" name="bcommission"  value="<?php echo $row['bcommission']; ?>" placeholder="Boker Commission" >
   <span class="glyphicon glyphicon-usd form-control-feedback"></span>
  </div>

	 <div class="form-group has-warning has-feedback">
    <label for="inputPassword3" >Dealer Name</label>
      <select type="text" class="form-control" id="inputPassword3" name="dealer" value="" placeholder="Broker Name">
    <span class="glyphicon glyphicon-cloud-download form-control-feedback"></span>
	<option><?php echo $row['dealer']; ?></option>
	<?php 
$qry=mysqli_query($conn, "select * from mdealer");
	while($row2=mysqli_fetch_array($qry))
						{ ?> <option><?php echo $row2['name'];?></option>
						<?php } ?> </select>
    </div>
	  <div class="form-group has-warning has-feedback">
    <label for="inputPassword3" >Remarks</label>
      <textarea class="form-control" rows="1" name="remarks" value="" placeholder=""><?php echo $row['remarks']; ?></textarea>
    <span class="glyphicon glyphicon-user form-control-feedback"></span>
  </div> 
  </div>
  <div class="col-lg-4">
   <div class="form-group has-warning has-feedback">
    <label for="inputPassword3" >Co-Obligant Name</label>
      <input type="text" class="form-control" id="inputPassword3" name="cobname" value="<?php echo $row['cobname']; ?>" placeholder="Co-Obligant Name">
 <span class="glyphicon glyphicon-user form-control-feedback"></span>
  </div>
  
		<div class="form-group has-warning has-feedback">
    <label for="inputPassword3" >Co-Obligant Phone</label>
      <input type="text" class="form-control" id="inputPassword3" name="cobpno" value="<?php echo $row['cobpno']; ?>" placeholder="Co-Obligant Phone">
 <span class="glyphicon glyphicon-user form-control-feedback"></span>
  </div>
  <div class="form-group has-warning has-feedback">
    <label for="inputPassword3" >Co-Obligant FATHER'S Name</label>
      <input type="text" class="form-control" id="inputPassword3" name="cofname" value="<?php echo $row['cofname']; ?>" placeholder="Co-Obligant Name">
 <span class="glyphicon glyphicon-user form-control-feedback"></span>
  </div>
    <div class="form-group has-warning has-feedback">
    <label for="inputPassword3" >Co-Obligant Address</label>
   <input type="text" class="form-control" id="inputPassword3" name="co" value="<?php echo $row['co']; ?>" placeholder="Line 1">
 <input type="text" class="form-control" id="inputPassword3" name="co01" value="<?php echo $row['co01']; ?>" placeholder="Line 2">
 <input type="text" class="form-control" id="inputPassword3" name="co02" value="<?php echo $row['co02']; ?>" placeholder="Line 3"> 
    <span class="glyphicon glyphicon-user form-control-feedback"></span>
  </div>
   <div class="form-group has-warning has-feedback">
    <label for="inputPassword3" >Co-Obligant LANDMARK</label>
      <input type="text" class="form-control" id="TTT" name="coaland"  value="<?php echo $row['coaland']; ?>" placeholder="Boker Commission" >
   <span class="glyphicon glyphicon-usd form-control-feedback"></span>
  </div>
    <div class="form-group has-warning has-feedback">
    <label for="inputPassword3" >Co-Obligant Work Address</label>
       <input type="text" class="form-control" id="inputPassword3" name="cow" value="<?php echo $row['cow']; ?>" placeholder="Line 1">
 <input type="text" class="form-control" id="inputPassword3" name="cow01" value="<?php echo $row['cow01']; ?>" placeholder="Line 2">
 <input type="text" class="form-control" id="inputPassword3" name="cow02" value="<?php echo $row['cow02']; ?>" placeholder="Line 3"> 
    <span class="glyphicon glyphicon-user form-control-feedback"></span>
  </div>
   </div>
  <div class="col-lg-4">
  <div class="form-group has-warning has-feedback">
    <label for="inputPassword3" >2nd Co-Obligant Name</label>
      <input type="text" class="form-control" id="inputPassword3" name="cobname2" value="<?php echo $row['cobname2']; ?>" placeholder="Co-Obligant Name">
 <span class="glyphicon glyphicon-user form-control-feedback"></span>
  </div>
  <div class="form-group has-warning has-feedback">
    <label for="inputPassword3" >2nd Co-Obligant FATHER'S Name</label>
      <input type="text" class="form-control" id="inputPassword3" name="cofname2" value="<?php echo $row['cofname2']; ?>" placeholder="Co-Obligant Name">
 <span class="glyphicon glyphicon-user form-control-feedback"></span>
  </div>
		<div class="form-group has-warning has-feedback">
    <label for="inputPassword3" >2nd Co-Obligant Phone </label>
      <input type="text" class="form-control" id="inputPassword3" name="cobpno2" value="<?php echo $row['cobpno2']; ?>" placeholder="Co-Obligant Phone">
 <span class="glyphicon glyphicon-user form-control-feedback"></span>
  </div>
    <div class="form-group has-warning has-feedback">
    <label for="inputPassword3" >2nd Co-Obligant Address</label>
     <input type="text" class="form-control" id="inputPassword3" name="co2" value="<?php echo $row['co2']; ?>" placeholder="Line 1">
 <input type="text" class="form-control" id="inputPassword3" name="co201" value="<?php echo $row['co201']; ?>" placeholder="Line 2">
 <input type="text" class="form-control" id="inputPassword3" name="co202" value="<?php echo $row['co202']; ?>" placeholder="Line 3"> 
    <span class="glyphicon glyphicon-user form-control-feedback"></span>
  </div> 
   <div class="form-group has-warning has-feedback">
    <label for="inputPassword3" >Co-Obligant LANDMARK</label>
      <input type="text" class="form-control" id="TTT" name="coaland2"  value="<?php echo $row['coaland2']; ?>" placeholder="Boker Commission" >
   <span class="glyphicon glyphicon-usd form-control-feedback"></span>
  </div>
  <div class="form-group has-warning has-feedback">
    <label for="inputPassword3" >2nd Co-Obligant Work Address</label>
      <textarea class="form-control" rows="5" cols="5" name="cow2" value="" placeholder=""><?php echo $row['cow2']; ?></textarea>
    <span class="glyphicon glyphicon-user form-control-feedback"></span>
  </div> 
	
