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: / home5 / rakcha / www / control /
Filename : invoice_address_1.php
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 <?php 

session_start();

 if (!isset($_SESSION['admin_name'])) {

    header("location: index.php");

 }

 else {

  include("includes/database.php");

  

    $page_user = $_SESSION['admin_name'];



                    

    



   



    

    

    

  ?>

  <!DOCTYPE html>

<html lang="en">



<head>

    <meta charset="utf-8" />

    <meta http-equiv="X-UA-Compatible" content="IE=edge">

    <meta content="width=device-width, initial-scale=1" name="viewport" />

    <meta name="description" content="RAKCHA | Dashboard" />

    <meta name="author" content="RAKCHA | Dashboard" />

    <title>RAKCHA | INVOICE</title>

    <!-- google font -->

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    <!-- icons -->

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    <!--bootstrap -->

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    <!-- Material Design Lite CSS -->

    <link rel="stylesheet" href="assets/plugins/material/material.min.css">

    <link rel="stylesheet" href="assets/css/material_style.css">

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    <!-- Theme Styles -->

    

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    <!-- favicon -->

    <link rel="shortcut icon" href="assets/img/favicon.ico" />

    <style type="text/css" media="print">

    @page 

    {

        size: auto;   /* auto is the initial value */

        margin: 0mm;  /* this affects the margin in the printer settings */

    }

    

    

    

</style>

<style type="text/css">

    th, td {

        font-size: 15px !important;

        border:none !important;

    }

    .table td, .table th {

        

        border: 1px solid #555 !important;

    }

    hr{

        border-color:#555 !important;

    }

    .table thead th {

        

    }

    .table td {

        border-bottom: none !important;

        border-top: none !important;

    }

    .table td:last-child{



    }

    .table td, .table th, .card .table td, .card .table th, .card .dataTable td, .card .dataTable th {

        padding: 5px 5px !important;

        vertical-align: middle;

    }



    .white-box {

        padding: 0 !important;

        margin-bottom: 40px !important;

    }



    </style>

    

</head>

<!-- END HEAD -->

<body class="page-header-fixed sidemenu-closed-hidelogo page-content-white page-md header-white dark-sidebar-color logo-dark">

    <div class="page-wrapper">

        <!-- start header -->

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                <!-- logo start -->

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                    <a href="main_home.php">

                        <img src="../images/resources/logo.png">

                    </a>

                </div>

                <!-- logo end -->

                <ul class="nav navbar-nav navbar-left in">

                    <li><a href="#" class="menu-toggler sidebar-toggler"><i class="icon-menu"></i></a></li>

                </ul>

                

                <!-- start mobile menu -->

                <a href="javascript:;" class="menu-toggler responsive-toggler" data-toggle="collapse" data-target=".navbar-collapse">

                    <span></span>

                </a>

               <!-- end mobile menu -->

                <!-- start header menu -->

                <div class="top-menu">

                    <ul class="nav navbar-nav pull-right">

                        

                        <!-- start manage user dropdown -->

                        <li class="dropdown dropdown-user">

                            <a href="javascript:;" class="dropdown-toggle" data-toggle="dropdown" data-hover="dropdown" data-close-others="true">

                                <i class="fa fa-user-o"></i>

                                <span class="username username-hide-on-mobile"> Admin </span>

                                <i class="fa fa-angle-down"></i>

                            </a>

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                                        <i class="icon-logout"></i> Log Out </a>

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                    </ul>

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        <!-- end header -->

        

        <!-- start page container -->

        <div class="page-container">

            <div class="sidebar-container">

                <div class="sidemenu-container navbar-collapse collapse fixed-menu">

                    <div id="remove-scroll">

                        <ul class="sidemenu  page-header-fixed" data-keep-expanded="false" data-auto-scroll="true" data-slide-speed="200" style="padding-top: 20px">

                            <li class="sidebar-toggler-wrapper hide">

                                <div class="sidebar-toggler">

                                    <span></span>

                                </div>

                            </li>

                            

                            <li class="nav-item start">

                              <a href="main_home.php" class="nav-link nav-toggle">

                                  <i class="material-icons">dashboard</i>

                                  <span class="title">Dashboard</span>

                                  

                              </a>

                              

                          </li>

                            <li class="nav-item">

                                <a href="stock_mangement.php" class="nav-link nav-toggle"> <i class="material-icons">event</i>

                                    <span class="title">Stock Management</span> 

                                </a>

                            </li>

                            



                            <li class="nav-item">

                                <a href="#" class="nav-link nav-toggle"> <i class="material-icons">event</i>

                                    <span class="title">Members</span> <span class="arrow"></span>

                                </a>

                                <ul class="sub-menu">

                                     

                                    <li class="nav-item">

                                        <a href="member_roi.php" class="nav-link "> <span class="title">Member List</span>

