JezK
Edit File: application.php
<?php include("header.php"); if(!isset($_SESSION['bcPreviewUserID'])) { echo "<script>location.replace('page1.php');</script>"; unset($_SESSION['displayInstructions']); } else { $modal_html=' <button type="button" id ="previewModel" class="btn btn-info btn-lg" data-toggle="modal" data-target="#myModal" style="display:none;">Open Modal</button> <div class="modal fade" id="myModal" role="dialog"> <div class="modal-dialog"> <!-- Modal content--> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal">×</button> <h4 class="modal-title text-center"><b>BC-BF-Forms</b></h4> </div> <div class="modal-body"> <center> <h3 style="padding-top:0px;margin-top: 3px;"> Data Saved Successfully </h3> <h3> Form SubmissionID: '.$formSubmissionID.'</h3> </center> <span style="font-size:12px;"><span style="color:red;">*</span> Kindly take the print of this application and take signature and seal of the authorized signatories. Application along with affidavit for no criminal proceedings by notary public may please be forwarded to B&DC cell in NABFINS HO.</span> </div> <div class="modal-footer"> </div> </div> </div> </div> '; unset($_SESSION['bcPreviewUserID']); unset($_SESSION['displayInstructions']); } ?> <div> <?php echo $modal_html;?></div> <div class="text-right col-md-12"> <input type="button" value="Print" class="btn btn-cs" onclick="window.print();"> <a href="formDownload.php?id=<?php echo $userID; ?>" class="btn btn-cs">Download</a> </div> <div style="clear:both;"></div> <div class="container main previewBlock"> <div class="row"> <form class="form-horizontal col-md-12"> <section> <div class="form-group"> <label class="col-md-3 col-sm-3 col-xs-3" for="applicationName">Application for</label> <div class="col-md-3"> <?php echo $applicationTypeName; ?> </div> </div> <div class="form-group"> <label class="col-md-3 col-sm-3 col-xs-3" for="applicationName">Name of the Organization</label> <div> <input type="text" name="applicationName" id="applicationName" value="<?php echo $applicationName; ?>" class="col-md-4 col-sm-4 col-xs-4" readonly> </div> </div> <div class="form-group"> <label class="col-md-3 col-sm-3 col-xs-3" for="address" >Address</label> <div > <input type="text" name="address" id="address" value="<?php echo $userAddress; ?>" placeholder="H.no,Street Name" class="col-md-4 col-sm-4 col-xs-4" readonly> </div> </div> <div class="form-group"> <label class="col-md-3 col-sm-3 col-xs-3" for="city">City/Village Name</label> <div class=""> <input type="text" name="city" id="city" value="<?php echo $city; ?>" placeholder="City" class="col-md-4 col-sm-4 col-xs-4" readonly> </div> </div> <div class="form-group"> <label class="col-md-3 col-sm-3 col-xs-3" for="state">State</label> <div class=""> <input type="text" name="state" id="state" class="col-md-4 col-sm-4 col-xs-4" value="<?php echo $stateName; ?>" readonly> </div> </div> <div class="form-group"> <label class="col-md-3 col-sm-3 col-xs-3" for="district">District</label> <div class=""> <input type="text" name="district" id="district" class="col-md-4 col-sm-4 col-xs-4" value="<?php echo $districtName; ?>" readonly> </div> </div> <div class="form-group"> <label class="col-md-3 col-sm-3 col-xs-3" for="phoneNumber">Phone Number</label> <div class=""> <input type="text" name="mobileNumber" id="mobileNumber" value="<?php echo $mobileNumber; ?>" placeholder="Ex:0123456789" class="col-md-4 col-sm-4 col-xs-4" maxlength="15" onkeypress="return number(event)" readonly> </div> </div> <div class="form-group"> <label class="col-md-3 col-sm-3 col-xs-3" for="faxNumber">Fax Number</label> <div class=""> <input type="text" name="fax" id="fax" placeholder="Ex:0123456789" value="<?php echo $fax; ?>" class="col-md-4 col-sm-4 col-xs-4" maxlength="15" onkeypress="return number(event)" readonly> </div> </div> <div class="form-group"> <label class="col-md-3 col-sm-3 col-xs-3" for="email">Email</label> <div class=""> <input type="text" name="email" id="email" maxlength="256" value="<?php echo $email; ?