| Current Path : /home1/savoy/www/savoyglobal.net/sibs_draft/system/application/views/Documents/ |
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| Current File : /home1/savoy/www/savoyglobal.net/sibs_draft/system/application/views/Documents/editplacingslip.php |
<?php if ( ! defined('BASEPATH')) exit('No direct script access allowed');?>
<script type="text/javascript" src="<?=base_url()?>/assets/js/jquery.form.js"></script>
<script>
$(document).ready(function(){
if(<?=$plid?>==1)
{
payment(<?=$id?>);
}
checkfiscalyear("begin","mycompany");
});
</script>
<div id="note"></div>
<?php
$this->load->view('Documents/editdocumentcreation');
foreach($viewinfo as $updata)
{
$cover_id=$updata['cover_id'];
$header=$updata['template_header'];
$customer_id=$updata['customer_id'];
$qdate=$updata['quotation_date'];
$placingslip_id=$updata['id'];
$qrefno=$updata['quotation_ref'];
$typeof_policy=$updata['typeof_policy'];
$currency=$updata['currencytype'];
$descriptiontitle=$updata['suminsured_desctitle'];
$suminsuredtitle=$updata['suminsured_sumtitle'];
$total_sumtitle=$updata['total_sumtitle'];
$total_sumtitle_amount=$updata['total_sumtitle_amount'];
$description=$updata['remarks'];
}
$viewbrokingslipinfo=$this->mastermodel->get_data('placing_slip',$placingslip_id,'id');
$qdate=$this->mastermodel->convdatformat($qdate);
$cr=$this->mastermodel->get_data_srow('covers',$cover_id,'id');
$type=$this->customermodel->getSingleFieldValue('customers','type','id',$customer_id);
$currency_type=$this->mastermodel->get_data_srow('country',$currency,'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');
$placingslipform=$this->mastermodel->get_data('placing_slip_form',$placingslip_id,'placing_slip_id');
$premiumdetails=$this->mastermodel->get_data_srow('placing_slip_premiumdetails',$placingslip_id,'placing_slip_id');
$viewslip_section_insured=$this->mastermodel->get_data('placing_slip_section',$placingslip_id,'placing_slip_id');
?>
<div class="select-bar">
<label>
<img src="<?=base_url()?>/assets/images/backbutton.png" title="Back" class="clickimage" onclick="viewplacingslip('<?=$_SESSION['searchoption']?>','<?=$_SESSION['pagenum']?>','<?=$_SESSION['searchtxt']?>')" alt="Back" align = "center" width="25" height="25" /></label>
<div style="float:right">
<?//=anchor('documents/debit_ps/'.$placingslip_id.'', '<img src="'.base_url().'/assets/images/blueup.jpg" title="Debit Note" align = "center" width="20" height="20">',array('class'=>'delete','onclick'=>"return confirm('Download Debit Note')"))?>
<?//=anchor('documents/credit_ps/'.$placingslip_id.'', '<img src="'.base_url().'/assets/images/bluedown.jpg" title="Credit Note" align = "center" width="20" height="20">',array('class'=>'delete','onclick'=>"return confirm('Download Credit Notes')"))?>
</div> </div>
<div id="viewmsg"></div>
<?php
$attributes = array('id' => 'customForm','name'=>'testform','class'=>'news');
if($action=='update')
{
echo form_open_multipart('documents/editplacingslip',$attributes);
}
?>
<fieldset>
<legend>Update PlacingSlip</legend>
<label style="width:80px;"><img src="<?=base_url()?>/assets/images/document_white.jpg" class="clickimage" onclick="editplacingslip(1,<?=$placingslip_id?>)" alt="Payment" align = "center" /></label>
<label style="width:80px;">
<img src="<?=base_url()?>/assets/images/premium_blue.jpg" class="clickimage" onclick="payment(<?=$placingslip_id?>)" alt="Payment" align = "center" />
</label>
<!-- <label>
<img src="<?//=base_url()?>/assets/images/pay_white.jpg" class="clickimage" onclick="payamount(<?//=$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="<?=$header?>" style="width:250px;"/>
<!--label id="headerlabel" ondblclick="updateheader('headerlabel')"> Header of the template</label-->
</li>
<li >
<div><label>Quotation Ref </label> <input type="text" id="quotation_ref" value ="<?=$qrefno?>" readonly="readonly" name="quotation_ref">
<label style="width:60px;">Date</label> <input type="text" name="quotationdate" id="date" value="<?php echo $qdate;?>" readonly></div>
<input type="hidden" name="cover" id="cover" value="<?=$cr->cover?>">
<input type="hidden" name="coverid" id="coverid" value="<?=$cover_id?>">
<input type='hidden' name='cust_id' value="<?=$customer_id?>"/>
<input type='hidden' name='placingslipid' value="<?=$placingslip_id?>"/>
</li>
<li><label>Type of Policy</label>
<select name="policytype" >
<option value="0" >Select</option>
<option value="New" <?php if($typeof_policy=='New') { ?> selected <?php } ?>>New</option>