	 </div>
  
   </div>
                      <div id="step-4">
		  <div class="col-lg-4">			  
 <div class="form-group has-warning has-feedback">
    <label for="inputEmail3" >Upload Image</label>
    <input type="file" id="exampleInputFile" name="imgveh" >
    <p class="help-block">Upload Vehicle Photo here.</p>
	<span class="glyphicon glyphicon-cloud-upload form-control-feedback"></span>
  </div> 	
	 <div class="form-group has-success has-feedback">
    <label for="inputEmail3" >Upload Image</label>
    <input type="file" id="exampleInputFile" name="uimg" >
    <p class="help-block">Upload Passport size Photo here.</p>
	<span class="glyphicon glyphicon-cloud-upload form-control-feedback"></span>
  </div> 
   <div class="form-group has-warning has-feedback">
    <label for="inputEmail3" >Upload Image</label>
    <input type="file" id="exampleInputFile" name="img" >
    <p class="help-block">Upload Co-Obligant Passport size Photo here.</p>
	<span class="glyphicon glyphicon-cloud-upload form-control-feedback"></span>
  </div> 		  
 <div class="form-group has-warning has-feedback">
   <input type="hidden" class="form-control" id="imgveh2" name="imgveh2" value="<?php echo $row['imgveh'];?>" placeholder="">
    <input type="hidden" class="form-control" id="uimg2" name="uimg2" value="<?php echo $row['uimg'];?>" placeholder="">
   <input type="hidden" class="form-control" id="img2" name="img2" value="<?php echo $row['img'];?>" placeholder="">

	<img src="user/<?php echo $row['imgveh'];?>" width="100" height="100" name="imgveh">
    
   
	<img src="user/<?php echo $row['uimg'];?>" width="100" height="100"  name="uimg" >
   
 
<img src="user/<?php echo $row['img'];?>" width="100" height="100"  name="img">
   

  </div> 
  <input type="hidden" class="form-control" id="lat" name="lat" value="<?php echo $row['lat']; ?>" onclick="getLocation()" placeholder="">
  <input type="hidden" class="form-control" id="lang" name="lang" value="<?php echo $row['lat']; ?>" placeholder="" >
    </div>
	 <div class="col-lg-4">
	 <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >Govt ID</label>
      <select type="text" class="form-control" id="inputPassword3" name="gi1" value="" placeholder="">
	  
