Subversion Repositories SmartDukaan

<section class="wrapper">

    <form name="brandFeeCollectionForm" id="brandFeeCollectionForm" style="align-content: center">
        <div class="row">
            <div class="col-lg-3"><label>Amount :</label>
                <input type="number" name="collectedAmount" class="form-control" placeholder="Enter amount" required>
            </div>

        </div>
        <div class="row">
            <div class="col-lg-3"><label>Payment Mode :</label>
                <select class="form-control" name="paymentMode" required>
                    <option value="" selected>Select mode</option>
                    <option value="UPI">UPI</option>
                    <option value="Cheque">Cheque</option>
                    <option value="IMPS">IMPS</option>
                    <option value="NEFT">NEFT</option>
                    <option value="RTGS">RTGS</option>

                </select></div>

        </div>
        <div class="row">
            <div class="col-lg-3"><label>Reference No :</label>
                <input type="text" name="paymentReferenceNo" class="form-control" placeholder="Enter reference no"
                       required>
            </div>
        </div>
        <div class="row">
            <div class="col-lg-3">
                <button type="button" class="btn-primary " id="addBrandFeePayment" value="$loiId">Add Payment</button>
            </div>
        </div>


    </form>
</section>