>" placeholder="abc@gmail.com" class=" col-md-4 col-sm-4 col-xs-4" readonly> </div> </div> <div class="form-group"> <label class="col-md-3 col-sm-3 col-xs-3" for="website">Website</label> <div class=""> <input type="text" name="website" id="website" value="<?php echo $website; ?>" placeholder="http://www.xyz.com" class="col-md-4 col-sm-4 col-xs-4 " readonly> </div> </div> <div class="form-group"> <label class="col-md-3 col-sm-3 col-xs-3" for="contactPerson">Contact Person</label> <div class=""> <input type="text" name="contactPerson" id="contactPerson" value="<?php echo $contactPerson; ?>" placeholder="" class="col-md-4 col-sm-4 col-xs-4" readonly> </div> </div> <div class="form-group"> <label class="col-md-3 col-sm-3 col-xs-3" for="designation">Designation</label> <div class=""> <input type="text" name="designation" id="designation" value="<?php echo $bcDesignation; ?>" placeholder="12345" class="col-md-4 col-sm-4 col-xs-4" readonly> </div> </div> <div class="form-group"> <label class="col-md-3 col-sm-3 col-xs-3" for="constitution">Constitution</label> <div class=""> <input type="text" name="constitution" id="constitution" class="col-md-4 col-sm-4 col-xs-4" value="<?php echo $constitutionName; ?>" readonly> </div> </div> </section> <section class="divSeparate"> <div class="col-md-12 removePadding"> <h3 class="subHead">Details Of Registration</h3> </div> <div class="col-md-12 table-responsive removePadding"> <table class="table table-bordered cs-table"> <thead> <tr> <th>Acts unders which registered</th> <th>Date & Place Of Registration</th> <th>Registration Number</th> <th>Validity Period</th> </tr> </thead> <tbody class="input_fields_wrap"> <?php echo $registrationDetailsView2; ?> </tbody> </table> </div> </section> <section class="divSeparate"> <div class=""> <h3 class="subHead">Activities of the Business Entity</h3> <div class="col-md-12"> <textarea style="width:100%" name="activity" id="activity" rows="7" readonly><?php echo $bcActivity; ?></textarea> </div> </div> </section> <!--page2--> <section class="divSeparate"> <div class="col-md-12 removePadding"> <h3 class="subHead col-md-11 col-sm-11 col-xs-12 removePadding">Area of Operation</h3> </div> <table class="table table-bordered cs-table table-responsive"> <thead> <tr> <th>S.No</th> <th>Address</th> <th>State</th> <th>District</th> <th>Total No.of Staff</th> </tr> </thead> <tbody class="input_fields_wrap2"> <?php echo $operationsDetailsView2; ?> </tbody> </table> <div class="col-md-12 col-sm-12 col-xs-12 input_fields_wrapOPerations"></div> </section> <section class="divSeparate"> <div class="col-md-12 col-sm-12 col-xs-12 removePadding"> <h3 class="subHead col-md-11 col-sm-11 col-xs-11 removePadding ">Projects Undertaken</h3> </div> <div class="col-md-12 col-sm-12 col-xs-12 table-responsive removePadding"> <table class="table table-bordered cs-table table-responsive"> <thead> <tr> <th>S.No</th> <th>Previous Projects</th> <th>Funder</th> <th>Period - Start Date</th> <th>Period - End Date</th> <th>Activity</th> </tr> </thead> <tbody class="input_fields_wrap2"> <?php echo $projectsDetailsView2; ?> </tbody> </table> </div> </section> <section> <div class="col-md-12 removePadding"> <h3 class="subHead">Whether Registered under Foreign Contribution (Regulation) Act, 1976(FCRA)? <input type="radio" name="isFCRA" value="1" id="fcraYes" <?php echo $isFCRA1; ?> onclick="return false;"> <label for="fcraYes" style="color:black;font-weight:normal;cursor:pointer;">Yes</label> <input type="radio" name="isFCRA" value="0" id="fcraNo" <?php echo $isFCRA2; ?> onclick="return false;"> <label for="fcraNo" style="color:black;font-weight:normal;cursor:pointer;">No</label> </h3> </div> <?php echo $FCRADisplayDetails; ?