                                        </a>

                                    </li>



                                    <li class="nav-item">

                                        <a href="member_company.php" class="nav-link "> <span class="title">Company Member List</span>

                                        </a>

                                    </li>



                                    <li class="nav-item">

                                        <a href="member_adv.php" class="nav-link "> <span class="title">Advance Registeration</span>

                                        </a>

                                    </li>

                                    

                                </ul>

                            </li>



                             

                           

                             

                            <li class="nav-item">

                                <a href="#" class="nav-link nav-toggle"> <i class="material-icons">event</i>

                                    <span class="title">Payout</span> <span class="arrow"></span>

                                </a>

                                <ul class="sub-menu">

                                    <li class="nav-item">

                                        <a href="weekly_roi.php" class="nav-link "> <span class="title">Payout</span>

                                        </a>

                                    </li>

                                    <li class="nav-item">

                                        <a href="weekly_roi_history.php" class="nav-link "> <span class="title">Payout History</span>

                                        </a>

                                    </li>

                                    

                                </ul>

                            </li>



                            <li class="nav-item">

                                <a href="#" class="nav-link nav-toggle"> <i class="material-icons">event</i>

                                    <span class="title">Kit Bank</span> <span class="arrow"></span>

                                </a>

                                <ul class="sub-menu">

                                     

                                    <li class="nav-item">

                                        <a href="eproduct_request_roi.php" class="nav-link "> <span class="title">KIT Request</span>

                                        </a>

                                    </li>

                                    

                                </ul>

                            </li>



                             

                            



                             

                             





                            <li class="nav-item active">

                                <a href="#" class="nav-link nav-toggle"> <i class="material-icons">event</i>

                                    <span class="title">Product Management</span> <span class="arrow"></span>

                                </a>

                                <ul class="sub-menu">

                                    <li class="nav-item">

                                        <a href="invoice_address.php" class="nav-link "> <span class="title">Get Address</span>

                                        </a>

                                    </li>



                                    <li class="nav-item active">

                                        <a href="invoice_address_1.php" class="nav-link "> <span class="title">Get Address I</span>

                                        </a>

                                    </li>

                                    

                                    <li class="nav-item">

                                        <a href="billing.php" class="nav-link "> <span class="title">New Billing</span>

                                        </a>

                                    </li>

                                    <li class="nav-item">

                                        <a href="company_binary.php" class="nav-link "> <span class="title">Product Details</span>

                                        </a>

                                    </li>

                                    <li class="nav-item">

                                        <a href="company_roi.php" class="nav-link "> <span class="title">New Orders</span>

                                        </a>

                                    </li>

                                    <li class="nav-item">

                                        <a href="company_roi_approve.php" class="nav-link "> <span class="title">Approved Orders</span>

                                        </a>

                                    </li>

                                    <li class="nav-item">

                                        <a href="company_roi_order.php" class="nav-link "> <span class="title">Orders History</span>

                                        </a>

                                    </li>

                                    

                                </ul>

                            </li>



                            <li class="nav-item">

                                <a href="daily.php" class="nav-link nav-toggle"> <i class="material-icons">event</i>

                                    <span class="title">Daily Updates</span> 

                                </a>

                            </li>

                            <li class="nav-item">

                                <a href="gallery.php" class="nav-link nav-toggle"> <i class="material-icons">event</i>

                                    <span class="title">Gallery</span> 

                                </a>

                            </li>



                             

                            <li class="nav-item">

                                <a href="reward_list.php" class="nav-link nav-toggle"> <i class="material-icons">event</i>

                                    <span class="title">Reward Eligible list</span> 

                                </a>

                            </li>

                             

                             

                             

                            <li class="nav-item">

                                <a href="kyc_documents.php" class="nav-link nav-toggle"> <i class="material-icons">event</i>

                                    <span class="title">KYC Documents</span> 

                                </a>

                            </li>

                             

                            <li class="nav-item">

                                <a href="change_password.php" class="nav-link nav-toggle"> <i class="material-icons">event</i>

                                    <span class="title">Change Password</span> 

                                </a>

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                                <a href="change_trans_password.php" class="nav-link nav-toggle"> <i class="material-icons">event</i>

                                    <span class="title">Change Trans Password</span> 

                                </a>

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                        </ul>

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            </div>

            <!-- start page content -->

            <div class="page-content-wrapper">

                <div class="page-content">

                    <div class="page-bar">

                        <div class="page-title-breadcrumb">

                           

                            <ol class="breadcrumb page-breadcrumb pull-right">

                                <li><i class="fa fa-home"></i>&nbsp;<a class="parent-item" href="main_home.php">Home</a>&nbsp;<i class="fa fa-angle-right"></i>

                                </li>

                                

                                

                                <li class="active">Address</li>

                            </ol>

                        </div>

                    </div>



                    <div class="row">

                        <div class="col-md-12">

                            <div class="card card-topline-red">

                                <div class="card-head">

                                    <header>Address Generation</header>

                                   

