<div class="page-content">

<?php

include("common/sitemap.php");
$id=$_GET['id'];

?>                          


  <div class="container-fluid">
                                

<div data-widget-group="group1">
	<div class="row">
		<div class="col-md-12">
			<div class="panel panel-default">
				<div class="panel-heading">
					<h2><?php 
					if($id=='101')
					{
					echo 'Research Grant';	
					}
					if($id=='102')
					{
					echo 'Adopt a Student';	
					}
					if($id=='103')
					{
					echo 'Donate for Library';	
					}
					?> Desk</h2>
					<div class="panel-ctrls"></div>
				</div>
				
                
                <div class="panel-body">
	
			

<?php

//$sid=$_REQUEST['sid'];

$sql=mysql_query("SELECT * FROM `finance_student_list` WHERE `sid` = '$sid'") or die(mysql_error());
$sql1=mysql_fetch_assoc($sql);


?>


<form action="action-pages/account/donate-receipt-action.php" method="post"  name="form0" id="form0">
<input type="hidden" name="id" value="<?php echo $id; ?>" />
						<div class="col-md-12" style="padding-top:10px">
				<div class="col-md-4">Enter Name</div><div class="col-md-4"><input type="text" class="form-control" required name="name" placeholder="Please Enter Name">
                <input type="hidden" class="form-control" name="sid" value="<?php echo $sid; ?>" >
                </div>
						</div><div class="col-md-12" style="padding-top:10px">
				<div class="col-md-4">Mobile Number</div><div class="col-md-4"><input type="text" class="form-control" name="mobile" placeholder="Please Enter Mobile No.">
                <input type="hidden" name="student_name" value="<?php echo $sql1['student_name']; ?>"></div>
						</div>
						<div class="col-md-12" style="padding-top:10px">
				<div class="col-md-4">Email Id</div><div class="col-md-4"><input type="text" class="form-control" name="email" placeholder="Please Enter Email">
                <input type="hidden" name="father_name" value="<?php echo $sql1['father_name']; ?>">
                
                </div>
						</div>
                        <div class="col-md-12" style="padding-top:10px">
				<div class="col-md-4">Amount </div><div class="col-md-4"><input type="text" class="form-control" required name="amount"  placeholder="Enter Amount"  ></div>
						</div>
				<div class="col-md-12" style="padding-top:10px">
				<div class="col-md-4">Donate For</div><div class="col-md-4"><input type="text" class="form-control" value="<?php 
					if($id=='101')
					{
					echo 'Research Grant';	
					}
					if($id=='102')
					{
					echo 'Adopt a Student';	
					}
					if($id=='103')
					{
					echo 'Donate for Library';	
					}
					?>" disabled="disabled"></div>
						</div>
				<div class="col-md-12" style="padding-top:10px">
                  <div class="col-md-4">Date</div><div class="col-md-4"><input type="text" class="form-control" disabled="disabled" value="<?php echo date('d-m-Y');?>"></div>
				</div>
						<div class="col-md-12" style="padding-top:10px">
				<div class="col-md-4"></div><div class="col-md-4"><button class="btn-primary btn" type="submit">Submit</button>&nbsp;&nbsp;<button class="btn-primary btn" type="reset">Reset</button></div>
						</div>
						
						
				</form>
					
						
					
					</div>
					
					
					
					
					
					
					
				</div>
				<div class="panel-footer"></div>
			</div>
			
			
			
			
			
			
		</div>
	</div>
</div>
                            </div> <!-- .container-fluid -->
                        </div>
						
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<script type="text/javascript" src="assets/js/jqueryui-1.10.3.min.js"></script> 							<!-- Load jQueryUI -->
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<script type="text/javascript" src="assets/plugins/form-daterangepicker/daterangepicker.js"></script>     				<!-- Date Range Picker -->
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<script type="text/javascript" src="assets/plugins/clockface/js/clockface.js"></script>     								<!-- Clockface -->


<script type="text/javascript" src="assets/demo/demo-pickers.js"></script>

