policybot/application/views/front/agent-document-collect.php

<?php $this->load->view('front/includes/header'); ?>
<link rel="stylesheet" href="<?=base_url();?>fassets/css/magnific-popup.css" type="text/css" />
<?php $primaryid=$this->session->userdata('primaryid');
$userrole=$this->session->userdata('userrole');
$loggedname=$this->session->userdata('loggedname');  


$tables="users";
$wheres=array("id"=>$primaryid);
$shows=("*");
 
$userdet=$this->commonsql_model->selectTable($tables,$wheres,$shows);
if($userdet->num_rows()>0)
{
	$u=$userdet->row();
	$loggedusername=$u->name;
}

$CI=&get_instance();
$CI->load->model("frontend_model");





?>													


 
<style>
.fbox-center .fbox-icon {
    margin-bottom: 1rem!important;
}
.fbox-bg.fbox-center {
    
    padding: 0 1rem 1rem !important;
   
}
.form-error{ text-align:end!important; }
.hide{display:none;}
</style>
<section id="page-title"  style="background-image: url('<?=base_url();?>fassets/images/about/333.jpg');">

	<div class="container clearfix">
		<h1 style="text-align:center"> Agent Profile</h1>
		<span style="text-align:center;font-weight:500">Hi <?=ucwords($loggedusername);?> , Welcome to policybot</span>
	</div>

</section>  
	
<section id="content">
	<div class="content-wrap ">
		<div class="container clearfix">
			<div class="row" >
				<div class="col-md-4 col-lg-3">
					<?php $this->load->view('front/includes/leftmenu'); ?>
				</div>
				<?php 
				if($quote_user->num_rows()>0)
				{
					$p=$quote_user->row();
					$username=$p->username;
					$user_id=$p->user_id;
					$policy_id=$p->policy_id;
					$agency_id=$p->agency_id;
					 
				}
				?>
				<div class="col-md-8 col-lg-9">
					<h3>Document Collection of <span style="font-weight:900;color:#f0892c"><?=ucwords($username);?></span></h3>
						<?=form_open_multipart(base_url().'agent-collect-documents/'.$prev_qid.'/'.$cat_qid);?>
						<div >
						<input type="hidden" name="user_id" id="user_id" value="<?=$user_id;?>">
						<input type="hidden" name="policy_id" id="policy_id" value="<?=$policy_id;?>">
						<input type="hidden" name="agency_id" id="agency_id" value="<?=$agency_id;?>">
							<div class="form-group col-md-12">
								 <div class="form-group " >
								<div class="row">
									<div class="col-md-5">
										<select   name="documentss[]" id="document_0" placeholder="Documents" autocomplete="off" class="form-control" data-validation="required" >
										<option value=" " > Select</option>
															<?php if(isset($doc_coll)&& $doc_coll->num_rows()>0)
														{ foreach($doc_coll->result() as $ca)
															{ $did=$ca->id;
															  $doc_name=$ca->doc_name;?>
															  <option value="<?=$did;?>" ><?=$doc_name;?></option>
														<?php } }?>
										<select>
									</div>
									<div class="col-md-5">
										<input type="file" name="file[]" id="file_0" placeholder="File" autocomplete="off" class="form-control" data-validation="required" >
									</div>
									<div class="col-md-2">
										<button type="button" style="margin-top:0px" class="btn btn-primary addButton" ><i class="fa fa-plus"></i></button>
									</div>
								</div>
								</div>
								<!--new row-->
								<div class="form-group form-group1  hide" id="bookTemplate" >
								<div class="row">
									<div class="col-md-5">
										<select type="text" name="documentss[]" id="document" placeholder="Documents" autocomplete="off" class="form-control" data-validation="required" >
										<option value=" " > Select</option>
															<?php if(isset($doc_coll)&& $doc_coll->num_rows()>0)
														{ foreach($doc_coll->result() as $ca)
															{ $did=$ca->id;
															  $doc_name=$ca->doc_name;?>
															  <option value="<?=$did;?>" ><?=$doc_name;?></option>
														<?php } }?>
										</select>
									</div>
									<div class="col-md-5">
										<input type="file" name="file[]" id="file" placeholder="File" autocomplete="off" class="form-control" data-validation="required" >
									</div>
									<div class="col-md-2">
										<button type="button" style="margin-top:0px" class="btn btn-danger removeButton" ><i class="fa fa-minus"></i></button>
									</div>
								</div>
								</div>
							</div>	
							<input type="submit" name="doc_submit" class="btn btn-primary" value="Submit"> 							
						</div>
					<?=form_close();?>  
				</div>
 
			</div>
		</div>
	</div>
</section> 
 
 
<?php $this->load->view('front/includes/footer'); ?>
<script src="<?=base_url();?>bassets/jquery.min.js"></script>
<script src="<?=base_url();?>bassets/popper/popper.js"></script>
	<script src="<?=base_url();?>bassets/jquery.blockui.min.js"></script>
	<script src="<?=base_url();?>bassets/jquery.slimscroll.js"></script>
<script>
sevIndexx = 0;
 

    $('body').on('click', '.addButton', function() {
		sevIndexx++;	
		  			 
            var $template = $('#bookTemplate'),			
                $clone    = $template
                                .clone(true)
                                .removeClass('hide')
                                .removeAttr('id')
                                .attr('data-book-index2', sevIndexx)
                                .insertBefore($template);

            // Update the name attributes sev_account 
             // Update the name attributes sev_account 
            $clone
				.find('[id="document"]').attr('id', 'document_' + sevIndexx ).end()
				.find('[id="file"]').attr('id', 'file_' + sevIndexx ).end()
				 
			
			 
        })
		// Remove button click handler
        .on('click', '.removeButton', function() {
            var $row  = $(this).parents('.form-group1'),
            index = $row.attr('data-book-index2');
			$row.remove();
			 
        });
</script>