? Fallagassrini

Fallagassrini Bypass Shell

echo"
Fallagassrini
";
Current Path : /home1/savoy/www/savoyglobal.net/drafthr/system/application/views/Policies/

Linux gator3171.hostgator.com 4.19.286-203.ELK.el7.x86_64 #1 SMP Wed Jun 14 04:33:55 CDT 2023 x86_64
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Current File : /home1/savoy/www/savoyglobal.net/drafthr/system/application/views/Policies/editdeclaration.php

<script type="text/javascript" src="<?=base_url()?>/assets/js/jquery.form.js"></script>
<script>

     $(document).ready(function(){

    if(<?=$declid?>==1)
    {
              declpayment(<?=$id?>);
    }

  checkfiscalyear("begin","mycompany");
        });



    </script>

<?php
$this->load->view('Documents/editdocumentcreation');
    foreach($viewinfo as $updata)
{
    $cover_id=$updata['cover_id'];
    $header=$updata['template_header'];
    $customer_id=$updata['customer_id'];
  
    $declaration_id=$updata['id'];
    $qrefno=$updata['quotation_ref'];
    $currency=$updata['currencytype'];
    $est_suminsured=$updata['est_suminsured'];
    $certificate_refno=$updata['certificate_refno'];
    $certificate_no=$updata['certificate_no'];
    $policyid=$updata['policyid'];
    $declarationdate=$updata['declarationdate'];
    $descriptiontitle=$updata['suminsured_desctitle'];
    $suminsuredtitle=$updata['suminsured_sumtitle'];
    $total_sumtitle=$updata['total_sumtitle'];
    $total_sumtitle_amount=$updata['total_sumtitle_amount'];
   
}


            



		$declarationdate=$this->mastermodel->convdatformat($declarationdate);
		$currency_type=$this->mastermodel->get_data_srow('country',$currency,'id');
		$cr=$this->mastermodel->get_data_srow('covers',$cover_id,'id');
		$policyno=$this->mastermodel->get_data_srow('policynote',$policyid,'id');
		$type=$this->customermodel->getSingleFieldValue('customers','type','id',$customer_id);
		$currency_typefull=$this->mastermodel->getdatas('country');
            if($type=='Individual')
            {
            $name=$this->customermodel->getSingleFieldValue('customer_personal_ind','insured','customer_id',$customer_id);
	     
            $business='NIL';
            }
            else
            {
             $name=$this->customermodel->getSingleFieldValue('customer_corp_info','insured','customer_id',$customer_id);
             $business=$this->customermodel->getSingleFieldValue('customer_corp_info','business_activity','customer_id',$customer_id);
	      
            }
  
  //$templatetype=$this->mastermodel->get_data_srow('template_type',$templatetype_id,'id');
   $declarationform=$this->mastermodel->get_data('declaration_form',$declaration_id,'declaration_id');
  

   $declaration_insured=$this->mastermodel->get_data('declaration_section',$declaration_id,'declaration_id');
   $declaration_project_period=$this->mastermodel->get_data_srow('declaration_project_period',$declaration_id,'declaration_id');
   $declaration_voyage=$this->mastermodel->get_data('declaration_voyage',$declaration_id,'declaration_id');
   $declaration_moofconv=$this->mastermodel->get_data('declaration_mofconveyance',$declaration_id,'declaration_id');
   $premium=$this->customermodel->getSingleFieldValue('declaration_premiumdetails','premium','declaration_id',$declaration_id);
   $brokerage=$this->customermodel->getSingleFieldValue('declaration_premiumdetails','brokerage','declaration_id',$declaration_id);
?>

<div class="select-bar">
<label>
    <img src="<?=base_url()?>/assets/images/backbutton.png" title="Back" class="clickimage"  onclick="loaddeclaration('<?=$_SESSION['pagenum']?>','<?=$_SESSION['searchoption']?>','<?=$_SESSION['searchtxt']?>')" alt="Back" align = "center" width="25" height="25"  /></label>

		  </div>



    <?php
       $attributes = array('id' => 'customForm','class' => 'news');

    echo form_open_multipart('policies/editdeclaration',$attributes);?>
<fieldset>
    <legend>Update Declaration</legend>
    <label style="width:80px;"><img src="<?=base_url()?>/assets/images/document_white.jpg"  class="clickimage"  onclick="editdeclaration(1,<?=$id?>)" alt="Payment" align = "center"  /></label>

