cpt/dataentry.html at master · vick25/cpt · GitHub

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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<link rel="shortcut icon" href="http://localhost:82/cpt/img/favicon.png">
<title>Nairobi City County Projects Entry Form</title>
<link rel="stylesheet" type="text/css" href="form.css" media="all">

</head>
<body id="main_body" >

	<img id="top" src="img/top.png" alt="">
	<div id="form_container">

		<form id="form_1111661" class="appnitro"  method="post" action="dataHandler.php">
			<div class="form_description">
			<h3>Nairobi City County Projects Entry Form</h3>
			<p>Enter details about development projects</p>
			</div>

		<ul >

		<li id="li_1" >
		<label class="description" for="element_1">Project id </label>
		<div>
			<input id="element_1" name="project_id" class="element text medium" type="text" maxlength="255" value=""/>
		</div>
		</li>
		<li id="li_2" >
		<label class="description" for="element_2">Location </label>
		<div>
			<input id="element_2" name="location" class="element text medium" type="text" maxlength="255" value=""/>
		</div>
		</li>
		<li id="li_3" >
		<label class="description" for="element_3">Project Description </label>
		<div>
			<textarea id="element_3" name="project_description" class="element textarea medium"></textarea>
		</div>
		</li>

		<li id="li_4" >
		<label class="description" for="element_4">Financial Year </label>
		<div>
		<select class="element select medium" id="element_4" name="financial_year">
			<option value="" selected="selected"></option>
			<option value="2012/2013" >2012/2013</option>
			<option value="2013/2014" >2013/2014</option>
			<option value="2014/2015" >2014/2015</option>
			<option value="2015/2016" >2015/2016</option>
		</select>
		</div>
		</li>

		<li id="li_5" >
		<label class="description" for="element_5">Sector/Department </label>
		<div>
		<select class="element select medium" id="element_5" name="sector">
			<option value="" selected="selected"></option>
			<option value="Education and Social Services" >Education and Social Services</option>
			<option value="ICT and E-Government" >ICT and E-Government</option>
			<option value="Trade, Industrialization and Tourism" >Trade, Industrialization and Tourism</option>
			<option value="Environment and Forestry" >Environment and Forestry</option>
			<option value="Health Services" >Health Services</option>
			<option value="Agriculture, Livestock and Fisheries" >Agriculture, Livestock and Fisheries</option>
		</select>
		</div>
		</li>

		<li id="li_6" >
		<label class="description" for="element_6">Estimated cost </label>
		<div>
			<input id="element_6" name="estimated_cost" class="element text medium" type="text" maxlength="255" value=""/>
		</div>
		</li>

		<li id="li_7" >
		<label class="description" for="element_7">Funding </label>
		<div>
			<input id="element_7" name="funding" class="element text medium" type="text" maxlength="255" value=""/>
		</div>
		</li>

		<li id="li_10" >
		<label class="description" for="element_10">Project Status </label>
		<div>
		<select class="element select medium" id="element_10" name="status">
			<option value="" selected="selected"></option>
			<option value="Proposed" >Proposed</option>
			<option value="Ongoing" >Ongoing</option>
			<option value="Completed" >Completed</option>

		</select>
		</div>
		</li>

		<li id="li_8" >
		<label class="description" for="element_8">Longitute </label>
		<div>
			<input id="element_8" name="lon" class="element text medium" type="text" maxlength="255" value=""/>
		</div>
		</li>

		<li id="li_9" >
		<label class="description" for="element_9">Latitude </label>
		<div>
			<input id="element_9" name="lat" class="element text medium" type="text" maxlength="255" value=""/>
		</div>
		</li>

		<li class="buttons">
			    <input type="hidden" name="form_id" value="1111661" />

				<input id="saveForm" class="button_text" type="submit" name="submit" value="Submit" />
		</li>

		</ul>
		</form>

		<div id="footer">

		</div>
	</div>

	</body>
</html>