PK
<head>
<script language="JavaScript" type="text/javascript">
<!--
function checkform ( form )
{
// ** START **
if (form.certificateno.value == "") {
alert( "Please enter Certificate no." );
form.certificateno.focus();
return false ;
}
// ** END **
// ** START **
if (form.desgood.value == "") {
alert( "Please enter Desription of goods:" );
form.desgood.focus();
return false ;
}
// ** END **
// ** START **
if (form.quantitydeclared.value == "") {
alert( "Please enter Quantity declared:" );
form.quantitydeclared.focus();
return false ;
}
// ** END **
// ** START **
if (form.distmarks.value == "") {
alert( "Please enter Distinguishing marks:" );
form.distmarks.focus();
return false ;
}
// ** END **
// ** START **
if (form.desgood.value == "") {
alert( "Please enter Desription of goods:" );
form.desgood.focus();
return false ;
}
// ** END **
// ** START **
if (form.conslinkno.value == "") {
alert( "Please enter Consignment Link/Container No." );
form.conslinkno.focus();
return false ;
}
// ** END **
// ** START **
if (form.portcountry.value == "") {
alert( "Please enter Port & country of loading:" );
form.portcountry.focus();
return false ;
}
// ** END **
// ** START **
if (form.nameship.value == "") {
alert( "Please enter Name of the Vessel/Ship:" );
form.nameship.focus();
return false ;
}
// ** END **
// ** START **
if (form.countrydes.value == "") {
alert( "Please enter Country of Destination:" );
form.countrydes.focus();
return false ;
}
// ** END **
// ** START **
if (form.declentry.value == "") {
alert( "Please enter Quantity declared:" );
form.declentry.focus();
return false ;
}
// ** END **
// ** START **
if (form.datefumigantion.value == "") {
alert( "Please enter date:" );
form.datefumigantion.focus();
return false ;
}
// ** END **
// ** START **
if (form.placefumigantion.value == "") {
alert( "Please enter place here:" );
form.placefumigantion.focus();
return false ;
}
// ** END **
// ** START **
if (form.airtemp.value == "") {
alert( "Please enter air temp:" );
form.airtemp.focus();
return false ;
}
// ** END **
// ** START **
if (form.amount.value == "") {
alert( "Please enter amount:" );
form.amount.focus();
return false ;
}
// ** END **
return true ;
}
//-->
</script>
</head>
<body>
<script language="JavaScript" type="text/javascript">
// start with initializing nn4
var nn4 = (navigator.appName.indexOf("Netscape") > -1 && navigator.appVersion.indexOf("4") > -1) ? true : false
function addP(e,ta){ // e event object passed for NN4, ta is the textarea
var characterCode
if(e && e.which){ //get event object reference and code property for each browser
e = e
characterCode = e.which NN4
}
else{
e = event
characterCode = e.keyCode IE
}
if(characterCode == 13){ if enter key is pressed
if(nn4){
ta.value += "<br>%0D%0A" //encoding for \r\n must be manually entered
ta.value = unescape(ta.value) //must be unescaped in order for returns to be rendered inside textarea in real time
ta.select();ta.focus() //the select + focus combo forces NN4 to place cursor at end of string
return false
}
else{ IE
ta.value += "<br>" //simply add break tag when carriage return is pressed
return true
}
}
else if(characterCode == 8 && !document.getElementById){ //if backspace pressed (NN4) and browser is not NN6
//IE ignores clause because this function is called onKeyPress & non alphanmerc backspace requires keydown or keyup
ta.value = ta.value.substring(0,ta.value.length-1) // unselect string & chop off last entered character
ta.select();ta.focus() //reselect & focus to force correct cursor insertion point
return false
}
else{ //if any other character is pressed
if(nn4){
ta.value += String.fromCharCode(characterCode)
//NN4 renders key/character codes so they must be converted back to plain language values for display using fromCharCode method
ta.select();ta.focus();
return false
}
else{
return true
}
}
}
</script>
</body>
<table align="center" width="100%" border="3" cellpadding="0" cellspacing="0">
<form action="confirmformtwo_sub.php" method="get" onSubmit="return checkform(this);">
<input type="hidden" name="clntid" value="<?php echo"$_GET[clntid]";?>">