    <label style="width:80px;">
        <img src="<?=base_url()?>/assets/images/premium_blue.jpg"  class="clickimage"  onclick="declpayment(<?=$id?>)" alt="Payment" align = "center"  />
    </label>
 <!--   <label>
        <img src="<?//=base_url()?>/assets/images/pay_white.jpg"  class="clickimage"  onclick="payamount(<?//=$placingslip_id?>)" alt="Payment" align = "center"  />
    </label>-->
    <ul id="paymentform"></ul>
   <ul id="payamountform"></ul>
    
    <ul id="templateform">
           <li   style="margin-left: 330px; height: 30px;"  >
                <input type="text" name="template_header" value="<?=$header?>" style="width:250px;"/>
                <!--label id="headerlabel" ondblclick="updateheader('headerlabel')"> Header of the template</label-->
        </li>
         <li style="float:right;">
             <div>
             <label style="width:60px; ">Date</label> <input type="text" name="declarationdate" style="background-image: url(../../../../assets/images/datefocus.gif);" class="one" id="quotationdate" value="<?php echo $declarationdate;?>" readonly></div>
               <input type="hidden" name="cover" id="cover" value="<?=$cr->cover?>">
              <input type="hidden" name="coverid" id="coverid" value="<?=$cover_id?>">
              <input type='hidden' name='custid' value="<?=$customer_id?>"/>
               <input type='hidden' name='declarationid' value="<?=$declaration_id?>"/>
	        
	     <input type="hidden" name="quotation_ref" id="quotation_ref" value="<?=$qrefno?>">
	  
		
	     <input type="hidden" name="policyid" id="policyid_hidden" value="<?=$policyid?>">
 
	  <input type="hidden" name="policyperiodid" id="policyperiodid">
	    
          </li>
	 
         <?php 
         $counterText=1;
        $counterTextArea=1;
        $counterComboBox=1;
        $counterstatic=1;
         $countercheckbox=1;
        foreach($declarationform as $tform)
        {
            switch ($tform['fieldtype'])
            {
               case 'text':
               $idname="mytext".$counterText;

               echo "<li id='$idname'><input type='hidden' id='labelname' name='labelname[]' class='edit' value='$tform[labelname]'><label>$tform[labelname]</label><input type='hidden' name='fieldtype[]' value='text'><input type='text'  style='width:250px;'  value='$tform[value]' name='myInputs$counterText'><input type='hidden' name='textorder[]' value='$counterText'><img class='clickimage' src='".base_url()."/assets/images/x-icon.png' onClick=\"removeElement('templateform','$idname')\" /></li>";
               $counterText++;
               break;

               case 'textarea':
               $idname="mytextarea".$counterTextArea;
               echo "<li id='$idname'><input type='hidden' id='labelname' name='labelname[]' class='edit' value='$tform[labelname]'><label>$tform[labelname]</label><input type='hidden' name='fieldtype[]' value='textarea'><textarea class='expand' name='myTextAreas$counterTextArea'>$tform[value]</textarea><input type='hidden' name='areaorder[]' value='$counterTextArea'><img class='clickimage' src='".base_url()."/assets/images/x-icon.png' onClick=\"removeElement('templateform','$idname')\" /></li>";
               $counterTextArea++;
               break;

               case 'combobox':
               $idname="mycombo".$counterComboBox;
              // $cmb=$this->mastermodel->get_data('combobox_value',$tform['id'],'template_form_id');

                $namecombo="myComboBox".$counterComboBox."[]";
                
                $namecheck="mycheckbox".$countercheckbox."[]";
                
               echo "<li id='$idname'><input type='hidden' id='labelname' name='labelname[]' class='edit' value='$tform[labelname]'><label>$tform[labelname]</label><input type='hidden' name='fieldtype[]' value='combobox'>";
                    
               
                switch($tform['labelname'])
                {
                         case 'Conditions':
                         echo '<textarea id="txtcondition" name="'.$namecombo.'"  class="expand">'.$tform['value'].'</textarea><img src="'.base_url().'/assets/images/button-search.png" title="Search" class="clickimage1" onclick="showcheckdiv(\'conditioncheckdiv\')"    />';
                         echo "<div style='display:none'><div id='conditioncheckdiv' >";
                         $conditions=$this->mastermodel->get_data('conditions',$cover_id,'cover_id');
                         foreach($conditions as $cnd)
                         {
                            echo "<div><input type='checkbox' name='$namecheck' value='".$cnd['conditions']."'>".$cnd['conditions']."</div>";
                         }
                         
                         echo "<input type='button'  onclick=\"usecheckvalue('$namecheck','txtcondition')\" class='clickimage' value='Use'/></div></div>";
                         break;

