<?php
include('includes/session.php');
include('includes/config.php');
date_default_timezone_set('Asia/Kolkata'); 
?>

<!DOCTYPE html>
<html lang="en">
  <head>
    <meta charset="utf-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <meta name="description" content="">
    <meta name="author" content="Dashboard">
    <meta name="keyword" content="Dashboard, Bootstrap, Admin, Template, Theme, Responsive, Fluid, Retina">

    <title>AVIT | User Register Complaint</title>

    <!-- Bootstrap core CSS -->
    <link href="assets/css/bootstrap.css" rel="stylesheet">
    <link href="assets/css/style.css" rel="stylesheet">
    <link href="assets/css/nav.css" rel="stylesheet">
    <!--external css-->
    <link href="assets/font-awesome/css/font-awesome.css" rel="stylesheet" />
    <link rel="stylesheet" type="text/css" href="assets/js/bootstrap-datepicker/css/datepicker.css" />
    <link rel="stylesheet" type="text/css" href="assets/js/bootstrap-daterangepicker/daterangepicker.css" />
    <link href="assets/css/style.css" rel="stylesheet">
    <link href="assets/css/style-responsive.css" rel="stylesheet">
  </head>

  <body>

  <section id="container" >
     <?php include("includes/header.php");?>
      <?php include("includes/sidebar.php");?>
      <section id="main-content">
          <section class="wrapper">
          	<h3 align="center"> Web Team Request Form- ICT</h3>
          	
          	<!-- BASIC FORM ELEMENTS -->
          	<div class="row mt">
          		<div class="col-lg-12">
                  <div class="form-panel">
                  	<div class="col-sm-12">
					  <h5 style="text-align:justify; font-family:'Trebuchet MS', Arial, Helvetica, sans-serif; color:#ff6347;"><strong>
Note: An asterisk (✱) indicates a required field. On submission, mandatory fields which are empty / Fields with Invalid values are highlighted in red</strong><br/><br/></h5>
                      </div>

<form class="form-horizontal style-form" action="eventdownload.php" method="post" enctype="multipart/form-data">

<div class="form-group">
<label class="col-sm-2 col-sm-2 control-label"><strong>Name</strong><span style="color:#F00;"> ✱</span></label>
<div class="col-sm-4">
<input type="text" name="name" value="" required class="form-control" placeholder="Enter Name here" maxlength="200">
</div>
<label class="col-sm-2 col-sm-2 control-label"><strong>Designation</strong><span style="color:#F00;"> ✱</span></label>
<div class="col-sm-4">
<input type="text" name="designation" value="" placeholder="Enter Designation here" title="Enter Designation here" required class="form-control">
</div>
</div>

