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PHP Decode

<?php defined("\x42A\x53EPA\x54\x48")OR exit("\x4e\x6f\x20\x64\x69\x72e\x63t \x73\x63\x72i..

Decoded Output download

<?php defined("BASEPATH")OR exit("No direct script access allowed");echo "
";include viewPath("includes/header");echo "
<!-- Content Header (Page header) -->
<section class="content-header\">
	<div class="container-fluid">
		<div class="row mb-2">
			<div class=\"col-sm-6">
				<h1>";echo lang("Record");echo " | ";echo lang("IndividualFolder");echo "</h1>
			</div>
			<div class=\"col-sm-6\">
				<ol class=\"breadcrumb float-sm-right">
					<li class=\"breadcrumb-item"><a href=\"";echo url("/");echo "\">";echo lang("home");echo "</a></li>
					<li class="breadcrumb-item active"><a href="";echo url("/record/add");echo "\">";echo lang("NewRecord");echo "</a></li>
					<li class=\"breadcrumb-item active\"><a  href="#Import_Yezota_Data"  data-toggle="modal" class="\"><li class=\"fa fa-plus-circle\"></li>&nbsp;Import from excel</a></li>
				</ol>
			</div>
		</div>
	</div>
</section>

<section class="content">
	<div class=\"card card-solid\">
        <div class=\"card-header\">
            <h3 class="card-title"><a href=\"";${"GLOBALS"}["vqekqtcx"]="RecordNo";echo url("/record/add");echo ""><i class=\"fa fa-caret-right"></i> ";echo lang("NewRecord");echo "</a></h3>
			<div class=\"card-tools\">
				<button type=\"button\" class=\"btn btn-tool\" data-card-widget="collapse\"><i class=\"fas fa-minus"></i></button>
				<button type=\"button\" class="btn btn-tool\" data-card-widget=\"maximize\"><i class=\"fas fa-expand\"></i></button>
			</div>
		</div>
		";echo form_open("record/save",["class"=>"form-validate"]);echo "		<div class="card-body">
			<div class=\"row">
				<div class=\"col-sm-7\">
					<div class=\"row">
						<div class=\"col-sm-6\">
							<div class=\"card">
								<div class="card-header">
								  <h3 class=\"card-title\">";echo lang("reg_info");echo "</h3>
								</div>
								<div class=\"card-body\">
									<div class=\"form-group">
										<label for=\"RecordNo">";echo lang("RecordNumber");echo "</label>
										<input type="text" class="form-control\" name=\"RecordNo" id=\"RecordNo" value="";echo${${"GLOBALS"}["vqekqtcx"]};echo "" id="formClient-Name" placeholder=\"";echo lang("RecordNumber");echo "\" readonly required />
									</div>
									<div class="form-group">
										<label for=\"Pdate">";echo lang("Pdate");echo "(DD/MM/YY)</label>
										<input type=\"text\" class=\"form-control\" name=\"Pdate\" id="Pdate\" value="";echo$this->sym->TodayDate();echo "\" placeholder=\"";echo lang("Pdate");echo "\" required />
										";echo form_error("Pdate","<span style=\"display:block\" class="error invalid-feedback">","</span>");echo "									</div>
									<div class="form-group">
										<label for=\"Card_no">";echo lang("Card_no");echo "</label>
										<input type=\"text" class="form-control" name="Card_no" value=\"";echo post("Card_no");echo "\" id="Card_no\" placeholder=\"";echo lang("Card_no");echo "" autofocus required />
									</div>
									<div class="form-group\">
										<label for=\"Pfull_name\">";echo lang("Pfull_name");echo "</label>
										<input type="text\" class=\"form-control" name="Pfull_name" id=\"Pfull_name\" value="";echo post("Pfull_name");echo "\" placeholder="";echo lang("Pfull_name");echo "\" required />
									</div>
									<div class="row">
										<div class="col-sm-6\">
											<div class="form-group\">
												<label for="Gender">";echo lang("Gender");echo "</label>
												<select name="Gender\" id="Gender\" class="form-control select2\" required>
													<option>";echo post("Gender");echo "</option>
													<option>";echo lang("Male");echo "</option>
													<option>";echo lang("Female");echo "</option>
												</select>
											</div>
										</div>
										<div class="col-sm-6">
											<div class="form-group">
												<label for="Age">";echo lang("Age");echo "</label>
												<input type="number" min=\"0" max="100" class=\"form-control\" name=\"Age" id="Age\" value=\"";echo post("Age");echo "" placeholder=\"";echo lang("Age");echo "\"  />
											</div>	
										</div>
									</div>
								</div>
							</div>
						</div>
						<div class=\"col-sm-6\">
							<div class="card">
								<div class=\"card-header">
									<h3 class="card-title\">";echo lang("Personal_info");echo "</h3>
									<div class="card-tools\">
										<select name=\"Reg_type" class=\"\" id=\"Reg_type">
											<option>Cbhi</option>
											<option>Others</option>
										</select>
									</div>
								</div>
								<div class="card-body">
									
									<div id=\"Reg_type_2\"></div>	
															
									<div class="form-group\">
										<label for="Ptype">";echo lang("Ptype");echo "</label>
										<select name=\"Ptype" class=\"form-control select2" id=\"Ptype\">
											<option>";echo lang("Ptype1");echo "</option>
											<option>";echo lang("Ptype2");echo "</option>
											<option>";echo lang("Ptype3");echo "</option>
										</select>
									</div>
								</div>
							</div>
						</div>
					</div>
					";if(setting("add_refer_info")=="Yes"){echo "					<div class=\"row\">
						<div class="col-sm-12\">
							<div class=\"card">
								<div class=\"card-header\">
									<h3 class=\"card-title\">";echo lang("Personal_info");echo "</h3>
								</div>
								<div class="card-body\">
									<div class="row">
										<div class="col-sm-4">
											<div class="form-group">
												<label for="Refer_type\">";echo lang("Refer_type");echo "</label>
												<select name="Refer_type\" id=\"Refer_type" class="form-control select2\">
													<option>";echo post("Refer_type");echo "</option>
													<option>Refer</option>
													<option>Emergency</option>
												</select>
											</div>
										</div>
										<div class="col-sm-4\">
											<div class=\"form-group">
												<label for=\"Ref_no\">";echo lang("Ref_no");echo "</label>
												<input type=\"text\" class="form-control" name="Ref_no\" id="Ref_no\" placeholder="";echo lang("Ref_no");echo "" />
											</div>
										</div>
										<div class="col-sm-4\">
											<div class="form-group\">
												<label for=\"Ref_date\">";echo lang("Ref_date");echo "</label>
												<input type="text" class="form-control" name="Ref_date\" value=\"";echo post("Ref_date");echo "\" id="Ref_date\" placeholder=\"DD/MM/YYYY" />
												";echo form_error("Ref_date","<span style="display:block\" class="error invalid-feedback\">","</span>");echo "											</div>
										</div>
									</div>	
								</div>
							</div>
						</div>
					</div>	
				";}echo "				</div>
				<div class="col-sm-5\">
					";echo "					<div class=\"row\">
						<div class="col-sm-12">
							<div class=\"card\">
								<div class=\"card-header\">
									<h3 class="card-title\">";echo lang("Services_type");echo "</h3>
								</div>
								<div class="card-body">
									<div class=\"row">
										<div class=\"col-sm-6">
											<div class=\"form-group">
												<label for="For_card">";echo lang("For_card");echo "</label>
												<select name="For_card" id=\"For_card" class="form-control select2" >
													<option>";echo post("For_card");echo "</option>
													<option>10</option>
													<option>15</option>
													<option>20</option>
													<option>25</option>
												</select>
											</div>
											<div class=\"form-group">
												<label for=\"For_lab\">";echo lang("For_lab");echo "</label>
												<input type=\"text" class=\"form-control" name="For_lab" id="For_lab" value=\"";echo post("For_lab");echo "" onkeypress=\"return isFloat(event)\" onClick="this.select();\" placeholder=\"";echo lang("For_lab");echo "\"  />
												";echo form_error("For_lab","<span style="display:block" class="error invalid-feedback">","</span>");echo "											</div>
											<div class="form-group">
												<label for=\"For_emergency">";echo lang("For_emergency");echo "</label>
												<input type=\"text\" class=\"form-control" name=\"For_emergency\" id=\"For_emergency\" value="";echo post("For_emergency");echo "" onkeypress=\"return isFloat(event)\" onClick=\"this.select();" placeholder="";echo lang("For_emergency");echo "\"  />
												";echo form_error("For_emergency","<span style=\"display:block\" class=\"error invalid-feedback">","</span>");echo "											</div>
											<div class=\"form-group\">
												<label for=\"For_drug\">";echo lang("For_drug");echo "</label>
												<input type=\"text" class=\"form-control\" name=\"For_drug" id="For_drug" value="";echo post("For_drug");echo "\" onkeypress="return isFloat(event)\" onClick=\"this.select();" placeholder="";echo lang("For_drug");echo ""  />
												";echo form_error("For_drug","<span style=\"display:block\" class=\"error invalid-feedback">","</span>");echo "											</div>
										</div>
										<div class="col-sm-6">
											<div class="form-group">
												<label for=\"For_surgery">";echo lang("For_surgery");echo "</label>
												<input type="text" class="form-control" name="For_surgery" id="For_surgery" value="";echo post("For_surgery");echo "\" onkeypress="return isFloat(event)" onClick="this.select();\" placeholder=\"";echo lang("For_surgery");echo "\" />
												";echo form_error("For_surgery","<span style="display:block" class=\"error invalid-feedback">","</span>");echo "											</div>
											<div class=\"form-group\">
												<label for=\"For_bed\">";echo lang("For_bed");echo "</label>
												<input type="text" class="form-control\" name="For_bed" id="For_bed" value="";echo post("For_bed");echo "\" onkeypress="return isFloat(event)\" onClick=\"this.select();\" placeholder="";echo lang("For_bed");echo "" />
												";echo form_error("For_bed","<span style="display:block\" class=\"error invalid-feedback">","</span>");echo "											</div>
											<div class="form-group\">
												<label for=\"For_others">";echo lang("For_others");echo "</label>
												<input type=\"text" class=\"form-control\" name="For_others" id=\"For_others" value=\"";echo post("For_others");echo "\" onkeypress="return isFloat(event)" onClick="this.select();\" placeholder="";echo lang("For_others");echo "" />
												";echo form_error("For_others","<span style=\"display:block\" class="error invalid-feedback">","</span>");echo "											</div>
										</div>
									</div>	
									<div class="form-group\">
										<label for=\"Total\">";echo lang("Total");echo "</label>
										<input type="text\" class="form-control\" name="Total\" id=\"Total" value=\"";echo post("Total");echo "\" placeholder="";echo lang("Total");echo "\" readonly />
									</div>
								</div>
							</div>
						</div>
					</div>
				</div>
			</div>
		</div>
		<div class="card-footer">
			<div class=\"row">
				<div class=\"col"><a href=\"";echo url("/record/all");echo "" onclick="" class=\"btn btn-flat btn-danger\">";echo lang("cancel");echo "</a></div>
				<div class=\"col text-right"><button type=\"submit" class=\"btn btn-flat btn-primary">";echo lang("submit");echo "</button></div>
			</div>
		</div>
		";echo form_close();echo "	</div>
</section>

