JezK

Edit File: formDownload3.php

<?php
session_start();
include('MPDF57/mpdf.php');
$_SESSION['userID'] = 1;
include("app/main.php");
include("app/getUserDetailsApp.php");
$data = '<html class="no-js" lang="">
<body>
	<header>
			<div class="headerContainer col-md-12">
				<div class="headText col-md-2 col-xs-2 "><img src="images/logo.png"></div>
				<div class="headClr col-md-8 col-xs-8">SLI Submission Form</div>
			</div>
	</header>

<div class="container main" >
		<div class="row">
			<div  class="form-horizontal row formContainer-p "  >
				
				<div class="col-md-12 col-xs-12 col-sm-12">
					<section>
						<div class="form-group">
							<label class="col-md-3 col-sm-4 col-xs-4" for="SliName">SLI Submission ID :</label>
							<div>
							  <input type="text" name="sliName" id="sliName" value="'.$formSubmissionID.'" class="col-md-4 col-sm-4 col-xs-4"   >
							</div>
						</div>
						<div class="form-group">
							<label class="col-md-3 col-sm-4 col-xs-4" for="SliName">Name of the SLI :</label>
							<div>
							  <input type="text" name="sliName" id="sliName" value="'.$sliName.'" class="col-md-4 col-sm-4 col-xs-4"   >
							</div>
						</div>
						<div class="form-group">
							<label class="col-md-3 col-sm-4 col-xs-4" for="address" >Address :</label>
							<div >
							  <input type="text" name="address" id="address" value="'.$address.'" placeholder="H.no,Street Name" class="col-md-4 col-sm-4 col-xs-4" >
							</div>
						</div>
						<div class="form-group">
							<label class="col-md-3 col-sm-4 col-xs-4" for="city">City :</label>
							<div class="">
							  <input type="text" name="city" id="city" value="'.$city.'" placeholder="City"  class="col-md-4 col-sm-4 col-xs-4" >
							</div>
						</div>
						<div class="form-group">
							<label class="col-md-3 col-sm-4 col-xs-4" for="state" >State :</label>
							<div class="">
								<input type="text" name="state"  class="col-md-4 col-sm-4 col-xs-4" id="state" name="state" value="'.$stateName.'" > 
							</div>
						</div>
						<div class="form-group">
							<label class="col-md-3 col-sm-4 col-xs-4" for="district">District :</label>
							<div class="">
								<input type="text" name="district" id="district" class="col-md-4 col-sm-4 col-xs-4" value="'. $districtName.'" >
							</div>
						</div>
						<div class="form-group">
							<label class="col-md-3 col-sm-4 col-xs-4" for="phoneNumber">Phone Number :</label>
							<div class="">
							  <input type="text" name="phoneNumber" id="phoneNumber" value="'. $mobileNumber.'" maxlength="15" placeholder="Ex:0123456789"  class="col-xs-4 col-md-4 col-sm-4 " onkeypress="return number(event)" >
							</div>
						</div>
						<div class="form-group">
							<label class="col-md-3 col-sm-4 col-xs-4" for="faxNumber">Fax Number :</label>
							<div class="">
							  <input type="text" name="faxNumber" id="faxNumber" maxlength="15" value="'. $fax.'" placeholder="Ex:0123456789"  class="col-xs-4 col-md-4 col-sm-4 " onkeypress="return number(event)" >
							</div>
						</div>
						<div class="form-group">
							<label class="col-md-3 col-sm-4 col-xs-4" for="email">Email :</label>
							<div class="">
							  <input type="text" name="email" id="email" value="'. $email.'" maxlength="256" placeholder="abc@gmail.com"  class=" col-xs-4 col-sm-4 col-md-4 " >
							</div>
						</div>
						<div class="form-group">
							<label class="col-md-3 col-sm-4 col-xs-4" for="website">Website :</label>
							<div class="">
							  <input type="text" name="website" id="website" maxlength="256" value="'. $website.'" placeholder="www.xyz.com"  class="col-xs-4 col-sm-4 col-md-4" >  
							</div>
						</div>
						<div class="form-group">
							<label class="col-md-3 col-sm-4 col-xs-4" for="pincode">Pincode :</label>
							<div class="">
							  <input type="text" name="pincode" id="pincode" maxlength="6" value="'. $zipcode.'" placeholder="12345"  class="col-xs-4 col-sm-4 col-md-4" onkeypress="return number(event)" >
							</div>
						</div>
						<div class="form-group">
							<label class="col-md-3 col-sm-4 col-xs-4" for="constitution">Constitution :</label>
							<div class="">
								<input type="text" name="constitution" id="constitution"  class="col-xs-4 col-sm-4 col-md-4 " value="'. $constitutionName.'" >
							</div>
						</div>
					</section>
					<section>
					<div class="col-md-12 col-xs-12 col-sm-12 removePadding">
						<h3 class="subHead col-md-11 removePadding ">Details Of Registration :</h3>
					</div>
					<div class="col-md-12 col-xs-12 col-sm-12table-responsive removePadding">
							<table class="table table-bordered cs-table">
								<thead>
									<tr>
									   <th>Act of Registration</th>
										<th>Date  & Place Of Registration</th>
										<th>Registration Number</th>
										<th>Validity Period</th>
										
