EVOLUTION-NINJA

Edit File: addmore2.php

<?php  //include("menu.php"); ?>
  
  <style>
	.control-label { font-size: 11.5px;  }
</style>
  
  <div class="page-content-wrapper">
    <div class="page-content"> 
      
      
      
      <h3 class="page-title"> Import Transactions </h3>
      <div class="page-bar">
        <ul class="page-breadcrumb">
          <li> <i class="fa fa-home"></i> <a href="dashboard.php">Home</a> <i class="fa fa-angle-right"></i> Import Transactions</li>
        </ul>
      </div>
       
      
      
        
        	
        <div class="portlet-body form"> 
          
          <form action="#" class="form-horizontal">
            <div class="form-body">
               <div class="row">
               	<div class="col-md-12">
               		 <div class="portlet light bg-inverse">
               		<div class="portlet-title">
										<div class="caption">
											
											<span class="caption-subject font-red-sunglo bold uppercase">Add Transaction</span>
											<span class="caption-helper"></span>
										</div>
										
									</div>
               		<div class="row">
               			
              	<div class="col-md-12">
              		
              <div class="row">
              	<div class="col-md-2"></div>
                <div class="col-md-10">
                  <div class="form-group form-md-radios">
									
									<div class="md-radio-inline">
										<div class="md-radio">
											<input type="radio" id="radio6" name="radio2" class="md-radiobtn">
											<label for="radio6">
											<span class="inc"></span>
											<span class="check"></span>
											<span class="box"></span>
											OSL </label>
										</div>
										<div class="md-radio">
											<input type="radio" id="radio7" name="radio2" class="md-radiobtn" >
											<label for="radio7">
											<span class="inc"></span>
											<span class="check"></span>
											<span class="box"></span>
											SD </label>
										</div>
										<div class="md-radio">
											<input type="radio" id="radio8" name="radio2" class="md-radiobtn">
											<label for="radio8">
											<span></span>
											<span class="check"></span>
											<span class="box"></span>
											Stock </label>
										</div>
										<div class="md-radio">
											<input type="radio" id="radio9" name="radio2" class="md-radiobtn">
											<label for="radio9">
											<span></span>
											<span class="check"></span>
											<span class="box"></span>
											Proposal </label>
										</div>
									</div>
								</div>  
                </div>
              </div>
              
              
              
              
              
              
              	</div>
              	
              	
              	
              	
              </div>
              </div>
              
              <div class="portlet light bg-inverse">
               		<div class="portlet-title">
										<div class="caption">
											
											<span class="caption-subject font-red-sunglo bold uppercase">OSL</span>
											<span class="caption-helper"></span>
										</div>
										
									</div>
               		<div class="row">
               			<div class="col-md-12">
               				
               					<div class="row">
                <div class="col-md-4">
                  <div class="form-group">
                    <label class="control-label col-md-4">OSL No:</label>
                    <div class="col-md-8">
                      <input type="text" class="form-control" readonly="readonly">
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-md-4">File No:</label>
                    <div class="col-md-8">
                      <div class="input-group">
                      	                    <div class="input-group-btn">
                                            <select name="qbweights" class="form-control" style="width: 40px;">
                                            <option value="$">A</option>
					                        <option value="YARDS">B</option>
					                        </select>
                                          </div>
                                      <select name="qbweights" class="form-control">
                                            <option value="$">Select</option>
					                        
					                        </select>
            
                                     </div>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-md-4">Party name:</label>
                    <div class="col-md-8">
                       <input type="text" class="form-control" readonly="readonly">
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-md-4">Forecast No:</label>
                    <div class="col-md-8">
                      <select name="qbweights" class="form-control">
                                            <option value="$">Select</option>
					                        <option value="YARDS"></option>
					                        </select>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-md-4">Mode of Order:</label>
                    <div class="col-md-8">
                      <input type="text" class="form-control">
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-md-4">Party Order No:</label>
                    <div class="col-md-8">
                      <input type="text" class="form-control">
                    </div>
                  </div>
                  
                </div>
              
              
              