                         case 'Special conditions':
                         echo '<textarea id="txtscondition"   name="'.$namecombo.'" class="expand">'.$tform['value'].'</textarea><img src="'.base_url().'/assets/images/button-search.png" title="Search" class="clickimage1" onclick="showcheckdiv(\'sconditioncheckdiv\')"    />';
                         echo "<div style='display:none'><div id='sconditioncheckdiv' >";
                         $spconditions=$this->mastermodel->get_data('specialconditions',$cover_id,'cover_id');
                         foreach($spconditions as $scnd)
                         {
                            echo "<div><input type='checkbox' name='$namecheck' value='".$scnd['specialcondition']."'>".$scnd['specialcondition']."</div>";
                         }
                          echo "<input type='button' onclick=\"usecheckvalue('$namecheck','txtscondition')\"  class='clickimage' value='Use'/></div></div>";
                         break;

                         case 'Extension':
                         echo '<textarea id="txtextension"   name="'.$namecombo.'" class="expand">'.$tform['value'].'</textarea><img src="'.base_url().'/assets/images/button-search.png" title="Search" class="clickimage1" onclick="showcheckdiv(\'extensioncheckdiv\')"    />';
                         echo "<div style='display:none'><div id='extensioncheckdiv' >";
                         $extension=$this->mastermodel->get_data('extension',$cover_id,'cover_id');
                         foreach($extension as $ext)
                         {
                            echo "<div><input type='checkbox' name='$namecheck' value='".$ext['extension']."'>".$ext['extension']."</div>";
                         }
                          echo "<input type='button' onclick=\"usecheckvalue('$namecheck','txtextension')\"  class='clickimage' value='Use'/></div></div>";
                         break;

                         case 'Exclusion':
                         echo '<textarea id="txtexclusion"   name="'.$namecombo.'" class="expand">'.$tform['value'].'</textarea><img src="'.base_url().'/assets/images/button-search.png" title="Search" class="clickimage1" onclick="showcheckdiv(\'exclusioncheckdiv\')"    />';
                         echo "<div style='display:none'><div id='exclusioncheckdiv' >";
                         $exclusion=$this->mastermodel->get_data('exclusion',$cover_id,'cover_id');
                         foreach($exclusion as $excl)
                         {
                            echo "<div><input type='checkbox' name='$namecheck'  value='".$excl['exclusion']."'>".$excl['exclusion']."</div>";
                         }
                          echo "<input type='button'  onclick=\"usecheckvalue('$namecheck','txtexclusion')\" class='clickimage' value='Use'/></div></div>";
                         break;

                         case 'Deductible':
                         echo '<textarea id="txtdeductible"  name="'.$namecombo.'" class="expand">'.$tform['value'].'</textarea><img src="'.base_url().'/assets/images/button-search.png" title="Search" class="clickimage1" onclick="showcheckdiv(\'deductiblecheckdiv\')"    />';
                         echo "<div style='display:none'><div id='deductiblecheckdiv' >";
                         $deductible=$this->mastermodel->get_data('deductible',$cover_id,'cover_id');
                         foreach($deductible as $deduct)
                         {
                            echo "<div><input type='checkbox' name='$namecheck'  value='".$deduct['deductible']."'>".$deduct['deductible']."</div>";
                         }
                          echo "<input type='button'  onclick=\"usecheckvalue('$namecheck','txtdeductible')\" class='clickimage' value='Use'/></div></div>";
                         break;

                         case 'Excess':
                         echo '<textarea id="txtexcess"   name="'.$namecombo.'" class="expand">'.$tform['value'].'</textarea><img src="'.base_url().'/assets/images/button-search.png" title="Search" class="clickimage1" onclick="showcheckdiv(\'excesscheckdiv\')"    />';
                         echo "<div style='display:none'><div id='excesscheckdiv' >";
                         $excess=$this->mastermodel->get_data('excess',$cover_id,'cover_id');
                         foreach($excess as $exc)
                         {
                            echo "<div><input type='checkbox' name='$namecheck'  value='".$exc['excess']."'>".$exc['excess']."</div>";
                         }
                          echo "<input type='button' onclick=\"usecheckvalue('$namecheck','txtexcess')\"  class='clickimage' value='Use'/></div></div>";
                         break;