									</tr>
								</thead>
								<tbody class="input_fields_wrap">
									'.$resgistrationDetailsView.'
								</tbody>
							</table>	
						</div>
					</section>
					<section>
						<div class="">
							<h3 class="subHead">Activities of the Business Entity</h3>
							<div class="col-md-12 col-xs-12 col-sm-12" style="padding:10px 20px">
								<div class="form-group">
									<label class="col-xs-2 col-md-2" for="existing">Existing :</label>
									<div class="col-xs-6 col-md-6">
									  <textarea type="text"  name="existing" id="existing" >'.$existing.'</textarea>
									</div>
								</div>
										<div class="form-group">
									<label class="col-xs-2 col-md-2" for="proposed">Proposed :</label>
									<div class="col-xs-6 col-md-6">
									  <textarea type="text" name="proposed" value="" id="proposed" >'.$proposed.'</textarea>
									</div>
								</div>
						</div>
					</section>
					<section>
						<div class="col-md-12 removePadding">
							<h3 class="subHead">Whether Registered under Foreign Contribution (Regulation) Act, 1976(FCRA)?
								<input type="radio" name="isFCRA" value="1" id="fcraYes" '.$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" '.$isFCRA2.' onclick="return false;">
								<label for="fcraNo" style="color:black;font-weight:normal;cursor:pointer;">No</label> 
							</h3>
						</div>
						'.$FCRADisplayDetails.'
					</section>	
					<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" '.$isPAN1.' onclick="return false;">
								<label for="panYes" style="color:black;font-weight:normal;cursor:pointer;">Yes</label> 
								<input type="radio" name="isPAN" value="0" id="panNo" '.$isPAN2.' onclick="return false;">
								<label for="panNo" style="color:black;font-weight:normal;cursor:pointer;">No</label> 
							</h3>
						</div>
					</section>
				</div>
				</div>
				
				
				<div class="col-md-12 col-md-offset-0 col-xs-12 col-sm-12 ">
					<section>	
						<div class="">
							<div class="col-md-12 col-xs-12 col-sm-12 removePadding">
								<h3 class="subHead">Details of the Board meeting held in last three years</h3>
							</div>
							<div class="col-md-12 col-xs-12 col-sm-12 removePadding table-responsive">
								<table class="table table-bordered cs-table">
									<thead>
										<tr>
										   <th>Year</th>
											<th>No. of Board meetings held</th>
											<th>Average Attendance</th>
											
										</tr>
									</thead>
									<tbody class="input_fields_wrap2">
										'.$boardMeeting1DetailsView.'
									</tbody>
								</table>	
							</div>
						</div>
					</section>
					<h3>Management</h3>
					<section>
						<div class="col-md-12 col-xs-12 col-sm-12 removePadding">
							<h3 class="subHead">Name of members of Governing body/Board of trustees/Board of directors/Proprietors/Partners/Authorised Signatories/Principal Share Holders</h3>
						</div>
						<div class="col-md-12 col-xs-12 col-sm-12 table-responsive removePadding">
							<table class="table table-bordered cs-table table-responsive">
								<thead>
									<tr>
									   <th>Name</th>
										<th>Designation</th>
										<th>Date of Appointment</th>
										<th>Address</th>
										<th>Educational Qualification</th>
										<th>Experience in years</th>
										<th>Experience Details</th>
										<th>Association with any other institution</th>
										<th>Relationship with other Board Members</th>
										<th>Authorize signatory </th>
									</tr>
								</thead>
								<tbody class="input_fields_wrap1">
									'.$managementDetailsView.'
								</tbody>
							</table>	
						</div>
					</section>
			