                <div class="col-md-4">
                  <div class="form-group">
                    <label class="control-label col-md-4">Party Ref:</label>
                    <div class="col-md-8">
                      <input type="text" class="form-control">
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-md-4">Order Date:</label>
                    <div class="col-md-8">
                      <div class="input-group">
                                          <input type="text" class="form-control"  data-provide="datepicker">
                                          <span class="input-group-addon"> <i class="fa fa-calendar"></i> </span> </div>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-md-4">Order Rec Date:</label>
                    <div class="col-md-8">
                      <div class="input-group">
                                          <input type="text" class="form-control"  data-provide="datepicker">
                                          <span class="input-group-addon"> <i class="fa fa-calendar"></i> </span> </div>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-md-4">Delivery Date:</label>
                    <div class="col-md-8">
                      <div class="input-group">
                                          <input type="text" class="form-control"  data-provide="datepicker">
                                          <span class="input-group-addon"> <i class="fa fa-calendar"></i> </span> </div>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-md-4">Banker Name:</label>
                    <div class="col-md-8">
                      <input type="text" class="form-control" readonly="readonly">
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-md-4">Agent Name:</label>
                    <div class="col-md-8">
                      <input type="text" class="form-control" readonly="readonly">
                    </div>
                  </div>
                </div>
                
                
                <div class="col-md-4">
                  <div class="form-group">
                    <label class="control-label col-md-4">Commision%:</label>
                    <div class="col-md-8">
                      <input type="text" class="form-control" readonly="readonly">
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-md-4">Validity Date:</label>
                    <div class="col-md-8">
                      <input type="text" class="form-control" readonly="readonly">
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-md-4">Currency Name:</label>
                    <div class="col-md-8">
                      <select name="qbweights" class="form-control">
                                            <option value="$">Select</option>
					                        <option value="YARDS"></option>
					                        </select>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-md-4">Ex Rate:</label>
                    <div class="col-md-8">
                      <input type="text" class="form-control">
                    </div>
                  </div>
                  
                  
                </div>
                
                
              </div>
               					
               				
               			</div>
               			
               		</div>
               		</div>
               		
               		
               		<div class="portlet light bg-inverse">
               		<div class="portlet-title">
										<div class="caption">
											
											<span class="caption-subject font-red-sunglo bold uppercase">Sub Code</span>
											<span class="caption-helper"></span>
										</div>
										
									</div>
               		<div class="row">
               			<div class="col-md-3">
               				<div class="form-group">
                              <label class="control-label col-md-4">Sub Code:</label>
                              <div class="col-md-8">
                              <input type="text" class="form-control" readonly="readonly">
                              </div>
                            </div>
               			</div>
               			
               			<div class="col-md-3">
               				<div class="form-group">
                    <label class="control-label col-md-7">Order Confirmation:</label>
                    <div class="col-md-3">
                      <div class="md-checkbox">
											<input type="checkbox" id="checkbox1" class="md-check">
											<label for="checkbox1">
											<span class="inc"></span>
											<span class="check"></span>
											<span class="box"></span>
											 </label>
										</div>
                    </div>
                  </div>
               			</div>
               			
               			<div class="col-md-3">
               				<div class="form-group">
                    <label class="control-label col-md-4">Confirm Date:</label>
                    <div class="col-md-8">
                       <div class="input-group">
                                          <input type="text" class="form-control"  data-provide="datepicker">
                                          <span class="input-group-addon"> <i class="fa fa-calendar"></i> </span> </div>
                    </div>
                  </div>
               			</div>
               			
               			<div class="col-md-3">
               				<div class="form-group">
                    <label class="control-label col-md-4">Person:</label>
                    <div class="col-md-8">
                      <input type="text" class="form-control">
                    </div>
                  </div>
               			</div>
               		</div>
               		</div>
               	  
               	   
               	   <div class="row">
               	   	 <div class="col-md-12">
               			<div class="portlet light bg-inverse" >
						
						<div class="portlet-body" >
							<ul class="nav nav-tabs">
								<li class="active">
									<a href="#tab_1_1" data-toggle="tab" aria-expanded="true">
									Product Description </a>
								</li>
								<li class="">
									<a href="#tab_1_2" data-toggle="tab" aria-expanded="false">
									Delivery Terms </a>
								</li>
								<li class="dropdown">
									<a href="#tab_1_3" data-toggle="tab" aria-expanded="false">
									Packing and Insp Terms 
									</a>
									
