PK

<?php 
	include "templatic/head.php"; 
	include "templatic/header.php";
?>
<div class="box">
		
<h2>Create New Certificate</h2>

<div style="padding:0px 1px;">

<form action="certificate-form.php" method="post">

<table border="0" cellspacing="0" cellpadding="0">
  <tr>
<!--
<td align="center" width="50%">
Client Type :
<?php
echo "<select name='cat' onchange=\"reload(this.form)\">
<option value=''>Select one</option>";
while($noticia2 = mysql_fetch_array($quer2))
{ 
if($noticia2['headid']== $cat)
{
echo "<option selected value='$noticia2[headid]'>$noticia2[headname]</option>"."<BR>";
}
else
{
echo  "<option value='$noticia2[headid]'>$noticia2[headname]</option>";
}
}
echo "</select>";
?>
</td>
-->
<td width="150px" align="right">Form Type: 
<select name="formno">
<option value="0">Select</option>
<option value="a">ALP</option>
<option value="b">AFAS</option>
<option value="c">NSPM</option>

<!-- <option value="d">NSPM</option> -->

</select>
</td>		

<td width="350px">Exporting Party: <input type="text"  size="75" name="clntid" id="exporterslist" />
<?php	 
/*
echo '<input type="text" size="30" name="clntid" id="exporters" />';
echo '<input type="text" size="30" value="" name="partyid" id="inputString" onkeyup="lookup(this.value);" onblur="fillid();" />';

echo "<select name='clntid'><option value=''>Select one</option>";
while
(
	$noticia = mysql_fetch_array($quer)) 
{ 
	echo  "<option value='$noticia[headid]'>".$noticia[headname]." &ndash;&gt; ".substr($noticia['headaddress'],0,20)."</option>";
}
	echo "</select>";
*/  
?>
</td>
</tr>
<input type="hidden" name="dtype" value="import/export">
<!--  
<tr>
   <td width="50%">Cert. Type: <select name="dtype"><option value="import">Importer</option><option value="export">Exporter</option></select></td>
</tr>
-->
<tr>

<td width="150px" align="right">
<!--<input type="checkbox" name="sub_c" value="yes" /> SubCertificate
-->
</td>

<td width="350px">Importing Party: <input type="text" size="75" name="clntid2" id="importerslist" />

<?php	
/* 
	echo '<input type="hidden" size="30" value="" name="party2" id="inputString1" onkeyup="lookup(this.value);" onblur="fill();" />';
	echo "<select name='clntid'><option value=''>Select one</option>";
	while
	(
		$noticia = mysql_fetch_array($quer)) 
	{ 
		echo  "<option value='$noticia[headid]'>".$noticia[headname]." &ndash;&gt; ".substr($noticia['headaddress'],0,20)."</option>";
	}
		echo "</select>";
*/  
?>
	</td>
   
  </tr>

  <tr>
    <td colspan="2" align="center"><center>
	<?php echo "<input type=submit value='&raquo; Start Certification &raquo'; class=amo-submit>";

?>
   </center>
  </td>
  </tr>
</table>

  </form>

<p align="center">Please select data above carefully and correctly.</p>

</div>			
</div>
<?php
	include "templatic/footer.php";
?>

PK 99