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126 lines
4.3 KiB
126 lines
4.3 KiB
<?php
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include "header.php";
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?>
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<div class="container">
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<?php
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include "contract-record-submit.php";
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/*
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if($_SERVER["REQUEST_METHOD"] == "POST"){
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if(empty($_POST["id"]) && empty($_POST["expert_id"]) && empty($_POST["personal_id"])){
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echo "<p class='error'>Please fill up the required field!</p>";
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} else {
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echo "<p class='success'>Record has added successfully</p>";
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}
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}
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*/
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?>
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<form class="form-inline" method="post" action="<?php echo htmlspecialchars($_SERVER["PHP_SELF"]);?>" enctype="multipart/form-data">
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<div>
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<label for="contracttype">合約類型(必填)</label>
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<Select name="contracttype" id="contracttype" required>
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<option selected="selected" disabled="disabled" style="display: none" value=""></option>
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<Option Value="A">定期保養</Option>
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<Option Value="B">單次保養</Option>
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<Option Value="C">單次維修</Option>
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</Select>
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</div>
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<div>
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<label for="contractno">合約號(必填)</label>
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<input type="text" name="contractno" id="contractno" required>
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</div>
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<div>
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<label for="company">公司名稱</label>
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<input type="text" name="company" id="company" >
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</div>
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<div>
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<label for="taxid">統一編號</label>
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<input type="text" name="taxid" id="taxid" >
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</div>
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<div>
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<label for="address">地址</label>
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<input type="text" name="address" id="address" >
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</div>
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<div>
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<label for="tel">電話</label>
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<input type="text" name="tel" id="tel" >
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</div>
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<div>
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<label for="promiser">立約人</label>
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<input type="text" name="promiser" id="promiser">
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</div>
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<div>
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<label for="customerid">客戶維護帳號(必填)</label>
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<input type="text" name="customerid" id="customerid" required>
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</div>
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<div>
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<label for="contractperson">業務聯繫人</label>
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<input type="text" name="contractperson" id="contractperson" >
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</div>
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<div>
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<label for="contractaddress">業務聯繫人地址</label>
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<input type="text" name="contractaddress" id="contractaddress" >
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</div>
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<div>
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<label for="contracttel">業務聯繫人電話(必填)</label>
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<input type="text" name="contracttel" id="contracttel" required>
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</div>
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<div>
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<label for="contractemail">業務聯繫人郵件地址</label>
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<input type="text" name="contractemail" id="contractemail" >
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</div>
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<div>
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<label for="contract_employee">契約人員工號</label>
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<input type="text" name="contract_employee" id="contract_employee" >
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</div>
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<div>
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<label for="start_date">合約起始年月日(必填)</label><br>
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<input type="text" data-date-format="yyyy-mm-dd" name="start_date" id="start_date" value="<?php echo date('Y-m-d'); ?>" required>
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</div>
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<div>
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<label for="end_date">合約終止年月日(必填)</label><br>
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<input type="text" data-date-format="yyyy-mm-dd" name="end_date" id="end_date" value="<?php echo date('Y-m-d',strtotime('+364 day')); ?>" required>
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</div>
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<div>
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<label for="creater">建檔人</label>
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<input type="text" name="creater" id="creater" value="<?php echo $user_id; ?>" readonly>
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<p class="error"><?php echo $creater_error; ?></p>
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</div>
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<div>
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<!-- <label for="create_at">create_at</label> -->
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<input type="hidden" name="create_at" id="create_at" value="<?php date('Y/m/d H:i:s'); ?>">
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<p class="error"><?php echo $create_at_error; ?></p>
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</div>
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<div>
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<br>
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<button type="submit" name="submit">確定</button>
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</div>
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<input type="hidden" name="token" value="<?php echo $token; ?>">
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</form>
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</div>
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<?php include "footer.php"; ?>
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