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tejbeer |
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<section class="wrapper">
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<div class="row">
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<div class="col-lg-12">
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<h3 class="page-header">
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<i class="icon_document_alt"></i>Seller
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</h3>
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<ol class="breadcrumb">
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<li><i class="fa fa-home"></i><a
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href="${rc.contextPath}/dashboard">Home</a></li>
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<li><i class="icon_document_alt"></i>Supplier Form</li>
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</ol>
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</div>
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</div>
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<form id="new-supplier-create-form">
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<div class="form-row">
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<div class="form-group col-md-6">
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<label for="name">Name</label>
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<input type="text" class="form-control" id="name" name="inputName" placeholder="Name">
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</div>
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<div class="form-group col-md-6">
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<label for="phone">Phone</label>
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<input type="number" class="form-control" id="phone" name="inputPhone" placeholder="Phone">
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</div>
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<div class="form-group col-md-6">
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<label for="gst">GSTIN</label>
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<input type="text" class="form-control" id="gst" name="inputGst" placeholder="GST">
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</div>
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<div class="form-group col-md-6">
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<label for="panNumber">PAN</label>
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<input type="text" class="form-control" id="panNumber" name="inputPan" placeholder="pan">
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</div>
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<div class="form-group col-md-6">
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<label for="Fax">Fax</label>
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<input type="text" class="form-control" id="Fax" name="inputFax" placeholder="Fax">
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</div>
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<div class="form-group col-md-6">
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<label for="headName">Head Name</label>
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<input type="text" class="form-control" id="headName" name="inputHeadName" placeholder="Head Name">
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</div>
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<div class="form-group col-md-6">
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<label for="headDesig">Head Designation</label>
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<input type="text" class="form-control" id="headDesig" name="inputHeadDesig" placeholder="Head Designation">
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</div>
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<div class="form-group col-md-6">
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<label for="headEmail">Head Email</label>
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<input type="email" class="form-control" id="headEmail" name="inputHeadEmail" placeholder="Head Email">
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</div>
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<div class="form-group col-md-6">
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<label for="contactPerson">Contact Person</label>
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<input type="text" class="form-control" id="contactPerson" name="inputContactPerson" placeholder="Contact Person">
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</div>
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<div class="form-group col-md-6">
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<label for="contactEmail">Contact Email</label>
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<input type="email" class="form-control" id="contactEmail" name="inputContactEmail" placeholder="Contact Email">
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</div>
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<div class="form-group col-md-6">
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<label for="contactFax">Contact Fax</label>
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<input type="text" class="form-control" id="contactFax" name="inputContactFax" placeholder="Contact Fax">
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</div>
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<div class="form-group col-md-6">
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<label for="registeredAddress">Registered Address</label>
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<input type="text" class="form-control" id="registeredAddress" name="inputRegisteredAddress" placeholder="Registered Address">
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</div>
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<div class="form-group col-md-6">
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<label for="communicationAddress">Communication Address</label>
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<input type="text" class="form-control" id="communicationAddress" name="inputCommunicationAddress" placeholder="Communication Address">
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</div>
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<div class="form-group col-md-6">
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<label for="terms&Conditions">Terms & Conditions</label>
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<input type="text" class="form-control" id="terms&Conditions" name="inputTermConditions" placeholder="Terms & Conditions">
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</div>
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<div class="form-group col-md-6">
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<label for="warehouseLocation">Warehouse Location</label>
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<select class="chosen-select" id="warehouseLocation" name="inputWarehouseLocation" data-placeholder="Warehouse Location" multiple style="width:500px;" tabindex="4">
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#foreach($warehouseIdAndState in $warehouseIdAndState.entrySet())
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<option value="$warehouseIdAndState.getKey()">$warehouseIdAndState.getValue().getPrefix()($warehouseIdAndState.getValue().getStateName())</option>
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#end
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</select>
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</div>
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<div class="form-group col-md-6">
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<label for="state">State</label>
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<select class="form-control input-sm" id = "stateId" name="stateId" placeholder="State" style="height: 60px;">
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<option value="" disabled selected>State</option>
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#foreach($stateName in $state)
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<option value="$stateName.getId()">$stateName.getName()</option>
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#end
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</select>
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</div>
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<div class="form-group col-md-6">
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<label for="pOValidityLimit">PO Validity Days Limit</label>
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<input type="number" class="form-control" id="pOValidityLimit" name="inputPOValidityLimit" placeholder="PO Validity Days Limit">
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</div>
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<div class="form-group col-md-6">
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<button type="button" class="btn btn-primary create-supplier-submit" style="margin: 20px;">Submit</button>
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</div>
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</div>
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</form>
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</section>
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<script>
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$(document).ready(function() {
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$('.chosen-select').chosen({
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search_contains : true
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});
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});
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</script>
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