					<section>
						<div class="col-md-12 col-xs-12 col-sm-12 removePadding">
						<h3 class="subHead">Profile of the Key Functionary</h3>
						</div>
						<div class="table-responsive col-md-12 col-xs-12 col-sm-12 removePadding">
							<table class="table table-bordered cs-table table-responsive">
								<thead>
									<tr>
									   <th>Name</th>
										<th>Designation</th>
										<th>Qualification</th>
										<th>Experience</th>
										<th>Date of appointment</th>
										<th>Details of association with any other institution</th>
										
									</tr>
								</thead>
								<tbody class="input_fields_wrap3">
									'.$ceoDetailsView.'
								</tbody>
							</table>	
						</div>
					</section>	
					<section>
						<div id="<?=$sharedBlockShow;?>">
							<div class="col-md-12 col-xs-12 col-sm-12 removePadding">
								<h3 class="subHead">Share holding Pattern</h3>

</div>
							<div class="col-md-12 col-xs-12 col-sm-12 removePadding table-responsive">
								<table class="table table-bordered cs-table">
									<thead>
										<tr>
										   <th>Name of the share holder</th>
											<th>No. of shares</th>
											<th>Face value</th>
											<th>Premium</th>
											<th>Percentage of share holding</th>
										</tr>
									</thead>
									<tbody class="input_fields_wrap4">
										'.$shareDetailsView.'
									</tbody>
								</table>	
							</div>
						</div>
					</section>
				
					
				</div>
			
				
				
				<div class="col-md-12 col-md-offset-0 col-xs-12 col-sm-12 ">
					<h3>Staffing Pattern</h3>
					<div class="removePadding col-md-12 col-xs-12 col-sm-12">
						<h3 class="subHead">Please give details of organizational structure</h3>
						<div class="col-md-12 col-xs-12 col-sm-12 removePadding">
							<textarea style="width:100%" id="structuralDetails" name="structuralDetails" rows="7" placeholder="Organizational Structure Details" >'.$structuralDetails.'</textarea>
						</div>
					</div>
					<div class="">
						<div class="col-md-12 col-xs-12 col-sm-12 removePadding">
							<h3 class="subHead">Details of Infrastructure available for the activity</h3>
							<div class="col-md-12 col-xs-12 col-sm-12 rowStyle">
								<label class="col-md-3 col-sm-2 col-xs-3">Type of infrastructure</label>
									<label class="col-md-3 col-sm-3 col-xs-3">Description</label>
								<label class="col-md-4 col-sm-3 col-xs-4">Approximate cost of Acquisition</label>
								<label class="col-md-2 col-sm-2 col-xs-2">Year of Acquisition</label>
							</div>
							'.$infrastructureDetailsView.'
						</div>
					</div>
				</div>
			
			  
				<div class="col-md-12 col-xs-12 col-sm-12 text-cneter ">
					<section>
						<div id="<?=$rawMaterialBlock;?>">
							<div class="removePadding col-md-12 col-xs-12 col-sm-12">
								<h3>Details of raw material/commodities consumed/procured/traded in past 3 years</h3>
								<div class="col-md-12 col-xs-12 col-sm-12 rowStyle">
									<label class="col-md-1 col-sm-1 col-xs-1 snMargin">S.No</label>
									<label class="col-xs-2 col-md-2 col-sm-2 ">Raw Material</label>
										<label class="col-xs-2 col-md-2 col-sm-2 ">'.$previousYear3.'</label>
									<label class="col-md-2 col-sm-2 col-xs-2 ">'.$previousYear2.'</label>
									<label class="col-md-2 col-sm-2 col-xs-2 ">'.$previousYear1.'</label>
								</div>
								<div class="addMoreFields">
										'.$rawMaterialDetailsView.'
								</div>
								<div class="col-md-12 col-xs-12 col-sm-12 marginDiv totalBlock">
									<span class="col-xs-1 col-md-1 col-sm-1 "></span>
									<label class="col-xs-2 col-md-2 col-sm-2">Total</label>
									<input  type="text" class="col-xs-2 col-md-2 col-sm-2  " name="totalyear3RawMateril" value="'. $totalRawY3.'" >
									<input  type="text" class="col-xs-2 col-md-2 col-sm-2 " name="totalyear2RawMateril" value="'. $totalRawY2.'" > 
									<input  type="text" class="col-xs-2 col-md-2 col-sm-2  " name="totalyear1RawMateril" value="'. $totalRawY1.'" >
								</div>
							</div>
						</div>	
					</section>
					<section>
						<div class="removePadding col-md-12 col-xs-12 col-sm-12">
							<h3>A brief notes on the rawmaterials used/commodities traded in sources of procurement to be furnished</h3>
							<textarea style="width:100%" name="rawMaterialNotes" id="rawMaterialNotes" rows="7" >'.$rawMaterialNotes.'</textarea>
							
