<div class="col-md-6 form-group payment_neft"> <?= simbanic_input('Transfer ID', 'transfer_id', isset($transfer_id) ? $transfer_id : ''); ?> </div> </div> <div class="row"> <div class="col-md-6 form-group"> <?= simbanic_input('Release Date', 'date', isset($date) ? $date : '', $date_data); ?> </div> <div class="col-md-6 form-group"> <?= simbanic_textarea('Remark', 'remark', isset($remark) ? $remark : ''); ?> </div> </div> <div class="row"> <?php if($this->ion_auth->is_admin()) { ?> <div class="col-md-6 form-group"> <?= simbanic_input('Confirm Date', 'confirm_date', isset($confirm_date) && $confirm_date != '01-01-1970' && $confirm_date != '30-11--0001' ? $confirm_date : '', $date_data); ?> </div> <?php
<div class="col-md-6 form-group"> <?= simbanic_input('Date of Birth', 'dob', isset($dob) ? $dob : ''); ?> </div> </div> <div class="row"> <div class="col-md-6 form-group"> <?= simbanic_textarea('Home Address', 'home_address', isset($home_address) ? $home_address : ''); ?> </div> <div class="col-md-6 form-group"> <?= simbanic_textarea('Work Address', 'work_address', isset($work_address) ? $work_address : ''); ?> </div> </div> <?php $home_state = array( 'onchange' => 'getDistrict(this)', ); $home_district = array( 'onchange' => 'getArea(this)', ); ?> <div class="row">