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show_guardian.php
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122 lines (98 loc) · 4.91 KB
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<?php
$output = '' ;
if(isset($_POST['gstatus']))
{
if($_POST['gstatus']=="other")
{
$output = '' ;
$output .='<div class="form-group ">
<label class="control-label col-md-2" for="gname">Name<span class="help-inline">*</span></label>
<div class="controls col-md-4">
<input name="fname" type="text" id="gname" class="form-control form-control-inline col-md-4" >
</div>
</div>
<br>
<div class="form-group ">
<label class="control-label col-md-2" for="fnationality">Nationality</label>
<div class="controls col-md-4">
<input name="fnationality" type="text" id="fnationality" class="form-control form-control-inline col-md-4" >
</div>
<label class="control-label col-md-2" for="fcitizen">Citizenship</label>
<div class="controls col-md-4">
<input name="fcitizen" type="text" id="fcitizen" class="form-control form-control-inline col-md-4" >
</div>
</div>
<br>
<div class="form-group ">
<label class="control-label col-md-2" for="status">Status</label>
<div class="controls col-md-4">
<label class="radio-inline"><input type="radio" name="mstatus" id="mliving" checked>Living</label>
<label class="radio-inline"><input type="radio" name="mstatus" id="mdecese">Decese</label>
</div>
</div>
<br>
<div class="form-group">
<label class="control-label col-md-2" for="fage">Age</label>
<div class="controls col-md-4">
<input name="fage" type="text" id="fage" class="form-control form-control-inline col-md-4" >
</div>
</div>
<br>
<div class="form-group">
<label class="control-label col-md-2" for="foccupation">Occuputation</label>
<div class="controls col-md-4">
<input name="foccupation" type="text" id="foccupation" class="form-control form-control-inline col-md-4" >
</div>
<label class="control-label col-md-2" for="fposition">Position</label>
<div class="controls col-md-4">
<input name="fposition" type="text" id="fposition" class="form-control form-control-inline col-md-4" >
</div>
</div>
<br><br>
<div class="form-check">
<label class="control-label col-md-2" for="faddress">Guardian address</label>
<div class="controls col-md-4">
<input name="faddress" type="checkbox" id="faddress" class="form-check-input form-control-inline col-md-4" >
<label class="form-check-label" for="faddress">Same as applicant address</label>
</div>
</div>
<br><br>
<div class="form-group">
<label class="control-label col-md-2" for="street">Street</label>
<div class="controls col-md-4">
<input name="street" type="text" id="street" class="form-control form-control-inline col-md-4" >
</div>
</div>
<br>
<div class="form-group">
<label class="control-label col-md-2" for="township">Township<span class="help-inline">*</span></label>
<div class="controls col-md-4">
<input name="township" type="text" id="township" class="form-control form-control-inline col-md-4" >
</div>
<label class="control-label col-md-2" for="city">City<span class="help-inline">*</span></label>
<div class="controls col-md-4">
<input name="city" type="text" id="city" class="form-control form-control-inline col-md-4" >
</div>
</div>
<br>
<div class="form-group ">
<label class="control-label col-md-2" for="zipcode">Zip Code</label>
<div class="controls col-md-4">
<input name="zipcode" type="text" id="zipcode" class="form-control form-control-inline col-md-4" >
</div>
</div>
<br>
<div class="form-group">
<label class="control-label col-md-2" for="township">Telephone</label>
<div class="controls col-md-4">
<input name="telephone" type="text" id="telephone" class="form-control form-control-inline col-md-4" >
</div>
<label class="control-label col-md-2" for="mobile">Mobile<span class="help-inline">*</span></label>
<div class="controls col-md-4">
<input name="mobile" type="text" id="mobile" class="form-control form-control-inline col-md-4" >
</div>
</div>';
}
echo $output;
}
?>