								</li>
								<li class="dropdown">
									<a href="#tab_1_4" data-toggle="tab" aria-expanded="false">
									LC Terms 
									</a>
									
								</li>
							</ul>
							<div class="tab-content" >
								<div class="tab-pane fade active in" id="tab_1_1">
									<div class="row">
										
										<div class="col-md-4">
											<fieldset style="background: #fff; padding:20px 20px 0 10px;">
											<div class="form-group">
                                              <label class="control-label col-md-4">Order Type:</label>
                                              <div class="col-md-7">
                                              	<select name="qbweights" class="form-control" style="height: 25px;">
                                                  <option value="$">Select</option>
					                              <option value="YARDS"></option>
					                            </select>
                                               
                                              </div>
                                            </div>
                                            <div class="form-group">
                                              <label class="control-label col-md-4">Units:</label>
                                              <div class="col-md-7">
                                               <select name="qbweights" class="form-control" style="height: 25px;">
                                                  <option value="$">Select</option>
					                              <option value="YARDS"></option>
					                            </select>
                                              </div>
                                            </div>
                                            <div class="form-group">
                                              <label class="control-label col-md-4">Article No:</label>
                                              <div class="col-md-7">
                                               <select name="qbweights" class="form-control" style="height: 25px;">
                                                  <option value="$">Select</option>
					                              <option value="YARDS"></option>
					                            </select>
                                              </div>
                                            </div>
                                            <div class="form-group">
                                              <label class="control-label col-md-4">Design:</label>
                                              <div class="col-md-7">
                                               <input type="text" class="form-control" style="height: 25px;" readonly="readonly">
                                              </div>
                                            </div>
                                            <div class="form-group">
                                              <label class="control-label col-md-4">Quality:</label>
                                              <div class="col-md-7">
                                               <input type="text" class="form-control" style="height: 25px;" readonly="readonly">
                                              </div>
                                            </div>
                                            <div class="form-group">
                                              <label class="control-label col-md-4">Width:</label>
                                              <div class="col-md-7">
                                               <input type="text" class="form-control" style="height: 25px;">
                                              </div>
                                            </div>
                                            <div class="form-group">
                                              <label class="control-label col-md-4">Description:</label>
                                              <div class="col-md-7">
                                               <input type="text" class="form-control" style="height: 25px;">
                                              </div>
                                            </div>
                                            <div class="form-group">
                                              <label class="control-label col-md-4">Payment Terms:</label>
                                              <div class="col-md-7">
                                               <select name="qbweights" class="form-control" style="height: 25px;">
                                                  <option value="$">Select</option>
					                              <option value="YARDS"></option>
					                            </select>
                                              </div>
                                            </div>
                                            <div class="form-group">
                                              <label class="control-label col-md-4">Contract Type:</label>
                                              <div class="col-md-7">
                                               <select name="qbweights" class="form-control" style="height: 25px;">
                                                  <option value="$">Select</option>
					                              <option value="YARDS"></option>
					                            </select>
                                              </div>
                                            </div>
                                            </fieldset>
										</div>
										
										<div class="col-md-8">
											
						  <div class="row">
						  	<div class="col-md-12">
						  		<div class="portlet-body">
							<div class="table-scrollable" style="height: 300px;">
								<table class="table table-striped table-bordered table-hover">
								<thead>
								<tr>
									<th scope="col" style="width:450px !important">
										 Our Shades
									</th>
									<th scope="col">
										 Buyer Shades
									</th>
									<th scope="col">
										 Quantity
									</th>
									<th scope="col">
										 Unit Price
									</th>
									<th scope="col">
										 Foreign Value
									</th>
									<th scope="col">
										 Delivery Date
									</th>
									<th scope="col">
										 SKU No.
									</th>
									
									
									
								</tr>
								</thead>
								<tbody style="background: #fff;">
								
								
								<tr>
									<td>
										 Data
									</td>
									<td>
										 Data
									</td>
									<td>
										Data
									</td>
									<td>
										Data 
									</td>
									<td>
										Data 
									</td>
									<td>
										Data 
									</td>
									<td>
										Data 
									</td>
									