> </section> <div class="col-md-12" id="regulationAct"> <div class="form-group"> <label class="col-md-2 col-sm-2 col-xs-2 files" for="pan">PAN Number:</label> <input type="text" placeholder="Details" id="pan" rows="7" class="col-md-10 col-sm-10 col-xs-10" name="pan" value="<?php echo $pan ?>"> </div> </div> <!--section> <div class="col-md-12 removePadding"> <h3 class="subHead">Whether a *Permanent Account Number (PAN) obtained from Competent Authority? <input type="radio" name="isPAN" value="1" id="panYes" <?php echo $isPAN1; ?> onclick="return false;"> <label for="panYes" style="color:black;font-weight:normal;cursor:pointer;">Yes</label> <input type="radio" name="isPAN" value="0" id="panNo" <?php echo $isPAN2; ?> onclick="return false;"> <label for="panNo" style="color:black;font-weight:normal;cursor:pointer;">No</label> </h3> </div> <?php echo $PANDisplayDetails; ?> </section--> <!--page3--> <section> <div class="col-md-12 removePadding"> <h3 class="subHead">Name of members of Governing body/Board of trustees/Board of directors/Proprietors/Partners/Authorised Signatories/Principal Share Holders</h3> </div> <div class="col-md-12 table-responsive removePadding divSeparate"> <table class="table table-bordered cs-table table-responsive"> <thead> <tr> <th>Name</th> <th>Designation</th> <th>Date of Appointment</th> <th>Address</th> <th>Educational Qualification</th> <th>Experience in years</th> <th>Experience Details</th> <th>Association with any other institution</th> <th>Relationship with other Board Members</th> <th>Authorize signatory </th> </tr> </thead> <tbody class="input_fields_wrap1"> <?php echo $bcManagementDetailsView2; ?> </tbody> </table> </div> </section> <section> <div class="divSeparate"> <div class="col-md-12 removePadding"> <h3 class="subHead">Details of the Board meeting held in last three years</h3> </div> <div class="col-md-12 removePadding table-responsive"> <table class="table table-bordered cs-table"> <thead> <tr> <th>Financial Year</th> <th>No. of Board meetings held</th> <th>Average Attendance of members</th> </tr> </thead> <tbody class="input_fields_wrap2"> <tr> <td> <input type="text" name="boardMeetingY3" id="boardMeetingY3" value="<?php echo $previousYear3; ?>" readonly> </td> <td> <input type='text' name="totalBoardMeetingsY3" id="totalBoardMeetingsY3" value="<?php echo $totalBoardMeetingsY3; ?>" placeholder="No. of Board meeting held" readonly> </td> <td> <input type="text" name="Y3Attendance" id="Y3Attendance" value="<?php echo $Y3Attendance; ?>" placeholder="Average Attendance" readonly> </td> </tr> <tr> <td> <input type="text" name="boardMeetingY2" id="boardMeetingY2" value="<?php echo $previousYear2; ?>" readonly> </td> <td> <input type='text' name="totalBoardMeetingsY2" id="totalBoardMeetingsY2" value="<?php echo $totalBoardMeetingsY2; ?>" placeholder="No. of Board meeting held" readonly> </td> <td> <input type="text" name="Y2Attendance" id="Y2Attendance" value="<?php echo $Y2Attendance; ?>" placeholder="Average Attendance" readonly> </td> </tr> <tr> <td> <input type="text" name="boardMeetingY1" id="boardMeetingY1" value="<?php echo $previousYear1; ?>" readonly> </td> <td> <input type='text' name="totalBoardMeetingsY1" id="totalBoardMeetingsY1" value="<?php echo $totalBoardMeetingsY1; ?>" placeholder="No. of Board meeting held" readonly> </td> <td> <input type="text" name="Y1Attendance" id="Y1Attendance" value="<?php echo $Y1Attendance; ?>" placeholder="Average Attendance" readonly> </td> </tr> </tbody> </table> </div> </div> </section> <section> <div class="col-md-12 removePadding"> <h3 class="subHead">Profile of the C.E.O/Key Functionary</h3> </div> <div class="table-responsive col-md-12 removePadding"> <table class="table table-bordered cs-table table-responsive"> <thead> <tr> <th>Name</th> <th>Designation</th> <th>Qualification</th> <th>Experience in years</th> <th>Date of appointment</th> <th>Association with any other institution</th> </tr> </thead> <tbody class="input_fields_wrap3"> <?php echo $bcCeoDetailsView; ?