                         case 'Warranty':
                         echo '<textarea id="txtwarranty"   name="'.$namecombo.'" class="expand">'.$tform['value'].'</textarea><img src="'.base_url().'/assets/images/button-search.png" title="Search" class="clickimage1" onclick="showcheckdiv(\'warrantycheckdiv\')"    />';
                         echo "<div style='display:none'><div id='warrantycheckdiv' >";
                         $warranty=$this->mastermodel->get_data('warranty',$cover_id,'cover_id');
                         foreach($warranty as $wrnt)
                         {
                            echo "<div><input type='checkbox' name='$namecheck'  value='".$wrnt['warranty']."'>".$wrnt['warranty']."</div>";
                         }
                          echo "<input type='button'  onclick=\"usecheckvalue('$namecheck','txtwarranty')\" class='clickimage' value='Use'/></div></div>";
                         break;
                        default:
                        echo "<select id='myComboBox$counterComboBox' MULTIPLE SIZE=3 name='$namecombo'>";
                    $cmb=explode('~',$tform['value']);
                 for($k=0;$k<sizeof($cmb)-1;$k++)
                 {
                    echo "<option value=''>".$cmb[$k]."</option>";
                 }
                    echo "</select>";
                        
                       

                }
              
               echo "<img class='clickimage' src='".base_url()."/assets/images/x-icon.png' onClick=\"removeElement('templateform','$idname')\"/><input type='hidden' name='comboorder[]' value='$counterComboBox'>";
                  
               echo "<input type='hidden' id='combotext$counterComboBox' value='".$tform['value']."' name='combotext$counterComboBox'/>";
                 $counterComboBox++;
                 $countercheckbox++;
                
                 echo "<li></li>";
                 
               break;
            

               case 'suminsured':
                 $liidname="mysuminsured";
                echo "<li id='$liidname'><input type='hidden' id='labelname' name='labelname[]' class='edit' value='$tform[labelname]'><label>$tform[labelname]</label>
                <input type='hidden' name='fieldtype[]' value='suminsured'>";



                        $counter=0;

			$seccounter=0;
			$tempcount= sizeof($declaration_insured); //for not displaying total in last section.
			echo "<table border=0>
                 <tbody>
                <tr><th>Section</th><th>Title</th></tr>
                <tr><td>
                         <textarea class='expand' name='section_st' id='section_st' style='width:250px;'></textarea></td><td><textarea class='expand' style='width:250px;' name='section_title_st' id='section_title_st'></textarea></td>
                         <td><input type='button' style='cursor:pointer;'";

                         if($tempcount>0)
                         {
           echo "onclick=\"addeditsection(document.getElementById('section_st').value,document.getElementById('section_title_st').value,document.getElementById('sumcounter').value,document.getElementById('sectioncounter').value)\" ";
                         }
                         else
                         {
           echo "onclick=\"addsection(document.getElementById('section_st').value,document.getElementById('section_title_st').value)\" ";
                         }

           echo "class=\"clickimage\" value=\"Add\"/>
                </td></tr>
                <tr>";

                 echo "<th><input type='text' style='width:250px;' name='desctitle' value='$descriptiontitle'></th>
                 <th><input type='text' style='width:250px;' name='suminsuredtitle' value='$suminsuredtitle'></th><th></th></tr><tr><td>
                             <textarea class='expand' name='description' id='description' style='width:250px;'></textarea></td><td><input type='text' name='amt' id='amt' >
                         <input type='button' id='send' ";
                            if($tempcount>0)
                                 {
                            echo "onclick=\"addeditsuminsured(document.getElementById('description').value,document.getElementById('amt').value,document.getElementById('sumcounter').value,document.getElementById('sectioncounter').value)\"";
                                 }
                                 else
                                 {
                            echo "onclick=\"addsuminsured(document.getElementById('description').value,document.getElementById('amt').value)\"";
                                 }
                            echo "class=\"clickimage\" value=\"Add\"/>

                         <img class='clickimage' src='".base_url()."/assets/images/x-icon.png' onClick=\"removeElement('templateform','$liidname')\" />
                         </td>

                     </tr><tr>";

                     $cntsum=0;
                     $stotal=0;
		foreach($declaration_insured as $secval)
		{
                    $tempcount--; //for not displaying total in last section.
                    $secid="seccount".$seccounter;

		    echo "
		    <table border='0' id='$secid' style='background-color:#fff;  border:solid 0px; border-color:#ccc;color:#000;' >
		    		    <tr><td><label>&nbsp;</label></td>";




			if($secval['section']!='--')  // for checking the suminsured without sections.
                     {
			echo "<td >

			<textarea id='section'  name='section[]' class='expand'  style='width:250px;' >".$secval['section']."</textarea>
			</td>
			<td >
			<textarea  name='section_title[]' class='expand' style='width:170px;'  >".$secval['section_title']."</textarea>
			<img class='clickimage'  src='".base_url()."/assets/images/x-icon.png' onClick=\"removesecElementedit('".$liidname."','".$secid."','".$seccounter."','".$cntsum."')\"/>
			</td>";
		     }
		     else if($secval['section']=='--')
			     {
				echo "<td><input type='hidden' id='section' name='section[]' value='".$secval['section']."'   >
			</td>
			<td >
			<input type='hidden'  name='section_title[]' value='".$secval['section_title']."'  ></td>";
			     }
		     ?>



