PK

ADDRLIN : /home/anibklip/anybs.com/global/2025-26/forms/
FLL :
Current File : /home/anibklip/anybs.com/global/2025-26/forms/form_aus.php

<form action="certificate-invoicebill.php" method="post" onSubmit="return checkform(this);">
    <input type="hidden" name="cert_id" value="<?php echo "$_GET[cert_id]" ;?>">
    <input type="hidden" name="formno" value="<?php echo "$_POST[formno]" ;?>">
    <!-- <input type="hidden" name="clntid" value="<?php echo "$_POST[clntid]" ;?>">
    <input type="hidden" name="clntid2" value="<?php echo "$_POST[clntid2]" ;?>"> -->
    <input type="hidden" name="dtype" value="<?php echo "$_POST[dtype]" ;?>">
    <input type="hidden" name="sub_c" value="<?php echo "$_POST[sub_c]";?>">
    <input type="hidden" name="parent_cert" value="<?php echo "$_POST[parent_cert]"; ?>">

    <table align="center" width="100%" border="0" cellpadding="0" cellspacing="0">
        <tr>
            <td align="center" colspan="6">
				<center><h2>Certificate - <?php echo ($_POST[formno]=="b"?"AUS":"AUS-BK") ;?></h2> </center>
            </td>
        </tr>
		<td align="left" colspan="6"><strong>DPPQS Registration No</strong>: 584/ MB</td>
		</tr>
		<tr>
			<td colspan="3">Treatment Certificate Number: <em>Auto assigned</em></td>
			<td align="center" colspan="3">
				Date of Issue:
				<input type="text" name="issuedate" class="datepicker" value="<?php echo date('Y-m-d'); ?>">

				<script>
					$(".datepicker").datepicker({
						dateFormat: 'yy-mm-dd'
					});
				</script>
			</td>
		</tr>
		<td class="safe" colspan="6">This is to certify that the following regulated articles have been fumigated according to the appropriate procedures to confirm to the current Phytosanitary .Requirements of the importing country.</td>
		</tr>

		<tr>
			<td align="left" colspan="6"><strong><font color="#339933">PARTY DETAILS:</font> </strong></td>
		</tr>
		<tr>
			<td valign="top" colspan="3">
				<b>Name & Address of Consignor/Exporter</b>:<br/>
				<!-- <select class="js-example-basic-single" name="state">
					<option value="AL">Alabama</option>
					<option value="WY">Wyoming</option>
				</select>
				<script type="text/javascript">
					$(document).ready(function() {
						$('.js-example-basic-single').select2();
					});
				</script> -->
				<select class="select2" style="width:350px;" required name="clntid">
					<option value="">Select</option>
					<?php
					$rs = mysql_query('select headid, headname, headaddress from parties where status="active" && headname like "'. mysql_real_escape_string($_REQUEST['term']) .'%" order by headname ', $dblink);
					$data = array();
					if ( $rs && mysql_num_rows($rs) ){
						while( $row = mysql_fetch_array($rs, MYSQL_ASSOC) ){
							$headid = strip_tags($row['headid']);
							$headname = strip_tags($row['headname']);
							$headaddress = $row['headaddress'];
							if($_POST['clntid']==$headid){
								$sel="selected";
							}else{
								$sel="";
							}
							?>
							<option <?php echo $sel?> value="<?php echo $headid?>"><?php echo $headname?> <?php echo $headaddress?></option>
							<?php
						}
					}
					?>
				</select>
				<!-- <input type="text" size="66" name="clntid" id="exporterslist" value="<?php echo ($_POST['clntid']); ?>"/> -->
            </td>
			<td valign="top" colspan="3">
				<b>Name & Address Of Consignee/Importer</b>:<br/>
				<select class="select2" style="width:350px;" name="clntid2">
					<option value="">Select</option>
					<?php
					$rs = mysql_query('select headid, headname, headaddress from parties where status="active" && headname like "'. mysql_real_escape_string($_REQUEST['term']) .'%" order by headname ', $dblink);
					$data = array();
					if ( $rs && mysql_num_rows($rs) ){
						while( $row = mysql_fetch_array($rs, MYSQL_ASSOC) ){
							$headid = strip_tags($row['headid']);
							$headname = strip_tags($row['headname']);
							$headaddress = $row['headaddress'];
							if($_POST['clntid2']==$headid){
								$sel="selected";
							}else{
								$sel="";
							}
							?>
							<option <?php echo $sel?> value="<?php echo $headid?>"><?php echo $headname?> <?php echo $headaddress?></option>
							<?php
						}
					}
					?>
				</select>
				<!-- <input type="text" size="66" name="clntid2" id="importerslist" value="<?php echo ($_POST['clntid2']); ?>"/> -->
				<?php //client_details($_POST['clntid2']); ?>
			</td>
		</tr>

