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Server:

Apache

System:

Linux 6.8.0-1021-aws

PHP Version:

8.0.26

User:

www

Directory:

/www/wwwroot/kpakw.org

Free Space:

4.18 GB

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✏️ Editing: become-member-detail_260923.php

<?php
include_once("header.php");

$userid =$_REQUEST['userid'];

$usersql = db_query("select * from members where id=".$userid);
$usrdata = mysqli_fetch_array($usersql);
$first_name = $usrdata['firstname'];
$last_name = $usrdata['lastname'];
$middle_name = $usrdata['middlename'];
$email_id = $usrdata['emailid'];
$mobile = $usrdata['mobile'];
$civil_id = $usrdata['civil_id'];
$nationality = $usrdata['nationality'];
$place_of_work = $usrdata['work_location'];

$speciality = $usrdata['speciality_id'];
$qualification = $usrdata['qualification'];
$documents = $usrdata['documents'];
$profile_image = $usrdata['profile_image'];

$eventsql = db_query("select * from payment_price where id=1");
$eventdata = mysqli_fetch_array($eventsql);
$regfee_member = $eventdata['regfee_member'];
$benifit_rules = $eventdata['benifit_rules'];
?>

<div class="mid-area">		
		<div class="become-a-member-wrap">
			<div class="container">
				<h1 class="mb-5" data-aos="fade-up"><center>BECOME A MEMBER</center></h1>
				<form name="firststepform" id="firststepform" enctype="multipart/form-data" action="updatefirststep.php"  method="post">
				<div class="row g-4 justify-content-center">
					<div class="col-12 col-sm-12 col-md-12 col-lg-6">
						<h5>Personal Information</h5>
						
						<div class="form-floating mb-3">
						  <input type="text" required class="form-control" id="fname" name="fname" placeholder="First Name" value="<?php echo $first_name; ?>">
						  <label for="bm-fname">First Name</label>
						</div>
						
						<div class="form-floating mb-3">
						  <input type="text" class="form-control" name="mname" id="mname" placeholder="Middle Name"  value="<?php echo $middle_name; ?>">
						  <label for="mname">Middle Name</label>
						</div>
						
						<div class="form-floating mb-3">
						  <input type="text" required class="form-control" id="lname" name="lname" placeholder="Last Name"  value="<?php echo $last_name; ?>">
						  <label for="lname">Last Name</label>
						</div>
						
						<div class="form-floating mb-5">
							<input type="tel" required class="form-control" id="mobile" name="mobile" placeholder="Mobile"  value="<?php echo $mobile; ?>">
							<label for="mobile">Mobile</label>
						</div>
						
						<h5>ID Proof</h5>
						<div class="form-floating mb-3">
							<input type="number" required class="form-control" id="civilid" name="civilid" placeholder="Civil ID" min="1"  value="<?php echo $civil_id; ?>">
							<label for="civilid">Civil ID</label>
						</div>
						<div class="form-floating mb-3">
							<select class="form-select" required id="nationality" name="nationality" aria-label="Nationality">
								<option value="">Nationality</option>
								<?php
								$countrysql = db_query("select * from countries where status=1 order by id");
								if(mysqli_num_rows($countrysql) > 0) {
									while($natdata = mysqli_fetch_array($countrysql)) {
										?>
										<option value="<?php echo $natdata['name']; ?>" <?php if($nationality == $natdata['name']) { echo "selected";} ?>><?php echo $natdata['name']; ?></option>
										<?php
									}
								}
								?>
							</select>
							<label for="nationality">Nationality</label>
						</div>
						<div class="mb-5">
							<label for="bm-photo" class="form-label"><small>Upload Profile Photo</small></label>
							<input class="form-control" required type="file" id="profile_image" name="profile_image">
							<?php
							if($profile_image) {
								?>
								<img src="<?php echo $profile_image; ?>" width="50" />
								<?php
							}
							?>
						</div>
						
						<h5>Qualification</h5>
						<div class="form-floating mb-3">
							<select class="form-select" id="bm-placeofwork" name="bm-placeofwork" aria-label="Floating label select example" required>
								<option value="">Please select Place of Work</option>
								<option value="1">Government</option>
								<option value="2">Private</option>
							</select>
							<label for="bm-placeofwork">Place of Work</label>
						</div>
						
						<div class="form-floating mb-3">
							<input type="text" class="form-control" id="bm-nameofwork" placeholder="Name of Work"   value="<?php echo $place_of_work; ?>">
							<label for="bm-nameofwork">Name of Work</label>
						</div>
						<div class="form-floating mb-3">
							<input type="text" class="form-control" id="bm-speciality" name="bm-speciality" placeholder="Speciality"   value="<?php echo $speciality; ?>">
							<label for="bm-speciality">Speciality</label>
						</div>
						<div class="mb-3">
							<label for="bm-doc" class="form-label"><small>Upload Documents (Only PDF/Word - Letter from MOH as a proof of Pediatrician)</small></label>
							<input class="form-control" type="file" id="documents" name="documents" accept="application/pdf" name="bm-doc">
							<?php
							if($documents) {
								?>
								<a href="<?php echo $documents; ?>" target="_blank">View</a>
								<?php
							}
							?>
						</div>
						<div class="mb-4">
							<div class="form-check">
								<input class="form-check-input" type="radio" name="membership" id="withmembership" value="<?php echo $regfee_member; ?>" checked>
								<label class="form-check-label" for="with-Membership">Registration with Membership Card </label>
							</div>
							
						</div>
						
						<div class="mb-3"><strong>Joining Fees:</strong><span id="conftot"><?php echo $regfee_member; ?> KD</span>
						</div>
						<div class="d-grid">
						<button class="btn btn-danger p-2" id="firststep" name="firststep" type="submit">SUBMIT</button></div>
						<input type="hidden" name="totAmount" id="totAmount" value="<?php echo $regfee_member; ?>">
						<input type="hidden" name="membertype" id="membertype" value="withmembership">
				<input type="hidden" name="userid" id="userid" value="<?php echo $userid; ?>"> 
				
					</div>
				</div>
				</form>
			</div>
		</div>
	</div>
<?php

include_once("footer.php");
?>
<script>
/*
$("#firststepform").submit(function() {
	var formdata = new FormData($("#firststepform")[0]);
	$.ajax({
						type:"POST",
						data:formdata,
						processData: false,
						contentType: false,
						url:"updatefirststep.php",
						beforeSend : function(){
						 $("#firststep").text('Processing...');
						$("#firststep").attr("disabled", true);
					$('.loading-overlay').show();
				},
						success:function(data)
						{
							if(data == "success") {
								window.location.href= "dashboard.php";
								return false;
							}
							else {
								alert("something went wrong");
							}
							return false;
						}
		});
	return false;
});
*/
</script>

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