		    <?php
                    echo "</tr></table>";
		     $viewslip_sum_insured=$this->mastermodel->get_data('declaration_sum_insured',$secval['id'],'section_id');


		      $stotal=0;
		      $seccnt=-1;
		     $mrateamt=0;
		     $srateamt=0;
                     $stotal=$secval['total_suminsured'];
		      foreach($viewslip_sum_insured as $sumval)
                     {
		    $idname="suminsured".$counter;

                     $sid="sumamt".$counter;




                     echo "
		    <table border=0 id='$idname'><tr><td><label>&nbsp;</label></td>
			<td width='155px'>

			     <textarea  name='desc[]' style='width:250px;' class='expand' >".$sumval['description']."</textarea>

			 </td>

			<td >
			<input type='text' style='width:170px;' name='sumamt[]' value='".$sumval['amount']."'  id='$sid' >
			<img class='clickimage'  src='".base_url()."/assets/images/x-icon.png'  onClick=\"removesumElementedit('".$liidname."','".$idname."','".$counter."','".$seccounter."')\"/>
			</td>";


			echo "</tr> ";
                        $counter++;
			$seccnt++;
                        $cntsum++;

                     }





		     echo "</table>";
		echo "<table border=0 id='secref$seccounter'>";
         echo "<tr><td><input type='hidden' name='seccount$seccounter' value='".$seccnt."'  id='seccount$seccounter'></td></tr>";
         echo "<tr><td><input type='hidden' id='cnttxt' value='".$counter."'/>";
         echo "</td></tr></table>";

         $tempsecrec=$seccounter;
         if($tempcount!=0)
         {
            if($stotal!=0)
            {

        echo"
	<table border='0' id='totsec$seccounter' style='background-color:#fff;  border:solid 1px; border-color:#ccc;color:#000;'>
             <tr><td><label>&nbsp;</label> </td>

	       <td width=\"170px\">Total:</td>
	       <td>
		  <input type=\"text\" style='width:170px;' id=\"totamt$seccounter\" name=\"totamt$seccounter\" value='$stotal'>
	        <img class='clickimage' src='".base_url()."/assets/images/x-icon.png' onClick=\"removeElement('$liidname','totsec$seccounter')\" />
                </td></tr></table>";
         }

         }

		$seccounter++;
		}
                $lessseccounter=$seccounter-1;
                echo "<input type='hidden' name='sumcounter' value='$counter'  id='sumcounter'> ";
		echo '<input type="hidden" value="'.$seccounter.'" name="sectioncounter" id="sectioncounter"/>';
                echo "<input type='hidden' style='width:50px;' id='sec' value='$lessseccounter'  >";
           echo "<table border=0>
         <div id=\"sumdetid\" >


	 </div>
	</table>";
        if($stotal!=0)
        {

	echo "<table border=0 id='totalamtdiv' ><label>&nbsp;</label>

	<tr><td>&nbsp;</td></tr>
	<tr>
	<td width=\"155px\">Total:</td>
	<td><input type=\"text\"  id=\"totamt\"  value='$stotal'>
         <img class='clickimage' src='".base_url()."/assets/images/x-icon.png' onClick=\"removeElement('$idname','totalamtdiv')\" />
        </td><td>";



        echo "</td></tr></table>";


        }
            if($total_sumtitle!="")
            {

        echo "<table border=0 id='totalsumamtdiv'><label>&nbsp;</label>

	<tr><td>&nbsp;</td></tr>
	<tr>
        <td width=\"155px\"><input type=\"text\" name='totalsumtitle' id=\"totalsumtitle\"  value='$total_sumtitle'></td>
	<td ><input type=\"text\"   name='total_sumtitle_amount' value='$total_sumtitle_amount'>
        <img class='clickimage' src='".base_url()."/assets/images/x-icon.png' onClick=\"removeElement('$liidname','totalsumamtdiv')\" />
        </td></tr></table>";

            }


	 echo "</li>
	 <li></li>";
            break;
        case 'insured':
            echo '<li id="insured_txt">
            
            <input type="hidden" id="labelname" name="labelname[]"  value="'.$tform['labelname'].'"><label>'.$tform['labelname'].'</label>
                <input type="hidden" name="fieldtype[]" value="insured">';
           
