ESH/form/add_firms.php

<script>
function validate(){
	var firm_code = $('#firm_code').val();
	if(firm_code == ''){
		BootstrapDialog.alert('Please Enter Business Unit Code.!!!');
		return false;
	}
var firm_name = $('#firm_name').val();
	if(firm_name == ''){
		BootstrapDialog.alert('Please Enter Business Unit Name.!!!');
		return false;
	}

var firm_location = $('#firm_location').val();
	if(firm_location == ''){
		BootstrapDialog.alert('Please Enter Business Unit LOCATION.!!!');
		return false;
	}
var firm_location1 = $('#firm_location1').val();
	if(firm_location1 == ''){
		BootstrapDialog.alert('Please Enter Business Unit LOCATION1.!!!');
		return false;
	}
var state_id = $('#state_id').val(); 
	if(state_id == ''){
		BootstrapDialog.alert('Please Enter Business Unit State Id.!!!');
		return false;
	}
var pin = $('#pin').val();
	if(pin == ''){
		BootstrapDialog.alert('Please Enter PIN.!!!');
		return false;
	}
var firm_head_office = $('#firm_head_office').val();
	if(firm_head_office == ''){
		BootstrapDialog.alert('Please Enter Business Unit Head Office.!!!');
		return false;
	}
var firm_phone = $('#firm_phone').val();
	if(firm_phone == ''){
		BootstrapDialog.alert('Please Enter Business Unit Phone.!!!');
		return false;
	}
var firm_fax = $('#firm_fax').val();
	if(firm_fax == ''){
		BootstrapDialog.alert('Please Enter Business Unit Fax.!!!');
		return false;
	}
var firm_email = $('#firm_email').val();
	if(firm_email == ''){
		BootstrapDialog.alert('Please Enter Business Unit Email.!!!');
		return false;
	}
var firm_contact = $('#firm_contact').val();
	if(firm_contact == ''){
		BootstrapDialog.alert('Please Enter Business Unit Contact.!!!');
		return false;
	}
var gst_in = $('#gst_in').val();
	if(gst_in == ''){
		BootstrapDialog.alert('Please Enter GST IN .!!!');
		return false;
	}
var bank = $('#bank').val();
	if(bank == ''){
		BootstrapDialog.alert('Please Enter BANK.!!!');
		return false;
	}
var branch = $('#branch').val();
	if(branch == ''){
		BootstrapDialog.alert('Please Enter Branch.!!!');
		return false;
	}
var account = $('#account').val();
	if(account == ''){
		BootstrapDialog.alert('Please Enter ACCOUNT.!!!');
		return false;
	}
var ifsc = $('#ifsc').val();
	if(ifsc == ''){
		BootstrapDialog.alert('Please Enter IFSC.!!!');
		return false;
	}
var pan_no = $('#pan_no').val();
	if(pan_no == ''){
		BootstrapDialog.alert('Please Enter PAN NO.!!!');
		return false;
	}
var tin_no = $('#tin_no').val();
	if(tin_no == ''){
		BootstrapDialog.alert('Please Enter TIN NO..!!!');
		return false;
	}
var service_no = $('#service_no').val();
	if(service_no == ''){
		BootstrapDialog.alert('Please Enter Service NO.!!!');
		return false;
	}

	var range1 = $('#range1').val();
	if(range1 == ''){
		BootstrapDialog.alert('Please Enter RANGE1.!!!');
		return false;
	}

	var colleborate = $('#colleborate').val();
	if(colleborate == ''){
		BootstrapDialog.alert('Please Enter Colleborate..!!!');
		return false;
	}

	var remarks = $('#remarks').val();
	if(remarks == ''){
		BootstrapDialog.alert('Please Enter REMARKS.!!!');
		return false;
	}

	var status = $('#status').val();
	if(status == ''){
		BootstrapDialog.alert('Please Enter Status..!!!');
		return false;
	}

	

save_firm();
}
</script>
<style>
#modal-add-firm{
	overflow-y:scroll;
}
</style>
<div class="modal fade" id="modal-add-firm" name="modal-add-firm" role="dialog" aria-hidden="true">
	<form role="form" id="firm_form" name="firm_form" action="#" method="post">
		<div class="modal-dialog modal-lg">
			<div class="modal-content">
				<div class="widget-header">
					<h5 class="widget-title">Business Unit</h5>
						<div class="widget-toolbar">
							<div class="widget-menu">
							<a href="#" class="close"   data-action="close" data-dismiss="modal">
								<i class="ace-icon fa fa-times"></i>
							</a>
							
						</div>
					</div>
				</div>
				 
				<div class="modal-body">
				<div class="row">
						<div class="form-group col-sm-3">
							<label for="firm_code">BUSINESS UNIT CODE</label>
						<input type="text" class="form-control" name="firm_code"
									id="firm_code"  autofocus="autofocus"  value="" placeholder="Enter Business Unit code" required/>
										<input type="hidden" class="form-control" name="firm_id"
									id="firm_id" value="" placeholder="Enter Business Unit code" required/>
						</div>
					<div class="form-group col-sm-3">
							<label for="firm_name">BUSINESS UNIT NAME</label>
							<input type="text" class="form-control" name="firm_name"
									id="firm_name" placeholder="Enter Business Unit Name" required/>
						</div>


							<div class="form-group col-sm-3">
							<label for="firm_location">BUSINESS UNIT LOCATION</label>
							<input type="text" class="form-control" name="firm_location"
									id="firm_location" placeholder="Enter Business Unit Name" required/>
						</div>
							<div class="form-group col-sm-3">
							<label for="firm_loaction1">BU LOCATION1</label>
							<input type="text" class="form-control" name="firm_location1"
									id="firm_location1" placeholder="Enter firm location1" required/>
						</div>
						