> </tbody> </table> </div> </section> <!--page4--> <section> <div class="col-md-12 removePadding"> <h3 class="subHead">Please give details of organizational structure/profile</h3> <textarea style="width:100%" name="structuralDetails" id="structuralDetails" rows="7" readonly><?php echo $structuralDetails;; ?></textarea> </div> </section> <section> <h3 class="subHead col-md-11 removePadding">Staff Details</h3> <div class="col-md-12 table-responsive removePadding"> <table class="table table-bordered cs-table table-responsive"> <thead> <tr> <th>Name</th> <th>Designation(Office Staff, Supervisory staff, or Volunteer)</th> <th>Experience in years</th> <th>Date of appointment</th> </tr> </thead> <tbody class="input_fields_wrap1"> <?php echo $staffingDetailsView; ?> </tbody> </table> </div> </section> <section> <div class=""> <div class="col-md-12 removePadding"> <h3 class="subHead">Financial year staff progress</h3> </div> <div class="col-md-12 removePadding table-responsive"> <table class="table table-bordered cs-table"> <thead> <tr> <th>S. No</th> <th>Total Staff (No.) [A]</th> <th>Staff Left during this year [B]</th> <th>Attrition Rate B/A %</th> </tr> </thead> <tbody class="input_fields_wrap2"> <tr> <td><input type='text' value="<?php echo $financialYear1; ?>" name="financialYear1" id="financialYear1" placeholder="Year" maxlength="4" readonly></td> <td> <input type='text' name="totalStaff1" id="totalStaff1" value="<?php echo $totalStaff3; ?>" placeholder="" onkeypress="return number(event)" onblur="calculateAttributionRate(1)" readonly> </td> <td> <input type="text" name="staffLeft1" id="staffLeft1" value="<?php echo $staffLeft3; ?>" placeholder="" onkeypress="return number(event)" onblur="calculateAttributionRate(1)" readonly> </td> <td> <input type="text" name="attributionRate1" id="attributionRate1" value="<?php echo $attributionRate3; ?>" placeholder="" readonly> </td> </tr> <tr> <td><input type='text' value="<?php echo $financialYear2; ?>" name="financialYear2" id="financialYear2" placeholder="Year" maxlength="4" readonly></td> <td> <input type='text' name="totalStaff2" id="totalStaff2" value="<?php echo $totalStaff2; ?>" placeholder="" onkeypress="return number(event)" onblur="calculateAttributionRate(2)" readonly> </td> <td> <input type="text" name="staffLeft2" id="staffLeft2" value="<?php echo $staffLeft2; ?>" placeholder="" onkeypress="return number(event)" onblur="calculateAttributionRate(2)" readonly> </td> <td> <input type="text" name="attributionRate2" id="attributionRate2" value="<?php echo $attributionRate3; ?>" placeholder="" readonly> </td> </tr> <tr> <td><input type='text' value="<?php echo $financialYear3; ?>" name="financialYear3" id="financialYear3" placeholder="Year" maxlength="4" readonly></td> <td> <input type='text' name="totalStaff3" id="totalStaff3" value="<?php echo $totalStaff1; ?>" placeholder="" onkeypress="return number(event)" onblur="calculateAttributionRate(3)" readonly> </td> <td> <input type="text" name="staffLeft3" id="staffLeft3" value="<?php echo $staffLeft1; ?>" placeholder="" onkeypress="return number(event)" onblur="calculateAttributionRate(3)" readonly> </td> <td> <input type="text" name="attributionRate3" id="attributionRate3" value="<?php echo $attributionRate1; ?>" placeholder="" readonly> </td> </tr> </tbody> </table> </div> </div> </section> <section> <div class="col-md-12 removePadding"> <h3 class="subHead">Details of infrastructure available for the activity:</h3> </div> <div class="table-responsive col-md-12 removePadding"> <table class="table table-bordered cs-table table-responsive"> <thead> <tr> <th>Type of Infrastructure</th> <th>Description</th> <th>Remarks</th> </tr> </thead> <tbody class="input_fields_wrap3"> <tr> <td> Head Office Address </td> <td> <textarea type='text' name="headOfficeDescription" id="headOfficeDescription" placeholder="" readonly><?php echo $headOfficeDescription; ?