								</tr>
								
								</tbody>
								</table>
							</div>
						</div>
						  	</div>
						  </div>
						  <div class="row">
						  	<div class="col-md-2">
						  		<div class="form-group">
                                    <div class="col-md-12">
                                      <label class="control-label">Total Qty:</label>
                                      <input type="text" class="form-control" style="height: 25px;">
                                    </div>
                                </div>
						  	</div>
						  	<div class="col-md-2">
						  		<div class="form-group">
                                    <div class="col-md-12">
                                      <label class="control-label">Total Value:</label>
                                      <input type="text" class="form-control" style="height: 25px;">
                                    </div>
                                </div>
						  	</div>
						  	<div class="col-md-2">
						  		<div class="form-group">
                                    <div class="col-md-12">
                                      <label class="control-label">Discount(%):</label>
                                      <input type="text" class="form-control" style="height: 25px;">
                                    </div>
                                </div>
						  	</div>
						  	<div class="col-md-3">
						  		<div class="form-group">
                                    <div class="col-md-12">
                                      <label class="control-label">Net Value:</label>
                                      <input type="text" class="form-control" style="height: 25px;">
                                    </div>
                                </div>
						  	</div>
						  	<div class="col-md-3">
						  		<div class="form-group">
                                    <div class="col-md-12">
                                      <label class="control-label">Indian Value:</label>
                                      <input type="text" class="form-control" style="height: 25px;">
                                    </div>
                                </div>
						  	</div>
						  </div>
						
					
										</div>
									</div>
								</div>
								<div class="tab-pane fade" id="tab_1_2">
									<div class="row">
									  <div class="col-md-1"></div>
									  <div class="col-md-8"><br>
									  	<div class="form-group">
									  	 <label class="control-label col-md-4">Freight Forwarder:</label>
                                         <div class="col-md-6">
                                         <input type="text" class="form-control" style="height: 25px;">
                                         </div>
                                        </div>
                                        <div class="form-group">
									  	 <label class="control-label col-md-4">Freight Type:</label>
                                         <div class="col-md-6">
                                         <select name="qbweights" class="form-control" style="height: 25px;">
                                                  <option value="$">Select</option>
					                              <option value="YARDS"></option>
					                     </select>
                                         </div>
                                        </div>
                                        <div class="form-group">
									  	 <label class="control-label col-md-4">Delivery Mode:</label>
                                         <div class="col-md-6">
                                         <select name="qbweights" class="form-control" style="height: 25px;">
                                                  <option value="$">Select</option>
					                              <option value="YARDS"></option>
					                     </select>
                                         </div>
                                        </div>
                                        <div class="form-group">
									  	 <label class="control-label col-md-4">Delivery Point:</label>
                                         <div class="col-md-6">
                                         <input type="text" class="form-control" style="height: 25px;">
                                         </div>
                                        </div>
									  </div>
									  <div class="col-md-2"></div>	
								    </div>
								</div>
								<div class="tab-pane fade" id="tab_1_3">
									<div class="row">
									  <div class="col-md-6"><br>
									  	 <fieldset style="background: #fff;">
									  	 	<legend>Packing Instruction</legend>
									  	 	<div class="form-group">
									  	 <label class="control-label col-md-4">Type:</label>
                                         <div class="col-md-6">
                                         <select name="qbweights" class="form-control">
                                                  <option value="$">Select</option>
					                              <option value="YARDS"></option>
					                     </select>
                                         </div>
                                        </div>
                                        <div class="form-group">
									  	 <label class="control-label col-md-4">Label Terms:</label>
                                         <div class="col-md-6">
                                         <input type="text" class="form-control">
                                         </div>
                                        </div>
                                        <div class="form-group">
									  	 <label class="control-label col-md-4">Instructions:</label>
                                         <div class="col-md-6">
                                         <input type="text" class="form-control">
                                         </div>
                                        </div>
									  	 </fieldset>
									  	 