		<tr>
			<td align="left" colspan="6"><strong><font color="#339933">DETAILS OF GOODS:</font> </strong></td>
		</tr>
		<tr>
			<td colspan="2">Target of fumigation:</td>
			<td width="24%">
				<select name="desgood" id="desgood">
					<option value="Commodity" <?php echo($_POST[desgood]=="Commodity"?"selected":"")?> >Commodity</option>
					<option value="Packing" <?php echo($_POST[desgood]=="Packing"?"selected":"")?> >Packing</option>
					<option value="Both Commodity and Packing" <?php echo($_POST[desgood]=="Both Commodity and Packing"?"selected":"")?> >Both Commodity and Packing</option>
				</select>

			</td>
			<td align="right" colspan="2">Commodity:</td>
			<td width="25%">
				<input type="text" name="commodity" value="<?php echo $_POST[commodity]?>">
			</td>
		</tr>
		<tr>
			<td align="left" colspan="2" valign="top"> 
				Consignment link:<br /><br />
				Container No: <br /><br /><br />
			</td>
			<td>
				<input type="text" name="distmarks" value="<?php echo ($_POST[distmarks]?$_POST[distmarks]:"N/A")?>" /><br /><br />

				<textarea name="conslinkno" rows="3" cols="25"><?php echo $_POST[conslinkno]?></textarea>
			</td>
			<td align="right" colspan="2">
				Quantity : <br /><br /><br />
				Country of origin:
			</td>
			<td>
				<input type="text" name="quantitydeclared" value="<?php echo $_POST[quantitydeclared]?>"><br /><br />
				<input type="text" name="portcountry" value="<?php echo $_POST[portcountry]?>">
			</td>
		</tr>

		<!--
		<tr>
		<td align="left" colspan="2">Distinguishing marks:</td>
		<td><input type="text" name="distmarks"></td>
		<td align="right" colspan="2">Consignment Link/Container No.</td>
		<td><textarea name="conslinkno" rows="3" cols="25"></textarea></td>
		</tr>
		<input type="hidden" name="distmarks" value="">
		<input type="hidden" name="conslinkno" value="">-->

		<tr>
			<td align="left" colspan="2">Port of loading:</td>
			<td>
				<input type="text" name="declentry" value="<?php echo $_POST[declentry]?>">
			</td>
			<td align="right" colspan="2">Country of destination :</td>
			<td>
				<input type="text" name="countrydes" value="<?php echo $_POST[countrydes]?>">
			</td>
		</tr>