                                </div>

                                <div class="card-body">

                                    <form class="form-horizontal" method="post" action="invoice_address_1.php" enctype="multipart/form-data">



                                        

                                         <div class="row">



                                             



                                                     <div class="col-sm-12">



                                                                <p>Address 1</p>

                                                                 



                                                                     <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">Name</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="Name" name="name_a">

                                                                        </div>

                                                                    </div>

                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">Mobile Number</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="10 Digit Active Mobile Number" name="mobile_number_a" maxlength="10" minlength="10">

                                                                        </div>

                                                                    </div>



                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">Door No, Street</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="Door No, Street" name="address_1_a">

                                                                        </div>

                                                                    </div>



                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">Address</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="Address" name="address_2_a">

                                                                        </div>

                                                                    </div>

                                                                    

                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">City/District</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="City/District" name="city_district_a">

                                                                        </div>

                                                                    </div>

                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">State</label>

                                                                        <div class="col-sm-8">                            

                                                                        <select class="form-control select2" style="width: 100%;" name="state_a">

                                                                          <option value="Andra Pradesh">Andra Pradesh</option>

                                                                          <option value="Arunachal Pradesh">Arunachal Pradesh</option>

                                                                          <option value="Assam">Assam</option>

                                                                          <option value="Bihar">Bihar</option>

                                                                          <option value="Chhattisgarh">Chhattisgarh</option>

                                                                          <option value="Goa">Goa</option>

                                                                          <option value="Gujarat">Gujarat</option>

                                                                          <option value="Haryana">Haryana</option>

                                                                          <option value="Himachal Pradesh">Himachal Pradesh</option>

                                                                          <option value="Jammu and Kashmir">Jammu and Kashmir</option>

                                                                          <option value="Jharkhand">Jharkhand</option>

                                                                          <option value="Karnataka">Karnataka</option>

                                                                          <option value="Kerala">Kerala</option>

                                                                          <option value="Madya Pradesh">Madya Pradesh</option>

                                                                          <option value="Maharashtra">Maharashtra</option>

                                                                          <option value="Manipur">Manipur</option>

                                                                          <option value="Meghalaya">Meghalaya</option>

                                                                          <option value="Mizoram">Mizoram</option>

                                                                          <option value="Nagaland">Nagaland</option>

                                                                          <option value="Orissa">Orissa</option>

                                                                          <option value="Punjab">Punjab</option>

                                                                          <option value="Rajasthan">Rajasthan</option>

                                                                          <option value="Sikkim">Sikkim</option>

                                                                          <option value="Tamil Nadu" selected>Tamil Nadu</option>

                                                                          <option value="Tripura">Tripura</option>

                                                                          <option value="Uttaranchal">Uttaranchal</option>

                                                                          <option value="Uttar Pradesh">Uttar Pradesh</option>

                                                                          <option value="West Bengal">West Bengal</option>                              

                                                                        </select>

                                                                        </div>

                                                                    </div>

                                                                    



                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">Pincode</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="Pincode" name="pincode_a">

                                                                        </div>

                                                                    </div>

                                                     </div>





                                                     <div class="col-sm-12">



                                                                <p>Address 2</p>

                                                                 



                                                                     <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">Name</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="Name" name="name_b">

                                                                        </div>

                                                                    </div>

                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">Mobile Number</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="10 Digit Active Mobile Number" name="mobile_number_b" maxlength="10" minlength="10">

                                                                        </div>

                                                                    </div>



                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">Door No, Street</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="Door No, Street" name="address_1_b">

                                                                        </div>

                                                                    </div>



                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">Address</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="Address" name="address_2_b">

                                                                        </div>

                                                                    </div>

                                                                    

                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">City/District</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="City/District" name="city_district_b">