<input type="hidden" name="dtype" value="<?php echo"$_GET[dtype]";?>">
<input type="hidden" name="formno" value="<?php echo"$sub_cer";?>">
<input type="hidden" name="certificate_id" value="<?php echo"$_GET[clnt]";?>">
<?php
$dat=date('d-m-Y');
?>
<tr>
<td align="center" colspan="6"><center>
<strong>
<h2>PEST CONTROL & FUMIGATION COMPANY</h2>
</strong> 22,Waraich Market,Partap Bazar,Chheharta,Amritsar.(Pb.)<br>
Mobile:93162-37377,98155-02088</center></td>
</tr>
<td align="left" colspan="6"><strong>DPPQS Registration No</strong>: 104 MB</td><td width="11%"></tr>
<tr>
<td colspan="2">Treatment Certificate Number:</td>
<td width="24%"><em>Auto assigned</em></td>
<td align="right" colspan="2">Date of Issue:</td>
<td width="25%"><input type="text" name="issuedate" value="<?php echo"$dat";?>"></td>
</tr>
<td colspan="6">This is to certify that the goods described below were treated with the fumigation treatment
and declared that the consignment has been fumigated for the
outer packing and not for the cargo within.</td></tr>
<td align="left" colspan="6"><HR><strong><font color="#339933">DETAILS OF GOODS:</font> </strong></td></tr>
<tr>
<td colspan="2">Desription of goods:</td>
<td width="24%"><input type="text" name="desgood"></td>
<td align="right" colspan="2">Quantity declared:</td>
<td width="25%"><input type="text" name="quantitydeclared"></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" onkeyPress="return addP(event,this)"></textarea></td>
</tr>
<tr>
<td align="left" colspan="2">Port & country of loading:</td>
<td><input type="text" name="portcountry"></td>
<td align="right" colspan="2">Name of the Vessel/Ship:</td>
<td><input type="text" name="nameship"></td>
</tr>
<tr>
<td align="left" colspan="2">Country of Destination:</td>
<td><input type="text" name="countrydes"></td>
<td align="right" colspan="2">Declared point of Entry:</td>
<td><input type="text" name="declentry"></td>
</tr>
<?php
echo"<input type=hidden name=clntid value=$_GET[clntid]>";
echo"<input type=hidden name=dtype value=$_GET[dtype]>";
$sql="SELECT * From head WHERE headid='$_GET[clntid]'";
$result=mysql_query($sql) or die('error in getting client details');
while($row=mysql_fetch_array($result)){
if($_GET[dtype]=='import'){
echo "<input type=hidden name=declarednameaddress value=$_GET[clntid]>";
echo "<tr>
<td align=left colspan=3>Name and address of consignor/exporter:</td>
<td align=center colspan=3>";
/*
echo "<select name=nameaddress>";
$sqlb="SELECT * From clients where subname<>'.' AND subname<>'' AND subname<>'..' ORDER BY subname ASC";
$resultb=mysql_query($sqlb) or die('error in getting Sub client details');
echo"<option value='1121'>.</option>";
while($rowb=mysql_fetch_array($resultb)){
$subid="{$rowb['subid']}";
$subname="{$rowb['subname']}";
echo"<option value=$subid>".substr($subname,0,25)." -> ".substr($rowb['subaddress'],0,25)."</option>";
}
echo"</select>";
*/
?>
<input name='nameaddress' id="exporterslist" size="80" type="text" />
<?
echo" </td>
</tr>
<br>
<tr>
<td colspan=3>Name & address of consignee:</td>
<td align=center colspan=3>
<b>{$row['headname']}</b><br>{$row['headaddress']}<br>{$row['headphone']}
</td>
</tr>
";
}
else
{
echo "<input type=hidden name=nameaddress value=$_GET[clntid]>";
echo "<tr>
<td colspan=3>Name and address of consignor/exporter:</td>
<td align=center colspan=3>
<b>{$row['headname']}</b><br>{$row['headaddress']}<br>{$row['headphone']}
</td>
</tr>
<br>
<tr>
<td colspan=3>Name & address of consignee:</td>
<td align=center colspan=3>";
/*
echo "<select name=declarednameaddress>";
$sqlb="SELECT * From clients where subname<>'.' AND subname<>'' AND subname<>'..' ORDER BY subname ASC";
$resultb=mysql_query($sqlb) or die('error in getting Sub client details');
echo"<option value='1121'>.</option>";
while($rowb=mysql_fetch_array($resultb))
{
$subid="{$rowb['subid']}";
$subname="{$rowb['subname']}";
echo"<option value=$subid>".substr($subname,0,25)." -> ".substr($rowb['subaddress'],0,25)."</option>";
}
echo"</select>";
*/
?>
<input name='declarednameaddress' id="exporterslist" size="80" type="text" />
<?