						</div>
					</section>
					
					<section>
						<div id="<?=$productsBlock;?>">
							<div class="removePadding col-md-12 col-xs-12 col-sm-12 detailsBlock " id="block1">
								<h3>Details of production for past 3years (&#8377;)</h3>
								<div class="col-md-12 col-xs-12 col-sm-12 marginDiv ">
									<label class="col-md-1 col-sm-1 col-xs-1  snMargin">S.No</label>
									<label class="col-md-2 col-sm-2 col-xs-2 ">Product Total</label>
									<label class="col-md-2 col-sm-2 col-xs-2 ">'.$previousYear3.'</label>
									<label class="col-md-2 col-sm-2 col-xs-2 ">'.$previousYear2.'</label>
									<label class="col-md-2 col-sm-2 col-xs-2 ">'.$previousYear1.'</label>
								</div>
								'.$productionDetailsView.'
							</div>
						</div>
					</section>

<section>
						<div id="<?=$salesBlock;?>">
							<div class="removePadding col-md-12 col-xs-12 col-sm-12 detailsBlock" id="block2">
								<h3>Sales Particulars for past 3years (&#8377;)</h3>
								<div class="col-md-12 col-xs-12 col-sm-12 marginDiv">
									<label class="col-md-1 col-sm-1 col-xs-1  snMargin">S.No</label>
									<label class="col-md-2 col-sm-2 col-xs-2 ">Product </label>
									<label class="col-md-2 col-sm-2 col-xs-2 ">'.$previousYear3.'</label>
									<label class="col-md-2 col-sm-2 col-xs-2 ">'.$previousYear2.'</label>
									<label class="col-md-2 col-sm-2 col-xs-2 ">'.$previousYear1.'</label>
								</div>
								'.$salesDetailsView.'
							</div>
						</div>	
					</section>	
				
