| Server IP : 162.214.74.102 / Your IP : 216.73.217.114 Web Server : Apache System : Linux dedi-4363141.lrsys.com.br 3.10.0-1160.119.1.el7.tuxcare.els25.x86_64 #1 SMP Wed Oct 1 17:37:27 UTC 2025 x86_64 User : lrsys ( 1015) PHP Version : 5.6.40 Disable Function : exec,passthru,shell_exec,system MySQL : ON | cURL : ON | WGET : ON | Perl : ON | Python : ON | Sudo : ON | Pkexec : ON Directory : /home/lrsys/www/lrsys_apps/team/application/views/backend/staff/ |
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<div class="row">
<div class="col-md-12">
<div class="panel panel-primary" data-collapsed="0">
<div class="panel-heading">
<div class="panel-title" >
<i class="entypo-plus-circled"></i>
<?php echo get_phrase('account_creation_form'); ?>
</div>
</div>
<div class="panel-body">
<?php echo form_open(base_url() . 'index.php?staff/client/create/', array('class' => 'form-horizontal form-groups-bordered validate ajax-submit', 'enctype' => 'multipart/form-data')); ?>
<div class="form-group">
<label for="field-1" class="col-sm-4 control-label"><?php echo get_phrase('name'); ?></label>
<div class="col-sm-7">
<div class="input-group">
<span class="input-group-addon"><i class="entypo-user"></i></span>
<input type="text" class="form-control" name="name" data-validate="required" data-message-required="<?php echo get_phrase('value_required'); ?>" value="" autofocus>
</div>
</div>
</div>
<div class="form-group">
<label for="field-1" class="col-sm-4 control-label"><?php echo get_phrase('email'); ?></label>
<div class="col-sm-7">
<div class="input-group ">
<span class="input-group-addon"><i class="entypo-mail"></i></span>
<input type="text" class="form-control" name="email" value="">
</div>
</div>
</div>
<div class="form-group">
<label for="field-2" class="col-sm-4 control-label"><?php echo get_phrase('password'); ?></label>
<div class="col-sm-7">
<div class="input-group ">
<span class="input-group-addon"><i class="entypo-key"></i></span>
<input type="text" class="form-control" name="password" value="" >
</div>
</div>
</div>
<div class="form-group">
<label for="field-2" class="col-sm-4 control-label"><?php echo get_phrase('address'); ?></label>
<div class="col-sm-7">
<div class="input-group ">
<span class="input-group-addon"><i class="entypo-location"></i></span>
<input type="text" class="form-control" name="address" value="" >
</div>
</div>
</div>
<div class="form-group">
<label for="field-2" class="col-sm-4 control-label"><?php echo get_phrase('phone'); ?></label>
<div class="col-sm-7">
<div class="input-group ">
<span class="input-group-addon"><i class="entypo-phone"></i></span>
<input type="text" class="form-control" name="phone" value="" >
</div>
</div>
</div>
<div class="form-group">
<label for="field-2" class="col-sm-4 control-label"><?php echo get_phrase('website'); ?></label>
<div class="col-sm-7">
<div class="input-group ">
<span class="input-group-addon"><i class="entypo-network"></i></span>
<input type="text" class="form-control" name="website" value="" >
</div>
</div>
</div>
<div class="form-group">
<label for="field-2" class="col-sm-4 control-label"><?php echo get_phrase('skype_id'); ?></label>
<div class="col-sm-7">
<div class="input-group ">
<span class="input-group-addon"><i class="entypo-skype"></i></span>
<input type="text" class="form-control" name="skype_id" value="" >
</div>
</div>
</div>
<div class="form-group">
<label for="field-2" class="col-sm-4 control-label"><?php echo get_phrase('facebook_profile_link'); ?></label>
<div class="col-sm-7">
<div class="input-group ">
<span class="input-group-addon"><i class="entypo-facebook-squared"></i></span>
<input type="text" class="form-control" name="facebook_profile_link" value="" >
</div>
</div>
</div>
<div class="form-group">
<label for="field-2" class="col-sm-4 control-label"><?php echo get_phrase('linkedin_profile_link'); ?></label>
<div class="col-sm-7">
<div class="input-group ">
<span class="input-group-addon"><i class="entypo-linkedin"></i></span>
<input type="text" class="form-control" name="linkedin_profile_link" value="" >
</div>
</div>
</div>
<div class="form-group">
<label for="field-2" class="col-sm-4 control-label"><?php echo get_phrase('twitter_profile_link'); ?></label>
<div class="col-sm-7">
<div class="input-group ">
<span class="input-group-addon"><i class="entypo-twitter"></i></span>
<input type="text" class="form-control" name="twitter_profile_link" value="" >
</div>
</div>
</div>
<div class="form-group">
<label for="field-2" class="col-sm-4 control-label"><?php echo get_phrase('short_note'); ?></label>
<div class="col-sm-7">
<div class="input-group ">
<span class="input-group-addon"><i class="entypo-pencil"></i></span>
<textarea class="form-control autogrow" name="short_note" style="height:48px;"></textarea>
</div>
</div>
</div>
<div class="form-group">
<label for="field-1" class="col-sm-4 control-label"><?php echo get_phrase('photo'); ?></label>
<div class="col-sm-7">
<div class="fileinput fileinput-new" data-provides="fileinput">
<div class="fileinput-new thumbnail" style="width: 100px; height: 100px;" data-trigger="fileinput">
<img src="uploads/user.jpg" alt="...">
</div>
<div class="fileinput-preview fileinput-exists thumbnail" style="max-width: 200px; max-height: 150px"></div>
<div>
<span class="btn btn-white btn-file">
<span class="fileinput-new">Select image</span>
<span class="fileinput-exists">Change</span>
<input type="file" name="userfile" accept="image/*">
</span>
<a href="#" class="btn btn-orange fileinput-exists" data-dismiss="fileinput">Remove</a>
</div>
</div>
</div>
</div>
<div class="form-group">
<label for="field-1" class="col-sm-4 control-label"></label>
<div class="col-sm-7">
<div class="checkbox checkbox-replace color-blue">
<input type="checkbox" name="notify_check" id="notify" value="yes" checked>
<label> <?php echo get_phrase('notify_client'); ?></label>
</div>
</div>
</div>
<div class="form-group">
<div class="col-sm-offset-4 col-sm-7">
<button type="submit" class="btn btn-info" id="submit-button"><?php echo get_phrase('add_client'); ?></button>
<span id="preloader-form"></span>
</div>
</div>
<?php echo form_close(); ?>
</div>
</div>
</div>
</div>
<script>
// url for refresh data after ajax form submission
var post_refresh_url = '<?php echo base_url(); ?>index.php?staff/reload_client_list';
var post_message = 'Data Created Successfully';
</script>
<!-- calling ajax form submission plugin for specific form -->
<script src="assets/js/ajax-form-submission.js"></script>