                                                                        </div>

                                                                    </div>

                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">State</label>

                                                                        <div class="col-sm-8">                            

                                                                        <select class="form-control select2" style="width: 100%;" name="state_b">

                                                                          <option value="Andra Pradesh">Andra Pradesh</option>

                                                                          <option value="Arunachal Pradesh">Arunachal Pradesh</option>

                                                                          <option value="Assam">Assam</option>

                                                                          <option value="Bihar">Bihar</option>

                                                                          <option value="Chhattisgarh">Chhattisgarh</option>

                                                                          <option value="Goa">Goa</option>

                                                                          <option value="Gujarat">Gujarat</option>

                                                                          <option value="Haryana">Haryana</option>

                                                                          <option value="Himachal Pradesh">Himachal Pradesh</option>

                                                                          <option value="Jammu and Kashmir">Jammu and Kashmir</option>

                                                                          <option value="Jharkhand">Jharkhand</option>

                                                                          <option value="Karnataka">Karnataka</option>

                                                                          <option value="Kerala">Kerala</option>

                                                                          <option value="Madya Pradesh">Madya Pradesh</option>

                                                                          <option value="Maharashtra">Maharashtra</option>

                                                                          <option value="Manipur">Manipur</option>

                                                                          <option value="Meghalaya">Meghalaya</option>

                                                                          <option value="Mizoram">Mizoram</option>

                                                                          <option value="Nagaland">Nagaland</option>

                                                                          <option value="Orissa">Orissa</option>

                                                                          <option value="Punjab">Punjab</option>

                                                                          <option value="Rajasthan">Rajasthan</option>

                                                                          <option value="Sikkim">Sikkim</option>

                                                                          <option value="Tamil Nadu" selected>Tamil Nadu</option>

                                                                          <option value="Tripura">Tripura</option>

                                                                          <option value="Uttaranchal">Uttaranchal</option>

                                                                          <option value="Uttar Pradesh">Uttar Pradesh</option>

                                                                          <option value="West Bengal">West Bengal</option>                              

                                                                        </select>

                                                                        </div>

                                                                    </div>

                                                                    



                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">Pincode</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="Pincode" name="pincode_b">

                                                                        </div>

                                                                    </div>

                                                            



                                                         



                                                         

                                                         

                                                         

                                                     </div>





                                                     <div class="col-sm-12">



                                                                <p>Address 3</p>

                                                                 



                                                                     <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">Name</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="Name" name="name_c">

                                                                        </div>

                                                                    </div>

                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">Mobile Number</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="10 Digit Active Mobile Number" name="mobile_number_c" maxlength="10" minlength="10">

                                                                        </div>

                                                                    </div>



                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">Door No, Street</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="Door No, Street" name="address_1_c">

                                                                        </div>

                                                                    </div>



                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">Address</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="Address" name="address_2_c">

                                                                        </div>

                                                                    </div>

                                                                    

                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">City/District</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="City/District" name="city_district_c">

                                                                        </div>

                                                                    </div>

                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">State</label>

                                                                        <div class="col-sm-8">                            

                                                                        <select class="form-control select2" style="width: 100%;" name="state_c">

                                                                          <option value="Andra Pradesh">Andra Pradesh</option>

                                                                          <option value="Arunachal Pradesh">Arunachal Pradesh</option>

                                                                          <option value="Assam">Assam</option>

                                                                          <option value="Bihar">Bihar</option>

                                                                          <option value="Chhattisgarh">Chhattisgarh</option>

                                                                          <option value="Goa">Goa</option>

                                                                          <option value="Gujarat">Gujarat</option>

                                                                          <option value="Haryana">Haryana</option>

                                                                          <option value="Himachal Pradesh">Himachal Pradesh</option>

                                                                          <option value="Jammu and Kashmir">Jammu and Kashmir</option>

                                                                          <option value="Jharkhand">Jharkhand</option>

                                                                          <option value="Karnataka">Karnataka</option>

                                                                          <option value="Kerala">Kerala</option>

                                                                          <option value="Madya Pradesh">Madya Pradesh</option>

                                                                          <option value="Maharashtra">Maharashtra</option>

                                                                          <option value="Manipur">Manipur</option>

                                                                          <option value="Meghalaya">Meghalaya</option>

                                                                          <option value="Mizoram">Mizoram</option>

                                                                          <option value="Nagaland">Nagaland</option>

                                                                          <option value="Orissa">Orissa</option>

                                                                          <option value="Punjab">Punjab</option>

                                                                          <option value="Rajasthan">Rajasthan</option>

                                                                          <option value="Sikkim">Sikkim</option>

                                                                          <option value="Tamil Nadu" selected>Tamil Nadu</option>

                                                                          <option value="Tripura">Tripura</option>

                                                                          <option value="Uttaranchal">Uttaranchal</option>

                                                                          <option value="Uttar Pradesh">Uttar Pradesh</option>

                                                                          <option value="West Bengal">West Bengal</option>                              

                                                                        </select>

                                                                        </div>

                                                                    </div>

                                                                    



                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">Pincode</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="Pincode" name="pincode_c">

                                                                        </div>

                                                                    </div>

                                                            



                                                         



                                                         

                                                         

                                                         

                                                     </div>



                                                     <div class="col-sm-12">



                                                                <p>Address 4</p>

                                                                 



                                                                     <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">Name</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="Name" name="name_d">

                                                                        </div>

                                                                    </div>

                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">Mobile Number</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="10 Digit Active Mobile Number" name="mobile_number_d" maxlength="10" minlength="10">

                                                                        </div>

                                                                    </div>



                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">Door No, Street</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="Door No, Street" name="address_1_d">

                                                                        </div>

                                                                    </div>



                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">Address</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="Address" name="address_2_d">

                                                                        </div>

                                                                    </div>

                                                                    

                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">City/District</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="City/District" name="city_district_d">