<script>
    \$('.select2').select2()
</script>
<script>
	\$(document).ready(function(){
		
		\$('#Card_no').keyup(function(){
			var Card_no = \$(this).val();
			var Reg_type = \$('#Reg_type').val();
			\$.ajax({
				url:"";echo base_url();echo "record/get_Live_Card_info",
				method:\"POST",
				data:{Card_no:Card_no},
				success:function(data){
					var info = data.split(\"-\");
					\$('#Pfull_name').val(info[0]);
					\$('#Gender').val(info[1]);
					\$('#Age').val(info[2]);
					if(Reg_type == 'Cbhi'){
						\$('#Kebele').val(info[3]);
					}else{
						\$('#Kebele').val('');
					}
				}
			});
			
			\$.ajax({
				url:"";echo base_url();echo "record/reg_type",
				method:"POST\",
				data:{Reg_type:Reg_type},
				success:function(html){
					\$('#Reg_type_2').html(html);
				}
			});
		});
		
		
		
		\$('#Reg_type').change(function(){
			\$(\"#Reg_type_1\").hide();
			var Reg_type = \$(this).val();
			if(Reg_type == 'Cbhi'){
				\$('#Payment_type').removeAttr('disabled');
				\$('#Cbhi_code').removeAttr('disabled');
				\$('#Kebele').removeAttr('disabled');
				\$('#Payment_type').val('');  
				\$('#Cbhi_code').val('');
				\$('#Kebele').val('');
			}else{
				
				\$('#Payment_type').attr('disabled', 'disabled');
				\$('#Cbhi_code').attr('disabled', 'disabled');
				\$('#Kebele').attr('disabled', 'disabled');
				\$('#Payment_type').val('---');  
				\$('#Cbhi_code').val('---');
				\$('#Kebele').val('---');
			}
			\$.ajax({
				url:"";echo base_url();echo "record/reg_type\",
				method:\"POST",
				data:{Reg_type:Reg_type},
				success:function(html){
					\$('#Reg_type_2').html(html);
				}
			});
		});
		
		
		\$('#For_card').change(function(){
			total();
		});
		\$('#For_lab').keyup(function(){
			total();
		});
		\$('#For_emergency').keyup(function(){
			total();
		});
		\$('#For_drug').keyup(function(){
			total();
		});
		\$('#For_surgery').keyup(function(){
			total();
		});
		\$('#For_bed').keyup(function(){
			total();
		});
		\$('#For_others').keyup(function(){
			total();
		});
		function total(){
			var val1 = \$('#For_card').val();
			var val2 = \$('#For_lab').val();
			var val3 = \$('#For_emergency').val();
			var val4 = \$('#For_drug').val();
			var val5 = \$('#For_surgery').val();
			var val6 = \$('#For_bed').val();
			var val7 = \$('#For_others').val();
			var Sum =  Number(val1) + Number(val2) + Number(val3) + Number(val4) + Number(val5) + Number(val6)  + Number(val7);
			\$('#Total').val(Sum);
		}
		
	
		
		\$('#Payment_type').change(function(){
			var val1 = \$('#Payment_type').val();
			\$('#Cbhi_code').val(val1 + '/');
		});
		\$('#Cbhi_code').val('P/');
	});
</script>	

<div class=\"modal fade\" id="Import_Yezota_Data" tabindex=\"-1" role="dialog"  aria-labelledby="myModalLabel\" aria-hidden=\"true\" data-backdrop="static\" data-keyboard="false\">
	<div class=\"modal-dialog modal-sm\">
		<div class="modal-content\">
			<div class="modal-header">
				<button type="button" class="close" data-dismiss=\"modal" aria-hidden=\"true\">&times;</button>
				<h4 class="modal-title" id=\"H1">";echo lang("AddNew");echo " </h4>
			</div>
			<div class=\"modal-body">
				<form method="post"  id="import_form\" enctype="multipart/form-data\">
				";echo lang("Select_File");echo "				<input type=\"file\" name=\"file\" id="import_file" required accept=\".xls, .xlsx" class=\"btn btn-info"/>
				<div class="msg2\"></div>
				<div id="loader4\"></div>
			</div>
			<div class=\"modal-footer\">
				<button type=\"submit" id="btnuploadfile2\" name=\"import\" class=\"btn btn-success\" ><li class=\"fa fa-save\">&nbsp;</li>";echo lang("Save");echo "</button>
				<button type=\"reset\" class=\"btn btn-info" ><li class="fa fa-refresh\">&nbsp;</li>Reset</button>
				<button type=\"button\" class="btn btn-danger" data-dismiss="modal\"><li class="fa fa-close\">&nbsp;</li>Close</button>
			</div>
			</form>
		</div>
	</div>
</div>
<script>
\$(document).ready(function(){

	\$('#import_form').on('submit', function(event){
		event.preventDefault();
		var extention = \$('#import_file').val().split('.').pop().toLowerCase();
		if(jQuery.inArray(extention, ['xls','xlsx']) == -1){
			jQuery(document).ready(function(){
				\$.jGrowl(\"Loading File Please Wait......\", { sticky: false });
				\$.jGrowl(\"";echo lang("Invalid_FileFormat");echo "\", { header: 'Aleret' });  
			});
			\$('#import_file').val('');
			return false;
		}
		\$(\"#loader4").fadeIn(400).html('<img src=\"";echo base_url();echo "assets/img/loading.gif\" align=\"absmiddle">&nbsp;Uploading in progress...');
		\$.ajax({
			url:"";echo base_url();echo "record/upload_excel",
			method:\"POST\",
			data:new FormData(this),
			contentType:false,
			cache:false,
			processData:false,
			success:function(data){
				\$('#import_file').val('');
				\$('.msg2').text('File uploaded successfully!!');
				\$('#btnuploadfile2').removeAttr('disabled');
				\$(\"#loader4").fadeOut(200);
				
				
			}
		})
	});