></textarea> </td> <td> <textarea type='text' name="headOfficeRemarks" id="headOfficeRemarks" placeholder="" readonly><?php echo $headOfficeRemarks; ?></textarea> </td> </tr> <tr> <td> Number of field officers </td> <td> <textarea type='text' name="fieldOfficeDescription" id="fieldOfficeDescription" placeholder="" readonly><?php echo $fieldOfficeDescription; ?></textarea> </td> <td> <textarea type='text' name="fieldOfficeRemarks" id="fieldOfficeRemarks" placeholder="" readonly><?php echo $fieldOfficeRemarks; ?></textarea> </td> </tr> <tr> <td> Training Center </td> <td> <textarea type='text' name="trainingCenterDescription" id="trainingCenterDescription" placeholder="" readonly><?php echo $trainingCenterDescription; ?></textarea> </td> <td> <textarea type='text' name="trainingCenterRemarks" id="trainingCenterRemarks" placeholder="" readonly><?php echo $trainingCenterRemarks; ?></textarea> </td> </tr> <!--<tr> <td> Number of Staff </td> <td> <input type='text' name="numberOfStaff" id="numberOfStaff" value="<?php echo $numberOfStaff; ?>" placeholder="" readonly> </td> <td> <textarea type='text' name="staffRemarks" id="staffRemarks" placeholder="" readonly><?php echo $staffRemarks; ?></textarea> </td> </tr>--> <tr> <td> How many of them have own vehicles </td> <td> <input type="text" name="vehiclesOwned" id="vehiclesOwned" value="<?php echo $vehiclesOwned; ?>" placeholder="" readonly> </td> <td> <textarea type='text' name="vehiclesRemarks" id="vehiclesRemarks" placeholder="" readonly><?php echo $vehiclesRemarks; ?></textarea> </td> </tr> <tr> <td> Office Purpose Computers / Laptops </td> <td> <input type="text" name="totalComputers" id="totalComputers" value="<?php echo $totalComputers; ?>" placeholder="" readonly> </td> <td> <textarea type='text' name="computersRemarks" id="computersRemarks" placeholder="" readonly><?php echo $computersRemarks; ?></textarea> </td> </tr> <?php echo $otherDetailsView2; ?> </tbody> </table> </div> </section> <!--page5--> <section> <div class=""> <div class="col-md-12 removePadding"> <h3 class="subHead">Income, Expenditure For Past 3 Years</h3> </div> <div class="col-md-12 removePadding table-responsive"> <table class="table table-bordered cs-table"> <thead> <tr> <th> Year</th> <th>Total Income <small>(Rs)</small></th> <th>Total Expenditure <small>(Rs)</small></th> <th>Profit Or Loss <small>(Rs)</small></th> </tr> </thead> <tbody class="input_fields_wrap2"> <?php echo $incomeDetailsView; ?> </tbody> </table> </div> </div> </section> <section> <div class="col-md-12 removePadding"> <h3 class="subHead">Profile of the Chief Executive Officer</h3> </div> <div class="table-responsive col-md-12 removePadding"> <table class="table table-bordered cs-table table-responsive"> <thead> <tr> <th>Year</th> <th>No. of SHGs formed</th> <th>No. of SHG’s adopted</th> <th>No. of SHGs savings Linked</th> <th>No. of SHGs credit Linked</th> <th>Total loan disbursed <small>(Rs)</small></th> </tr> </thead> <tbody class="input_fields_wrap3"> <?php echo $ceoProfileDetailsView; ?> </tbody> </table> </div> </section> <div style="clear:both;"></div> <section> <h3 class="col-xs-12 removePadding">If already acting as MFI date of commencement of MFI activity <input type="radio" name="isMFI" value="1" id="mfiYes1" <?php echo $isMFI1; ?> onclick="return false;"> <label for="mfiYes1" style="color:black;font-weight:normal;cursor:pointer;">Yes</label> <input type="radio" name="isMFI" value="0" id="mfiNo1" <?php echo $isMFI2; ?> onclick="return false;"> <label for="mfiNo1" style="color:black;font-weight:normal;cursor:pointer;">No</label> </h3> <?php echo $bcMFIDetailsView; ?> <div id="mfiActivity" class="<?php echo $mfiClass; ?>"> <!--<input type="button" class="btn btn-default addBtn4 pull-right" value="Add New" >--> <div style="clear:both;"></div> <div class="input_fields_wrapMFI"></div> <!