<option value="Renewal" <?php if($typeof_policy=='Renewal') { ?> selected <?php } ?>>Renewal</option>
</select>
</li>
<?php
$counterText=1;
$counterTextArea=1;
$counterComboBox=1;
$counterstatic=1;
$countercheckbox=1;
foreach($placingslipform 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)
{
$cnd['conditions1'] = str_replace("'", "~", $cnd['conditions']);
echo "<div><input type='checkbox' name='$namecheck' value='".$cnd['conditions1']."'>".$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)
{ $scnd['specialcondition1'] = str_replace("'", "~", $scnd['specialcondition']);
echo "<div><input type='checkbox' name='$namecheck' value='".$scnd['specialcondition1']."'>".$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)
{ $ext['extension1'] = str_replace("'", "~", $ext['extension']);
echo "<div><input type='checkbox' name='$namecheck' value='".$ext['extension1']."'>".$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)
{ $excl['exclusion1'] = str_replace("'", "~", $excl['exclusion']);
echo "<div><input type='checkbox' name='$namecheck' value='".$excl['exclusion1']."'>".$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)
{ $deduct['deductible1'] = str_replace("'", "~", $deduct['deductible']);
echo "<div><input type='checkbox' name='$namecheck' value='".$deduct['deductible1']."'>".$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)
{ $exc['excess1'] = str_replace("'", "~", $exc['excess']);
echo "<div><input type='checkbox' name='$namecheck' value='".$exc['excess1']."'>".$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)
{ $wrnt['warranty1'] = str_replace("'", "~", $wrnt['warranty']);
echo "<div><input type='checkbox' name='$namecheck' value='".$wrnt['warranty1']."'>".$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(array_filter($cmb));$k++)
{
echo "<option value='$cmb[$k]'>".$cmb[$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;
$tempcount= sizeof($viewslip_section_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;
$stotal=0;
foreach($viewslip_section_insured as $secval)
{
$tempcount--; //for not displaying total in last section.
$secid="seccount".$seccounter;
echo "
<table border='0' id='$secid' style='background-color:#fff; border:solid 0px; border-color:#ccc;color:#000;' >
<tr><td><label> </label></td>";
if($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('placing_slip_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='$idname'><tr><td><label> </label></td>
<td width='155px'>
<textarea name='desc[]' style='width:250px;' class='expand' >".$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$seccounter' style='background-color:#fff; border:solid 1px; border-color:#ccc;color:#000;'>
<tr><td><label> </label> </td>
<td width=\"170px\">Total:</td>
<td>
<input type=\"text\" style='width:170px;' id=\"totamt$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' style='float:left; '><label> </label>
<tr><td> </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($total_sumtitle!="")
{
echo "<table border=0 id='totalsumamtdiv'><label> </label>
<tr><td> </td></tr>
<tr>
<td width=\"155px\"><input type=\"text\" name='totalsumtitle' id=\"totalsumtitle\" value='$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 "<table border=0 style='float:left;' >
<tr><td> </td></tr>";
echo "</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($data);
echo ' <span id="insuredInfo" class="red_bold">*</span>
</li>';
break;
case 'business':
echo ' <li id="business_txt">
<input type="hidden" id="labelname" name="labelname[]" value="'.$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':
if($premiumdetails->ispercentage)
{
$premiumfieldname=$tform['labelname'];
}
else
{
$premiumfieldname="Net Permium";
}
echo ' <li id="premium_txt">
<input type="hidden" id="labelname" name="labelname[]" value="'.$tform['labelname'].'"><label>'.$premiumfieldname.'</label>
<input type="hidden" name="fieldtype[]" value="premium">';
echo '<table><tr><td><select name="currencytype" id="currencytype" >';
if(!empty($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'] . "'>" . $list['currencycode'] . "</option>";
}
}
echo '</select></td><td>
<input type="text" name="premium" id="premium" value="'.$premiumdetails->premium.'" style="width:250px;">
<img class=\'clickimage\' src="'.base_url().'/assets/images/x-icon.png" onClick="removeElement(\'templateform\',\'premium_txt\')" />
<span id="currencytypeInfo" class="red_bold">*</span>
</td></tr></table></li>';
break;
case 'brokerage':
if($premiumdetails->ispercentage)
{
$bpmode="selected='selected'";