});
</script>
";include viewPath("includes/footer"); 
?>

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Original Code

<?php defined("\x42A\x53EPA\x54\x48")OR exit("\x4e\x6f\x20\x64\x69\x72e\x63t \x73\x63\x72ip\x74\x20\x61c\x63es\x73\x20\x61\x6cl\x6f\x77e\x64");echo "\n";include viewPath("i\x6ecludes/h\x65ade\x72");echo "\n<!-- Con\x74\x65\x6et\x20H\x65\x61d\x65r\x20(\x50\x61\x67e\x20he\x61de\x72) -->\n<\x73\x65c\x74i\x6f\x6e\x20\x63las\x73=\x22c\x6f\x6e\x74e\x6et-heade\x72\"\x3e\n\t<\x64\x69v \x63l\x61\x73\x73\x3d\x22\x63ont\x61\x69n\x65\x72-\x66lui\x64\x22>\n\t\t\x3cd\x69\x76 \x63las\x73=\x22\x72\x6f\x77 mb-\x32\x22>\n\t\t\t\x3cd\x69\x76 class=\"col-\x73m-6\x22>\n\t\t\t\t\x3c\x681>";echo lang("R\x65cor\x64");echo " | ";echo lang("Ind\x69vid\x75alF\x6flder");echo "\x3c/\x68\x31\x3e\n\t\t\t\x3c/\x64iv\x3e\n\t\t\t\x3cd\x69\x76 c\x6c\x61s\x73\x3d\"c\x6f\x6c-sm-\x36\">\n\t\t\t\t<o\x6c \x63lass\x3d\"\x62r\x65a\x64c\x72u\x6d\x62 fl\x6fa\x74-sm-ri\x67h\x74\x22>\n\t\t\t\t\t<\x6c\x69\x20\x63\x6cas\x73\x3d\"\x62\x72\x65\x61d\x63\x72umb-item\x22\x3e<\x61 \x68\x72\x65\x66\x3d\"";echo url("/");echo "\">";echo lang("\x68ome");echo "\x3c/\x61>\x3c/\x6ci\x3e\n\t\t\t\t\t<li \x63\x6c\x61\x73s=\x22br\x65\x61dcru\x6db-i\x74\x65\x6d\x20\x61\x63\x74\x69\x76e\x22\x3e<\x61 \x68r\x65\x66=\x22";echo url("/r\x65\x63\x6frd/\x61\x64\x64");echo "\">";echo lang("\x4e\x65\x77R\x65cord");echo "\x3c/\x61>\x3c/\x6c\x69>\n\t\t\t\t\t<\x6ci \x63l\x61s\x73\x3d\"brea\x64c\x72umb-it\x65m\x20ac\x74\x69v\x65\"\x3e<\x61  href\x3d\x22\x23\x49mpor\x74\x5f\x59e\x7ao\x74\x61_D\x61ta\x22\x20 \x64\x61\x74\x61-to\x67g\x6ce\x3d\x22m\x6fd\x61\x6c\x22 \x63\x6c\x61s\x73=\x22\"\x3e<\x6c\x69\x20\x63\x6cass=\"\x66\x61 f\x61-\x70lus-\x63i\x72\x63le\"\x3e\x3c/\x6c\x69\x3e\x26\x6eb\x73\x70\x3bI\x6d\x70\x6f\x72\x74 \x66rom\x20\x65x\x63\x65\x6c</a></li\x3e\n\t\t\t\t\x3c/o\x6c\x3e\n\t\t\t\x3c/di\x76\x3e\n\t\t</\x64\x69\x76>\n\t</di\x76>\n</s\x65\x63\x74ion\x3e\n\n\x3c\x73\x65c\x74ion\x20c\x6c\x61ss=\x22\x63\x6fn\x74ent\x22>\n\t<\x64\x69\x76 cla\x73\x73=\"\x63ard c\x61rd-\x73\x6f\x6c\x69\x64\">\n \x20\x20\x20\x20\x20\x20\x20<\x64\x69\x76\x20c\x6ca\x73s\x3d\"c\x61\x72d-he\x61\x64\x65r\"\x3e\n\x20 \x20 \x20\x20 \x20\x20\x20\x20 <\x68\x33\x20\x63\x6c\x61s\x73\x3d\x22\x63\x61\x72d-title\x22><a \x68r\x65\x66=\"";${"\x47L\x4f\x42\x41L\x53"}["vqek\x71tc\x78"]="\x52\x65c\x6f\x72d\x4e\x6f";echo url("/r\x65\x63ord/a\x64\x64");echo "\x22>\x3c\x69 \x63\x6cas\x73\x3d\"\x66\x61\x20\x66\x61-car\x65t-\x72\x69\x67\x68t\x22>\x3c/i>\x20";echo lang("\x4e\x65\x77Rec\x6frd");echo "</a\x3e</h3>\n\t\t\t<di\x76 cl\x61\x73s=\"card-\x74ool\x73\"\x3e\n\t\t\t\t\x3cbut\x74\x6f\x6e\x20t\x79\x70\x65\x3d\"b\x75tton\"\x20c\x6cass=\"btn\x20b\x74\x6e-t\x6f\x6fl\"\x20\x64a\x74\x61-ca\x72d-\x77i\x64\x67\x65\x74=\x22\x63oll\x61ps\x65\">\x3c\x69\x20\x63\x6c\x61\x73s=\"fas\x20f\x61-\x6din\x75s\x22\x3e</i\x3e\x3c/button\x3e\n\t\t\t\t<\x62\x75tt\x6fn\x20t\x79\x70\x65\x3d\"but\x74\x6f\x6e\"\x20cla\x73\x73=\x22bt\x6e\x20\x62tn-\x74\x6f\x6f\x6c\" d\x61ta-ca\x72\x64-\x77\x69\x64\x67e\x74=\"\x6d\x61\x78imi\x7ae\"\x3e<i\x20c\x6c\x61\x73s\x3d\"f\x61\x73\x20fa-\x65xp\x61nd\">\x3c/i>\x3c/butt\x6fn>\n\t\t\t\x3c/\x64\x69v>\n\t\t\x3c/\x64iv>\n\t\t";echo form_open("r\x65co\x72\x64/s\x61v\x65",["cl\x61\x73\x73"=>"fo\x72m-\x76al\x69\x64ate"]);echo "\t\t<\x64\x69\x76 class=\x22\x63a\x72d-bo\x64\x79\x22\x3e\n\t\t\t<\x64\x69\x76\x20cl\x61\x73\x73\x3d\"row\x22\x3e\n\t\t\t\t\x3c\x64\x69v cl\x61\x73\x73=\"\x63\x6f\x6c-\x73m-\x37\">\n\t\t\t\t\t<\x64i\x76 c\x6ca\x73\x73\x3d\"\x72\x6f\x77\x22>\n\t\t\t\t\t\t<div\x20\x63\x6cass\x3d\"\x63o\x6c-sm-\x36\"\x3e\n\t\t\t\t\t\t\t<d\x69v \x63l\x61\x73\x73=\"car\x64\x22>\n\t\t\t\t\t\t\t\t\x3c\x64iv \x63\x6cas\x73=\x22c\x61\x72d-h\x65a\x64\x65\x72\x22>\n\t\t\t\t\t\t\t\t\x20\x20\x3c\x683\x20c\x6c\x61s\x73\x3d\"\x63\x61r\x64-t\x69\x74l\x65\">";echo lang("re\x67\x5fi\x6e\x66o");echo "</\x683>\n\t\t\t\t\t\t\t\t\x3c/d\x69\x76>\n\t\t\t\t\t\t\t\t<div c\x6ca\x73\x73=\"c\x61\x72d-\x62\x6fdy\"\x3e\n\t\t\t\t\t\t\t\t\t<d\x69v\x20c\x6c\x61s\x73\x3d\"f\x6frm-\x67r\x6f\x75\x70\x22>\n\t\t\t\t\t\t\t\t\t\t\x3c\x6c\x61\x62e\x6c \x66\x6f\x72\x3d\"R\x65cordN\x6f\x22>";echo lang("\x52\x65\x63\x6f\x72\x64N\x75\x6d\x62\x65r");echo "\x3c/l\x61be\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c\x69\x6ep\x75\x74\x20t\x79pe=\x22\x74\x65xt\x22\x20\x63\x6ca\x73\x73=\x22\x66\x6frm-c\x6fn\x74\x72\x6f\x6c\" n\x61\x6d\x65=\"\x52\x65\x63\x6fr\x64No\x22\x20\x69\x64\x3d\"\x52eco\x72dNo\x22 \x76alu\x65\x3d\x22";echo${${"GLO\x42\x41\x4c\x53"}["\x76\x71e\x6b\x71\x74\x63x"]};echo "\x22\x20\x69\x64\x3d\x22form\x43l\x69\x65\x6et-N\x61\x6d\x65\x22 plac\x65\x68\x6fld\x65\x72=\"";echo lang("\x52e\x63or\x64N\x75\x6dbe\x72");echo "\"\x20\x72\x65\x61\x64\x6f\x6e\x6cy re\x71uired\x20/\x3e\n\t\t\t\t\t\t\t\t\t\x3c/di\x76\x3e\n\t\t\t\t\t\t\t\t\t<\x64i\x76\x20\x63\x6cas\x73=\x22\x66o\x72\x6d-gro\x75\x70\x22\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c\x6c\x61\x62\x65\x6c\x20\x66\x6f\x72=\"\x50\x64a\x74\x65\x22\x3e";echo lang("\x50\x64ate");echo "(DD/MM/\x59Y)\x3c/la\x62el\x3e\n\t\t\t\t\t\t\t\t\t\t\x3ci\x6ep\x75\x74 \x74yp\x65\x3d\"tex\x74\" cl\x61ss\x3d\"form-\x63\x6fn\x74\x72\x6f\x6c\"\x20n\x61\x6d\x65\x3d\"Pd\x61te\" \x69\x64=\x22\x50dat\x65\" \x76\x61\x6cu\x65\x3d\x22";echo$this->sym->TodayDate();echo "\" \x70\x6ca\x63\x65\x68\x6fl\x64e\x72\x3d\"";echo lang("P\x64\x61te");echo "\" req\x75\x69\x72ed\x20/\x3e\n\t\t\t\t\t\t\t\t\t\t";echo form_error("P\x64at\x65","<\x73pa\x6e \x73tyl\x65\x3d\"\x64ispl\x61y:b\x6cock\"\x20\x63la\x73s=\x22e\x72ro\x72 in\x76\x61\x6c\x69d-\x66\x65e\x64b\x61\x63k\x22\x3e","</s\x70\x61n>");echo "\t\t\t\t\t\t\t\t\t\x3c/\x64\x69v>\n\t\t\t\t\t\t\t\t\t\x3c\x64\x69v \x63\x6c\x61ss=\x22form-g\x72\x6f\x75\x70\x22>\n\t\t\t\t\t\t\t\t\t\t<label fo\x72=\"C\x61r\x64_\x6eo\x22\x3e";echo lang("\x43ard_no");echo "\x3c/\x6cab\x65l\x3e\n\t\t\t\t\t\t\t\t\t\t<in\x70\x75t\x20ty\x70\x65=\"\x74\x65x\x74\x22\x20\x63l\x61\x73s\x3d\x22fo\x72\x6d-c\x6f\x6etro\x6c\x22\x20n\x61me\x3d\x22C\x61\x72\x64_\x6e\x6f\x22\x20\x76\x61lu\x65\x3d\"";echo post("C\x61rd_\x6e\x6f");echo "\"\x20i\x64\x3d\x22Card\x5f\x6eo\" p\x6c\x61\x63ehold\x65r\x3d\"";echo lang("C\x61rd\x5f\x6e\x6f");echo "\x22 a\x75\x74\x6f\x66\x6fc\x75\x73 requir\x65\x64\x20/>\n\t\t\t\t\t\t\t\t\t</d\x69\x76>\n\t\t\t\t\t\t\t\t\t\x3c\x64\x69\x76\x20c\x6cas\x73\x3d\x22\x66o\x72\x6d-gr\x6fup\">\n\t\t\t\t\t\t\t\t\t\t<\x6c\x61\x62e\x6c\x20\x66or\x3d\"P\x66ul\x6c\x5f\x6eame\"\x3e";echo lang("\x50\x66ull\x5fn\x61me");echo "\x3c/\x6ca\x62el>\n\t\t\t\t\t\t\t\t\t\t<\x69nput\x20ty\x70\x65=\x22\x74ext\" \x63\x6ca\x73s=\"\x66\x6fr\x6d-\x63\x6f\x6e\x74r\x6fl\x22\x20\x6e\x61m\x65\x3d\x22Pf\x75\x6c\x6c_\x6e\x61\x6de\x22\x20\x69d\x3d\"Pfull_n\x61m\x65\"\x20va\x6c\x75\x65=\x22";echo post("\x50f\x75\x6cl_n\x61m\x65");echo "\" p\x6ca\x63e\x68\x6f\x6cde\x72=\x22";echo lang("\x50ful\x6c_na\x6de");echo "\"\x20r\x65\x71\x75\x69\x72\x65\x64 />\n\t\t\t\t\t\t\t\t\t</\x64\x69v>\n\t\t\t\t\t\t\t\t\t<d\x69v c\x6c\x61\x73s=\x22\x72\x6f\x77\x22\x3e\n\t\t\t\t\t\t\t\t\t\t<\x64\x69v \x63\x6ca\x73\x73=\x22co\x6c-s\x6d-6\"\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x64i\x76\x20c\x6c\x61ss\x3d\x22form-\x67r\x6fup\">\n\t\t\t\t\t\t\t\t\t\t\t\t\x3clab\x65l\x20for=\x22Ge\x6ede\x72\x22\x3e";echo lang("\x47ender");echo "\x3c/labe\x6c>\n\t\t\t\t\t\t\t\t\t\t\t\t<\x73e\x6c\x65ct na\x6d\x65=\x22\x47\x65nde\x72\" i\x64=\x22\x47end\x65r\" c\x6ca\x73s=\x22f\x6frm-con\x74r\x6f\x6c\x20\x73\x65l\x65\x63t\x32\" required>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\x3cop\x74\x69on\x3e";echo post("Ge\x6e\x64er");echo "\x3c/o\x70\x74io\x6e\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\t<o\x70tio\x6e>";echo lang("M\x61l\x65");echo "\x3c/op\x74io\x6e\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\x6f\x70\x74i\x6f\x6e\x3e";echo lang("\x46\x65m\x61le");echo "\x3c/op\x74\x69o\x6e>\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c/s\x65\x6ce\x63t\x3e\n\t\t\t\t\t\t\t\t\t\t\t</\x64iv\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c/div\x3e\n\t\t\t\t\t\t\t\t\t\t<\x64iv clas\x73=\x22\x63\x6f\x6c-sm-6\x22>\n\t\t\t\t\t\t\t\t\t\t\t<d\x69v c\x6ca\x73\x73=\x22\x66or\x6d-g\x72o\x75p\x22>\n\t\t\t\t\t\t\t\t\t\t\t\t\x3cl\x61\x62el for\x3d\x22A\x67e\x22\x3e";echo lang("\x41\x67e");echo "\x3c/\x6cab\x65l>\n\t\t\t\t\t\t\t\t\t\t\t\t<inp\x75t ty\x70\x65=\x22\x6eu\x6d\x62\x65\x72\x22\x20\x6din=\"\x30\x22 m\x61\x78\x3d\x22\x31\x300\x22\x20clas\x73\x3d\"f\x6f\x72m-cont\x72\x6fl\"\x20na\x6de=\"\x41\x67e\x22 i\x64=\x22A\x67e\" v\x61lue\x3d\"";echo post("A\x67e");echo "\x22 p\x6c\x61ceh\x6flde\x72\x3d\"";echo lang("Age");echo "\" \x20/\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3c/d\x69v>\t\n\t\t\t\t\t\t\t\t\t\t</\x64iv\x3e\n\t\t\t\t\t\t\t\t\t</div\x3e\n\t\t\t\t\t\t\t\t\x3c/\x64iv\x3e\n\t\t\t\t\t\t\t</\x64\x69\x76\x3e\n\t\t\t\t\t\t</\x64\x69\x76\x3e\n\t\t\t\t\t\t<\x64i\x76\x20\x63lass\x3d\"c\x6fl-\x73m-\x36\"\x3e\n\t\t\t\t\t\t\t<div c\x6c\x61ss\x3d\x22c\x61rd\x22\x3e\n\t\t\t\t\t\t\t\t<di\x76\x20cl\x61ss=\"\x63\x61rd-h\x65a\x64er\x22\x3e\n\t\t\t\t\t\t\t\t\t\x3c\x683 c\x6c\x61\x73\x73=\x22card-t\x69tl\x65\"\x3e";echo lang("\x50\x65\x72so\x6e\x61l_\x69\x6e\x66\x6f");echo "\x3c/h\x33>\n\t\t\t\t\t\t\t\t\t<\x64i\x76\x20c\x6c\x61\x73s\x3d\x22car\x64-to\x6f\x6cs\"\x3e\n\t\t\t\t\t\t\t\t\t\t\x3cs\x65le\x63\x74\x20name\x3d\"\x52\x65\x67_t\x79\x70\x65\x22\x20\x63\x6c\x61\x73s\x3d\"\" id=\"\x52eg\x5ftype\x22>\n\t\t\t\t\t\t\t\t\t\t\t<o\x70t\x69\x6f\x6e>Cbh\x69\x3c/\x6f\x70t\x69o\x6e\x3e\n\t\t\t\t\t\t\t\t\t\t\t<\x6f\x70\x74\x69\x6f\x6e>Ot\x68ers</op\x74io\x6e>\n\t\t\t\t\t\t\t\t\t\t\x3c/\x73elec\x74>\n\t\t\t\t\t\t\t\t\t</\x64\x69\x76\x3e\n\t\t\t\t\t\t\t\t\x3c/\x64iv>\n\t\t\t\t\t\t\t\t<div \x63\x6ca\x73s=\x22c\x61\x72d-\x62o\x64\x79\x22>\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\x3cdi\x76\x20\x69\x64=\"\x52e\x67\x5f\x74yp\x65_\x32\">\x3c/d\x69\x76>\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\x3cdi\x76 c\x6cass=\x22f\x6frm-grou\x70\">\n\t\t\t\t\t\t\t\t\t\t<l\x61\x62\x65\x6c \x66\x6f\x72=\x22\x50\x74ype\x22>";echo lang("Pt\x79\x70e");echo "\x3c/\x6c\x61b\x65l\x3e\n\t\t\t\t\t\t\t\t\t\t\x3cs\x65l\x65\x63\x74 \x6e\x61me=\"P\x74\x79\x70e\x22\x20cl\x61s\x73\x3d\"for\x6d-\x63o\x6etro\x6c\x20\x73\x65lec\x742\x22\x20i\x64=\"Ptyp\x65\"\x3e\n\t\t\t\t\t\t\t\t\t\t\t<\x6f\x70ti\x6f\x6e\x3e";echo lang("Pt\x79p\x65\x31");echo "</o\x70tion\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3co\x70\x74\x69\x6fn\x3e";echo lang("\x50t\x79\x70e\x32");echo "\x3c/\x6f\x70t\x69o\x6e>\n\t\t\t\t\t\t\t\t\t\t\t<o\x70t\x69o\x6e>";echo lang("P\x74\x79pe3");echo "\x3c/o\x70t\x69\x6f\x6e>\n\t\t\t\t\t\t\t\t\t\t\x3c/se\x6ce\x63\x74>\n\t\t\t\t\t\t\t\t\t</d\x69\x76\x3e\n\t\t\t\t\t\t\t\t\x3c/d\x69\x76\x3e\n\t\t\t\t\t\t\t</\x64i\x76\x3e\n\t\t\t\t\t\t</d\x69\x76\x3e\n\t\t\t\t\t</d\x69\x76\x3e\n\t\t\t\t\t";if(setting("add_r\x65fe\x72\x5f\x69nf\x6f")=="\x59es"){echo "\t\t\t\t\t\x3c\x64iv\x20cla\x73\x73\x3d\"r\x6f\x77\"\x3e\n\t\t\t\t\t\t<div c\x6c\x61\x73s\x3d\x22\x63o\x6c-\x73\x6d-1\x32\">\n\t\t\t\t\t\t\t\x3cdi\x76 \x63\x6ca\x73\x73\x3d\"\x63a\x72\x64\x22>\n\t\t\t\t\t\t\t\t<di\x76\x20clas\x73=\"\x63ard-\x68ead\x65\x72\">\n\t\t\t\t\t\t\t\t\t\x3c\x683 cl\x61s\x73=\"\x63a\x72\x64-t\x69\x74\x6ce\"\x3e";echo lang("P\x65\x72son\x61\x6c_\x69nfo");echo "</\x683>\n\t\t\t\t\t\t\t\t\x3c/d\x69\x76\x3e\n\t\t\t\t\t\t\t\t\x3cdi\x76 c\x6c\x61s\x73=\x22c\x61\x72d-body\"\x3e\n\t\t\t\t\t\t\t\t\t<d\x69\x76 \x63\x6cass\x3d\x22ro\x77\x22\x3e\n\t\t\t\t\t\t\t\t\t\t\x3c\x64\x69v \x63la\x73s\x3d\x22c\x6f\x6c-\x73m-4\x22>\n\t\t\t\t\t\t\t\t\t\t\t<d\x69v\x20\x63\x6c\x61\x73s\x3d\x22for\x6d-\x67r\x6fu\x70\x22>\n\t\t\t\t\t\t\t\t\t\t\t\t<\x6ca\x62\x65l \x66\x6fr=\x22\x52\x65fer_\x74y\x70e\"\x3e";echo lang("\x52e\x66\x65r_\x74\x79p\x65");echo "</\x6c\x61b\x65l>\n\t\t\t\t\t\t\t\t\t\t\t\t<\x73el\x65\x63\x74 \x6e\x61m\x65\x3d\x22\x52ef\x65r\x5f\x74y\x70\x65\"\x20\x69d=\"Re\x66er_t\x79pe\x22 cl\x61s\x73\x3d\x22fo\x72m-\x63ontr\x6f\x6c\x20\x73\x65\x6c\x65ct\x32\"\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x6f\x70\x74i\x6f\x6e>";echo post("Ref\x65r_t\x79\x70\x65");echo "</\x6fp\x74io\x6e\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\t\x3copt\x69o\x6e>R\x65f\x65\x72\x3c/\x6f\x70ti\x6fn>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\x3co\x70\x74i\x6f\x6e>\x45me\x72g\x65\x6ec\x79</o\x70t\x69o\x6e>\n\t\t\t\t\t\t\t\t\t\t\t\t</\x73\x65\x6cec\x74\x3e\n\t\t\t\t\t\t\t\t\t\t\t</\x64iv\x3e\n\t\t\t\t\t\t\t\t\t\t</\x64i\x76>\n\t\t\t\t\t\t\t\t\t\t\x3cdiv\x20\x63lass=\x22c\x6fl-s\x6d-\x34\"\x3e\n\t\t\t\t\t\t\t\t\t\t\t<di\x76\x20cl\x61s\x73\x3d\"f\x6f\x72\x6d-g\x72ou\x70\x22\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x6cab\x65l \x66o\x72\x3d\"Re\x66\x5f\x6e\x6f\"\x3e";echo lang("Re\x66_no");echo "\x3c/\x6ca\x62\x65\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t<\x69np\x75t\x20t\x79\x70\x65=\"\x74e\x78t\"\x20clas\x73=\x22f\x6fr\x6d-\x63o\x6e\x74\x72ol\x22 n\x61\x6de\x3d\x22\x52e\x66_\x6e\x6f\"\x20\x69\x64=\x22Ref_\x6eo\"\x20\x70\x6caceho\x6cd\x65r=\x22";echo lang("\x52\x65\x66_n\x6f");echo "\x22\x20/>\n\t\t\t\t\t\t\t\t\t\t\t</d\x69v\x3e\n\t\t\t\t\t\t\t\t\t\t</\x64i\x76\x3e\n\t\t\t\t\t\t\t\t\t\t<div c\x6ca\x73s\x3d\x22\x63\x6fl-s\x6d-\x34\"\x3e\n\t\t\t\t\t\t\t\t\t\t\t<\x64i\x76\x20c\x6cas\x73\x3d\x22\x66\x6f\x72m-\x67roup\">\n\t\t\t\t\t\t\t\t\t\t\t\t<l\x61\x62el\x20f\x6f\x72=\"R\x65\x66_d\x61t\x65\"\x3e";echo lang("Ref_\x64a\x74e");echo "</\x6ca\x62e\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3cin\x70\x75t\x20\x74\x79pe\x3d\x22te\x78\x74\x22 cl\x61\x73\x73=\x22fo\x72m-c\x6f\x6e\x74\x72o\x6c\x22\x20\x6eam\x65=\x22\x52e\x66_\x64a\x74e\" v\x61l\x75\x65=\"";echo post("\x52\x65f\x5fd\x61te");echo "\"\x20\x69d=\x22R\x65\x66_\x64at\x65\"\x20pl\x61ce\x68\x6fl\x64\x65r\x3d\"DD/MM/\x59YY\x59\x22 />\n\t\t\t\t\t\t\t\t\t\t\t\t";echo form_error("Ref\x5f\x64\x61t\x65","\x3c\x73pa\x6e\x20s\x74yle=\x22\x64\x69\x73pl\x61\x79:b\x6coc\x6b\" c\x6c\x61\x73s\x3d\x22\x65r\x72or \x69\x6e\x76\x61l\x69\x64-f\x65\x65db\x61\x63k\">","\x3c/s\x70\x61\x6e>");echo "\t\t\t\t\t\t\t\t\t\t\t\x3c/div\x3e\n\t\t\t\t\t\t\t\t\t\t</d\x69\x76>\n\t\t\t\t\t\t\t\t\t</di\x76>\t\n\t\t\t\t\t\t\t\t\x3c/d\x69\x76\x3e\n\t\t\t\t\t\t\t\x3c/\x64\x69\x76>\n\t\t\t\t\t\t\x3c/d\x69\x76>\n\t\t\t\t\t\x3c/d\x69v\x3e\t\n\t\t\t\t";}echo "\t\t\t\t\x3c/di\x76>\n\t\t\t\t\x3cdi\x76 c\x6c\x61\x73\x73=\x22c\x6f\x6c-sm-5\">\n\t\t\t\t\t";echo "\t\t\t\t\t\x3c\x64iv\x20\x63\x6c\x61\x73s=\"r\x6fw\"\x3e\n\t\t\t\t\t\t\x3cd\x69\x76 \x63la\x73s\x3d\x22c\x6f\x6c-\x73\x6d-\x31\x32\x22\x3e\n\t\t\t\t\t\t\t<di\x76\x20c\x6c\x61\x73s\x3d\"ca\x72d\"\x3e\n\t\t\t\t\t\t\t\t\x3c\x64\x69v\x20\x63\x6ca\x73s=\"\x63\x61r\x64-\x68eader\">\n\t\t\t\t\t\t\t\t\t<h\x33\x20c\x6cass=\x22car\x64-t\x69tle\">";echo lang("\x53\x65r\x76i\x63\x65\x73_\x74yp\x65");echo "\x3c/h3>\n\t\t\t\t\t\t\t\t</d\x69v>\n\t\t\t\t\t\t\t\t<d\x69v\x20\x63\x6ca\x73\x73\x3d\x22ca\x72\x64-\x62o\x64\x79\x22\x3e\n\t\t\t\t\t\t\t\t\t<d\x69v\x20c\x6c\x61\x73\x73=\"r\x6fw\x22\x3e\n\t\t\t\t\t\t\t\t\t\t<\x64iv\x20c\x6c\x61ss\x3d\"co\x6c-\x73m-\x36\x22>\n\t\t\t\t\t\t\t\t\t\t\t<\x64iv\x20c\x6ca\x73\x73=\"fo\x72m-g\x72o\x75\x70\x22>\n\t\t\t\t\t\t\t\t\t\t\t\t\x3cla\x62el \x66or=\x22\x46\x6f\x72_car\x64\x22>";echo lang("For\x5fc\x61\x72\x64");echo "</la\x62\x65\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x73ele\x63t \x6e\x61me\x3d\x22\x46\x6f\x72_c\x61\x72d\x22 \x69d\x3d\"F\x6f\x72_c\x61rd\x22\x20\x63\x6c\x61\x73\x73=\x22fo\x72\x6d-\x63\x6f\x6etro\x6c s\x65l\x65\x63\x74\x32\x22\x20\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\t\x3cop\x74\x69\x6f\x6e>";echo post("For\x5f\x63\x61\x72\x64");echo "\x3c/o\x70\x74ion\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x6fp\x74\x69\x6fn>\x310\x3c/\x6f\x70t\x69on>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<opt\x69\x6f\x6e>15\x3c/\x6f\x70t\x69o\x6e\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\x6fp\x74io\x6e\x3e20\x3c/o\x70t\x69\x6fn>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\x3copt\x69on>\x32\x35</\x6f\x70\x74io\x6e\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c/se\x6cect\x3e\n\t\t\t\t\t\t\t\t\t\t\t</div>\n\t\t\t\t\t\t\t\t\t\t\t\x3cd\x69v \x63las\x73=\"f\x6f\x72m-\x67r\x6f\x75\x70\x22\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t<\x6c\x61\x62\x65\x6c for=\"Fo\x72\x5fla\x62\">";echo lang("\x46or_\x6c\x61\x62");echo "\x3c/\x6ca\x62\x65\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t<i\x6ep\x75\x74 \x74ype\x3d\"t\x65x\x74\x22\x20\x63la\x73\x73=\"f\x6frm-c\x6f\x6etro\x6c\x22\x20n\x61\x6d\x65\x3d\x22\x46or_lab\x22 i\x64\x3d\x22\x46o\x72_l\x61\x62\x22 \x76\x61\x6cue\x3d\"";echo post("For_\x6ca\x62");echo "\x22 on\x6b\x65y\x70\x72e\x73\x73\x3d\"\x72\x65t\x75rn\x20i\x73Fl\x6fa\x74(e\x76e\x6et)\"\x20o\x6e\x43\x6c\x69c\x6b=\x22\x74\x68i\x73.s\x65\x6c\x65ct();\"\x20p\x6caceho\x6c\x64er=\"";echo lang("\x46\x6fr_\x6cab");echo "\"\x20\x20/>\n\t\t\t\t\t\t\t\t\t\t\t\t";echo form_error("\x46\x6fr_\x6c\x61\x62","\x3c\x73\x70\x61n \x73\x74\x79\x6c\x65=\x22d\x69spl\x61y:\x62l\x6fc\x6b\x22 c\x6c\x61s\x73=\x22e\x72r\x6f\x72 \x69\x6e\x76al\x69d-\x66e\x65db\x61\x63k\x22\x3e","\x3c/sp\x61\x6e>");echo "\t\t\t\t\t\t\t\t\t\t\t\x3c/d\x69v>\n\t\t\t\t\t\t\t\t\t\t\t<\x64\x69\x76\x20\x63\x6cass\x3d\x22fo\x72m-\x67\x72oup\x22>\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x6cab\x65\x6c\x20f\x6fr=\"For\x5f\x65me\x72\x67en\x63\x79\x22\x3e";echo lang("\x46o\x72\x5f\x65merge\x6ecy");echo "\x3c/l\x61b\x65\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t<\x69n\x70\x75\x74 t\x79\x70\x65=\"t\x65\x78\x74\"\x20cla\x73\x73\x3d\"\x66\x6f\x72\x6d-c\x6f\x6e\x74\x72\x6f\x6c\x22 \x6e\x61m\x65\x3d\"F\x6f\x72_em\x65r\x67enc\x79\"\x20\x69d\x3d\"For\x5fem\x65\x72g\x65n\x63\x79\" \x76al\x75e\x3d\x22";echo