				</div>			 
			 
			 	<div class="col-md-12 col-xs-12 col-sm-12 text-cneter">
					<section>
						<div class="col-md-12 col-xs-12 col-sm-12 detailsBlock removePadding">
							<h3>Gross Profit for 3 years (&#8377;)</h3>
							<div class="col-md-12 col-xs-12 col-sm-12 marginDiv ">
								<label class="col-md-1 col-sm-1 col-xs-1  snMargin">S.No</label>
								<label class="col-md-2 col-sm-2 col-xs-2 ">Particulars</label>
								<label class="col-md-2 col-sm-2 col-xs-2 ">'.$previousYear3.'</label>
								<label class="col-md-2 col-sm-2 col-xs-2 ">'.$previousYear2.'</label>
								<label class="col-md-2 col-sm-2 col-xs-2 ">'.$previousYear1.'</label>
							</div>
							<div class="col-md-12 col-xs-12 col-sm-12">
								<span class="col-md-1 col-sm-1 col-xs-1 ">1.</span>
								<label class="col-md-2 col-sm-2 col-xs-2 ">Total Income</label>
								<input  type="text"  class="col-xs-2 col-md-2 col-sm-2" name="grossIncomeY3" id="grossIncomeY3" value="'. $grossIncomeY3.'" onkeypress="return number2(event)" >
								<input  type="text" class="col-xs-2 col-md-2 col-sm-2 " name="grossIncomeY2" id="grossIncomeY2" value="'. $grossIncomeY2.'" onkeypress="return number2(event)" >
								<input  type="text" class="col-xs-2 col-md-2 col-sm-2 " name="grossIncomeY1" id="grossIncomeY1" value="'. $grossIncomeY1.'" onkeypress="return number2(event)" >
							</div>
							<div class="col-md-12 col-xs-12 col-sm-12">
								<span class="col-md-1 col-sm-1 col-xs-1 ">2.</span>
								<label class="col-md-2 col-sm-2 col-xs-2 ">Total Expenditure</label>
								<input  type="text"  class="col-xs-2 col-md-2 col-sm-2" name="expenditureY3" id="expenditureY3" value="'. $expenditureY3.'" onkeypress="return number2(event)" >
								<input  type="text" class="col-xs-2 col-md-2 col-sm-2" name="expenditureY2" id="expenditureY2" value="'. $expenditureY2.'" onkeypress="return number2(event)" >
								<input  type="text"  class="col-xs-2 col-md-2 col-sm-2" name="expenditureY1" id="expenditureY1" value="'. $expenditureY1.'" onkeypress="return number2(event)" >
							</div>
						</div>
					</section>
					<section>
						<div class="col-md-12  col-xs-12 col-sm-12 detailsBlock removePadding" >
							<h3>Cash Flow Statement for past 3 years (&#8377;)</h3>
							<div class="col-md-12 col-xs-12 col-sm-12 marginDiv">
								<label class="col-md-1 col-sm-1 col-xs-1  snMargin">S.No</label>
								<label class="col-md-2 col-sm-2 col-xs-2 ">Particulars</label>
								<label class="col-md-2 col-sm-2 col-xs-2 ">'.$previousYear3.'</label>
								<label class="col-md-2 col-sm-2 col-xs-2 ">'.$previousYear2.'</label>
								<label class="col-md-2 col-sm-2 col-xs-2 ">'.$previousYear1.'</label>
							</div>
							<div class="col-md-12 col-xs-12 col-sm-12">
								<span class="col-md-1 col-sm-1 col-xs-1 ">1.</span>
								<label class="col-md-2 col-sm-2 col-xs-2 ">Net Worth</label>
								<input  type="text"  class="col-xs-2 col-md-2 col-sm-2  " name="netWorthY3" value="'. $netWorthY3.'" id="netWorthY3" onkeypress="return number2(event)" >
								<input  type="text" class="col-xs-2 col-md-2 col-sm-2  " name="netWorthY2" value="'. $netWorthY2.'" id="netWorthY2" onkeypress="return number2(event)" >
								<input  type="text" class="col-xs-2 col-md-2 col-sm-2  " name="netWorthY1" value="'. $netWorthY1.'" id="netWorthY1" onkeypress="return number2(event)" >
							</div>
							<div class="col-md-12 col-xs-12 col-sm-12">
								<span class="col-md-1 col-sm-1 col-xs-1 ">2.</span>
								<label class="col-md-2 col-sm-2 col-xs-2 "> Net sales</label>
								<input  type="text"  class="col-xs-2 col-md-2 col-sm-2  " name="salesY3" value="'. $salesY3.'" id="salesY3" onkeypress="return number2(event)" >
								<input  type="text" class="col-xs-2 col-md-2 col-sm-2  " name="salesY2" value="'. $salesY2.'" id="salesY2" onkeypress="return number2(event)" >
								<input  type="text"  class="col-xs-2 col-md-2 col-sm-2  " name="salesY1" value="'. $salesY1.'" id="salesY1" onkeypress="return number2(event)" >
							</div>
							<div class="col-md-12 col-xs-12 col-sm-12">
								<span class="col-md-1 col-sm-1 col-xs-1 ">3.</span>
								<label class="col-md-2 col-sm-2 col-xs-2 ">Net Profit</label>
								<input  type="text"  class="col-xs-2 col-md-2 col-sm-2  " name="netProfitY3" value="'. $netProfitY3.'" id="netProfitY3" onkeypress="return number2(event)" >
								<input  type="text" class="col-xs-2 col-md-2 col-sm-2  " name="netProfitY2" value="'. $netProfitY2.'" id="netProfitY2" onkeypress="return number2(event)" >
								<input  type="text"  class="col-xs-2 col-md-2 col-sm-2  " name="netProfitY1" value="'. $netProfitY1.'" id="netProfitY1" onkeypress="return number2(event)" >
							</div>
									<div class="col-md-12 col-xs-12 col-sm-12">
								<span class="col-md-1 col-sm-1 col-xs-1 ">4.</span>
								<label class="col-md-2 col-sm-2 col-xs-2 ">Depriciation</label>
								<input  type="text"  class="col-xs-2 col-sm-2col-md-2" name="depriciationY3" value="'. $depriciationY3.'" id="depriciationY3" onkeypress="return number2(event)" >