<div class="form-group">
<label class="col-sm-2 col-sm-2 control-label"><strong>Department</strong><span style="color:#F00;"> ✱</span></label>
<div class="col-sm-4">
<select class="form-control" name="department" required>
<option value="">Select Department</option>
<option value="AUTOMOBILE">AUTOMOBILE</option>
<option value="ECE">ECE</option>
<option value="CIVIL">CIVIL</option>
<option value="BIO-MEDICAL">BIO-MEDICAL</option>
<option value="BIOTECHNOLOGY">BIOTECHNOLOGY</option>
<option value="CSE">CSE</option>
<option value="EEE">EEE</option>
<option value="MECHANICAL">MECHANICAL</option>
<option value="MECHATRONICS">MECHATRONICS</option>
<option value="TAMIL">TAMIL</option>
<option value="ENGLISH">ENGLISH</option>
<option value="PHYSICS">PHYSICS</option>
<option value="MATHEMATICS">MATHEMATICS</option>
<option value="CHEMISTRY">CHEMISTRY</option>
<!--<option value="B.Sc COMPUTER SCIENCE">B.Sc COMPUTER SCIENCE</option>-->
<option value="COMPUTER SCIENCE & APPLICATIONS">COMPUTER SCIENCE & APPLICATIONS</option>
<option value="DIRECTOR">DIRECTOR</option>
<option value="BBA">BBA</option>
<option value="MBA">MBA</option>
<option value="MCA">MCA</option>
<option value="HINDI">HINDI</option>
<option value="COMMERCE">COMMERCE</option>
<option value="AV CAMPUS">AV CAMPUS</option>
<option value="ARCHITECTURE">ARCHITECTURE</option>
<option value="ADMIN">ADMIN</option>
<option value="ACCOUNTS">ACCOUNTS</option>
<option value="ADMISSION CELL">ADMISSION CELL</option>
<option value="SAS">SAS</option>
<option value="DoM">DoM</option>
<option value="SAP">SAP</option>
<option value="BIOCHEMISTRY">BIOCHEMISTRY</option>
<option value="PHARMACOLOGY">PHARMACOLOGY</option>
<option value="PHYSIOLOGY">PHYSIOLOGY</option>
<option value="MICROBIOLOGY">MICROBIOLOGY</option>
<option value="INNOVATION AND INCUBATION CENTER">INNOVATION AND INCUBATION CENTER</option>
<option value="ANATOMY">ANATOMY</option>
	</select>
</div>
<label class="col-sm-2 col-sm-2 control-label"><strong>Request Name</strong><span style="color:#F00;"> ✱</span></label>
<div class="col-sm-4">
<select class="form-control" name="request" required>
<option value="">Select Request</option>
<option value="Website Updation">Website Updation</option>
<option value="Webpage Creation">Webpage Creation</option>
<option value="Event Design">Event Design</option>
<option value="Email Id Creation">Email Id Creation</option>
<option value="Courseware Upload">Courseware Upload</option>
<option value="E-Certificate">E-Certificate</option>
<option value="ID card Generate">ID card Generate</option>
<option value="Other Work">Other Work</option>
</select>
</div>
</div>

<div class="form-group">
<label class="col-sm-2 col-sm-2 control-label"><strong>Details(Max 200 Characters)</strong><span style="color:#F00;"> ✱</span></label>
<div class="col-sm-4">
<textarea name="details" id="details" col="4" class="form-control" placeholder="Enter Details here" maxlength="200" required></textarea>
</div>
<label class="col-sm-2 col-sm-2 control-label"><strong>Requesting Date</strong><span style="color:#F00;"> ✱</span></label>
<div class="col-sm-4">
<input type="text" name="rdate" value="" pattern="\d{1,2}/\d{1,2}/\d{4}" placeholder="DD/MM/YYYY" title="Match Date Format: DD/MM/YYYY" required class="form-control">
</div>
</div>
                     <div class="form-group">
                           <div class="col-sm-10">
                           <center>
<button type="submit" name="submit" class="btn btn-primary">Submit</button>
							   <button type="reset" name="submit" class="btn btn-warning">Reset</button></center>
</div>
</div>

                          </form>
                          </div>
                          </div>
                          </div>
                          
          	
          	
		</section>
      </section>
    <?php include("includes/footer.php");?>
  </section>

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    <!--common script for all pages-->
    <script src="assets/js/common-scripts.js"></script>

    <!--script for this page-->
    <script src="assets/js/jquery-ui-1.9.2.custom.min.js"></script>

	<!--custom switch-->
	<script src="assets/js/bootstrap-switch.js"></script>
	
	<!--custom tagsinput-->
	<script src="assets/js/jquery.tagsinput.js"></script>
	
	<!--custom checkbox & radio-->
	
	<script type="text/javascript" src="assets/js/bootstrap-datepicker/js/bootstrap-datepicker.js"></script>
	<script type="text/javascript" src="assets/js/bootstrap-daterangepicker/date.js"></script>
	<script type="text/javascript" src="assets/js/bootstrap-daterangepicker/daterangepicker.js"></script>
	
	<script type="text/javascript" src="assets/js/bootstrap-inputmask/bootstrap-inputmask.min.js"></script>
	
	
	<script src="assets/js/form-component.js"></script>    
    
    
  <script>
      //custom select box

      $(function(){
          $('select.styled').customSelect();
      });

  </script>

  </body>
</html>
