Your IP : 216.73.216.40


Current Path : /var/www/html/mmishra/indem/iiita/
Upload File :
Current File : /var/www/html/mmishra/indem/iiita/map_form.inc

<?php

$property_sizes = array('200','162','120','112','90','60');
$yesno = array('No','Yes');


echo "Please fill in the form completely as all informations are mandatory for downloading approved map.
<input type='hidden' name='id' value='$id'>
<table class='normal' width='90%'>
<tr><td align='right' nowrap>Scheme Name</td>
<td><input type='text' name='scheme_name' value='$scheme_name' size='50'></td></tr>
<tr><td align='right' nowrap>Scheme Code</td>
<td><input type='text' name='scheme_code' value='$scheme_code' size='50'></td></tr>
<tr valign='top'><td align='right' nowrap>Property Category</td>
<td><input type='text' name='property_category' value='$property_category' size='50'></td></tr>
<tr><td align='right' nowrap>Property Code</td>
<td><input type='text' name='property_code' value='$property_code' size='50'></td></tr>
<tr><td align='right' nowrap>Property Size</td>
<td><select name='property_size' style='width:330px'>";
foreach($property_sizes as $ps) {
        echo "<option value='$ps'";
        if ($property_sizes == $ps) echo " selected";
        echo ">$ps</option>";
}
echo "</select> square meter</td></tr>
<tr><td align='right' nowrap>Applicant Name</td>
<td><input type='text' name='applicant_name' value='$applicant_name' size='50'></td></tr>
<tr valign='top'><td align='right' nowrap>Present Address</td>
<td><textarea name='present_address' rows='2' cols='50'>$present_address</textarea></td></tr>
<tr><td align='right' nowrap>Phone No.</td>
<td><input type='text' name='phone_no' value='$phone_no' size='50'></td></tr>
<tr><td align='right' nowrap>Email</td>
<td><input type='text' name='email' value='$email' size='50'></td></tr>
<tr><td></td><td><input type='submit' name='submit' value='SUBMIT' style='width:80px'></td></tr>
</table>";

?>