$bfmode="";
}
else
{
$bfmode="selected='selected'";
$bpmode="";
}
echo ' <li id="brokerage_txt">
<input type="hidden" id="labelname" name="labelname[]" value="'.$tform['labelname'].'"><label>'.$tform['labelname'].'</label>
<input type="hidden" name="fieldtype[]" value="brokerage">
<input type="text" name="brokerage" id="brokerage" style="width:250px;" value="'.$premiumdetails->brokerage.'">
<select name="ispercentage" id="ispercentage"><option value="1" '.$bpmode.' >Percentage</option><option value="0" '.$bfmode.'>Flat</option></select><img class=\'clickimage\' src="'.base_url().'/assets/images/x-icon.png" onClick="removeElement(\'templateform\',\'brokerage_txt\')" /></li>';
break;
case 'policyfees':
echo ' <li id="policyfees_txt">
<input type="hidden" id="labelname" name="labelname[]" value="'.$tform['labelname'].'"><label>'.$tform['labelname'].'</label>
<input type="hidden" name="fieldtype[]" value="policyfees">
<input type="text" name="policyfees" id="policyfees" style="width:170px;" value="'.$premiumdetails->policy_fees.'"><img class=\'clickimage\' src="'.base_url().'/assets/images/x-icon.png" onClick="removeElement(\'templateform\',\'policyfees_txt\')" /></li>';
break;
case 'periodofinsurance':
echo ' <li id="periodofinsurance_txt">
<input type="hidden" id="labelname" name="labelname[]" value="'.$tform['labelname'].'"><label>'.$tform['labelname'].'</label>
<input type="hidden" name="fieldtype[]" value="periodofinsurance">
<table><tr><td><input type="text" name="frmdate" style="background-image: url(../../../../assets/images/datefocus.gif);" class="one" id="frmdate" value="'.$this->mastermodel->convdatformat($premiumdetails->fromdate).'" readonly></td>
<td><label style="width:30px;">To</label> </td><td><input type="text" name="todate" style="background-image: url(../../../../assets/images/datefocus.gif);" class="one" id="todate" value="'.$this->mastermodel->convdatformat($premiumdetails->todate).'" readonly></td><td>
<img class=\'clickimage\' src="'.base_url().'/assets/images/x-icon.png" onClick="removeElement(\'templateform\',\'periodofinsurance_txt\')" /></td></tr></table></li><li></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('placing_slip_rate',$placingslip_id,'placing_slip_id');
foreach($rate_section as $ratesection)
{
echo ' <table border="0" id="ratesumdiv'.$ratecount.'" >';
echo '<tr ><td><label> </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>';
$ratecount++;
}
echo "<table border=0>
<div id=\"ratedetid\" >
</div>
</table>
</li>";
break;
}
}
?>
<div id="extratemplateform">
</div>
<input type="hidden" name="isnewadded" id="isnewadded" value=""/>
<li>
<label for="country">Description</label>
<?php echo form_textarea('description',$description); ?>
</li>
<li>
<button type="submit" id="button1" value="Update" onclick="return updatepslip();">Update</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 class="fronticons">
</div>
</div>
<div class="cssbox" id="draggable3">
<div class="cssbox_head">
<h2>Form Tools</h2></div>
<div class="cssbox_body">
<fieldset>
<ul>
<li onClick="addstaticfield('extratemplateform','Interest & Sum Insured','suminsured');"><img alt="" src="<?=base_url()?>/assets/images/textbox.png" align="left"><span>I & S.Insured</span></li>
<li onClick="addstaticfield('extratemplateform','Insured','insured');"><img alt="" src="<?=base_url()?>/assets/images/textbox.png" align="left"><span>Insured</span></li>
<li onClick="addstaticfield('extratemplateform','Business','business');"><img alt="" src="<?=base_url()?>/assets/images/textbox.png" align="left"><span>Business</span></li>
<li onClick="addstaticfield('extratemplateform','Premium','premium');"><img alt="" src="<?=base_url()?>/assets/images/textbox.png" align="left"><span>Premium</span></li>
<li onClick="addstaticfield('extratemplateform','Brokerage','brokerage');"><img alt="" src="<?=base_url()?>/assets/images/textbox.png" align="left"><span>Brokerage</span></li>
<li onClick="addstaticfield('extratemplateform','Policy Fees','policyfees');"><img alt="" src="<?=base_url()?>/assets/images/textbox.png" align="left"><span>Policy Fees</span></li>
<li onClick="addstaticfield('extratemplateform','Rate','rate');"><img alt="" src="<?=base_url()?>/assets/images/textbox.png" align="left"><span>Rate</span></li>
<li onClick="addstaticfield('extratemplateform','Period Of Insurance','periodofinsurance');"><img alt="" src="<?=base_url()?>/assets/images/textbox.png" align="left"><span>P.Insurance</span></li>
</ul>
</fieldset>
</div>
</div>