0byt3m1n1
Path:
C:
/
wamp64
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www
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id
/
[
Home
]
File: preview.php
<!DOCTYPE html> <html lang="en"> <head> <meta charset="UTF-8"> <meta name="viewport" content="width=device-width, initial-scale=1.0, shrink-to-fit=no"> <title>preview</title> <link rel="stylesheet" type="text/css" href="assets/css/bootstrap.min.css"> <link rel="stylesheet" href="preview.css "> </head> <?php $photo=$_FILES['photo']['name']; $tmp=$_FILES['photo']['tmp_name']; $new=time().$photo; $new="upload/".$new; move_uploaded_file($tmp,$new); $add=$_POST['address']; ?> <body> <div class="container"> <div class="form-class"> <div class="page-header"> <div class="headimg"> <img src="images\cwrdm_header.png" alt="headimg" style="width: 100%; margin:-1%;"> </div> <!--<h2 style="text-align: center;">Centre For Water Resources Development and Management </h2> --> <br> <h3 style="text-align: center;">APPLICATION FOR IDENTITY CARD </h3> </div> <form action="insert.php" method="POST" enctype='multipart/form-data'> <div class="form-group row"> <input hidden type="text" name="photo" size="50" value=" <?php echo $new;?>"/><img name="photo" src="<?php echo $new;?>"/> </div> <div class="form-group row"> <label for="first_name" class="col-sm-4 col-form-label">First Name</label> <div class="col-sm-8"> <input type="text" readonly class="form-control" name="first_name" id="first_name" value="<?php echo $_POST ['first_name'];?>"> </div> </div> <div class="form-group row"> <label for="last_name" class="col-sm-4 col-form-label">Last Name</label> <div class="col-sm-8"> <input type="text" readonly class="form-control" name="last_name" id="last_name" value="<?php echo $_POST ['last_name'];?>"> </div> </div> <div class="form-group row"> <label for="dob" class="col-sm-4 col-form-label">Date of Birth</label> <div class="col-sm-8"> <input type="date" readonly class="form-control" name="dob" id="dob" value="<?php echo $_POST ['dob'];?>"> </div> </div> <div class="form-group row"> <label for="designation" class="col-sm-4 col-form-label"> Designation </label> <div class="col-sm-8"> <input type="text" readonly class="form-control" name="designation" id="designation" value="<?php echo $_POST ['designation'];?>"> </div> </div> <div class="form-group row"> <label for="division" class="col-sm-4 col-form-label"> Division </label> <div class="col-sm-8"> <input type="text" readonly class="form-control" name="division" id="division" value="<?php echo $_POST ['division'];?>"> </div> </div> <div class="form-group row"> <label for="mail_id" class="col-sm-4 col-form-label"> Email </label> <div class="col-sm-8"> <input type="text" readonly class="form-control" name="mail_id" id="mail_id" value="<?php echo $_POST ['mail_id'];?>"> </div> </div> <div class="form-group row"> <label for="project_code" class="col-sm-4 col-form-label"> Project Code</label> <div class="col-sm-8"> <input type="text" readonly class="form-control" name="project_code" id="project_code" value="<?php echo $_POST ['project_code'];?>"> </div> </div> <div class="form-group row"> <label for="principal_investigator" class="col-sm-4 col-form-label"> Principal Investigator</label> <div class="col-sm-8"> <input type="text" readonly class="form-control" name="principal_investigator" id="principal_investigator" value="<?php echo $_POST ['principal_investigator'];?>"> </div> </div> <div class="form-group row"> <label for="blood_group" class="col-sm-4 col-form-label"> Blood group</label> <div class="col-sm-8"> <input type="text" readonly class="form-control" name="blood_group" id="blood_group" value="<?php echo $_POST ['blood_group'];?>"> </div> </div> <div class="form-group row"> <label for="mob" class="col-sm-4 col-form-label">Mobile </label> <div class="col-sm-8"> <input type="text" readonly class="form-control" name="mobile" id="mobile" value="<?php echo $_POST ['mobile'];?>"> </div> </div> <div class="form-group row"> <label for="phone" class="col-sm-4 col-form-label">Phone </label> <div class="col-sm-8"> <input type="text" readonly class="form-control" name="phone" id="phone" value="<?php echo $_POST ['phone'];?>"> </div> </div> <div class="form-group row"> <label for="valid_from" class="col-sm-4 col-form-label">Valid From </label> <div class="col-sm-8"> <input type="date" readonly class="form-control" name="valid_from" id="valid_from" value="<?php echo $_POST ['valid_from'];?>"> </div> </div> <div class="form-group row"> <label for="valid_to" class="col-sm-4 col-form-label">Valid To </label> <div class="col-sm-8"> <input type="date" readonly class="form-control" name="valid_to" id="valid_to" value="<?php echo $_POST ['valid_to'];?>"> </div> </div> <div class="form-group row"> <label for="address" class="col-sm-4 col-form-label">Address</label> <div class="col-sm-8"> <!--<textarea name="address" id="address" cols="60" rows="5" class="form-control" readonly="" > <?php echo $add;?></textarea>--> <input type="text" readonly class="form-control" name="address" id="address" value="<?php echo $_POST ['address'];?>"> </div> </div><br/> <hr/><br/> <div class="form-group row"> <button type="button" name="reenter" id="reenter " onclick="history.back()" class="col-sm-4 "> Edit </button> <button type="submit" name="submit" id="submit" class="col-sm-4 " > Submit </button> <button type="button" name="logout" id="logout" onclick="window.location.href ='index.php'" class="col-sm-4 " > Exit </button> </div> </form> </div> </div> </body> </html>