    <span class="glyphicon glyphicon-plane form-control-feedback"></span>
	<option><?php echo $row['gi1']; ?></option>
	<?php 
$qry=mysqli_query($conn, "select * from mgovt");
	while($row2=mysqli_fetch_array($qry))
						{ ?> <option><?php echo $row2['name'];?></option>
						<?php } ?> </select>
		<input type="text" class="form-control" id="1" name="g1"  value="<?php echo $row['g1']; ?>" placeholder="Govt ID No" >

    </div>
		    <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >Govt ID</label>
      <select type="text" class="form-control" id="inputPassword3" name="gi2" value="<?php echo $row['gi2']; ?>" placeholder="">
	  
    <span class="glyphicon glyphicon-plane form-control-feedback"></span>
	<option><?php echo $row['gi2']; ?></option>
	<?php 
$qry=mysqli_query($conn, "select * from mgovt");
	while($row2=mysqli_fetch_array($qry))
						{ ?> <option><?php echo $row2['name'];?></option>
						<?php } ?> </select>
		<input type="text" class="form-control" id="1" name="g2"  value="<?php echo $row['g2']; ?>" placeholder="Govt ID No" >

    </div>	    <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >Govt ID</label>
      <select type="text" class="form-control" id="inputPassword3" name="gi3" value="<?php echo $row['gi3']; ?>" placeholder="">
	  
    <span class="glyphicon glyphicon-plane form-control-feedback"></span>
	<option>Select</option>
	<?php 
$qry=mysqli_query($conn, "select * from mgovt");
	while($row2=mysqli_fetch_array($qry))
						{ ?> <option><?php echo $row2['name'];?></option>
						<?php } ?> </select>
		<input type="text" class="form-control" id="1" name="g3"  value="<?php echo $row['g3']; ?>" placeholder="Govt ID No" >

    </div>
	  </div>
	 <div class="col-lg-4">
    	    <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >Co-Obligant Govt ID</label>
      <select type="text" class="form-control" id="inputPassword3" name="bi1" value="" placeholder="">
	  
    <span class="glyphicon glyphicon-plane form-control-feedback"></span>
	<option><?php echo $row['bi1']; ?></option>
	<?php 
$qry=mysqli_query($conn, "select * from mgovt");
	while($row2=mysqli_fetch_array($qry))
						{ ?> <option><?php echo $row2['name'];?></option>
						<?php } ?> </select>
		<input type="text" class="form-control" id="1" name="b1"  value="<?php echo $row['b1']; ?>" placeholder="Govt ID No" >

    </div>
		    <div class="form-group has-success has-feedback">
    <label for="inputPassword3" >Co-Obligant Govt ID</label>
      <select type="text" class="form-control" id="inputPassword3" name="bi2" value="" placeholder="">
	  
    <span class="glyphicon glyphicon-plane form-control-feedback"></span>
	<option><?php echo $row['bi2']; ?></option>
	<?php 
$qry=mysqli_query($conn, "select * from mgovt");
	while($row2=mysqli_fetch_array($qry))
						{ ?> <option><?php echo $row2['name'];?></option>
						<?php } ?> </select>
		<input type="text" class="form-control" id="1" name="b2"  value="<?php echo $row['b2']; ?>" placeholder="Govt ID No" >

    </div>	    
	<div class="form-group has-success has-feedback">
    <label for="inputPassword3" >Co-Obligant Govt ID</label> 
      <select type="text" class="form-control" id="inputPassword3" name="bi3" value="<?php echo $row['bi3']; ?>" placeholder="">
	  
    <span class="glyphicon glyphicon-plane form-control-feedback"></span>
	<option>Select</option>
	<?php 
$qry=mysqli_query($conn, "select * from mgovt");
	while($row2=mysqli_fetch_array($qry))
						{ ?> <option><?php echo $row2['name'];?></option>
						<?php } ?> </select>
		<input type="text" class="form-control" id="1" name="b3"  value="<?php echo $row['b3']; ?>" placeholder="Govt ID No" >

    </div>	   

   <input type="hidden" class="form-control" id="balance"  name="nnamef" value="<?php echo $row['nnamef']; ?>" placeholder=""  onclick="sum()">
</div>   
	 
	
  </div>


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