PK
<?php
include "templatic/head.php";
include "templatic/header.php";
?>
<div class="box">
<h2>Conform Certificate Details</h2>
<div style="padding:0px 10px;">
<?php
$_SESSION['form_data']='good2go';
?>
<!-- <form action="certificate-alp-invoicebill.php" method="post"> -->
<form action="certificate-up.php" method="post">
<input type="hidden" name="certypo" value="<?php echo $_POST['certypo']; ?>" >
<table cellspacing="3" align="center" width="100%" border="0" cellpadding="3">
<!--
<input type="hidden" name="formno" value="<?php echo $_POST['formno']; ?>">
<input type="hidden" name="subc_id" value="<?php echo $_POST['subc_id']; ?>">
<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="certno" value="<?php echo $_POST['certno']; ?>">
<input type="hidden" name="issuedate" value="<?php echo $_POST['issuedate']; ?>">
<input type="hidden" name="invoice" value="<?php echo $_POST['invoice']; ?>">
<input type="hidden" name="desc" value="<?php echo $_POST['desc']; ?>">
<input type="hidden" name="pack" value="<?php echo $_POST['pack']; ?>">
<input type="hidden" name="vessel" value="<?php echo $_POST['vessel']; ?>">
<input type="hidden" name="convey" value="<?php echo $_POST['convey']; ?>">
<input type="hidden" name="destinat" value="<?php echo $_POST['destinat']; ?>">
<input type="hidden" name="chem" value="<?php echo $_POST['chem']; ?>">
<input type="hidden" name="dosage" value="<?php echo $_POST['dosage']; ?>">
<input type="hidden" name="temp" value="<?php echo $_POST['temp']; ?>">
<input type="hidden" name="durat" value="<?php echo $_POST['durat']; ?>">
<input type="hidden" name="Dfumigation" value="<?php echo $_POST['Dfumigation']; ?>">
<input type="hidden" name="remark" value="<?php echo $_POST['remark']; ?>">
<input type="hidden" name="days" value="<?php echo $_POST['days']; ?>">
<input type="hidden" name="ajtname" value="<?php echo $_POST['ajtname']; ?>">
<input type="hidden" name="cmntz" value="<?php echo"$cmntz";?>">
<!-
<input type="hidden" name="particular" value="<?php echo $_POST['particular']; ?>">
-->
<tr>
<td valign="top" colspan="4"> <center><h3> CERTIFICATE OF FUMIGATION <h3> </center>
</td>
</tr>
<tr>
<td valign="top" colspan="4"><strong>Dte PPQS Regd.No.104/MB</strong></td>
</tr>
<tr>
<td valign="top" colspan="2">
<strong>Treatment Certificate No.</strong> - <em><input type="hidden" name="certificateno" value="<?php echo $_POST['certificateno']; ?>" >
<?php echo $_POST['certificateno']; ?></em>
</td>
<td valign="top" colspan="2"><strong>Date of Issue: </strong><input type="hidden" name="issuedate" value="<?php echo $_POST['issuedate']; ?>" ><?php echo $_POST['issuedate']; ?>
</td>
</tr>
<tr>
<td colspan="4" class="safe">This is to certify that consignment has been treated as per details listed below and that subject consigenmentis believed to be substantially free from any injurious pests.</td>
</tr>
<tr>
<td valign="top" colspan="2">
<strong>Name and address of Consignor/Exporter</strong>:<br/>
<input type="hidden" name="nameaddress" value="<?php echo $_POST['nameaddress']; ?>" >
<?php echo $_POST['nameaddress']; ?>
</td>
<td colspan="2" colspan="2">
<strong>Name and address of Consignee/Importer</strong>:<br/>
<input type="hidden" name="declarednameaddress" value="<?php echo $_POST['declarednameaddress']; ?>" >
<?php echo $_POST['declarednameaddress']; ?>
</td>
</tr>
<tr>
<td valign="top" colspan="2"><strong>Invoice No</strong>:</td>
<td colspan="2">
<input type="hidden" name="distmarks" value="<?php echo $_POST['distmarks']; ?>" >
<?php echo $_POST['distmarks']; ?>
</td>
</tr>
<tr>
<td valign="top" colspan="2"><strong>Description of Consigenment</strong>:</td>
<td colspan="2">
<input type="hidden" name="desgood" value="<?php echo $_POST['desgood']; ?>" / >
<?php echo $_POST['desgood']; ?>
</td>
</tr>
<tr>
<td valign="top" colspan="2"><strong>Type and No. of Packges</strong>:</td>
