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<div class="main-wapper-inner"> <div class="top-menus"> <div class="container-fluid"> <div class="row"> <div class="col-lg-12"> <h3><i class="fa fa-info-circle" aria-hidden="true"></i> Need Help</h3> </div><!-- /input-group --> </div> </div><!-- /.col-lg-6 --> </div> <div class="home-inners"> <div class="container-fluid"> <div id="users"> <!-- add edit users --> <form action="" method="POST" enctype="multipart/form-data"> <div class="modal-body"> <input type="hidden" name="edit" value="<?= isset($_POST['id']) ? @$_POST['id'] : '0' ?>"> <div class="form-group"> <label for="assign_role">Title<span class="error_msg">*</span></label> <input type="text" name="title" placeholder ='Need Help' class="form-control" value="<?= isset($_POST['title']) ? $_POST['title'] : '' ?>" id="title" maxlength="150" required> </div> <div class="form-group"> <label for="assign_role">Email Id <span class="error_msg">*</span></label> <input type="text" name="email_id" placeholder = 'Email Id' class="form-control" value="<?= isset($_POST['email_id']) ? $_POST['email_id'] : '' ?>" id="key_value" maxlength="120" required> </div> <div class="form-group"> <label for="assign_role">Conatct Number <span class="error_msg">*</span></label> <input type="text" name="contact_number" placeholder = 'Conatct Number' class="form-control" value="<?= isset($_POST['contact_number']) ? $_POST['contact_number'] : '' ?>" id="key_value" maxlength="20"> </div> <div class="form-group"> <label for="assign_role">Custom Message</label> <input type="text" name="custom_message" placeholder = 'Custom Message' class="form-control" value="<?= isset($_POST['custom_message']) ? $_POST['custom_message'] : '' ?>" id="key_value" maxlength="200"> </div> <div class="form-group"> <label for="assign_role">Status<span class="error_msg">*</span></label> <select class="form-control" name="status" id="status"> <option value=""> -- Select Status -- </option> <option value="1" <?php if(@$_POST['status']=='1') { echo 'selected = "selected"'; }?>>Active</option> <option value="0" <?php if(@$_POST['status']=='0') { echo 'selected = "selected"'; }?>>Inactive</option> </select> </div> </div> <div class="modal-footer"> <input type="submit" class="btn btn-primary" name="submit" id="submit" value="Save"> </div> </form> </div> </div> </div> </div>