									  </div>
									  <div class="col-md-6"><br>
									  	<fieldset style="background: #fff;">
									  	 	<legend>Inspection Instruction</legend>
									  	 	<div class="form-group">
									  	 <label class="control-label col-md-4">Date:</label>
                                         <div class="col-md-6">
                                         <div class="input-group">
                                          <input type="text" class="form-control"  data-provide="datepicker">
                                          <span class="input-group-addon"> <i class="fa fa-calendar"></i> </span> </div>
                                         </div>
                                        </div>
                                        <div class="form-group">
									  	 <label class="control-label col-md-4">Agency Address:</label>
                                         <div class="col-md-6">
                                         <textarea class="form-control"></textarea>
                                         </div>
                                        </div>
									  	 </fieldset>
									  	
                                        
                                        
                                        
									  </div>
									 
								    </div>
								</div>
								<div class="tab-pane fade" id="tab_1_4">
									<div class="row">
									  <div class="col-md-1"></div>
									  <div class="col-md-8"><br>
									  	<div class="form-group">
									  	 <label class="control-label col-md-4">LC No:</label>
                                         <div class="col-md-6">
                                         <input type="text" class="form-control">
                                         </div>
                                        </div>
                                        <div class="form-group">
									  	 <label class="control-label col-md-4">LC Date:</label>
                                         <div class="col-md-6">
                                         <div class="input-group">
                                          <input type="text" class="form-control"  data-provide="datepicker">
                                          <span class="input-group-addon"> <i class="fa fa-calendar"></i> </span> </div>
                                         </div>
                                        </div>
                                        <div class="form-group">
									  	 <label class="control-label col-md-4">Expiry Date:</label>
                                         <div class="col-md-6">
                                         <div class="input-group">
                                          <input type="text" class="form-control"  data-provide="datepicker">
                                          <span class="input-group-addon"> <i class="fa fa-calendar"></i> </span> </div>
                                         </div>
                                        </div>
                                        <div class="form-group">
									  	 <label class="control-label col-md-4">Days Credit:</label>
                                         <div class="col-md-6">
                                         <input type="text" class="form-control" >
                                         </div>
                                        </div>
                                        <div class="form-group">
									  	 <label class="control-label col-md-4">Bank:</label>
                                         <div class="col-md-6">
                                         <input type="text" class="form-control" >
                                         </div>
                                        </div>
                                        <div class="form-group">
									  	 <label class="control-label col-md-4">Amount:</label>
                                         <div class="col-md-6">
                                         <input type="text" class="form-control" >
                                         </div>
                                        </div>
									  </div>
									  <div class="col-md-2"></div>	
								    </div>
								</div>
							</div>
							<div class="clearfix margin-bottom-20">
							</div>
							
							
						</div>
					</div>	
               					
              
              
            
              <div class="form-actions" >
                <div class="row"  >
                  <div class="col-md-8" >
                    <div class="row">
                      <div class="col-md-offset-1 col-md-9">
                        <button type="submit" class="btn" style=" color:#FFFFFF; background:#485b7f;">Submit</button>
                        <button type="button" class="btn default" style=" width:20%;">Cancel</button>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
               
             
             
          
           
             
           
              
               		        
               	   	</div>
               	   	
               	  </div> 
               	   
               	   
               	   
               	   
               	   
               	</div>
               </div>
               
              
            </div>
          </form>
          
        </div>
    
       
      
    </div>
       
      
    </div>
  </div>
</div>

<div class="form-body">
			  <h3 class="form-section">Customer Details</h3>
			  <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">Customer Name :</label>
					
                  
					<div class="col-md-6">
					<span id="customerName"></span>
					</div>
                  </div>
                </div>
              </div>
              <div class="row" >
			  
			  
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">Product Type :</label>
                   <div class="col-md-6">
					<span id="productType"></span>
					</div>
                  </div>
                </div>
                 
              </div>
              
              
              
              <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">customer id :</label>
					
					<div class="col-md-6">
					<span id="customerid"></span>
					</div>
                    
                  </div>
                </div>
                 
                
              </div>
              
              <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">Customer Address :</label>
                  
					
					<div class="col-md-6">
					<span id="customerAddress"></span>
					</div>
                  </div>
                </div>
              </div>
              <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">Country :</label>
                    
					
					<div class="col-md-6">
					<span id="country"></span>
					</div>
                  </div>
                </div>
              </div>
			  <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">Banker Name :</label>
                  