                                                                        </div>

                                                                    </div>

                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">State</label>

                                                                        <div class="col-sm-8">                            

                                                                        <select class="form-control select2" style="width: 100%;" name="state_d">

                                                                          <option value="Andra Pradesh">Andra Pradesh</option>

                                                                          <option value="Arunachal Pradesh">Arunachal Pradesh</option>

                                                                          <option value="Assam">Assam</option>

                                                                          <option value="Bihar">Bihar</option>

                                                                          <option value="Chhattisgarh">Chhattisgarh</option>

                                                                          <option value="Goa">Goa</option>

                                                                          <option value="Gujarat">Gujarat</option>

                                                                          <option value="Haryana">Haryana</option>

                                                                          <option value="Himachal Pradesh">Himachal Pradesh</option>

                                                                          <option value="Jammu and Kashmir">Jammu and Kashmir</option>

                                                                          <option value="Jharkhand">Jharkhand</option>

                                                                          <option value="Karnataka">Karnataka</option>

                                                                          <option value="Kerala">Kerala</option>

                                                                          <option value="Madya Pradesh">Madya Pradesh</option>

                                                                          <option value="Maharashtra">Maharashtra</option>

                                                                          <option value="Manipur">Manipur</option>

                                                                          <option value="Meghalaya">Meghalaya</option>

                                                                          <option value="Mizoram">Mizoram</option>

                                                                          <option value="Nagaland">Nagaland</option>

                                                                          <option value="Orissa">Orissa</option>

                                                                          <option value="Punjab">Punjab</option>

                                                                          <option value="Rajasthan">Rajasthan</option>

                                                                          <option value="Sikkim">Sikkim</option>

                                                                          <option value="Tamil Nadu" selected>Tamil Nadu</option>

                                                                          <option value="Tripura">Tripura</option>

                                                                          <option value="Uttaranchal">Uttaranchal</option>

                                                                          <option value="Uttar Pradesh">Uttar Pradesh</option>

                                                                          <option value="West Bengal">West Bengal</option>                              

                                                                        </select>

                                                                        </div>

                                                                    </div>

                                                                    



                                                                    <div class="form-group row">

                                                                        <label for="example-text-input" class="col-sm-4 col-form-label">Pincode</label>

                                                                        <div class="col-sm-8">

                                                                        <input class="form-control" type="text" placeholder="Pincode" name="pincode_d">

                                                                        </div>

                                                                    </div>

                                                            



                                                         



                                                         

                                                         

                                                         

                                                     </div>

                                         </div>

                                         



                                         



                                         



                                         

                                         



                                        



                                        <div class="form-group">

                                            <div class="">

                                                

                                                <button class="btn btn-success btn-block waves-effect waves-light" type="submit" style="max-width: 200px;" name="submit">Submit</button>

                                            </div>

                                        </div>



                                        

                                    </form>

                                    

                                </div>

                            </div>

                        </div>

                    </div>



                         <div class="text-right invoicew">

                         

                         <button onclick="printDiv('print_image')" class="btn btn-danger btn-outline" type="button" id="closes">

                         <span>

                         <i class="fa fa-print">

                        </i>

                         Print</span>

                         </button>

                         </div>





                    <div class="row" id="print_image">

                         <div class="col-md-12">



                            <?php if (isset($_POST['submit'])) {  ?>



                                <?php



                                  if ($_POST['name_a'] != '') {





                                    $name_a = $_POST['name_a']; 

                                    $mobile_number_a = $_POST['mobile_number_a'];

                                    $address_1_a = $_POST['address_1_a'];

                                    $address_2_a = $_POST['address_2_a'];

                                    $city_district_a = $_POST['city_district_a'];

                                    $state_a = $_POST['state_a'];

                                    $pincode_a = $_POST['pincode_a'];





                                    



                                 ?>

                         <div class="white-box">

                             



                            <div style="max-width: 1000px;margin: 0 auto;border: 1px solid #555;padding: 0;margin-top: 0px;">

                                 

                         

                         <div class="row">

                         <div class="col-md-12">

                            

                         <div class="text-center">



                            <div class="row">

                                

                                <div class="col-sm-12">



                                     <address> 

                            

                                             <img src="../images/resources/logo.png" style="width: 60px;position: absolute;left: 40px;top: 10px;" alt="logo" class="logo-default">

                                             

                                              

                                              

                                            </address>

                                    

                                </div>



                                <div class="col-md-12">

                                    <div>

                                        



                                        <div class="row">

                                            <div class="col-sm-5" style="border-right: 1px solid #555;text-align: left !important;padding-left: 40px;padding-top: 15px;">

                                                <br><br><br>

                                                <div>

                                                    <p class="font-bold addr-font-h4" style="font-size: 16px !important;margin-bottom: 0;line-height: 25px;">

                                                    <b> <u>FROM </u></b><br><b>RAKCHA BLOOMING FMCG PRIVATE LTD.,</b><br>

                                                        <span>456/123 IInd FLOOR, ANGAMMAL COLONY,<br> SALEM - 636 009. <br>CELL NO : 93444 76926,<br> WEB:www.rakcha.in.</span></p><br>