								<input  type="text" class="col-xs-2 col-md-2 col-sm-2  " name="depriciationY2" value="'. $depriciationY2.'" id="depriciationY2" onkeypress="return number2(event)" >
								<input  type="text" class="col-xs-2 col-md-2 col-sm-2 " name="depriciationY1" value="'. $depriciationY1.'" id="depriciationY1" onkeypress="return number2(event)" >
							</div>
							<div class="col-md-12 col-xs-12 col-sm-12">
								<span class="col-md-1 col-sm-1 col-xs-1 ">5.</span>
								<label class="col-md-2 col-sm-2 col-xs-2 ">Interest</label>
								<input  type="text"  class=" col-xs-2 col-md-2 col-sm-2" name="interestY3" id="interestY3" value="'. $interestY3.'" onkeypress="return number2(event)" >
								<input  type="text" class=" col-xs-2  col-md-2 col-sm-2 " name="interestY2" id="interestY2" value="'. $interestY2.'" onkeypress="return number2(event)" >
								<input  type="text"  class=" col-xs-2  col-md-2 col-sm-2 " name="interestY1" id="interestY1" value="'. $interestY1.'" onkeypress="return number2(event)" >
							</div>
						</div>
						<div class="col-md-12  col-xs-12 col-sm-12 detailsBlock removePadding" >
							<h3>Future Estimations for next 3 years (&#8377;)</h3>
							<div class="col-md-12 col-xs-12 col-sm-12 marginDiv">
								<label class="col-md-1 col-sm-1 col-xs-1  snMargin">S.No</label>
								<label class="col-md-2 col-sm-2 col-xs-2 ">Particulars</label>
								<label class="col-md-2 col-sm-2 col-xs-2 ">'.$futureYear3.'</label>
								<label class="col-md-2 col-sm-2 col-xs-2 ">'.$futureYear2.'</label>
								<label class="col-md-2 col-sm-2 col-xs-2 ">'.$futureYear1.'</label>
							</div>
							<div class="col-md-12 col-xs-12 col-sm-12">
								<span class="col-md-1 col-sm-1 col-xs-1 ">1.</span>
								<label class="col-md-2 col-sm-2 col-xs-2 ">Net Worth</label>
								<input  type="text"  class="col-xs-2 col-md-2 col-sm-2  " name="netWorthNextY3" value="'. $netWorthNextY3.'" id="netWorthNextY3" onkeypress="return number2(event)" >
								<input  type="text" class="col-xs-2 col-md-2 col-sm-2  " name="netWorthNextY2" value="'. $netWorthNextY2.'" id="netWorthNextY2" onkeypress="return number2(event)" >
								<input  type="text" class="col-xs-2 col-md-2 col-sm-2  " name="netWorthNextY1" value="'. $netWorthNextY1.'" id="netWorthNextY1" onkeypress="return number2(event)" >
							</div>
							<div class="col-md-12 col-xs-12 col-sm-12">
								<span class="col-md-1 col-sm-1 col-xs-1 ">2.</span>
								<label class="col-md-2 col-sm-2 col-xs-2 "> Net sales</label>
								<input  type="text"  class="col-xs-2 col-md-2 col-sm-2  " name="salesNextY3" value="'. $salesNextY3.'" id="salesNextY3" onkeypress="return number2(event)" >
								<input  type="text" class="col-xs-2 col-md-2 col-sm-2  " name="salesNextY2" value="'. $salesNextY2.'" id="salesNextY2" onkeypress="return number2(event)" >
								<input  type="text"  class="col-xs-2 col-md-2 col-sm-2  " name="salesNextY1" value="'. $salesNextY1.'" id="salesNextY1" onkeypress="return number2(event)" >
							</div>
							<div class="col-md-12 col-xs-12 col-sm-12">
								<span class="col-md-1 col-sm-1 col-xs-1 ">3.</span>
								<label class="col-md-2 col-sm-2 col-xs-2 ">Net Profit</label>
								<input  type="text"  class="col-xs-2 col-md-2 col-sm-2  " name="netProfitNextY3" value="'. $netProfitNextY3.'" id="netProfitNextY3" onkeypress="return number2(event)" >
								<input  type="text" class="col-xs-2 col-md-2 col-sm-2  " name="netProfitNextY2" value="'. $netProfitNextY2.'" id="netProfitNextY2" onkeypress="return number2(event)" >
								<input  type="text"  class="col-xs-2 col-md-2 col-sm-2  " name="netProfitNextY1" value="'. $netProfitNextY1.'" id="netProfitNextY1" onkeypress="return number2(event)" >
							</div>
									<div class="col-md-12 col-xs-12 col-sm-12">
								<span class="col-md-1 col-sm-1 col-xs-1 ">4.</span>
								<label class="col-md-2 col-sm-2 col-xs-2 ">Depriciation</label>
								<input  type="text"  class="col-xs-2 col-sm-2col-md-2" name="depriciationNextY3" value="'. $depriciationNextY3.'" id="depriciationNextY3" onkeypress="return number2(event)" >
								<input  type="text" class="col-xs-2 col-md-2 col-sm-2  " name="depriciationNextY2" value="'. $depriciationNextY2.'" id="depriciationNextY2" onkeypress="return number2(event)" >
								<input  type="text" class="col-xs-2 col-md-2 col-sm-2 " name="depriciationNextY1" value="'. $depriciationNextY1.'" id="depriciationNextY1" onkeypress="return number2(event)" >
							</div>
							<div class="col-md-12 col-xs-12 col-sm-12">
								<span class="col-md-1 col-sm-1 col-xs-1 ">5.</span>
								<label class="col-md-2 col-sm-2 col-xs-2 ">Interest</label>
								<input  type="text"  class=" col-xs-2 col-md-2 col-sm-2" name="interestNextY3" id="interestNextY3" value="'. $interestNextY3.'" onkeypress="return number2(event)" >
								<input  type="text" class=" col-xs-2  col-md-2 col-sm-2 " name="interestNextY2" id="interestNextY2" value="'. $interestNextY2.'" onkeypress="return number2(event)" >
								<input  type="text"  class=" col-xs-2  col-md-2 col-sm-2 " name="interestNextY1" id="interestNextY1" value="'. $interestNextY1.'" onkeypress="return number2(event)" >
							</div>
						</div>
					