		<tr>
			<td colspan="6">
				<strong><font color="#339933">DETAILS OF TREATMENT:</font></strong></td>
		</tr>
		<tr>
			<td width="33%" colspan="2">DAFF Prescribed dose rate (g/m3):
				<br>
				<select name="namefumigant">
					<option <?php echo($_POST[namefumigant]=="3 LBS Per 1000 Cubic Ft."?"selected":"")?>>3 LBS Per 1000 Cubic Ft.</option>
					<option <?php echo($_POST[namefumigant]=="3.5 LBS Per 1000 Cubic Ft."?"selected":"")?>>3.5 LBS Per 1000 Cubic Ft.</option>
					<option <?php echo($_POST[namefumigant]=="4 LBS Per 1000 Cubic Ft."?"selected":"")?>>4 LBS Per 1000 Cubic Ft.</option>
					<option <?php echo($_POST[namefumigant]=="9 Gms Per Ton"?"selected":"")?>>9 Gms Per Ton</option>
					<option <?php echo($_POST[namefumigant]=="12 Gms Per Ton"?"selected":"")?>>12 Gms Per Ton</option>
					<option <?php echo($_POST[namefumigant]=="6 Gms Per Cubic Meter"?"selected":"")?>>6 Gms Per Cubic Meter</option>
					<option <?php echo($_POST[namefumigant]=="16 Gms Per Cubic Meter"?"selected":"")?>>16 Gms Per Cubic Meter</option>
					<option <?php echo($_POST[namefumigant]=="24 Gms Per Cubic Meter"?"selected":"")?>>24 Gms Per Cubic Meter</option>
					<option <?php echo($_POST[namefumigant]=="32 Gms Per Cubic Meter"?"selected":"")?>>32 Gms Per Cubic Meter</option>
					<option <?php echo($_POST[namefumigant]=="40 Gms Per Cubic Meter"?"selected":"")?>>40 Gms Per Cubic Meter</option>
					<option <?php echo($_POST[namefumigant]=="48 Gms Per Cubic Meter"?"selected":"")?>>48 Gms Per Cubic Meter</option>
					<option <?php echo($_POST[namefumigant]=="56 Gms Per Cubic Meter"?"selected":"")?>>56 Gms Per Cubic Meter</option>
					<option <?php echo($_POST[namefumigant]=="64 Gms Per Cubic Meter"?"selected":"")?>>64 Gms Per Cubic Meter</option>
					<option <?php echo($_POST[namefumigant]=="80 Gms Per Cubic Meter"?"selected":"")?>>80 Gms Per Cubic Meter</option>
					<option <?php echo($_POST[namefumigant]=="88 Gms Per Cubic Meter"?"selected":"")?>>88 Gms Per Cubic Meter</option>
					<option <?php echo($_POST[namefumigant]=="96 Gms Per Cubic Meter"?"selected":"")?>>96 Gms Per Cubic Meter</option>
					<option <?php echo($_POST[namefumigant]=="100Gms Per Cubic Meter"?"selected":"")?>>100Gms Per Cubic Meter</option>
					<option <?php echo($_POST[namefumigant]=="108Gms Per Cubic Meter"?"selected":"")?>>108Gms Per Cubic Meter</option>
					<option <?php echo($_POST[namefumigant]=="116Gms Per Cubic Meter"?"selected":"")?>>116Gms Per Cubic Meter</option>
				</select>
			</td>
			<td width="33%" colspan="2">
				Date of fumigation started: &nbsp;&nbsp;&nbsp;&nbsp;
				<input class="datepicker" type="text" name="date_start" value="<?php echo $_POST[date_start]?>"><br><br>

				Date of Fumigation Completed: 
				<input class="datepicker" type="text" name="datefumigantion" value="<?php echo $_POST[datefumigantion]?>">
			</td>
			<td width="33%" colspan="2">Place of Fumigation:
				<br>
				<input type="text" name="placefumigantion" value="<?php echo $_POST[placefumigantion]?>">
			</td>
		</tr>
		<tr>
			<td width="33%" colspan="2">Dosage rate of Fumigation:
				<br>
				<select name="dosagefumigant">
					<?php
					$q="select * from master where typ='dosage' order by val ";
					$q=mysql_query($q) or die(mysql_error());
					while($r=mysql_fetch_array($q)){
						if($r[val]==$_POST[dosagefumigant]){
							$sel="selected";
						}else{
							$sel="";
						}
						?>
						<option <?php echo $sel?> value='<?php echo $r[val]?>'><?php echo $r['val']?></option>
						<?php
					}
					?>
				</select>
			</td>
			<td width="33%" colspan="2">Exposure period (hrs):
				<br>
				<select name="durationfumigantion">
					<?php
					$q="select * from master where typ='durationexp' order by val ";
					$q=mysql_query($q) or die(mysql_error());
					while($r=mysql_fetch_array($q)){
						if($r[val]==$_POST[durationfumigantion]){
							$sel="selected";
						}else{
							$sel="";
						}
						?>
						<option <?php echo $sel?> value='<?php echo $r[val]?>'><?php echo $r['val']?></option>
						<?php
					}
					?>
				</select>
			</td>
			<td width="33%" colspan="2">Forecast minimum temp (C):
				<br>
				<input type="text" name="airtemp" value="<?php echo $_POST[airtemp]?>">
			</td>
		</tr>