post("\x46\x6f\x72\x5fe\x6de\x72ge\x6ec\x79");echo "\x22\x20onk\x65\x79p\x72e\x73s=\"re\x74\x75rn\x20is\x46\x6co\x61\x74(e\x76\x65\x6e\x74)\" on\x43lic\x6b\x3d\"\x74\x68\x69\x73\x2e\x73\x65\x6c\x65c\x74()\x3b\x22 \x70\x6c\x61c\x65ho\x6c\x64\x65r=\x22";echo lang("\x46\x6f\x72\x5fe\x6de\x72\x67\x65\x6e\x63\x79");echo "\"  />\n\t\t\t\t\t\t\t\t\t\t\t\t";echo form_error("F\x6fr\x5fe\x6d\x65\x72ge\x6e\x63\x79","\x3cs\x70\x61n\x20\x73t\x79le\x3d\"\x64is\x70\x6c\x61y:b\x6c\x6fc\x6b\" \x63\x6c\x61\x73s=\"\x65rr\x6f\x72\x20i\x6e\x76\x61\x6c\x69\x64-f\x65e\x64\x62\x61\x63k\x22>","</\x73pan\x3e");echo "\t\t\t\t\t\t\t\t\t\t\t</div>\n\t\t\t\t\t\t\t\t\t\t\t\x3cd\x69\x76 c\x6cass=\"\x66\x6f\x72m-\x67\x72\x6fup\">\n\t\t\t\t\t\t\t\t\t\t\t\t<\x6c\x61b\x65\x6c for\x3d\"Fo\x72_\x64\x72ug\"\x3e";echo lang("For_drug");echo "\x3c/la\x62el>\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x69n\x70\x75\x74 ty\x70\x65=\"t\x65xt\x22\x20c\x6c\x61\x73\x73\x3d\"f\x6f\x72\x6d-c\x6f\x6e\x74rol\" n\x61me\x3d\"For_d\x72ug\x22\x20\x69d\x3d\x22\x46\x6fr_\x64\x72u\x67\x22 \x76\x61\x6c\x75e=\x22";echo post("\x46\x6fr_\x64r\x75\x67");echo "\"\x20o\x6ekey\x70\x72\x65ss=\x22r\x65\x74\x75\x72n isFl\x6f\x61\x74(ev\x65n\x74)\"\x20onC\x6ci\x63k\x3d\"thi\x73.se\x6c\x65ct();\x22\x20pla\x63e\x68\x6fld\x65\x72\x3d\x22";echo lang("For_\x64r\x75g");echo "\x22  /\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t";echo form_error("Fo\x72\x5fd\x72\x75g","\x3c\x73pan s\x74\x79\x6c\x65=\"\x64\x69\x73play:\x62\x6c\x6fc\x6b\"\x20\x63\x6c\x61ss=\"er\x72o\x72 \x69\x6eva\x6ci\x64-\x66\x65e\x64ba\x63\x6b\x22\x3e","</\x73\x70an>");echo "\t\t\t\t\t\t\t\t\t\t\t</\x64iv>\n\t\t\t\t\t\t\t\t\t\t\x3c/di\x76>\n\t\t\t\t\t\t\t\t\t\t\x3c\x64\x69v c\x6c\x61\x73s=\x22c\x6fl-sm-6\x22\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3c\x64i\x76 class=\x22f\x6f\x72m-\x67r\x6f\x75p\x22>\n\t\t\t\t\t\t\t\t\t\t\t\t\x3cla\x62\x65\x6c\x20f\x6fr\x3d\"\x46\x6fr\x5f\x73urge\x72\x79\x22>";echo lang("F\x6fr_\x73ur\x67\x65r\x79");echo "</l\x61\x62\x65\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3c\x69\x6e\x70\x75\x74\x20type=\x22\x74\x65\x78\x74\x22 \x63\x6c\x61\x73\x73\x3d\x22f\x6fr\x6d-contro\x6c\x22 n\x61\x6d\x65\x3d\x22F\x6fr\x5f\x73\x75\x72\x67\x65r\x79\x22 \x69\x64=\x22\x46or_\x73\x75\x72ge\x72\x79\x22 v\x61l\x75e\x3d\x22";echo post("For_s\x75\x72ge\x72y");echo "\"\x20\x6fnke\x79\x70re\x73\x73=\x22r\x65\x74\x75\x72n\x20i\x73\x46\x6co\x61\x74(\x65v\x65n\x74)\x22 on\x43l\x69c\x6b\x3d\x22t\x68\x69\x73.s\x65\x6cect()\x3b\" \x70\x6ca\x63eh\x6f\x6c\x64e\x72=\"";echo lang("F\x6f\x72_\x73\x75r\x67\x65\x72y");echo "\" /\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t";echo form_error("For_\x73\x75\x72\x67er\x79","<s\x70\x61n \x73\x74\x79le=\x22d\x69s\x70\x6ca\x79:blo\x63k\x22\x20\x63la\x73\x73=\"e\x72ror\x20i\x6ev\x61l\x69\x64-f\x65\x65\x64\x62\x61\x63\x6b\x22\x3e","\x3c/\x73pa\x6e\x3e");echo "\t\t\t\t\t\t\t\t\t\t\t</di\x76\x3e\n\t\t\t\t\t\t\t\t\t\t\t\x3cdi\x76 \x63\x6c\x61ss\x3d\"f\x6f\x72m-\x67\x72ou\x70\"\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t<\x6cab\x65\x6c\x20fo\x72=\"\x46\x6fr\x5fbe\x64\">";echo lang("\x46or\x5f\x62ed");echo "\x3c/l\x61be\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3cin\x70\x75t \x74ype=\x22\x74\x65x\x74\x22\x20\x63l\x61\x73\x73=\x22\x66\x6frm-\x63\x6fn\x74\x72ol\"\x20n\x61\x6d\x65\x3d\x22F\x6f\x72\x5fb\x65\x64\x22 \x69\x64\x3d\x22Fo\x72_b\x65d\x22 val\x75\x65\x3d\x22";echo post("\x46or_\x62e\x64");echo "\"\x20\x6fnk\x65yp\x72\x65\x73\x73=\x22\x72e\x74u\x72\x6e i\x73F\x6c\x6f\x61\x74(e\x76e\x6e\x74)\" o\x6eC\x6ci\x63k=\"\x74\x68\x69\x73\x2e\x73e\x6c\x65\x63t()\x3b\" p\x6ca\x63eholde\x72\x3d\x22";echo lang("\x46or\x5fbed");echo "\x22\x20/>\n\t\t\t\t\t\t\t\t\t\t\t\t";echo form_error("F\x6fr_\x62e\x64","<\x73p\x61n \x73\x74yle=\x22di\x73p\x6c\x61\x79:b\x6co\x63k\" c\x6cass=\"e\x72ro\x72 in\x76\x61\x6c\x69\x64-f\x65ed\x62\x61ck\x22>","</\x73\x70a\x6e\x3e");echo "\t\t\t\t\t\t\t\t\t\t\t</\x64\x69v>\n\t\t\t\t\t\t\t\t\t\t\t<di\x76 \x63la\x73s\x3d\x22\x66\x6f\x72m-\x67roup\"\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t<\x6ca\x62\x65l \x66or=\"For_\x6ft\x68er\x73\x22>";echo lang("\x46\x6fr\x5fother\x73");echo "\x3c/\x6c\x61be\x6c\x3e\n\t\t\t\t\t\t\t\t\t\t\t\t\x3cin\x70u\x74 \x74yp\x65\x3d\"tex\x74\x22\x20cl\x61ss\x3d\"\x66\x6fr\x6d-cont\x72\x6fl\"\x20n\x61m\x65\x3d\x22\x46\x6fr\x5foth\x65r\x73\x22\x20id=\"F\x6fr\x5fo\x74h\x65\x72\x73\x22\x20v\x61\x6c\x75\x65\x3d\"";echo post("\x46or_\x6f\x74h\x65\x72s");echo "\" o\x6e\x6be\x79p\x72\x65\x73\x73\x3d\x22\x72e\x74\x75rn isF\x6c\x6fat(eve\x6e\x74)\x22\x20\x6fn\x43\x6c\x69ck=\x22\x74\x68\x69\x73.s\x65\x6cec\x74();\"\x20\x70laceho\x6cd\x65r=\x22";echo lang("\x46\x6f\x72\x5fo\x74her\x73");echo "\x22\x20/>\n\t\t\t\t\t\t\t\t\t\t\t\t";echo form_error("\x46or_ot\x68ers","\x3c\x73pan\x20\x73\x74y\x6c\x65=\"dis\x70\x6ca\x79:b\x6coc\x6b\" \x63l\x61\x73s=\x22erro\x72 i\x6e\x76\x61\x6cid-f\x65e\x64b\x61\x63\x6b\x22>","\x3c/\x73\x70an>");echo "\t\t\t\t\t\t\t\t\t\t\t</d\x69\x76>\n\t\t\t\t\t\t\t\t\t\t\x3c/div\x3e\n\t\t\t\t\t\t\t\t\t\x3c/\x64\x69v\x3e\t\n\t\t\t\t\t\t\t\t\t<di\x76\x20\x63la\x73\x73\x3d\x22\x66orm-\x67\x72o\x75\x70\">\n\t\t\t\t\t\t\t\t\t\t<\x6cabe\x6c f\x6fr\x3d\"\x54\x6ftal\">";echo lang("\x54\x6f\x74a\x6c");echo "\x3c/l\x61bel>\n\t\t\t\t\t\t\t\t\t\t<\x69\x6eput\x20\x74\x79\x70e\x3d\x22\x74\x65\x78\x74\"\x20class=\x22\x66o\x72m-\x63ont\x72\x6f\x6c\"\x20\x6eam\x65\x3d\x22\x54\x6f\x74al\" i\x64=\"\x54o\x74\x61l\x22 val\x75e\x3d\"";echo post("Tot\x61\x6c");echo "\"\x20\x70\x6c\x61\x63\x65ho\x6c\x64e\x72=\x22";echo lang("Tota\x6c");echo "\" \x72e\x61d\x6f\x6el\x79 /\x3e\n\t\t\t\t\t\t\t\t\t</\x64\x69\x76>\n\t\t\t\t\t\t\t\t</d\x69v>\n\t\t\t\t\t\t\t</di\x76\x3e\n\t\t\t\t\t\t</div\x3e\n\t\t\t\t\t\x3c/d\x69\x76\x3e\n\t\t\t\t</div>\n\t\t\t</\x64\x69\x76\x3e\n\t\t</\x64iv>\n\t\t\x3c\x64iv\x20c\x6ca\x73s=\x22card-f\x6fo\x74er\x22>\n\t\t\t\x3c\x64\x69v \x63\x6c\x61\x73\x73=\"\x72ow\x22>\n\t\t\t\t<d\x69v\x20cla\x73\x73\x3d\"c\x6fl\x22><a hre\x66=\"";echo url("/\x72\x65\x63\x6fr\x64/\x61\x6cl");echo "\x22 on\x63l\x69ck=\x22\x22 \x63\x6c\x61\x73\x73\x3d\"\x62\x74\x6e\x20btn-fl\x61t\x20bt\x6e-\x64a\x6e\x67\x65\x72\">";echo lang("\x63an\x63\x65\x6c");echo "\x3c/\x61\x3e</\x64i\x76>\n\t\t\t\t\x3c\x64\x69v\x20\x63\x6c\x61\x73\x73\x3d\"c\x6f\x6c\x20\x74\x65\x78t-\x72\x69g\x68t\x22><but\x74o\x6e\x20\x74\x79\x70e=\"\x73ubmi\x74\x22\x20cla\x73\x73\x3d\"\x62t\x6e\x20\x62\x74\x6e-\x66\x6cat\x20btn-\x70\x72\x69\x6da\x72y\x22\x3e";echo lang("s\x75b\x6d\x69t");echo "\x3c/\x62\x75\x74ton\x3e</div>\n\t\t\t\x3c/\x64i\x76\x3e\n\t\t\x3c/d\x69v\x3e\n\t\t";echo form_close();echo "\t</d\x69v>\n</se\x63tio\x6e\x3e\n\n\x3cs\x63r\x69p\x74\x3e\n \x20\x20\x20\$('.