					<div class="col-md-6">
					<span id="bankerName"></span>
					</div>
                  </div>
                </div>
              </div>
			  <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">Banker Address :</label>
                   <div class="col-md-6">
					<span id="bankerAddress"></span>
					</div>
                  </div>
                </div>
              </div>
			 
              <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">Notes</label>
                   
					 <div class="col-md-6">
					<span id="notes"></span>
					</div>
                  </div>
                </div>
              </div>
		
			  
            
            
              <h3 class="form-section">Contact Person</h3>
			   <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">Department :</label>
                    <div class="col-md-6">
					<span id="department"></span>
					</div>
                  </div>
                </div>
              </div>
			  
			   <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">Mobile No :</label>
                    <div class="col-md-6">
					<span id="mobileno"></span>
					</div>
                  </div>
                </div>
              </div>
			  
			   <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">Phone No :</label>
                    <div class="col-md-6">
					<span id="phoneno"></span>
					</div>
                  </div>
                </div>
              </div>
			  
			  
			   <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">E-mail :</label>
                    <div class="col-md-6">
					<span id="email"></span>
					</div>
                  </div>
                </div>
              </div>
			  
			  
			  <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">Website:</label>
                    <div class="col-md-6">
					<span id="website"></span>
					</div>
                  </div>
                </div>
              </div>
			  
			  
              
              <h3 class="form-section">Consignee Details</h3>
              <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">Consignee Name :</label>
					<div class="col-md-6">
					<span id="consigneename"></span>
					</div>
                    
                  </div>
                </div>
              </div>
              
             <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">Consignee Address :</label>
					
					<div class="col-md-6">
					<span id="consigneeAddress"></span>
					</div>
                    
                  </div>
                </div>
              </div>
			  
			  
			    <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">Agent Name :</label>
					
					<div class="col-md-6">
					<span id="agentname"></span>
					</div>
                    
                  </div>
                </div>
              </div>
             
			  <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">Agent Address :</label>
                    
					<div class="col-md-6">
					<span id="agentAddress"></span>
					</div>
                  </div>
                </div>
              </div>
			  
			  
			   <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">Agent Contact person :</label>
					
					<div class="col-md-6">
					<span id="agentcontactperson"></span>
					</div>
                    
                  </div>
                </div>
              </div>
			
			
			   <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">Mobile No :</label>
                    <div class="col-md-6">
					<span id="agentmobile"></span>
					</div>
                  </div>
                </div>
              </div>
			  
			   <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">Phone No :</label>
                    <div class="col-md-6">
					<span id="agentphone"></span>
					</div>
                  </div>
                </div>
              </div>
			  
			  
			   <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">E-mail :</label>
                    <div class="col-md-6">
					<span id="agentemail"></span>
					</div>
                  </div>
                </div>
              </div>
			  
			  
			  <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">Website:</label>
                    <div class="col-md-6">
					<span id="agentwebsite"></span>
					</div>
                  </div>
                </div>
              </div>
			
			  
			  <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">Agent Commission(%) :</label>
                    
					<div class="col-md-6">
					<span id="agentCommission"></span>
					</div>
                  </div>
                </div>
              </div>
			  
			  <div class="row">
                <div class="col-md-8">
                  <div class="form-group">
                    <label class="control-label col-md-3">Agency From date :</label>
					
					<div class="col-md-6">
					<span id="agentValidityDate"></span>
					</div>
                    
                  </div>
                </div>
              </div>
			  </div>
			  
			  
			 
			  
			  
			  
			  
              
             
              </div>
               
            
               
              <br>
              <div class="form-actions">
                <div class="row">
                  <div class="col-md-8">
                    <div class="row">
                      <div class="col-md-offset-3 col-md-9">
                        
                        <input type="submit" name="submitcustomer"  value="Add New Customer" class="btn" style=" width:50%; color:#FFFFFF; background:#485b7f;">
			<a href="<?php echo base_url(); ?>dashboard/customer_master_details" class="btn default" style=" width:20%;">Cancel</a>
                        </div>
                    </div>
                  </div>
                </div>
              </div>
            </div>
</div>
</span>

</div>