<html> <head> <title></title> </head> <body> <?php date_default_timezone_set('UTC'); if (isset($_REQUEST['fn']) && isset($_REQUEST['sn']) && isset($_REQUEST['pwd']) && isset($_REQUEST['aid'])) { include "district_task.php"; $obj = new district_task(); $task_title = $_REQUEST['tt']; $task_desc = $_REQUEST['td']; $clinics = $_REQUEST['cli']; $date = $_REQUEST['dt']; $end_date = date('Y-m-d', strtotime(str_replace('-', '/', $date))); if (!$obj->add_admin($task_title, $task_desc, $clinics, $end_date)) { echo "Error adding" . mysql_error(); } else { echo "Added {$task_title}, {$task_desc}, {$clinics}, {$end_date}"; } } ?> <div class="container" id="form"> <form action="add_district_task.php" method="get"> <div>Task Title: <input type="text" name="tt"></div> <div>Task Description: <textarea name="sn"><textarea></div> <div>Clinics: <input type="text" name="cli"></div> <div>Date: <input type="text" name="dt"></div> <div><input type="submit" value="Save" ></div> </form>