\x73e\x6cect2\x27)\x2ese\x6c\x65\x63\x74\x32()\n\x3c/\x73crip\x74\x3e\n<\x73c\x72\x69\x70\x74>\n\t\$(\x64\x6fcument).r\x65\x61dy(f\x75nc\x74ion(){\n\t\t\n\t\t\$('\x23Car\x64\x5f\x6e\x6f\x27).\x6beyup(\x66\x75n\x63t\x69\x6fn(){\n\t\t\t\x76\x61\x72\x20C\x61rd_\x6e\x6f\x20=\x20\$(\x74h\x69s)\x2e\x76\x61l()\x3b\n\t\t\tv\x61\x72\x20R\x65g\x5f\x74\x79\x70\x65\x20=\x20\$(\x27#R\x65\x67\x5f\x74\x79p\x65').\x76\x61l();\n\t\t\t\$\x2e\x61jax({\n\t\t\t\t\x75r\x6c:\x22";echo base_url();echo "r\x65\x63\x6f\x72\x64/g\x65t\x5f\x4c\x69\x76e_Car\x64\x5fin\x66o\x22,\n\t\t\t\t\x6d\x65\x74h\x6f\x64:\"\x50O\x53T\x22,\n\t\t\t\t\x64\x61\x74\x61:{\x43a\x72d\x5fn\x6f:\x43a\x72\x64\x5f\x6eo},\n\t\t\t\ts\x75\x63c\x65\x73s:\x66un\x63\x74io\x6e(d\x61\x74a){\n\t\t\t\t\t\x76a\x72 in\x66o\x20= \x64ata\x2e\x73\x70\x6c\x69\x74(\"-\");\n\t\t\t\t\t\$(\x27\x23P\x66\x75ll_\x6e\x61\x6de').v\x61l(\x69\x6e\x66\x6f[\x30])\x3b\n\t\t\t\t\t\$(\x27\x23Gen\x64\x65r')\x2e\x76a\x6c(\x69n\x66\x6f[\x31])\x3b\n\t\t\t\t\t\$('#A\x67e')\x2e\x76\x61l(\x69\x6e\x66o[\x32])\x3b\n\t\t\t\t\ti\x66(Re\x67_\x74\x79\x70\x65 =\x3d '\x43b\x68i'){\n\t\t\t\t\t\t\$(\x27\x23Kebe\x6c\x65\x27)\x2e\x76\x61\x6c(in\x66\x6f[\x33]);\n\t\t\t\t\t}e\x6cse{\n\t\t\t\t\t\t\$(\x27\x23\x4be\x62\x65\x6ce').v\x61l('\x27);\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t})\x3b\n\t\t\t\n\t\t\t\$\x2e\x61ja\x78({\n\t\t\t\t\x75rl:\x22";echo base_url();echo "\x72e\x63o\x72d/\x72\x65\x67\x5ft\x79p\x65\x22,\n\t\t\t\tm\x65t\x68od:\x22\x50OST\",\n\t\t\t\t\x64\x61\x74a:{Re\x67\x5ft\x79\x70e:\x52\x65\x67\x5fty\x70e},\n\t\t\t\t\x73ucc\x65\x73s:fu\x6e\x63t\x69o\x6e(\x68\x74\x6dl){\n\t\t\t\t\t\$(\x27\x23\x52\x65\x67\x5ft\x79\x70\x65_\x32\x27).\x68\x74m\x6c(\x68tm\x6c)\x3b\n\t\t\t\t}\n\t\t\t});\n\t\t});\n\t\t\n\t\t\n\t\t\n\t\t\$(\x27#\x52\x65\x67_t\x79p\x65')\x2ech\x61nge(\x66un\x63tio\x6e(){\n\t\t\t\$(\"\x23\x52\x65g\x5f\x74y\x70e_\x31\").\x68\x69de()\x3b\n\t\t\t\x76ar\x20\x52\x65g_t\x79\x70\x65\x20= \$(\x74h\x69\x73)\x2e\x76al();\n\t\t\t\x69\x66(R\x65\x67_typ\x65 \x3d= '\x43bh\x69'){\n\t\t\t\t\$(\x27\x23\x50ayme\x6e\x74_\x74y\x70\x65')\x2e\x72\x65mo\x76eA\x74tr(\x27\x64\x69s\x61\x62led\x27)\x3b\n\t\t\t\t\$(\x27#\x43b\x68\x69\x5f\x63od\x65\x27).r\x65\x6dov\x65A\x74\x74r('\x64\x69s\x61\x62led')\x3b\n\t\t\t\t\$('#Ke\x62el\x65').r\x65mo\x76\x65\x41ttr('\x64i\x73a\x62le\x64');\n\t\t\t\t\$(\x27\x23P\x61\x79men\x74\x5f\x74y\x70\x65\x27).\x76\x61l('\x27)\x3b \x20\n\t\t\t\t\$(\x27\x23Cbhi\x5f\x63ode\x27)\x2ev\x61l(\x27\x27)\x3b\n\t\t\t\t\$(\x27\x23Keb\x65le\x27).v\x61\x6c(\x27\x27)\x3b\n\t\t\t}\x65\x6c\x73\x65{\n\t\t\t\t\n\t\t\t\t\$(\x27\x23\x50a\x79\x6d\x65n\x74\x5f\x74\x79\x70\x65').at\x74r(\x27di\x73\x61b\x6ce\x64',\x20\x27\x64\x69s\x61\x62\x6ced');\n\t\t\t\t\$('#\x43bh\x69\x5f\x63\x6f\x64\x65')\x2ea\x74t\x72('\x64is\x61bled', 'dis\x61\x62l\x65d');\n\t\t\t\t\$('#\x4b\x65b\x65le\x27).\x61\x74tr('\x64\x69s\x61\x62l\x65d\x27,\x20\x27d\x69sable\x64')\x3b\n\t\t\t\t\$('#Payme\x6e\x74_\x74\x79pe')\x2e\x76\x61\x6c(\x27---');  \n\t\t\t\t\$('\x23\x43b\x68\x69_\x63o\x64\x65').va\x6c('---')\x3b\n\t\t\t\t\$('\x23\x4b\x65\x62e\x6c\x65\x27)\x2e\x76\x61\x6c(\x27---');\n\t\t\t}\n\t\t\t\$\x2ea\x6aa\x78({\n\t\t\t\turl:\x22";echo base_url();echo "reco\x72d/\x72\x65g\x5fty\x70e\",\n\t\t\t\tmeth\x6fd:\"\x50\x4f\x53T\x22,\n\t\t\t\t\x64a\x74a:{Reg_\x74\x79p\x65:Re\x67\x5ft\x79p\x65},\n\t\t\t\t\x73ucces\x73:\x66\x75\x6ec\x74\x69\x6fn(ht\x6dl){\n\t\t\t\t\t\$('\x23\x52e\x67\x5ft\x79pe_\x32\x27).\x68\x74\x6d\x6c(\x68t\x6d\x6c)\x3b\n\t\t\t\t}\n\t\t\t});\n\t\t});\n\t\t\n\t\t\n\t\t\$('\x23Fo\x72_c\x61\x72\x64\x27)\x2e\x63\x68\x61\x6e\x67e(\x66\x75nct\x69\x6fn(){\n\t\t\tt\x6ft\x61l();\n\t\t});\n\t\t\$(\x27\x23\x46o\x72_l\x61\x62').k\x65y\x75p(\x66unct\x69\x6f\x6e(){\n\t\t\t\x74\x6f\x74al();\n\t\t})\x3b\n\t\t\$('#Fo\x72_\x65mer\x67\x65ncy')\x2e\x6be\x79\x75\x70(f\x75\x6ec\x74i\x6f\x6e(){\n\t\t\tt\x6f\x74al()\x3b\n\t\t});\n\t\t\$(\x27\x23\x46\x6f\x72\x5f\x64\x72ug').key\x75\x70(f\x75\x6e\x63\x74i\x6fn(){\n\t\t\t\x74\x6ft\x61\x6c();\n\t\t})\x3b\n\t\t\$(\x27\x23\x46or_sur\x67\x65r\x79\x27)\x2e\x6be\x79u\x70(\x66\x75\x6ec\x74\x69\x6fn(){\n\t\t\tt\x6f\x74\x61l();\n\t\t});\n\t\t\$('\x23\x46\x6fr\x5fb\x65\x64')\x2eke\x79u\x70(\x66\x75\x6ec\x74i\x6f\x6e(){\n\t\t\t\x74\x6ft\x61\x6c()\x3b\n\t\t})\x3b\n\t\t\$(\x27#Fo\x72_o\x74\x68e\x72s').\x6be\x79u\x70(\x66un\x63tion(){\n\t\t\t\x74o\x74\x61l()\x3b\n\t\t});\n\t\t\x66unct\x69on tot\x61l(){\n\t\t\tvar\x20\x76al1\x20=\x20\$('#F\x6f\x72\x5f\x63\x61\x72d')\x2ev\x61l();\n\t\t\t\x76a\x72 \x76\x61l\x32 = \$(\x27\x23Fo\x72_l\x61b\x27).\x76\x61\x6c();\n\t\t\tva\x72 v\x61\x6c3 \x3d \$(\x27\x23Fo\x72_e\x6de\x72\x67enc\x79')\x2ev\x61\x6c();\n\t\t\t\x76\x61\x72 \x76\x61l4\x20\x3d \$(\x27\x23\x46o\x72_dr\x75\x67').\x76\x61l();\n\t\t\tvar\x20\x76a\x6c5\x20= \$('\x23\x46\x6fr\x5f\x73urge\x72y').va\x6c();\n\t\t\t\x76\x61r \x76\x61\x6c\x36 \x3d \$('\x23Fo\x72_\x62\x65d\x27).\x76a\x6c();\n\t\t\t\x76ar\x20\x76a\x6c\x37\x20= \$(\x27\x23\x46\x6fr_\x6fth\x65\x72\x73').