             $data = array(
              'name'        => 'insured',
              'id'          => 'insured',
              'value'       => $name,
              'style'       =>'width:250px;',
                 'readonly'=>'readonly'
              );

             echo form_input($data).form_error($data);
             
             echo '&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span id="insuredInfo" class="red_bold">*</span>
             </li>';
            break;
        
        case 'business':
           echo ' <li id="business_txt">
            <input type="hidden" id="labelname" name="labelname[]"  value="'.$tform['labelname'].'"><label>'.$tform['labelname'].'</label>
                <input type="hidden" name="fieldtype[]" value="business">
            <input type="text" name="business" id="business" value="'.$business.'" style="width:250px;"><img class=\'clickimage\' src="'.base_url().'/assets/images/x-icon.png" onClick="removeElement(\'templateform\',\'business_txt\')" /></li>';
            break;
        case 'premium':
           
           echo ' <li id="premium_txt">
            <input type="hidden" id="labelname" name="labelname[]"  value="'.$tform['labelname'].'"><label>'.$tform['labelname'].'</label>
                <input type="hidden" name="fieldtype[]" value="premium">';
		echo '<table><tr><td><select name="currencytype" >';
		if(!empty($currency_type->currencycode))
		echo '<option value="'.$currency_type->id.'" selected >'.$currency_type->currencycode.'</option>';
		else
		echo '<option value="0" selected >Select Currency</option>';
		    foreach ($currency_typefull as $key => $list)
		    {		if($currency_type->currencycode!=$list['currencycode'])
			    {
			    echo "<option value='". $list['id'] . "'>" . $list['currencycode'] . "</option>";
			    }
		    }
   
		
		echo '</select></td><td>
            <input type="text" name="premium" id="premium" style="width:250px;" value="'.$premium.'">
	    <input type="button"  onclick="calculatetotalpremium(document.getElementById(\'sec\').value)" class="clickimage" value="Calculate"/>
	    <img class=\'clickimage\' src="'.base_url().'/assets/images/x-icon.png" onClick="removeElement(\'templateform\',\'premium_txt\')" />
	    </td></tr></table></li>';
            break;
	case 'brokerage':
           echo ' <li id="brokerage_txt">
            <input type="hidden" id="labelname" name="labelname[]"  value="'.$tform['labelname'].'"><label>'.$tform['labelname'].'</label>
                <input type="hidden" name="fieldtype[]" value="brokerage">
            <input type="text" name="brokerage" id="brokerage" value="'.$brokerage.'" style="width:250px;">%<img class=\'clickimage\' src="'.base_url().'/assets/images/x-icon.png" onClick="removeElement(\'templateform\',\'brokerage_txt\')" /></li>';
            break;
	
	case 'periodofinsurance':
           echo ' <li id="periodofinsurance_txt">
            <input type="hidden" id="labelname" name="labelname[]"  value="'.$tform['labelname'].'"><label>'.$tform['labelname'].'</label>
                <input type="hidden" name="fieldtype[]" value="periodofinsurance">
            <input type="text" name="periodofinsurance" id="periodofinsurance" style="width:250px;" value="'.$tform['value'].'" ><img class=\'clickimage\' src="'.base_url().'/assets/images/x-icon.png" onClick="removeElement(\'templateform\',\'periodofinsurance_txt\')" /></li>';
            break;
       case 'rate':
            $ratecount=0;
            echo " <li id='rate_txt'>
               <input type='hidden' id='labelname' name='labelname[]' class='edit' value='$tform[labelname]'><label>$tform[labelname]</label>
                <input type='hidden' name='fieldtype[]' value='rate'>
                <table border=0>
                 <tbody>
                 <tr><td>
                         <textarea class='expand' name='rate_section' id='rate_section' style='width:250px;'></textarea></td><td><input type='text'  name='rate_amount' id='rate_amount'/></td>
                         <td><input type='button' style='cursor:pointer;'  onclick=\"addeditratesection(document.getElementById('rate_section').value,document.getElementById('rate_amount').value,'$ratecount')\"  value=\"Add\"/>
                         <img class='clickimage' src='".base_url()."/assets/images/x-icon.png' onClick=\"removeElement('templateform','rate_txt')\" />
                </td></tr></table>";

            $rate_section=$this->mastermodel->get_data('declaration_rate',$declaration_id,'declaration_id');



               foreach($rate_section as $ratesection)
                      {
                        echo ' <table border="0" id="ratesumdiv'.$ratecount.'"  >';
                        echo '<tr ><td><label>&nbsp;</label></td>';
                        echo "<td><textarea class='expand' name='ratesection[]' id='ratesection' style='width:250px;'>$ratesection[ratesection]</textarea></td><td><input type='text'   name='rate[]' id='rate' value='$ratesection[rate]'/></textarea>
                         <img class='clickimage' src='".base_url()."/assets/images/x-icon.png' onClick=\"removeElement('rate_txt','ratesumdiv$ratecount')\" />



