Subversion Repositories SmartDukaan

<section class="wrapper">

    <div class="row">

        <div class="col-lg-12">

            <h3 class="page-header">

                <i class="icon_document_alt"></i>Seller

            </h3>

            <ol class="breadcrumb">

                <li><i class="fa fa-home"></i><a

                        href="${rc.contextPath}/dashboard">Home</a></li>

                <li><i class="icon_document_alt"></i>Supplier Form</li>

            </ol>

        </div>

    </div>

    <form id="new-supplier-create-form">

        <div class="form-row">

            <div class="form-group col-md-6">

                <label for="name">Name</label>

                <input type="text" class="form-control" id="name" name="inputName" placeholder="Name">

            </div>

            <div class="form-group col-md-6">

                <label for="phone">Phone</label>

                <input type="number" class="form-control" id="phone" name="inputPhone" placeholder="Phone">

            </div>

            <div class="form-group col-md-6">

                <label for="gst">GSTIN</label>

                <input type="text" class="form-control" id="gst" name="inputGst" placeholder="GST">

            </div>

            <div class="form-group col-md-6">

                <label for="panNumber">PAN</label>

                <input type="text" class="form-control" id="panNumber" name="inputPan" placeholder="pan">

            </div>

            <div class="form-group col-md-6">

                <label for="Fax">Fax</label>

                <input type="text" class="form-control" id="Fax" name="inputFax" placeholder="Fax">

            </div>

            <div class="form-group col-md-6">

                <label for="headName">Head Name</label>

                <input type="text" class="form-control" id="headName" name="inputHeadName" placeholder="Head Name">

            </div>

            <div class="form-group col-md-6">

                <label for="headDesig">Head Designation</label>

                <input type="text" class="form-control" id="headDesig" name="inputHeadDesig"

                       placeholder="Head Designation">

            </div>

            <div class="form-group col-md-6">

                <label for="headEmail">Head Email</label>

                <input type="email" class="form-control" id="headEmail" name="inputHeadEmail" placeholder="Head Email">

            </div>

            <div class="form-group col-md-6">

                <label for="contactPerson">Contact Person</label>

                <input type="text" class="form-control" id="contactPerson" name="inputContactPerson"

                       placeholder="Contact Person">

            </div>

            <div class="form-group col-md-6">

                <label for="contactEmail">Contact Email</label>

                <input type="email" class="form-control" id="contactEmail" name="inputContactEmail"

                       placeholder="Contact Email">

            </div>

            <div class="form-group col-md-6">

                <label for="contactFax">Contact Fax</label>

                <input type="text" class="form-control" id="contactFax" name="inputContactFax"

                       placeholder="Contact Fax">

            </div>

            <div class="form-group col-md-6">

                <label for="registeredAddress">Registered Address</label>

                <input type="text" class="form-control" id="registeredAddress" name="inputRegisteredAddress"

                       placeholder="Registered Address">

            </div>

            <div class="form-group col-md-6">

                <label for="communicationAddress">Communication Address</label>

                <input type="text" class="form-control" id="communicationAddress" name="inputCommunicationAddress"

                       placeholder="Communication Address">

            </div>

            <div class="form-group col-md-6">

                <label for="terms&Conditions">Terms & Conditions</label>

                <input type="text" class="form-control" id="terms&Conditions" name="inputTermConditions"

                       placeholder="Terms & Conditions">

            </div>

            <div class="form-group col-md-6">

                <label for="warehouseLocation">Warehouse Location</label>

                <select class="chosen-select" id="warehouseLocation" name="inputWarehouseLocation"

                        data-placeholder="Warehouse Location" multiple style="width:500px;" tabindex="4">

                    #foreach($warehouseIdAndState in $warehouseIdAndState.entrySet())

                        <option value="$warehouseIdAndState.getKey()">$warehouseIdAndState.getValue().getPrefix()

                            ($warehouseIdAndState.getValue().getStateName())

                        </option>

                    #end

                </select>

            </div>

            <div class="form-group col-md-6">

                <label for="state">State</label>

                <select class="form-control input-sm" id="stateId" name="stateId" placeholder="State"

                        style="height: 60px;">

                    <option value="" disabled selected>State</option>

                    #foreach($stateName in $state)

                        <option value="$stateName.getId()">$stateName.getName()</option>

                    #end

                </select>

            </div>

            <div class="form-group col-md-6">

                <label for="pOValidityLimit">PO Validity Days Limit</label>

                <input type="number" class="form-control" id="pOValidityLimit" name="inputPOValidityLimit"

                       placeholder="PO Validity Days Limit">

            </div>

            <div class="form-group col-md-6">

                <button type="button" class="btn btn-primary create-supplier-submit" style="margin: 20px;">Submit

                </button>

            </div>

        </div>

    </form>

</section>

<script>

    $(document).ready(function () {

        $('.chosen-select').chosen({

            search_contains: true

        });

    });

</script>