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Server : Apache/2.4.18 (Ubuntu) System : Linux canvaswebdesign 3.13.0-71-generic #114-Ubuntu SMP Tue Dec 1 02:34:22 UTC 2015 x86_64 User : oppastar ( 1041) PHP Version : 7.0.33-0ubuntu0.16.04.15 Disable Function : pcntl_alarm,pcntl_fork,pcntl_waitpid,pcntl_wait,pcntl_wifexited,pcntl_wifstopped,pcntl_wifsignaled,pcntl_wifcontinued,pcntl_wexitstatus,pcntl_wtermsig,pcntl_wstopsig,pcntl_signal,pcntl_signal_dispatch,pcntl_get_last_error,pcntl_strerror,pcntl_sigprocmask,pcntl_sigwaitinfo,pcntl_sigtimedwait,pcntl_exec,pcntl_getpriority,pcntl_setpriority, Directory : /var/www/blue-sky.co.id/public_html/application/views/themes/1/ |
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<?php defined('BASEPATH') OR exit('No direct script access allowed'); ?>
<!--make some space gap on top with menu-->
<div class="banner" style="padding-top: 10px;"></div>
<div class="container">
<div class="row" style="padding-bottom:50px;">
<div class="col-sm-12">
<h4><?= strtoupper('Payment Confirmation'); ?></h4>
<p><?= ucwords('Mohon Mengisi Formulir Dibawah Ini :'); ?>:</p>
<?= $this->session->flashdata('success'); //to display success message ?>
<br>
<!-- Form Start -->
<?php echo form_open_multipart('payment_confirmation/update_paymentconfirmation'); ?>
<div class="row form-group">
<div class="col-sm-3">
<label><?= ucwords('Order ID*'); ?></label>
</div><!--end class="col-sm-4" -->
<div class="col-sm-9">
<?php
$data = array(
'name' => 'order_id',
'id' => 'order_id',
'value' => set_value('order_id'),
'class' => 'form-control',
'required' => 'required',
);
echo form_input($data);
echo '<span style="font-size:10px;">' . form_error('order_id') . '</span>';
?>
</div><!--end class="col-sm-9" -->
</div><!-- end class="row"-->
<div class="row form-group">
<!-- <link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/flatpickr/dist/flatpickr.min.css">
<script src="https://cdn.jsdelivr.net/npm/flatpickr"></script> -->
<!-- <link href="http://ajax.googleapis.com/ajax/libs/jqueryui/1.12.1/themes/base/jquery-ui.css" rel="stylesheet" type="text/css" />
<script src="http://ajax.googleapis.com/ajax/libs/jqueryui/1.12.1/jquery-ui.min.js"></script> -->
<div class="col-sm-3">
<label><?= ucwords('Tanggal Pembayaran*'); ?></label>
</div><!--end class="col-sm-4" -->
<div class="col-sm-9">
<?php
$data = array(
'name' => 'payment_date',
'id' => 'payment_date',
'value' => set_value('payment_date'),
'class' => 'form-control datepicker',
// 'type' => 'date',
'required' => 'required',
);
echo form_input($data);
echo '<span style="font-size:10px;">' . form_error('payment_date') . '</span>';
?>
</div><!--end class="col-sm-9" -->
<script>
jQuery( function($) {
$(".datepicker").datepicker();
} );
</script>
</div><!-- end class="row"-->
<div class="row form-group">
<div class="col-sm-3">
<label><?= ucwords('Jumlah Pembayaran*'); ?> (Rp)</label>
</div><!--end class="col-sm-4" -->
<div class="col-sm-9">
<?php
$data = array(
'name' => 'total_amount',
'id' => 'total_amount',
'value' => set_value('total_amount'),
'class' => 'form-control',
'required' => 'required',
);
echo form_input($data);
echo '<span style="font-size:10px;">' . form_error('total_amount') . '</span>';
?>
</div><!--end class="col-sm-9" -->
</div><!-- end class="row"-->
<div class="row form-group">
<div class="col-sm-3">
<label><?= ucwords('Transfer Ke Bank*'); ?></label>
</div><!--end class="col-sm-4" -->
<div class="col-sm-9">
<select required="required" class="form-control" id="to_bank" name="to_bank" >
<option value="bca" selected="selected">BCA</option>
<option value="mandiri" >MANDIRI</option>
</select>
</div><!--end class="col-sm-9" -->
</div><!-- end class="row"-->
<div class="row form-group">
<div class="col-sm-3">
<label><?= ucwords('Dari Bank*'); ?></label>
</div><!--end class="col-sm-4" -->
<div class="col-sm-9">
<?php
$data = array(
'name' => 'from_bank',
'id' => 'from_bank',
'value' => set_value('from_bank'),
'class' => 'form-control',
'required' => 'required',
);
echo form_input($data);
echo '<span style="font-size:10px;">' . form_error('from_bank') . '</span>';
?>
</div><!--end class="col-sm-9" -->
</div><!-- end class="row"-->
<div class="row form-group">
<div class="col-sm-3">
<label><?= ucwords('Nama Rekening Anda*'); ?></label>
</div><!--end class="col-sm-4" -->
<div class="col-sm-9">
<?php
$data = array(
'name' => 'account_name',
'id' => 'account_name',
'value' => set_value('account_name'),
'class' => 'form-control',
'required' => 'required',
);
echo form_input($data);
echo '<span style="font-size:10px;">' . form_error('account_name') . '</span>';
?>
</div><!--end class="col-sm-9" -->
</div><!-- end class="row"-->
<div class="row form-group">
<div class="col-sm-3">
<label><?= ucwords('No Rekening Anda*'); ?></label>
</div><!--end class="col-sm-4" -->
<div class="col-sm-9">
<?php
$data = array(
'name' => 'account_number',
'id' => 'account_number',
'value' => set_value('account_number'),
'class' => 'form-control',
'required' => 'required',
);
echo form_input($data);
echo '<span style="font-size:10px;">' . form_error('account_number') . '</span>';
?>
</div><!--end class="col-sm-9" -->
</div><!-- end class="row"-->
<div class="row form-group">
<div class="col-sm-3">
<label>Upload Bukti Pembayaran</label>
</div><!--end class="col-sm-4" -->
<div class="col-sm-9">
<input type="file" name="receipt_file" style="padding: 8px 15px;" /><br>
<span style="font-size:12px; font-style: italic;">
Tipe file harus jpg / png / pdf, max 5000 KB
</span>
<span style="color:#F7931E;">
<?php echo form_error('receipt_file'); ?>
</span>
<?php echo $this->session->flashdata('receipt_file_error'); //to display error message ?>
</div><!-- end class="col-sm-9" -->
</div><!-- end class="row"-->
<div class="row form-group">
<div class="col-sm-3"></div>
<div class="col-sm-9">
<?= $recaptcha_html;?>
<?= '<span style="font-size:10px;" id="captcha">' . form_error('g-recaptcha-response'). '</span>'; ?>
</div>
</div>
<div class="row form-group">
<div class="col-sm-3">
</div><!--end class="col-sm-3" -->
<div class="col-sm-9">
<input type="submit" class="btn form-control" name="update_paymentconfirmation" value="<?= lang('confirm_payment'); ?>" style="color:white; background:<?= $primary_colortheme; ?>;" />
</div><!--end class="col-sm-9" -->
</div><!-- end class="row"-->
<?php echo form_close(); ?>
</div><!-- end col-sm-8-->
</div><!-- end row-->
</div><!-- end container -->