		<tr>
			<td colspan="4">Stack under sheet</td>
			<td colspan="2">
				<input type="radio" name="contype" value="Yes" <?php echo($_POST[contype]=="Yes"?"checked":"")?> >Yes /
				<input type="radio" name="contype" value="No" <?php echo($_POST[contype]=="No"?"checked":"")?>>No

			</td>
		</tr>
		<tr>
			<td colspan="4"> Container/s under sheet</td>
			<td colspan="2">
				<input type="radio" name="presstest" value="Yes" <?php echo($_POST[presstest]=="Yes"?"checked":"")?>> Yes /
				<input type="radio" name="presstest" value="No" <?php echo($_POST[presstest]=="No"?"checked":"")?>> No </td>
		</tr>
		<tr>
			<td colspan="4">Permanent Chamber</td>
			<td colspan="2">
				<input type="radio" name="airspace" value="Yes" <?php echo($_POST[airspace]=="Yes"?"checked":"")?>> Yes /
				<input type="radio" name="airspace" value="No" <?php echo($_POST[airspace]=="No"?"checked":"")?>> No </td>
		</tr>
		<tr>
			<td colspan="4">Pressure tested container/s :</td>
			<td colspan="2">
				<input type="radio" name="discharge" value="Yes" <?php echo($_POST[discharge]=="Yes"?"checked":"")?>> Yes /
				<input type="radio" name="discharge" value="No" <?php echo($_POST[discharge]=="No"?"checked":"")?>> No </td>
		</tr>
		<!--<tr>
		<td colspan="4">Container/Enclosure has been Ventilated to below 5ppm 
		  v/v menthyl Bromide:</td>
		<td colspan="2"> <input type="radio" name="enclosure" value="Yes">
		  Yes / 
		  <input type="radio" name="enclosure" value="No">
		  No / 
		  <input type="radio" name="enclosure" value="N/A" checked>
		  N/A </td>
		</tr>-->
		<input type="hidden" name="enclosure" value="N/A">
		<!-- <input type="hidden" name="commodity" value="N/A"> -->
		<input type="hidden" name="wrapping" value="N/A">
		<input type="hidden" name="height" value="N/A">

		<tr>
			<td colspan="6"><strong><font color="#339933">WRAPPING AND TIMER:</font></strong></td>
		</tr>
		<!-- <tr>
		<td colspan="4">Has the commodity has fumigated prior to lacquering,varnishing,painting 
		  or wrapping?</td>
		<td colspan="2"> <input type="radio" name="commodity" value="Yes">
		  Yes / 
		  <input type="radio" name="commodity" value="No">
		  No / 
		  <input type="radio" name="commodity" value="N/A" checked>
		  N/A </td>
		</tr>-->
		<tr>
			<td colspan="4"> Dose the target of fumigation conform to the DAFF plastic wrapping, impervious surface and timber thickness requirements at the time of fumigation?</td>
			<td colspan="2">

				<input type="radio" name="consignment" value="Yes" <?php echo($_POST[consignment]=="Yes"?"checked":"")?>> Yes /
				<input type="radio" name="consignment" value="No" <?php echo($_POST[consignment]=="No"?"checked":"")?>> No
			</td>
		</tr>
		<!-- <tr>
		<td colspan="4">If yes,has the consignment been fumigated prior to wrapping?:</td>
		<td colspan="2"> <input type="radio" name="wrapping" value="Yes">
		  Yes / 
		  <input type="radio" name="wrapping" value="No">
		  No / 
		  <input type="radio" name="wrapping" value="N/A" checked>
		  N/A </td>
		</tr>

		<tr>
		<td colspan="4">Is the timber in this consignment less than 200mm thick 
		  in <br>
		  one dimension and correctly spaced every 200mm in height</td>
		<td colspan="2"> <input type="radio" name="height" value="Yes">
		  Yes / 
		  <input type="radio" name="height" value="No">
		  No / 
		  <input type="radio" name="height" value="N/A" checked>
		  N/A </td>
		</tr>-->