--MFI details--> <div class="table-responsive col-md-12 removePadding"> <table class="table table-bordered cs-table table-responsive"> <tr> <th>Date of commencement of operation</th> <td><?php echo $mfiDate; ?></td> </tr> <tr> <th>H.O Address</th> <td><?php echo $mfiAddress; ?></td> </tr> <!--<tr> <th>No. of active groups</th> <td><?php echo $mfiTotalActiveGroups; ?></td> </tr>--> <tr> <th>Total loan amount disbursed (Rs in Lakhs)</th> <td><?php echo $mfiTotalLoan; ?></td> </tr> <tr> <th>Outstanding amount (Rs in Lakhs)</th> <td><?php echo $mfiOutstanding; ?></td> </tr> <tr> <th>Outstanding no of groups</th> <td><?php echo $mfiOutstandingGroups; ?></td> </tr> <tr> <th>Repayment % against demand</th> <td><?php echo $mfiRepaymentRate; ?></td> </tr> <tr> <th>No of groups</th> <td><?php echo $mfiTotalGroups; ?></td> </tr> </table> </div> <h3 class="col-md-12 removePadding" for="MFIRating" >Credit Rating of MFI, If any</h3> <div class="table-responsive col-md-12 removePadding"> <table class="table table-bordered cs-table table-responsive"> <thead> <tr> <th>Name of Credit Rating Agency groups</th> <th>Rating Awarded </th> </tr> </thead> <tbody class="input_fields_wrap33"> <tr> <td> <input type="text" name="mfiCreditRatingName" id="mfiCreditRatingName" placeholder="" value="<?php echo $mfiCreditRatingName; ?>"> </td> <td> <input type="text" name="mfiRatingAwarded" id="mfiRatingAwarded" placeholder="" value="<?php echo $mfiRatingAwarded; ?>"> </td> </tr> </tbody> </table> </div> <div class="form-group"> <label class="col-md-3 subHead" for="district">Portfolio at Risk:</label> </div> <div class="table-responsive col-md-12 removePadding"> <table class="table table-bordered cs-table table-responsive"> <thead> <tr> <th>PAR(30-60)</th> <th>PAR(60-90)</th> <th>PAR(>90)</th> </tr> </thead> <tbody class=""> <!--<tr> <td><input type="text" name="mfiNPAAmout30" id="mfiNPAAmout30" placeholder=" " value="<?php echo $mfiNPAAmout30; ?>"></td> <td><input type="text" name="mfiNPAAmout60" id="mfiNPAAmout60" placeholder="" value="<?php echo $mfiNPAAmout60; ?>"></td> <td><input type="text" name="mfiNPAAmout90" id="mfiNPAAmout90" placeholder="" value="<?php echo $mfiNPAAmout90; ?>"></td> </tr>--> <tr> <td> <div style="padding-bottom:10px;"> <label class="col-xs-5">No. Of groups : </label> <input type="text" name="mfiGroups30" id="mfiGroups30" placeholder=" " value="<?php echo $mfiGroups30; ?>"> </div> <div> <label class="col-xs-5">Amount (₹) : </label> <input type="text" name="mfiNPAAmout30" id="mfiNPAAmout30" placeholder=" " value="<?php echo $mfiNPAAmout30; ?>"> </div> </td> <td> <div style="padding-bottom:10px;"> <label class="col-xs-5">No. Of groups : </label> <input type="text" name="mfiGroups60" id="mfiGroups60" placeholder="" value="<?php echo $mfiGroups60; ?>"> </div> <div> <label class="col-xs-5">Amount (₹): </label> <input type="text" name="mfiNPAAmout60" id="mfiNPAAmout60" placeholder="" value="<?php echo $mfiNPAAmout60; ?>"> </div> </td> <td> <div style="padding-bottom:10px;"> <label class="col-xs-5">No. Of groups : </label> <input type="text" name="mfiGroups90" id="mfiGroups90" placeholder="" value="<?php echo $mfiGroups90; ?>"> </div> <div> <label class="col-xs-5">Amount (₹) : </label> <input type="text" name="mfiNPAAmout90" id="mfiNPAAmout90" placeholder="" value="<?php echo $mfiNPAAmout90; ?>"> </div> </td> </tr> </tbody> </table> </div> <h3>Area of operations</h3> <table class="table table-bordered cs-table table-responsive"> <thead> <tr> <th>State</th> <th>District</th> <th>Talukas</th> </tr> </thead> <tbody class=""> <?php echo $bcMFIStatesView; ?> </tbody> </table> <!--MFI details--> </div> <div class="input_fields_wrapMFI"></div> </section> <!--page6--> <section> <div class="col-md-12 col-sm-12 col-xs-12 removePadding"> <h3>Details of experience as Business Correspondent/ Business Facilitator <input type="radio" name="isFacilitator" value="1" id="facilitatorYes" <?php echo $isFacilitator1; ?