<!DOCTYPE html>
<html lang="en">


<!-- Mirrored from akademi.dexignlab.com/codeigniter/demo/student by HTTrack Website Copier/3.x [XR&CO'2014], Wed, 06 Mar 2024 10:51:33 GMT -->
<!-- Added by HTTrack -->
<meta http-equiv="content-type" content="text/html;charset=UTF-8" /><!-- /Added by HTTrack -->

<head>
    <!-- Title -->
    <title>Reference No</title>
    <!-- Meta -->

    <style>
        .custom-card{
            margin-top: 200px;
        }
    
    </style>

</head>

<body>

    <div class="row p-5 custom-card">
        <div class="col-lg-12">
            <div class="card ">
                <div class="card-body">
                    <h2 class="card-title">Referece No</h2><bR>
                    <form action="<?php echo base_url(); ?>ApplicationController/store_refno/ ." method="post" enctype="multipart/form-data">
                        <input type="hidden" name="id" value="1">
                        <div class="row">


                            <div class="form-group col-md-4">
                                <label class="tx-medium">Phone Number <span class="text-danger">*</span></label>
                                <input type="number" class="form-control " id="mobile" name="mobile" value="<?= $record['mobile'] ?>" placeholder="Phone number">
                                <p class="text-danger mt-2" id="course_name_err"></p>
                            </div>

                            <div class="form-group col-md-4">
                                <label class="tx-medium">Email <span class="text-danger">*</span></label>
                                <input type="email" class="form-control " id="email" name="email" value="<?= $record['email'] ?>" placeholder="Email">

                                <p class="text-danger mt-2" id="course_name_err"></p>
                            </div>

                            <div class="form-group col-md-4">
                                <label class="tx-medium"> Reference Start No <span class="text-danger">*</span></label>
                                <input type="text" class="form-control" value="<?= $record['ref_number'] ?>" name="Reference_no" placeholder="Reference_no" required>
                                <p class="text-danger mt-2" id="course_name_err"></p>
                            </div>

                        </div>

                        <div class="form-group mb-0 p-3">
                            <div>
                                <button name="submit" type="submit" class="btn btn-primary waves-effect waves-light mr-1">
                                    Submit
                                </button>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
   


    



</body>

</html>

<script>
    function edit(id, name) {
        $('#tution_name_err').text(' ')

        $('#id').val(id)
        $('#tution_name').val(name)
        $('#formTitle').text('Edit Tution')

        $("#tutionModal").modal('show');

    }

    function deletetution(id, status) {

        $('#tutionId').val(id)
        $('#tutionStatus').val(status)
        $("#statusModal").show();
    }

    $('#open-modal').on('click', function() {

        $("#tutionModal").modal('show');
    });

    $('.closemodel').on('click', function() {

        $("#statusModal").hide();
    });
</script>