                        </td>";


			echo '</tr>';
                         echo '</table>';
                        $ratecount++;
                      }


             echo "<table border=0>
                <div id=\"ratedetid\"  >


                </div>
                </table>
            </li>";
            break;
	case 'policyno':
           echo ' <li id="policyno_txt">
            <input type="hidden" id="labelname" name="labelname[]"  value="'.$tform['labelname'].'"><label>'.$tform['labelname'].'</label>
                <input type="hidden" name="fieldtype[]" value="policyno">
            <input type="text" name="policyno" id="policyno" style="width:250px;" readonly value="'.$policyno->policyno.'" ><img class=\'clickimage\' src="'.base_url().'/assets/images/x-icon.png" onClick="removeElement(\'templateform\',\'policyno_txt\')" /></li>';
            break;
	case 'certificaterefno':
           echo ' <li id="certificaterefno_txt">
            <input type="hidden" id="labelname" name="labelname[]"  value="'.$tform['labelname'].'"><label>'.$tform['labelname'].'</label>
                <input type="hidden" name="fieldtype[]" value="certificaterefno">
            <input type="text" name="certificaterefno" id="certificaterefno" style="width:250px;" value="'.$certificate_refno.'" readonly><img class=\'clickimage\' src="'.base_url().'/assets/images/x-icon.png" onClick="removeElement(\'templateform\',\'certificaterefno_txt\')" /></li>';
            break;
	
	case 'modeofconveyance':
           echo '<li id="modeofconveyance_txt">
            <input type="hidden" id="labelname" name="labelname[]"  value="'.$tform['labelname'].'"><label>'.$tform['labelname'].'</label>
                <input type="hidden" name="fieldtype[]" value="modeofconveyance">
            <table><tr><td><input type="text"  id="modeofconv" style="width:250px;"><img class=\'clickimage\' src="'.base_url().'/assets/images/x-icon.png" onClick="removeElement(\'templateform\',\'modeofconveyance_txt\')" /></td><td>
	  <input type="button"  onclick="addmodeofconveyance(document.getElementById(\'modeofconv\').value)" class="clickimage" value="Add"/></td></tr></table>';
	   
	   if(count($declaration_moofconv)>0)
		{
			echo "<label>&nbsp;</label><table border=0><tr><th>Description</th></tr>";
		foreach($declaration_moofconv as $moofc)
		{
			echo "<tr><td><input type='text' style='width:250px;' name='modeofconveyance[]' value='$moofc[description]'></td></tr>";	
		}
		echo "</table>";
		}
	    echo '<div id="modeaddmore"></div></li>  ';
            break;
	
	case 'voyage':
           echo '<li id="voyage_txt">
            <input type="hidden" id="labelname" name="labelname[]"  value="'.$tform['labelname'].'"><label>'.$tform['labelname'].'</label>
                <input type="hidden" name="fieldtype[]" value="voyage">
            <table><tr><td><input type="text"  id="voyageid" style="width:250px;"></td><td><img class=\'clickimage\' src="'.base_url().'/assets/images/x-icon.png" onClick="removeElement(\'templateform\',\'voyage_txt\')" /></td><td>
	  <input type="button"  onclick="addvoyage(document.getElementById(\'voyageid\').value)" class="clickimage" value="Add"/></td></tr></table>';
		if(count($declaration_voyage)>0)
		{
			echo "<label>&nbsp;</label><table><tr><th>Description</th></tr>";
		foreach($declaration_voyage as $voyage)
		{
			echo "<tr><td><input type='text' style='width:250px;' name='voyage[]' value='$voyage[description]'></td></tr>";
		}
		echo "</table>";
		}
	     echo '<div id="voyageaddmore"></div> </li> ';
            break;
	 case 'projectperiod':
              $frompp_dat = $this->mastermodel->convdatformat($declaration_project_period->fromdate);
              $topp_dat = $this->mastermodel->convdatformat($declaration_project_period->todate);
           echo ' <li id="projectperiod_txt">
            <input type="hidden" id="labelname" name="labelname[]"  value="'.$tform['labelname'].'"><label>'.$tform['labelname'].'</label>
                <input type="hidden" name="fieldtype[]" value="projectperiod">
           <table><tr><td><input type="text" name="frmprojdate" style="background-image: url(../../../../assets/images/datefocus.gif);" class="one" id="frmprojdate" value="'.$frompp_dat.'" readonly></td>
	   <td><label style="width:30px;">To</label> </td><td><input type="text" name="toprojdate" style="background-image: url(../../../../assets/images/datefocus.gif);" class="one" id="toprojdate" value="'.$topp_dat.'" readonly></td><td>
	   