<td colspan="2">
<input type="hidden" name="quantitydeclared" value="<?php echo $_POST['quantitydeclared']; ?>" >
<?php echo $_POST['quantitydeclared']; ?>
</td>
</tr>
<tr>
<td valign="top" colspan="2"><strong>Container No. or Vessel</strong>:</td>
<td colspan="2">
<input type="hidden" name="conslinkno" value="<?php echo $_POST['conslinkno']; ?>" >
<?php echo $_POST['conslinkno']; ?>
</td>
</tr>
<tr>
<td valign="top" colspan="2"><strong>Means of Conveyance</strong>:</td>
<td colspan="2">
<input type="hidden" name="nameship" value="<?php echo $_POST['nameship']; ?>" >
<?php echo $_POST['nameship']; ?>
</td>
</tr>
<tr>
<td valign="top" colspan="2"><strong>Destination Port</strong>:</td>
<td colspan="2">
<input type="hidden" name="countrydes" value="<?php echo $_POST['countrydes']; ?>" >
<?php echo $_POST['countrydes']; ?>
</td>
</tr>
<tr>
<td valign="top" colspan="4"> <center> <h3> SCHEDULE OF TREATMENT </h3></center> </td>
</tr>
<tr>
<td valign="top" colspan="2"><strong>Chemical(Fumigant)</strong>:</td>
<td colspan="2">
<input type="hidden" name="namefumigant" value="<?php echo $_POST['namefumigant']; ?>" >
<?php echo $_POST['namefumigant']; ?>
</td>
</tr>
<tr>
<td valign="top" colspan="2"><strong>Dosage</strong>:</td>
<td colspan="2">
<input type="hidden" name="dosagefumigant" value="<?php echo $_POST['dosagefumigant']; ?>" >
<?php echo $_POST['dosagefumigant']; ?>
</td>
</tr>
<tr>
<td valign="top" colspan="2"><strong>Temperature</strong>:</td>
<td colspan="2">
<input type="hidden" name="airtemp" value="<?php echo $_POST['airtemp']; ?>" >
<?php echo $_POST['airtemp']; ?>
</td>
</tr>
<tr>
<td valign="top" colspan="2"><strong>Duration of Exposure</strong>:</td>
<td colspan="2">
<input type="hidden" name="durationfumigantion" value="<?php echo $_POST['durationfumigantion']; ?>" >
<?php echo $_POST['durationfumigantion']; ?>
</td>
</tr>
<tr>
<td valign="top" colspan="2"> <strong>Date of Fumigation</strong>:</td>
<td colspan="2">
<input type="hidden" name="datefumigantion" value="<?php echo $_POST['Dfumigation']; ?>" >
<?php echo $_POST['Dfumigation']; ?>
</td>
</tr>
<tr>
<td valign="top" colspan="2"><strong>Remark</strong>:</td>
<td colspan="2">
<input type="hidden" name="decla" value="<?php echo $_POST['decla']; ?>" >
<?php echo $_POST['decla']; ?>
</td>
</tr>
<?php
$days=$_POST['days'];
?>
<tr>
<td colspan="2">Shipped Within:</td>
<td colspan="4">
<input type="hidden" name="days" value="<?php echo $_POST['days']; ?>" >
<?php echo $_POST['days']; ?>    days from the date of fumigation.
</td>
</tr>
<?php
if($_POST['fum_carried']!=''){
?>
<tr>
<td colspan="6">
       FUMIGATION HAS BEEN CARRIED OUT IN DIS-INFECTION OF THE CONTAINER
<input type="hidden" name="fum_carried" value="<?php echo $_POST['fum_carried']; ?>" >
</td>
</tr>
<?php
}
else {
print '<input type="hidden" name="fum_carried" value="0">';
}
?>
<tr>
<td colspan="6"><b>Number of Containers</b></td>
</tr>
<tr>
<td colspan="6">
<input type="hidden" name="container20feet" value="<?php echo $_POST['container20feet']; ?>" >
20’ <strong><?=$_POST['container20feet'];?></strong> <br /><br />
<input type="hidden" name="container40feet" value="<?php echo $_POST['container40feet']; ?>" >
40’ <strong><?=$_POST['container40feet'];?></strong> <br /><br />
<input type="hidden" name="container40HC" value="<?php echo $_POST['container40HC']; ?>" >
40HC <strong><?=$_POST['container40HC'];?></strong> <br /><br />
<input type="hidden" name="containerLCL" value="<?php echo $_POST['containerLCL']; ?>" >
LCL <strong><?=$_POST['containerLCL'];?></strong> <br /><br />
</td>
</tr>
<tr><td colspan="6" align="center"><br><center><input type="submit" class="amo-submit" value=">> Proceed to Checkout >>"></center><br></td></tr>
</form>
</table>
</div>
</div>
<?php
include "templatic/footer.php";
?>
PK 99