\x76a\x6c();\n\t\t\t\x76ar S\x75\x6d = \x20\x4e\x75m\x62\x65\x72(\x76\x61\x6c\x31)\x20+ \x4e\x75\x6d\x62\x65r(\x76\x61\x6c\x32) + Nu\x6dbe\x72(val\x33) + \x4e\x75mbe\x72(\x76al\x34) +\x20\x4e\x75m\x62e\x72(va\x6c\x35)\x20+ N\x75m\x62er(v\x61l\x36)\x20 +\x20\x4eu\x6dber(\x76a\x6c\x37)\x3b\n\t\t\t\$('\x23T\x6f\x74\x61\x6c').v\x61l(Su\x6d);\n\t\t}\n\t\t\n\t\n\t\t\n\t\t\$('\x23\x50\x61\x79\x6d\x65\x6e\x74\x5ftype').\x63\x68a\x6ege(\x66un\x63ti\x6f\x6e(){\n\t\t\tv\x61r va\x6c\x31\x20\x3d \$(\x27#P\x61y\x6den\x74_\x74y\x70e\x27).v\x61\x6c();\n\t\t\t\$(\x27#\x43bhi_\x63\x6f\x64e').val(v\x61\x6c1 +\x20\x27/');\n\t\t});\n\t\t\$(\x27\x23C\x62hi_c\x6fd\x65\x27)\x2ev\x61\x6c('\x50/\x27)\x3b\n\t});\n</scr\x69\x70t>\t\n\n<d\x69\x76 \x63lass\x3d\"\x6d\x6fdal\x20\x66\x61\x64\x65\" i\x64=\x22\x49m\x70or\x74\x5f\x59\x65\x7a\x6f\x74a_D\x61ta\x22 \x74a\x62\x69\x6e\x64\x65x\x3d\"-1\x22\x20r\x6fl\x65\x3d\x22d\x69\x61l\x6f\x67\x22\x20\x20\x61\x72\x69\x61-\x6cabe\x6cl\x65d\x62\x79=\x22m\x79M\x6f\x64alLab\x65l\" \x61ria-h\x69\x64\x64\x65n\x3d\"\x74\x72\x75e\" \x64\x61t\x61-ba\x63\x6bdro\x70\x3d\x22st\x61\x74\x69\x63\"\x20\x64at\x61-\x6b\x65\x79bo\x61r\x64=\x22fa\x6c\x73e\">\n\t<di\x76 cla\x73\x73=\"mod\x61\x6c-\x64i\x61\x6cog\x20\x6do\x64\x61\x6c-\x73\x6d\"\x3e\n\t\t\x3c\x64\x69\x76\x20\x63l\x61\x73s\x3d\x22mod\x61l-cont\x65\x6e\x74\">\n\t\t\t<div \x63l\x61s\x73=\x22modal-h\x65a\x64\x65r\x22\x3e\n\t\t\t\t\x3c\x62u\x74t\x6f\x6e \x74\x79\x70\x65\x3d\x22\x62u\x74t\x6f\x6e\x22\x20cl\x61ss\x3d\x22\x63lose\x22\x20\x64\x61\x74\x61-\x64\x69smis\x73\x3d\"\x6d\x6f\x64al\x22 a\x72\x69\x61-hi\x64de\x6e\x3d\"\x74\x72u\x65\">&\x74i\x6des\x3b</\x62\x75t\x74on>\n\t\t\t\t<\x68\x34 cl\x61\x73\x73\x3d\x22moda\x6c-\x74i\x74l\x65\x22\x20i\x64\x3d\"\x481\x22\x3e";echo lang("A\x64\x64\x4eew");echo "\x20</\x684\x3e\n\t\t\t\x3c/d\x69\x76\x3e\n\t\t\t\x3cd\x69v \x63\x6ca\x73s\x3d\"\x6d\x6fd\x61l-bo\x64\x79\x22>\n\t\t\t\t\x3cf\x6f\x72m\x20\x6de\x74ho\x64=\x22\x70os\x74\x22 \x20\x69\x64\x3d\x22imp\x6f\x72t_\x66\x6f\x72m\" \x65\x6e\x63\x74\x79pe\x3d\x22\x6d\x75\x6ct\x69par\x74/\x66o\x72m-da\x74\x61\"\x3e\n\t\t\t\t";echo lang("Se\x6c\x65c\x74_\x46\x69l\x65");echo "\t\t\t\t<in\x70\x75t\x20\x74y\x70e=\"f\x69l\x65\"\x20\x6e\x61\x6de=\"f\x69l\x65\" id=\x22im\x70\x6frt\x5f\x66\x69l\x65\x22 \x72\x65\x71\x75i\x72\x65d\x20ac\x63ep\x74\x3d\"\x2e\x78\x6c\x73,\x20.xl\x73x\x22\x20\x63\x6c\x61s\x73\x3d\"\x62\x74\x6e\x20bt\x6e-i\x6ef\x6f\x22/\x3e\n\t\t\t\t<\x64\x69v c\x6c\x61s\x73\x3d\x22ms\x672\"\x3e</di\x76>\n\t\t\t\t\x3cdiv \x69d\x3d\x22l\x6fad\x65\x724\">\x3c/\x64iv\x3e\n\t\t\t\x3c/div>\n\t\t\t<\x64i\x76 cla\x73s\x3d\"\x6do\x64al-f\x6f\x6f\x74er\">\n\t\t\t\t<b\x75\x74t\x6fn\x20\x74\x79\x70e\x3d\"\x73u\x62m\x69\x74\x22 id\x3d\x22b\x74\x6eu\x70\x6c\x6fadfil\x65\x32\" na\x6de\x3d\"i\x6d\x70o\x72t\"\x20c\x6cass=\"bt\x6e \x62\x74n-s\x75c\x63ess\"\x20>\x3cli\x20clas\x73=\"\x66a\x20fa-\x73av\x65\"\x3e\x26nb\x73\x70\x3b</\x6ci>";echo lang("\x53av\x65");echo "</button>\n\t\t\t\t<b\x75\x74\x74\x6fn \x74yp\x65=\"\x72eset\" \x63\x6c\x61s\x73\x3d\"btn b\x74\x6e-i\x6efo\x22\x20>\x3cl\x69\x20\x63la\x73\x73\x3d\x22\x66\x61 f\x61-\x72e\x66\x72\x65sh\"\x3e&\x6ebs\x70\x3b\x3c/\x6c\x69\x3eR\x65set</\x62u\x74ton\x3e\n\t\t\t\t\x3cbu\x74t\x6f\x6e\x20t\x79p\x65=\"but\x74on\" c\x6c\x61\x73\x73\x3d\x22\x62\x74n bt\x6e-\x64\x61\x6eger\x22\x20\x64\x61\x74\x61-d\x69\x73m\x69ss\x3d\x22\x6do\x64\x61\x6c\"\x3e\x3c\x6c\x69 \x63\x6c\x61\x73\x73=\x22\x66a fa-\x63\x6c\x6fse\"\x3e\x26\x6e\x62sp;</\x6ci>\x43\x6co\x73\x65\x3c/\x62ut\x74on\x3e\n\t\t\t\x3c/div>\n\t\t\t\x3c/\x66or\x6d\x3e\n\t\t\x3c/\x64i\x76>\n\t\x3c/d\x69v\x3e\n\x3c/\x64\x69\x76>\n<\x73\x63r\x69p\x74>\n\$(document)\x2e\x72e\x61\x64\x79(\x66\x75n\x63tion(){\n\n\t\$('\x23im\x70\x6f\x72\x74_\x66\x6frm').\x6fn('su\x62mi\x74\x27,\x20\x66unct\x69\x6f\x6e(\x65\x76\x65nt){\n\t\t\x65\x76en\x74\x2e\x70reve\x6e\x74\x44efa\x75\x6c\x74();\n\t\t\x76ar \x65x\x74\x65\x6e\x74\x69\x6fn\x20\x3d \$('#\x69\x6dpo\x72t\x5f\x66ile').\x76al()\x2e\x73p\x6ci\x74('\x2e')\x2epop()\x2et\x6f\x4c\x6f\x77\x65\x72C\x61\x73\x65();\n\t\t\x69f(j\x51\x75\x65\x72y\x2ei\x6e\x41\x72ray(\x65\x78\x74\x65\x6e\x74i\x6fn,\x20[\x27xls',\x27xlsx\x27]) \x3d\x3d -1){\n\t\t\t\x6aQue\x72y(docu\x6den\x74)\x2e\x72\x65a\x64\x79(fu\x6ect\x69\x6f\x6e(){\n\t\t\t\t\$.\x6a\x47rowl(\"L\x6fading \x46\x69\x6c\x65\x20\x50lea\x73e Wa\x69t..\x2e\x2e..\",\x20{\x20stic\x6b\x79:\x20fa\x6cs\x65 });\n\t\t\t\t\$\x2e\x6a\x47rowl(\"";echo lang("I\x6ev\x61li\x64_F\x69\x6ceF\x6frm\x61\x74");echo "\",\x20{\x20\x68e\x61d\x65\x72: \x27A\x6cer\x65\x74'\x20});\x20\x20\n\t\t\t})\x3b\n\t\t\t\$('#\x69mp\x6frt_\x66\x69le\x27).val('\x27)\x3b\n\t\t\t\x72\x65\x74\x75rn\x20\x66\x61lse;\n\t\t}\n\t\t\$(\"\x23load\x65r\x34\x22).\x66\x61\x64eIn(\x3400).\x68t\x6d\x6c('<img\x20\x73\x72c=\"";echo base_url();echo "\x61s\x73e\x74\x73/\x69mg/\x6coa\x64\x69ng\x2egi\x66\" ali\x67\x6e\x3d\"a\x62\x73mid\x64le\x22>&\x6eb\x73\x70;Upl\x6fa\x64\x69\x6eg\x20\x69n pr\x6f\x67\x72\x65\x73s\x2e\x2e.')\x3b\n\t\t\$.a\x6aa\x78({\n\t\t\t\x75r\x6c:\x22";echo base_url();echo "\x72ec\x6f\x72\x64/\x75\x70lo\x61\x64\x5f\x65\x78c\x65\x6c\x22,\n\t\t\tmet\x68\x6fd:\"\x50\x4f\x53\x54\",\n\t\t\tdat\x61:\x6ee\x77\x20F\x6f\x72m\x44\x61ta(\x74\x68is),\n\t\t\t\x63o\x6et\x65ntT\x79\x70\x65:f\x61l\x73e,\n\t\t\tc\x61\x63h\x65:\x66\x61lse,\n\t\t\tpr\x6f\x63\x65ss\x44a\x74\x61:fa\x6c\x73\x65,\n\t\t\t\x73uc\x63es\x73:fu\x6ec\x74i\x6f\x6e(\x64\x61ta){\n\t\t\t\t\$('#impor\x74\x5f\x66\x69le\x27)\x2eval(\x27')\x3b\n\t\t\t\t\$(\x27\x2ems\x672\x27).t\x65xt(\x27\x46i\x6ce \x75\x70\x6co\x61\x64\x65d s\x75cce\x73sfully\x21\x21\x27)\x3b\n\t\t\t\t\$(\x27#\x62t\x6euplo\x61dfil\x652')\x2e\x72\x65m\x6fv\x65A\x74t\x72('disabled\x27)\x3b\n\t\t\t\t\$(\"\x23\x6coa\x64\x65r\x34\x22)\x2efa\x64eOut(\x32\x300)\x3b\n\t\t\t\t\n\t\t\t\t\n\t\t\t}\n\t\t})\n\t});\n\n});\n\x3c/scri\x70\x74\x3e\n";include viewPath("i\x6e\x63\x6c\x75d\x65s/footer");
?>

Function Calls

None

Variables

None

Stats

MD5 4c61d0cc68a0a1ceff861b6badf02826
Eval Count 0
Decode Time 78 ms