<?php
	include('common/header.php');
?>
	<div class="">
		<div class="col-xm-12">
			<div class="widget-box light-border">
				<div class="widget-header header-color-grey">
					<h4 class="smaller">
						Customer Contact
					</h4>
				</div>
				<div class="widget-body">
					<div class="widget-main">
						<div class="row">
							<div class="col-sm-12">
								<form class="form-horizontal" role="form" name="module_form" id="module_form">
								<div class="">
									<!-- PAGE CONTENT BEGINS -->
																								
									<div class="form-group">  
										<label class="col-sm-5 control-label" for="form-field-2" ><?php echo 'Customer Name ';?><font style="color:red">*</font></label>
										<div class="col-sm-7">	
											<?php	
												$customer_name=array('name'=>'customer_name',
																		'id'=>'$customer_name',
																		'placeholder'=>'Customer  Name',
																		'value'=> ''
																		);
												echo form_input($customer_name,'');
												echo form_error('customer_name');
											?>
										</div>
									</div>	


									<div class="form-group">  
										<label class="col-sm-5 control-label" for="form-field-2" ><?php echo 'Mobile No';?><font style="color:red">*</font></label>
										<div class="col-sm-7">	
											<?php	
												$mobile_no=array('name'=>'mobile_no',
																		'id'=>'mobile_no',
																		'placeholder'=>'Mobile No',
																		'value'=> ''
																		);
												echo form_input($mobile_no,'');
												echo form_error('mobile_no');
											?>
										</div>
									</div>	

									<div class="form-group">  
										<label class="col-sm-5 control-label" for="form-field-2" ><?php echo 'Email id';?><font style="color:red">*</font></label>
										<div class="col-sm-7">	
											<?php	
												$email_id=array('name'=>'email_id',
																		'id'=>'email_id',
																		'placeholder'=>'Email id',
																		'value'=> ''
																		);
												echo form_input($email_id,'');
												echo form_error('email_id');
											?>
										</div>

									</div>	
								</div>
								</form>	
							</div>
						</div>
					</div>	
				</div>
			</div>
		</div>
		<!-- /.col -->
	</div>
	<div class="clearfix form-actions">
		<div class="col-md-offset-5 col-md-5">
			<button class="btn btn-info" type="button" onclick="javascript:window.location='<?php echo base_url();?>index.php/gc/customer_master/list_customer_master'">
				Back
			</button>
			<button class="btn btn-info" type="button">
				 <?php echo $purpose;?>   Customer Contact
		</div>
	</div>
	<div class="space-4"></div>
		<!-- /.page-row -->
        <!-- /.page-content --> 
    </div>
    <!-- /.main-content --> 
	</div>
    <!-- /#ace-settings-container --> 
	</div>
	<!-- /.main-container-inner --> 
<script>
function hide()
{
	document.getElementById("admin_type_code").style.display="none";
}
function show()
{
	document.getElementById("admin_type_code").style.display="";
}
</script>
<script type="text/javascript">
 $('#date-timepicker1').datetimepicker({
                 //format: 'MM/DD/YYYY h:mm:ss A',//use this option to display seconds
                 icons: {
                    time: 'fa fa-clock-o',
                    date: 'fa fa-calendar',
                    up: 'fa fa-chevron-up',
                    down: 'fa fa-chevron-down',
                    previous: 'fa fa-chevron-left',
                    next: 'fa fa-chevron-right',
                    today: 'fa fa-arrows ',
                    clear: 'fa fa-trash',
                    close: 'fa fa-times'
                 }
                }).next().on(ace.click_event, function(){
                    $(this).prev().focus();
});
</script>	

<?php
	include('common/footer.php');
?>