						</div>
						
							<div class="row">
						
						
						
						<div class="form-group col-sm-3">
							<label for="state_id">STATE</label>
							<input type="text" class="form-control" name="state_id"
									id="state_id" placeholder="Enter State" required/>
						</div>
						<div class="form-group col-sm-3">
							<label for="Pin">PIN</label>
							<input type="text" class="form-control" name="pin"
									id="pin" placeholder="Enter Pin" required/>
						</div>
						<div class="form-group col-sm-3">
							<label for="firm_head_office">BU HEAD OFFICE</label>
							<input type="text" class="form-control" name="firm_head_office"
									id="firm_head_office" placeholder="Enter Business Unit Head Office  " required/>
						</div>
							<div class="form-group col-sm-3">
							<label for="firm_phone">BUSINESS UNIT PHONE</label>
							<input type="text" class="form-control" name="firm_phone"
									id="firm_phone" placeholder="Enter Business Unit Phone" required/>
						</div>
						</div>
						
						
							<div class="row">
					
					
								<div class="form-group col-sm-3">
							<label for="firm_fax">BUSINESS UNIT FAX</label>
							<input type="text" class="form-control" name="firm_fax"
									id="firm_fax" placeholder="Enter Business Unit Fax" required/>
						</div>
							
								<div class="form-group col-sm-3">
							<label for="firm_email">BUSINESS UNIT EMAIL</label>
							<input type="text" class="form-control" name="firm_email"
									id="firm_email" placeholder="Enter Business Unit Email" required/>
						</div>
						
					
								<div class="form-group col-sm-3">
							<label for="firm_contact">BUSINESS UNIT CONTACT</label>
							<input type="text" class="form-control" name="firm_contact"
									id="firm_contact" placeholder="Enter Business Unit Contact" required/>
						</div>
								<div class="form-group col-sm-3">
							<label for="gst_in">GST IN</label>
							<input type="text" class="form-control" name="gst_in"
									id="gst_in" placeholder="Enter Gst In" required/>
						</div>
							</div>
								
								
								<div class="row">
						
					
						<div class="form-group col-sm-3">
							<label for="bank">BANK</label>
							<input type="text" class="form-control" name="bank"
									id="bank" placeholder="Enter Bank" required/>
						</div>
					
							<div class="form-group col-sm-3">
							<label for="branch">BRANCH</label>
							<input type="text" class="form-control" name="branch"
									id="branch" placeholder="Enter Branch " required/>
						</div>
				
						
								<div class="form-group col-sm-3">
							<label for="account">ACCOUNT</label>
							<input type="text" class="form-control" name="account"
									id="account" placeholder="Enter Account" required/>
						</div>
						<div class="form-group col-sm-3">
							<label for="ifsc">IFSC</label>
							<input type="text" class="form-control" name="ifsc"
									id="ifsc" placeholder="Enter IFSC" required/>
						</div>
						</div>
					
					
					
						<div class="row">
							
						
							<div class="form-group col-sm-3">
							<label for="pan_no">PAN NO</label>
							<input type="text" class="form-control" name="pan_no"
									id="pan_no" placeholder="Enter PAN NO" required/>
						</div>
			
						<div class="form-group col-sm-3">
							<label for="tin_no">TIN NO</label>
							<input type="text" class="form-control" name="tin_no"
									id="tin_no" placeholder="Enter TIN NO " required/>
						</div>
					
							<div class="form-group col-sm-3">
							<label for="service_no">SERVICE NO</label>
							<input type="text" class="form-control" name="service_no"
									id="service_no" placeholder="Enter Service No" required/>
						</div>
							<div class="form-group col-sm-3">
							<label for="central_no">CENTRAL NO</label>
							<input type="text" class="form-control" name="central_no"
									id="central_no" placeholder="Enter Central No" required/>
						</div>
						</div>
					       
						   
						   <div class="row">
						
					
						<div class="form-group col-sm-3">
							<label for="division">DIVISION</label>
							<input type="text" class="form-control" name="division"
									id="division" placeholder="Enter Division" required/>
						</div>
					
						<div class="form-group col-sm-3">
	
							<label for="range1">RANGE 1</label>
							<input type="text" class="form-control" name="range1"
									id="range1" placeholder="Enter Checkup Range1" required/>
						</div>
						
								<div class="form-group col-sm-3">
							<label for="colleborate">COLLEBORATE</label>
							<input type="text" class="form-control" name="colleborate"
									id="colleborate" placeholder="Enter Colleborate" required/>
						</div>
							<div class="form-group col-sm-3">
							<label for="remarks">REMARKS</label>
							<input type="text" class="form-control" name="remarks"
									id="remarks" placeholder="Enter Remarks" required/>
						</div>
					
							</div>
							
							 <div class="row">
					
						<div class="form-group col-sm-3">
							<label for="status">STATUS</label>
							<input type="text" class="form-control" name="status"
									id="status" placeholder="Enter Status" required/>
						</div>
						</div>
					
					
				
				<div class="widget-toolbox padding-8 clearfix" >
					<button type="button" class="btn btn-info btn-sm save_button" onclick="validate();"><i class="ace-icon fa fa-floppy-o bigger-110"></i>Save	</button>
					<button type="button" class="btn btn-danger  btn-sm" data-dismiss="modal"><i class="ace-icon fa fa-times bigger-110"></i>Cancel</button>					
				</div>
			
				</div>				
			</div>
		</div>
	</form>
</div>