                                                        

                                                </div>



                                                 



                                                  

                                                

                                            </div>

                                            <div class="col-sm-7" >

                                                  

                                                <div>

                                                    <p class="" style="font-size: 30px !important;margin-bottom: 0;line-height: 33px;text-align: left;padding-top: 10px;letter-spacing: 1px;text-transform: uppercase;">

                                                      <u>TO </u> </p> <p class="font-bold addr-font-h4" style="font-size: 28px !important;margin-bottom: 0;line-height: 33px;text-align: left;padding-top: 10px;letter-spacing: 1px;text-transform: uppercase;padding-left: 40px;"> <b><?= $name_a; ?></b><br>

                                                        <?= $address_1_a; ?><br> <?= $address_2_a; ?>,<br>

                                                        <?= $city_district_a; ?>, <?= $state_a; ?><br> Pin - <?= $pincode_a; ?>. <br> PH : <?= $mobile_number_a; ?>

                                                    </p>

                                                        

                                                </div>  

                                                

                                            </div>



                                        </div>

                                    

                                 

                                 </div>

                                 <div class="clearfix">

                                 </div>

                                 

                                 </div>

                                

                            </div>

                            



                         

                         </div>

                         

                         </div>

                          

                         

                         

                          

                         





                         



                         

                        

                         

                        

                         </div>

                         </div>



                          

                         </div>



                         <?php } ?>





                         <?php



                                  if ($_POST['name_b'] != '') {





                                    $name_b = $_POST['name_b']; 

                                    $mobile_number_b = $_POST['mobile_number_b'];

                                    $address_1_b = $_POST['address_1_b'];

                                    $address_2_b = $_POST['address_2_b'];

                                    $city_district_b = $_POST['city_district_b'];

                                    $state_b = $_POST['state_b'];

                                    $pincode_b = $_POST['pincode_b'];





                                    



                                 ?> 



                             

                         <div class="white-box">

                             



                            <div style="max-width: 1000px;margin: 0 auto;border: 1px solid #555;padding: 0;margin-top: 0px;">

                                 

                         

                         <div class="row">

                         <div class="col-md-12">

                            

                         <div class="text-center">



                            <div class="row">

                                

                                <div class="col-sm-12">



                                     <address> 

                            

                                             <img src="../images/resources/logo.png" style="width: 60px;position: absolute;left: 40px;top: 10px;" alt="logo" class="logo-default">

                                             

                                              

                                              

                                            </address>

                                    

                                </div>



                                <div class="col-md-12">

                                    <div>

                                        



                                        <div class="row">

                                            <div class="col-sm-5" style="border-right: 1px solid #555;text-align: left !important;padding-left: 40px;padding-top: 15px;">

                                                <br><br><br>

                                                <div>

                                                    <p class="font-bold addr-font-h4" style="font-size: 16px !important;margin-bottom: 0;line-height: 25px;">

                                                    <b> <u>FROM </u></b><br><b>RAKCHA BLOOMING FMCG PRIVATE LTD.,</b><br>

                                                        <span>456/123 IInd FLOOR, ANGAMMAL COLONY,<br> SALEM - 636 009. <br>CELL NO : 93444 76926,<br> WEB:www.rakcha.in.</span></p><br>

                                                        

                                                </div>



                                                 



                                                  

                                                

                                            </div>

                                            <div class="col-sm-7" >

                                                  

                                                <div>

                                                    <p class="" style="font-size: 30px !important;margin-bottom: 0;line-height: 33px;text-align: left;padding-top: 10px;letter-spacing: 1px;text-transform: uppercase;">

                                                      <u>TO </u> </p> <p class="font-bold addr-font-h4" style="font-size: 28px !important;margin-bottom: 0;line-height: 33px;text-align: left;padding-top: 10px;letter-spacing: 1px;text-transform: uppercase;padding-left: 40px;"> <b><?= $name_b; ?></b><br>

                                                        <?= $address_1_b; ?><br> <?= $address_2_b; ?>,<br>

                                                        <?= $city_district_b; ?>, <?= $state_b; ?><br> Pin - <?= $pincode_b; ?>. <br> PH : <?= $mobile_number_b; ?>

                                                    </p>

                                                        

                                                </div>  

                                                

                                            </div>



                                        </div>

                                    

                                 

                                 </div>

                                 <div class="clearfix">

                                 </div>

                                 

                                 </div>

                                

                            </div>

                            



                         

                         </div>

                         

                         </div>

                          

                         

                         

                          

                         





                         



                         

                        

                         

                        

                         </div>

                         </div>



                          

                         </div>



                         <?php } ?>







                         <?php



                                 if ($_POST['name_c'] != '') {





                                    $name_c = $_POST['name_c']; 