echo "</td>
</tr>
";
}
}
?>
<tr><td colspan="6"><hr>
<strong><font color="#339933">DETAILS OF TREATMENT:</font></strong></td>
</tr>
<tr>
<td colspan="2">Name of fumigation:<br>
<select name="namefumigant">
<option>METHYL BROMIDE</option>
<option>ALUMINIUM PHOSPHIDE</option>
</select>
</td>
<td colspan="2">Date of fumigation:<br>
<input type="text" name="datefumigantion"></td>
<td colspan="2">Place of fumigation:<br>
<input type="text" name="placefumigantion"></td>
</tr>
<tr>
<td colspan="2">Dosage rate of fumigation:<br>
<select name="dosagefumigant">
<option>3 LBS Per 1000 Cubic Ft.</option>
<option>9 Gms Per Ton</option>
<option>12 Gms Per Ton</option>
<option>6 Gms Per Cubic Meter</option>
<option>16 Gms Per Cubic Meter</option>
<option>24 Gms Per Cubic Meter</option>
<option>32 Gms Per Cubic Meter</option>
<option>40 Gms Per Cubic Meter</option>
<option>48 Gms Per Cubic Meter</option>
<option>56 Gms Per Cubic Meter</option>
<option>64 Gms Per Cubic Meter</option>
<option>80 Gms Per Cubic Meter</option>
<option>88 Gms Per Cubic Meter</option>
<option>96 Gms Per Cubic Meter</option>
<option>100 Gms Per Cubic Meter</option>
</select>
</td>
<td colspan="2">Duration of fumigation:<br>
<select name="durationfumigantion">
<option>24 Hour</option>
<option>48 Hour</option>
<option>72 Hour</option>
<option>7 days</option>
</select></td>
<td colspan="2">Minimum Air temperature:<br>
<input type="text" name="airtemp"></td>
</tr>
<tr><td colspan="4">Fumigation has been performed in a container/under gas tight enclosure/sheet:</td>
<td colspan="2"><input type="radio" name="contype" value="Yes">Yes /
<input type="radio" name="contype" value="No">No /
<input type="radio" name="contype" value="N/A" checked>N/A
</td></tr>
<tr>
<td colspan="4"> Containser pressure test conducted:</td>
<td align="center" colspan="2"> <input type="radio" name="presstest" value="Yes">
Yes /
<input type="radio" name="presstest" value="No">
No /
<input type="radio" name="presstest" value="N/A" checked>
N/A </td>
</tr>
<tr>
<td colspan="4">Containser has 200mm free air space at top ofcontainer:</td>
<td align="center" colspan="2"> <input type="radio" name="airspace" value="Yes">
Yes /
<input type="radio" name="airspace" value="No">
No /
<input type="radio" name="airspace" value="N/A" checked>
N/A </td>
</tr>
<tr>
<td colspan="4">In transit Fumigation-needs Ventillated at port of discharge:</td>
<td align="center" colspan="2"> <input type="radio" name="discharge" value="Yes">
Yes /
<input type="radio" name="discharge" value="No">
No /
<input type="radio" name="discharge" value="N/A" checked>
N/A </td>
</tr>
<tr>
<td colspan="4">Container/Enclosure has been Ventilated to below 0.5ppm
v/v menthyl Bromide:</td>
<td align="center" 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>
<tr>
<td colspan="6"><hr>
<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 align="center" 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">Has plastic wrapping been used in the consignment?:</td>
<td align="center" colspan="2"> <input type="radio" name="consignment" value="Yes">
Yes /
<input type="radio" name="consignment" value="No">
No /
<input type="radio" name="consignment" value="N/A" checked>
N/A </td>
</tr>
<tr>
<td colspan="4">If yes,has the consignment been fumigated prior to wrapping?:</td>
<td align="center" 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">Or has the plasstic wrapping been slashed,open or perforated
<br>
in accordance with the wrapping and perfortion standard?</td>
<td align="center" colspan="2"> <input type="radio" name="perforated" value="Yes">
Yes /
<input type="radio" name="perforated" value="No">
No /
<input type="radio" name="perforated" 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 align="center" 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="6"><hr><input type="checkbox" name="addition"> <strong><font color="#339933">ADDITION DECLERATION:</font></strong></td>
</tr>
<tr>
<td colspan="6"><textarea name="deck" cols="100">This is to certify that the goods described above were packed in impervious packaging which was not possible to remove. Hence the fumigation was carried out is only for the outer packaging and not for the goods therein.<br></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"> 20’ <input type="text" name="container20feet" /> <br /><br />
40’ <input type="text" name="container40feet" /> <br /><br />
40HC <input type="text" name="container40HC" /> <br /><br />
LCL <input type="text" name="containerLCL" /> <br /><br />
</td>
</tr>
<tr><td colspan="6" align="center"><br><center><input type="submit" value="» Confirm details »" class="amo-submit"></center></td></tr>
</form>
</table>
PK 99