> onclick="return false;"> <label for="facilitatorYes" style="color:black;font-weight:normal;cursor:pointer;">Yes</label> <input type="radio" name="isFacilitator" value="0" id="facilitatorNo" <?php echo $isFacilitator2; ?> onclick="return false;"> <label for="facilitatorNo" style="color:black;font-weight:normal;cursor:pointer;">No</label> </h3> <textarea style="width:100%" name="bcBfDescription" id="bcBfDescription" rows="7" placeholder=""><?php echo $bcBfDescription; ?></textarea> <div style="display:<?php echo $facilitatorDisplay; ?>;"></div> <!-----------Agencies wrapper start---> <h> <div class="agenciesWrapper removePadding"> <?php echo $partnerDetailsView; ?> <!-----------Agencies wrapper end---> </div> <div class="form-group"> <label class="col-md-10 col-sm-10 col-xs-12" for="dateOfResolution" >Date & Reference of resolution passed by the governing body for applying for empanelment as Business Correspondent / Business Facilitator of NABFINS </label> <div class='input-group date col-md-2 col-sm-2 col-xs-2' > <input type='text' class="form-control" name="facilitatorDate" id="facilitatorDate" value="<?php echo $facilitatorDate; ?>" placeholder="" readonly> </div> </div> <div class="form-group"> </div> </div> <h3>Proposed Area/ Villages proposed to be covered</h3> <!--<div class="form-group"> <label class="col-md-3 col-sm-3 col-xs-3" for="address" >Address</label> <div> <textarea name="proposedAddress" id="proposedAddress" class="col-md-3 col-sm-3 col-xs-3" rows="3" readonly><?php echo $proposedAddress; ?></textarea> </div> </div>--> <table class="table table-bordered cs-table table-responsive"> <thead> <tr> <th>S.NO</th> <th>State</th> <th>District </th> <th>Taluk </th> </tr> </thead> <tbody class=""> <?php echo $proposedDetailsView2; ?> </tbody> </table> <div class="form-group"> <label class="col-xs-5" for="proposedActivities">Details of services / activities proposed to be rendered to NABFINS : </label> <div class=""> <input type="text" name="proposedActivities" id="proposedActivities" class="col-md-4 col-sm-4 col-xs-6" value="<?php echo $proposedActivity; ?>" readonly> </div> </div> </div> </section> <section> <?php echo $authorisedDetailsView; ?> </section> <section> <div class="col-md-12 removePadding"> <h3 class="subHead">Details of the Bank Accounts:</h3> </div> <div class="col-md-12 table-responsive removePadding"> <table class="table table-bordered cs-table table-responsive"> <thead> <tr> <th>Name of the Bank</th> <th>Branch Name</th> <th>Account Number</th> <th>IFSC Code</th> </tr> </thead> <tbody class="input_fields_wrap11"> <?php echo $bcBankAccountsDetailsView; ?> </tbody> </table> </div> </section> <div style="clear:both;"></div> <section style="padding-top: 70px;" class="SBlock"> <div class="col-xs-12 signatureContent"> <h3 class="subHead">Undertaking:</h3> <p>We understand that our offer under this application will be for acting as a Business Facilitator / Business Correspondent for the limited purposes of such services as decided by NABARD Financial Services Limited and if NABARD Financial Services Limited engages our services, it will not be an offer by NABFINS for any employment in NABFINS now or at any time in future. </p> <p>The contractual arrangements are as mentioned in the Outsourcing Agreement signed both by us and NABFINS and continuance of our services shall be subject to periodic review by NABFINS. </p> <div class="col-xs-6 removePadding"> <p>Place:</p> <p>Date:</p> <p>Signatories:</p> </div> <div class="col-xs-6 text-right removePadding"> <p>Signature(s) of the authorized</p> </div> </div> </section> </form> </div> </div> <script> $('input[type="text"]').replaceWith(function(){ return '<span class='+this.className+'>'+this.value+'</span>' }); 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