                                    $mobile_number_c = $_POST['mobile_number_c'];

                                    $address_1_c = $_POST['address_1_c'];

                                    $address_2_c = $_POST['address_2_c'];

                                    $city_district_c = $_POST['city_district_c'];

                                    $state_c = $_POST['state_c'];

                                    $pincode_c = $_POST['pincode_c']; 



                                 ?>

                         <div class="white-box">

                             



                            <div style="max-width: 1000px;margin: 0 auto;border: 1px solid #555;padding: 0;margin-top: 0px;">

                                 

                         

                         <div class="row">

                         <div class="col-md-12">

                            

                         <div class="text-center">



                            <div class="row">

                                

                                <div class="col-sm-12">



                                     <address> 

                            

                                             <img src="../images/resources/logo.png" style="width: 60px;position: absolute;left: 40px;top: 10px;" alt="logo" class="logo-default">

                                             

                                              

                                              

                                            </address>

                                    

                                </div>



                                <div class="col-md-12">

                                    <div>

                                        



                                        <div class="row">

                                            <div class="col-sm-5" style="border-right: 1px solid #555;text-align: left !important;padding-left: 40px;padding-top: 15px;">

                                                <br><br><br>

                                                <div>

                                                    <p class="font-bold addr-font-h4" style="font-size: 16px !important;margin-bottom: 0;line-height: 25px;">

                                                    <b> <u>FROM </u></b><br><b>RAKCHA BLOOMING FMCG PRIVATE LTD.,</b><br>

                                                        <span>456/123 IInd FLOOR, ANGAMMAL COLONY,<br> SALEM - 636 009. <br>CELL NO : 93444 76926,<br> WEB:www.rakcha.in.</span></p><br>

                                                        

                                                </div>



                                                 



                                                  

                                                

                                            </div>

                                            <div class="col-sm-7" >

                                                  

                                                <div>

                                                    <p class="" style="font-size: 30px !important;margin-bottom: 0;line-height: 33px;text-align: left;padding-top: 10px;letter-spacing: 1px;text-transform: uppercase;">

                                                      <u>TO </u> </p> <p class="font-bold addr-font-h4" style="font-size: 28px !important;margin-bottom: 0;line-height: 33px;text-align: left;padding-top: 10px;letter-spacing: 1px;text-transform: uppercase;padding-left: 40px;"> <b><?= $name_c; ?></b><br>

                                                        <?= $address_1_c; ?><br> <?= $address_2_c; ?>,<br>

                                                        <?= $city_district_c; ?>, <?= $state_c; ?><br> Pin - <?= $pincode_c; ?>. <br> PH : <?= $mobile_number_c; ?>

                                                    </p>

                                                        

                                                </div>  

                                                

                                            </div>



                                        </div>

                                    

                                 

                                 </div>

                                 <div class="clearfix">

                                 </div>

                                 

                                 </div>

                                

                            </div>

                            



                         

                         </div>

                         

                         </div>

                          

                         

                         

                          

                         





                         



                         

                        

                         

                        

                         </div>

                         </div>



                          

                         </div>



                         <?php } ?>





                         <?php



                                 if ($_POST['name_d'] != '') {





                                    $name_d = $_POST['name_d']; 

                                    $mobile_number_d = $_POST['mobile_number_d'];

                                    $address_1_d = $_POST['address_1_d'];

                                    $address_2_d = $_POST['address_2_d'];

                                    $city_district_d = $_POST['city_district_d'];

                                    $state_d = $_POST['state_d'];

                                    $pincode_d = $_POST['pincode_d']; 



                                 ?>

                         <div class="white-box">

                             



                            <div style="max-width: 1000px;margin: 0 auto;border: 1px solid #555;padding: 0;margin-top: 0px;">

                                 

                         

                         <div class="row">

                         <div class="col-md-12">

                            

                         <div class="text-center">



                            <div class="row">

                                

                                <div class="col-sm-12">



                                     <address> 

                            

                                             <img src="../images/resources/logo.png" style="width: 60px;position: absolute;left: 40px;top: 10px;" alt="logo" class="logo-default">

                                             

                                              

                                              

                                            </address>

                                    

                                </div>



                                <div class="col-md-12">

                                    <div>

                                        



                                        <div class="row">

                                            <div class="col-sm-5" style="border-right: 1px solid #555;text-align: left !important;padding-left: 40px;padding-top: 15px;">

                                                <br><br><br>

                                                <div>

                                                    <p class="font-bold addr-font-h4" style="font-size: 16px !important;margin-bottom: 0;line-height: 25px;">

                                                    <b> <u>FROM </u></b><br><b>RAKCHA BLOOMING FMCG PRIVATE LTD.,</b><br>

                                                        <span>456/123 IInd FLOOR, ANGAMMAL COLONY,<br> SALEM - 636 009. <br>CELL NO : 93444 76926,<br> WEB:www.rakcha.in.</span></p><br>

