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| Current File : /var/www/html/shardahospital.org/incident/application/views/international_complaint.php |
<section id="container" >
<?php include('_parts/user_internal_header.php') ?>
<?php include('_parts/sidebar.php') ?>
<section id="main-content">
<section class="wrapper complaint">
<h4><i class="fa fa-angle-right"></i> Lodge Grievance</h4>
<?php if($_GET['msg']=='success') { ?>
<p class="alert alert-success"> Your complain has been successfully filled and your grievance No. is <?php echo base64_decode($_GET['cnumber']); ?>. <a href="<?=base_url('grievancehistory')?>">Click here</a> to view Grievance history.</p>
<?php } if(is_array($error_msg) && !empty($error_msg)){ ?>
<div class="alert alert-danger"> <?=$error_msg['error'] ?></div>
<?php } ?>
<!-- BASIC FORM ELELEMNTS -->
<div class="row mt">
<div class="col-lg-12">
<div class="form-panel">
<form class="form-horizontal style-form" method="post" name="complaint" enctype="multipart/form-data">
<div class="form1">
<ul>
<li>
<label>Category <span style="color:red;">*</style></label>
<div class="category-radio">
<span class="radio-inline radio-input">
<input type="radio" id="academic" name="academic" value="academic" onclick ="return redirect('1')" >
<label for="academic">Academic</label>
</span>
<span class="radio-inline radio-input">
<input type="radio" id="non-Academic" name="academic" value="non-Academic" onclick ="return redirect('2')" >
<label for="non-Academic">Non-Academic</label>
</span>
<span class="radio-inline radio-input">
<input type="radio" id="International" name="academic" value="International" onclick ="return redirect('3')" checked>
<label for="International">International</label>
</span>
</div>
</li>
<li>
<label >Department <span style="color:red;">*</span></label>
<span class="select">
<select name="department_id" id="department_id" class="form-control" required="">
<option value="">Select Department</option>
<?php
foreach($departmentArray as $key=>$row) {
?>
<option value="<?=$row?>" <?php if($_POST['department_id']==$row) { echo 'selected'; }?>>
<?=$row?></option>
<?php
}
?>
</select>
<i class="fa fa-chevron-down" aria-hidden="true"></i>
</span>
</li>
<li>
<label>Nature of Grievance <span style="color:red;">*</span></label>
<span class="select">
<select name="grievance_type" id="grievance_type" required="required" class="form-control" required>
<option value="">Select Grievance Type</option>
<?php foreach($grievanceArray as $row) {
?>
<option value="<?php echo htmlentities($row['id']);?>" <?php if($_POST['grievance_type']==$row['id']) { echo 'selected'; }?>>
<?php echo htmlentities($row['grievance_name']);?></option>
<?php
}
?>
</select>
<i class="fa fa-chevron-down" aria-hidden="true"></i>
</span>
</li>
<li>
<label>Please enter Grievance Description upto 4000 characters <span style="color:red;">*</span></label>
<textarea class="form-control" name="complaindetails" required="required" cols="10" rows="10" class="form-control"
maxlength="4000" required><?=$_POST['complaindetails']?></textarea>
</li>
<li>
<label>Complaint Related Doc(if any max 5.0 MB) </label>
<p> <input type="file" name="complaint_doc" id="complaint_doc" value=""> </p>
</li>
<li id="otp-send">
<label>Mobile Number Verification</label>
<input type="text" class="form-control" value="<?=$_SESSION['USER_DETAILS']['contactNo']?>" readonly>
<a href="javascript:void(0);" id="send_user_otp">Send OTP</a>
</li>
<li id="enter-otp">
<label>Enter OTP <span style="color:red;">*</span></label>
<input class="form-control" autocomplete="off" type="text" name="otp" value="" maxlength='6' required>
<div id="loading" style="display:none;margin: 0px; padding: 0px; position: fixed; right: 0px; top: 0px; width: 100%; height: 100%; z-index: 30001; opacity: 0.8;">
<p style="position: absolute; color: White; top: 50%; left: 0;text-align:center; width:100%;">Loading, please wait...<img width="100" src="<?=base_url('assets/imgs/loading.gif')?>"></p>
</div>
</li>
<li>
<span id="error_msg"><?=$error_msg?></span>
<input type="submit" name="submit" value="Submit" class="btn button5" />
</li>
</ul>
</form>
</div>
</div>
</div>
</section>
</section>
<script src="<?php echo base_url(); ?>assets/js/jquery-3.0.0.js"></script>
<script type="text/javascript">
// baseURL variable
var baseURL= "<?php echo base_url();?>";
function redirect(type)
{
if(type=='1'){
var url = "<?=base_url('lodgegrievance/academic/')?>";
location.href = url;
} else if(type=='2'){
var url = "<?=base_url('lodgegrievance/nonacademic')?>";
location.href = url;
} else {
var url = "<?=base_url('lodgegrievance/international')?>";
location.href = url;
}
}
$(document).ready(function(){
$('.button5').click(function(){
var school_id = '99';
var department_id = $('#department_id').val();
var grievance_type = $('#grievance_type').val();
var otp = $('#otp').val();
if(otp!='' && grievance_type!='' && department_id!='' && school_id!=''){
$('#loading').show();
}
});
$('#department_id').change(function(){
var department_id = $(this).val();
$.ajax({
url:'<?= base_url('lodgegrievance/ajaxgetgrievancerecord') ?>',
method: 'post',
data: {department_id: department_id},
dataType: 'json',
success: function(response){
// Add options
$('#grievance_type').html('');
$('#grievance_type').append($('<option>').text(' -- Select Grievance Type -- ').attr('value', ''));
$.each(response,function(i,value){
$('#grievance_type').append($('<option>').text(value).attr('value', i));
});
return false;
}
});
});
$('#send_user_otp').click(function(){
var school_id = '99';
var department_id = $('#department_id').val();
var grievance_type = $('#grievance_type').val();
var complaindetails = $('#complaindetails').val();
$('#error_msg').html('');
$('#loading').show();
if(school_id!='' && department_id!='' && grievance_type!='' && complaindetails!='')
{
$.ajax({
url:'<?= base_url('lodgegrievance/sendotp') ?>',
method: 'post',
data: {send_otp: 1},
dataType: 'json',
success: function(response){
// Add options
if(response=='1001'){
$('#error_msg').html('<p style="color:green">OTP Send Succssfully to your registered mobile number and email id.</p>');
} else if(response=='1002'){
$('#error_msg').html('<p style="color:green">OTP Resend Succssfully to your registered mobile number and email id.</p>');
} else {
$('#error_msg').html('<p style="color:red">Invalid request.</p>');
}
$('#loading').hide();
}
});
} else {
$('#error_msg').html('<p style="color:red">All above fields are required</p>');
$('#loading').hide();
}
});
});
</script>
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