		<tr>
			<td colspan="4"> Ventilation Final TLV reading(ppm):</td>
			<td colspan="2"><input type="text" name="perforated" value="<?php echo $_POST[perforated]?>"> </td>
		</tr>
		<tr>
			<tr>
				<td colspan="6">
					<input type="checkbox" <?php echo ($_POST[deck]?"checked":"")?> name="addition"><strong><font color="#339933">ADDITION DECLERATION:</font></strong></td>
			</tr>
			<tr>
				<td colspan="6">
					<textarea name="deck" cols="100"><?php echo $_POST[deck]?></textarea>
					<br />I declare that these details are true and correct and the fumigation has been carried out in accordance with the Australian Methyl Bromide Standards
				</td>
			</tr>

			<tr>
				<td colspan="6"> Number of Container </td>
			</tr>

			<!--<tr>
				<td colspan="6">&nbsp; &nbsp; 20&rsquo;&nbsp; &nbsp; &nbsp; &nbsp;
					<input type="text" name="container20feet" value="<?php echo $_POST[container20feet]?>" />
					<br /><br /> &nbsp; &nbsp; 40&rsquo; &nbsp; &nbsp; &nbsp; &nbsp;
					<input type="text" name="container40feet" value="<?php echo $_POST[container40feet]?>" />
					<br /><br /> &nbsp; &nbsp; 40HC &nbsp; &nbsp;
					<input type="text" name="container40HC" value="<?php echo $_POST[container40HC]?>" />
					<br /><br /> &nbsp; &nbsp; LCL &nbsp; &nbsp; &nbsp;
					<input type="text" name="containerLCL" value="<?php echo $_POST[containerLCL]?>" />
					<br /><br />
				</td>-->
			</tr>
			<?php
			if(isset($_POST['subc_id']) && $_POST['subc_id']!=''){
				echo "";
			}else{
				/*
				?>
				<tr>
					<td colspan="6"><strong>MAKE INVOICE:</strong></td>
				</tr>
				<tr>
					<td colspan="2" align="right">For Agent:-</td>
					<td colspan="4">
						<input type="text" size="45" name="ajtname" id="agentslist" />

					</td>
				</tr>
				<tr>
					<td colspan="2" align="right"><strong>Amount</strong> :</td>
					<td colspan="4">
						<input type="text" size="7" name="amount">/- INR</td>
				</tr>
				<tr>
					<td colspan="2" align="right">Discount:<em>(in %age)</em></td>
					<td colspan="4">
						<input type="text" name="discount" size="4" value="0" onfocus="this.value=''"> %</td>
				</tr>
				<tr>
					<td colspan="2" align="right">
						<input type="checkbox" name="stax" value="yes" checked> GST :</td>
					<td colspan="4">
						<input type="text" name="srtax" value="18" size="4">%</td>
				</tr>

				<tr>
					<td colspan="2" align="right">Quantity:</td>
					<td colspan="4"><input type="text" name="qty" size="4" /></td>
				</tr>
				<tr>
					<td colspan="2" align="right">IGST:</td>
					<td colspan="4"><input type="checkbox" name="gst_combine" value="1" /></td>
				</tr>

				<tr>
					<td colspan="2" align="right">Name of Product/Service:</td>
					<td colspan="4">
						<input type="text" name="product" size="100">
					</td>
				</tr>
				<tr>
					<td colspan="2" align="right">SAC:</td>
					<td colspan="4">
						<input type="text" name="hsn" size="40">
					</td>
				</tr>
				<tr>
					<td colspan="2" align="right">UOM :</td>
					<td colspan="4">
						<input type="text" name="uom" size="40">
					</td>
				</tr>

				<tr>
					<td colspan="2" align="right" valign="middle">Particulars</td>
					<td colspan="4">
						<textarea name="particular" rows="3" cols="50"></textarea>
					</td>
				</tr>
				<?php
				*/
			}
			?>
			<tr>
			  <td colspan="6">
				<br>
				<center><input type="submit" value="&laquo; <?php echo ($_GET[cert_id]?"Update":"Confirm")?> Details &raquo;" class="amo-submit"></center>
			  </td>
			</tr>
	</table>
</form>

<script type="text/javascript">
  $('.select2').select2({
	placeholder: 'Select an item'
  });
</script>


PK 99