					</section>
					<section>
						<div class="col-md-12 col-xs-12 col-sm-12 detailsBlock removePadding">
							<h3>Details of Loan availed & repaid in past 3 years</h3>
							<div class="col-md-12 col-xs-12 col-sm-12 marginDiv ">
								<label class="col-md-1 col-sm-1 col-xs-1 snMargin">S.No</label>
								<label class="col-xs-2 col-md-2  col-sm-2  ">Particulars</label>
								<label class="col-xs-2 col-md-2 col-sm-2 ">'.$previousYear3.'</label>
								<label class="col-xs-2 col-md-2 col-sm-2  ">'.$previousYear2.'</label>
								<label class="col-xs-2 col-md-2 col-sm-2  ">'.$previousYear1.'</label>

</div>
							<div class="col-md-12 col-xs-12 col-sm-12">
								<span class="col-md-1 col-sm-1 col-xs-1 ">1.</span>
								<label class="col-md-2 col-sm-2 col-xs-2 ">Loan Availed</label>
								<input  type="text"  class="col-xs-2 col-md-2 col-sm-2  " name="loanAvailedY3" value="'. $loanAvailedY3.'" id="loanAvailedY3" onkeypress="return number2(event)" >
								<input  type="text" class="col-xs-2 col-md-2 col-sm-2  " name="loanAvailedY2" value="'. $loanAvailedY2.'" id="loanAvailedY2" onkeypress="return number2(event)" >
								<input  type="text" class="col-xs-2 col-md-2  col-sm-2 " name="loanAvailedY1" value="'. $loanAvailedY1.'" id="loanAvailedY1" onkeypress="return number2(event)" >
							</div>
							<div class="col-md-12 col-xs-12 col-sm-12  ">
								<span class="col-md-1  col-sm-1 col-xs-1">2.</span>
								<label class="col-md-2  col-sm-2 col-xs-2 ">Loan Repaid</label>
								<input  type="text"  class="col-xs-2 col-md-2 col-sm-2 " name="loanRepaidY3" value="'. $loanRepaidY3.'" id="loanRepaidY3" onkeypress="return number2(event)" >
								<input  type="text" class="col-xs-2 col-md-2 col-sm-2  " name="loanRepaidY2" value="'. $loanRepaidY2.'" id="loanRepaidY2" onkeypress="return number2(event)" >
								<input  type="text" class="col-xs-2 col-md-2 col-sm-2  " name="loanRepaidY1" value="'. $loanRepaidY1.'" id="loanRepaidY1" onkeypress="return number2(event)" >
							</div>
							<div class="col-md-12 col-xs-12 col-sm-12 totalBlock">
								<span class="col-md-1  col-sm-1 col-xs-1"></span>
								<label class="col-md-2  col-sm-2 col-xs-2 ">Balance Outstanding</label>
								<input  type="text" class="col-xs-2 col-md-2  col-sm-2 " id="totalY3" value="'. $totalLoanY3.'" >
								<input  type="text" class="col-xs-2 col-md-2  col-sm-2  " id="totalY2" value="'. $totalLoanY2.'" >
								<input  type="text" class="col-xs-2 col-md-2  col-sm-2  " id="totalY1" value="'. $totalLoanY1.'" >
								