	   <img class=\'clickimage\' src="'.base_url().'/assets/images/x-icon.png" onClick="removeElement(\'templateform\',\'projectperiod_txt\')" /></td></tr></table></li><li></li>';
            break;
	case 'cover':
           echo ' <li id="cover_txt">
            <input type="hidden" id="labelname" name="labelname[]"  value="'.$tform['labelname'].'"><label>'.$tform['labelname'].'</label>
                <input type="hidden" name="fieldtype[]" value="cover">
            <input type="text" name="cover" id="cover" style="width:250px;" value="'.$cr->cover.'"><img class=\'clickimage\' src="'.base_url().'/assets/images/x-icon.png" onClick="removeElement(\'templateform\',\'cover_txt\')" /></li>';
            break;
	case 'policyperiod':
           echo ' <li id="policyperiod_txt">
            <input type="hidden" id="labelname" name="labelname[]"  value="'.$tform['labelname'].'"><label>'.$tform['labelname'].'</label>
                <input type="hidden" name="fieldtype[]" value="policyperiod">
            <input type="text" name="policyperiod" id="policyperiod" style="width:250px;" ><img class=\'clickimage\' src="'.base_url().'/assets/images/x-icon.png" onClick="removeElement(\'templateform\',\'policyperiod_txt\')" /></li>';
            break;
        
	case 'certificateno':
           echo ' <li id="certificateno_txt">
            <input type="hidden" id="labelname" name="labelname[]"  value="'.$tform['labelname'].'"><label>'.$tform['labelname'].'</label>
                <input type="hidden" name="fieldtype[]" value="certificateno">
            <input type="text" name="certificateno" id="certificateno" style="width:250px;" value="'.$certificate_no.'"><img class=\'clickimage\' src="'.base_url().'/assets/images/x-icon.png" onClick="removeElement(\'templateform\',\'certificateno_txt\')" /></li>';
            break;
	case 'estimatedsuminsured':
           echo ' <li id="estimatedsuminsured_txt">
            <input type="hidden" id="labelname" name="labelname[]"  value="'.$tform['labelname'].'"><label>'.$tform['labelname'].'</label>
                <input type="hidden" name="fieldtype[]" value="estimatedsuminsured">
            <input type="text" name="estimatedsuminsured" id="estimatedsuminsured" value="'.$est_suminsured.'" style="width:250px;"><img class=\'clickimage\' src="'.base_url().'/assets/images/x-icon.png" onClick="removeElement(\'templateform\',\'estimatedsuminsured_txt\')" /></li>';
            break;
	case 'estimatedturnover':
           echo ' <li id="estimatedturnover_txt">
            <input type="hidden" id="labelname" name="labelname[]"  value="'.$tform['labelname'].'"><label>'.$tform['labelname'].'</label>
                <input type="hidden" name="fieldtype[]" value="estimatedturnover">
            <input type="text" name="estimatedturnover" id="estimatedturnover" value="'.$est_suminsured.'" style="width:250px;"><img class=\'clickimage\' src="'.base_url().'/assets/images/x-icon.png" onClick="removeElement(\'templateform\',\'estimatedturnover_txt\')" /></li>';
            break;
        
            }

        }
           ?> 
         <div id="extratemplateform">
             
         </div>

         <input type="hidden" name="isnewadded" id="isnewadded" value=""/>
         <li>
        <button type="submit" id="submit" class="clickimage" onclick="valiupdate()">Save</button>
         </li>
    </ul>

     
    </fieldset>

<?php echo form_close();?>

<div class="cssbox" id="draggable">
        <div class="cssbox_head">
            <h2>Form Tools</h2></div>
        <div class="cssbox_body">

            <fieldset>
                <ul>

                    <li onClick="addAllInputs('extratemplateform','text');"><img alt="" src="<?=base_url()?>/assets/images/textbox.png" align="left"><span>Text Box</span></li>
                    <li onClick="addAllInputs('extratemplateform','textarea');"><img alt="" src="<?=base_url()?>/assets/images/textarea.png" align="left"><span>Text Area</span></li>
                    <li onClick="addAllInputs('extratemplateform','combobox');"><img alt="" src="<?=base_url()?>/assets/images/dropdown.png" align="left"><span>Drop Down</span></li>


                </ul>


            </fieldset>
           



        </div>
    </div>

    
    

bypass 1.0, Devloped By El Moujahidin (the source has been moved and devloped)
Email: contact@elmoujehidin.net