                                                        

                                                </div>



                                                 



                                                  

                                                

                                            </div>

                                            <div class="col-sm-7" >

                                                  

                                                <div>

                                                    <p class="" style="font-size: 30px !important;margin-bottom: 0;line-height: 33px;text-align: left;padding-top: 10px;letter-spacing: 1px;text-transform: uppercase;">

                                                      <u>TO </u> </p> <p class="font-bold addr-font-h4" style="font-size: 28px !important;margin-bottom: 0;line-height: 33px;text-align: left;padding-top: 10px;letter-spacing: 1px;text-transform: uppercase;padding-left: 40px;"> <b><?= $name_d; ?></b><br>

                                                        <?= $address_1_d; ?><br> <?= $address_2_d; ?>,<br>

                                                        <?= $city_district_d; ?>, <?= $state_d; ?><br> Pin - <?= $pincode_d; ?>. <br> PH : <?= $mobile_number_d; ?>

                                                    </p>

                                                        

                                                </div>  

                                                

                                            </div>



                                        </div>

                                    

                                 

                                 </div>

                                 <div class="clearfix">

                                 </div>

                                 

                                 </div>

                                

                            </div>

                            



                         

                         </div>

                         

                         </div>

                          

                         

                         

                          

                         





                         



                         

                        

                         

                        

                         </div>

                         </div>



                          

                         </div>



                         <?php } ?>







                         <?php } ?>

                         </div>

                     </div>

                         

                </div>

            </div>

                    

                    

                    

                <!-- end page content -->

                

            </div>

            <!-- end page container -->

            <!-- start footer -->

            <div class="page-footer">

               <div class="page-footer-inner"> 2018 &copy; All Rights Reserved.

                    

                </div>

                <div class="scroll-to-top">

                    <i class="icon-arrow-up"></i>

                </div>

            </div>

            <!-- end footer -->

        </div></div>

        <!-- start js include path -->

        <script src="assets/plugins/jquery/jquery.min.js" ></script>

        <script src="assets/plugins/popper/popper.min.js" ></script>

        <script src="assets/plugins/jquery-blockui/jquery.blockui.min.js" ></script>

        <script src="assets/plugins/jquery-slimscroll/jquery.slimscroll.min.js"></script>

        <!-- bootstrap -->

        <script src="assets/plugins/bootstrap/js/bootstrap.min.js" ></script>

        <!-- data tables -->

        <script src="assets/plugins/datatables/jquery.dataTables.min.js"></script>

        <script src="assets/plugins/datatables/plugins/bootstrap/dataTables.bootstrap4.min.js" ></script>

        <script src="assets/js/pages/table/table_data.js" ></script>

        <!-- Common js-->

        <script src="assets/js/app.js" ></script>

        <script src="assets/js/layout.js" ></script>

        <script src="assets/js/theme-color.js" ></script>

        <!-- Material -->

        <script src="assets/plugins/material/material.min.js"></script>

    <!-- animation -->

    <script src="assets/js/pages/ui/animations.js" ></script>

    <script type="text/javascript">

    

    

$(document).ready(function() {

       $("#search1").keyup(function() {

        var name1 = $('#search1').val();

       if (name1 == "") {

         

       }

       else {

         $.ajax({

         type: "POST",

         url: "search1.php",

         data: {

             search: name1

          },

          success: function(html) {

                $("#receiver1").html(html).show();

                 }

                });

     

           }

     

       });

     

    });



    $(document).ready(function() {

       $("#search2").keyup(function() {

        var name2 = $('#search2').val();

       if (name2 == "") {

         

       }

       else {

         $.ajax({

         type: "POST",

         url: "search2.php",

         data: {

             search: name2

          },

          success: function(html) {

                $("#receiver2").html(html).show();

                 }

                });

     

           }

     

       });

     

    });



    $(document).ready(function() {

       $("#search3").keyup(function() {

        var name3 = $('#search3').val();

       if (name3 == "") {

         

       }

       else {

         $.ajax({

         type: "POST",

         url: "search1.php",

         data: {

             search: name3

          },

          success: function(html) {

                $("#receiver3").html(html).show();

                 }

                });

     

           }

     

       });

     

    });



    $(document).ready(function() {

       $("#search4").keyup(function() {

        var name4 = $('#search4').val();

       if (name4 == "") {

         

       }

       else {

         $.ajax({

         type: "POST",

         url: "search4.php",

         data: {

             search: name4

          },

          success: function(html) {

                $("#receiver4").html(html).show();

                 }

                });

     

           }

     

       });

     

    });



   function printDiv(divName) {

           var printContents = document.getElementById(divName).innerHTML;

           var originalContents = document.body.innerHTML;



           document.body.innerHTML = printContents;



           window.print();



           document.body.innerHTML = originalContents;

      }

  </script>

        <!-- end js include path -->

</body>



</html>



 

<?php } ?>