							</div>
						</div>
						<div class="col-md-12" style="padding-top:20px;">
							<label class="col-md-3">Amount of Loan (Rs.) :</label>
							<input  type="text" class="col-md-3" id="loanAmount" value="'. $loanAmount.'"  name="loanAmount" >
						</div>
						<div class="col-md-12" style="padding-top:20px;">
								<label class="col-md-3">Amount of Loan Purpose :</label>
								<textarea style="width:100%" name="loanPurpose" id="loanPurpose" rows="7">'.$loanPurpose.'</textarea>
							</div>
					</section>
					<section>
					</section>
				</div>
			
			 
				<div class="col-md-12 col-xs-12 col-sm-12 text-cneter">
					<section>
						<div class="col-md-12 col-xs-12 col-sm-12 removePadding">
							<h3>Details of Bank Accounts</h3>
							<div class="col-md-12 col-xs-12 col-sm-12 rowStyle">
								<label class="col-md-1  col-sm-1 col-xs-1  snMargin">S.No</label>
								<label class="col-md-2  col-sm-2 col-xs-2 ">IFSC Code</label>
								<label class="col-md-2  col-sm-2 col-xs-2 ">Bank Name</label>
								<label class="col-md-2  col-sm-2 col-xs-2 ">Branch Name</label>
								<label class="col-md-2  col-sm-2 col-xs-2 ">Account Number</label>
							</div>
							<div class="addMoreFields">
								<div class="col-md-12 col-xs-12 col-sm-12 textBlock">
									<span class="col-md-1  col-sm-1 col-xs-1">1.</span>
									<input  type="text"  class="col-xs-2 col-md-2 col-sm-2  " placeholder="IFSC Code" value="'. $ifsc.'" name="ifscCode" id="ifscCode" >
									<input  type="text" class="col-xs-2 col-md-2 col-sm-2 " placeholder="Bank Name" value="'. $bankName.'" name="bankName" id="bankName" >
									<input  type="text" class="col-xs-2 col-md-2 col-sm-2 " placeholder="Branch Name" value="'. $branch.'" name="branchName" id="branchName" >
									<input  type="text"  class="col-xs-2 col-md-2 col-sm-2 " placeholder="Account Number" value="'. $accountNumber.'" name="accountNumber" id="accountNumber" >
								</div>
							</div>
						</div>
					  </section>
					  <div style="clear:both;"></div>
				
					  <section style="padding-top: 70px;">
						<div class="col-xs-12">
							<div class="col-xs-6 text-center signatureBlock removePadding">
								<div class="sp">Space for photo</div>
								<div class="sg">Name & Designation</div>
							</div>
							<div class="col-xs-6 text-center signatureBlock removePadding">
								<div class="sp">Space for photo</div>
								<div class="sg">Name & Designation</div>
							</div>
						</div> 
						<div class="signatureContent">
							<p>Signature of the authorized signatory (ies) whose photo is affixed above (sign across the photo)</p>
							<p>We hereby certify that the information furnished by us is correct. In the event of any of the information furnished by us is found to be false, we agree to be liable for any action under the law of the land.</p>
							<p>Place:</p>
							<p>Date:</p>
							<p class="text-right" style="padding-right: 30%;">Seal</p>
						</div>
					  </section>
						
				</div>
			</div>
		</div>
	</div>	
</body>
<link rel="stylesheet" href="css/style.css">
<style>
	.addMoreFields input, .rowStyle label {
		margin: 0px !important;
	}
	.rowStyle label {
		padding-left: 15px !important;
		padding-right: 15px !important;
	}
	.marginDiv label, .marginDiv input {
		margin: 0px !important;
	}
	h3
	{
		font-size: 17px !important;
			color: #333 !important;
		 font-weight:bold;
	}
	</style>
</html>';
//echo $data;exit;	
$mpdf = new mPDF();

$mpdf->WriteHTML($data);

$content = $mpdf->Output('sliForm.pdf', 'D');

/*echo $content = chunk_split(base64_encode($content));exit;

$uid = md5(uniqid(time()));

$mpdf->Output();
exit;*/
?>