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<html>
	<head>
		<meta charset="utf-8" />
		<meta name="viewport" content="width=device-width, initial-scale=1.0" />
		<title>Administrator | Global Waste Solution</title>
		<link href="../css/bootstrap.css" rel="stylesheet" />
		<link href="../css/style.css" rel="stylesheet" />
		<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.7.0/css/font-awesome.min.css">
	</head>
	
	<body>
		<div id="wrapper">
			<?php
				include("../top-header.php");
				include("../right-sec.php");
			?>
			<div id="page-wrapper" >
				<div id="page-inner">
					<div class="row">
						<div class="col-md-12">
							<h3 class="page-header">
								Enquiry List<small></small>
							</h3>
							<div class="table-sec">
								<div class="srch_box">
									<form action="">
										<div class="row">
											<div class="col-md-3 col-xs-3">	
												<div class="form-group form-select">
													<label>Enquiry no. <span>*</span></label>
													<input class="form-control" type="text" alt="" name="">
												</div>		
											</div>
											<div class="col-md-3 col-xs-3">	
												<div class="form-group form-select">
													<label>Company Name <span>*</span></label>
													<input class="form-control" type="text" alt="" name="">
												</div>		
											</div>
											<div class="col-md-3 col-xs-3">		
												<div class="form-group form-select">
													<label>Mobile <span>*</span></label>
													<input class="form-control" type="text" alt="" name="">
												</div>		
											</div>											
											<div class="col-md-3 col-xs-3">		
												<div class="form-group form-select">
													<label>Enquiry About<span>*</span></label>
													<select class="form-control">
														<option value="">Select Enquiry About</option>
														<option value="MOBILE">MOBILE</option>
													</select>
												</div>		
											</div>	
											<div class="col-md-2 col-xs-1">	
												<div class="mb-0 form-group form-select">
													<button class="h-3 primary-btn text-uppercase">Search</button>
												</div>
											</div>
										</div>
									</form>
								</div>
								<div class="mt-2 pop_btn">
									<div class="row"> 
										<div class="col-md-6 col-xs-6"> 
											<ul>
												<li>Total Records : <span>10 of 278</span></li> 
											</ul>
										</div>
										<div class="col-md-6 col-xs-6">
											<div class="flt_sec"> 
												<p>
													Total Records :
													<select>
														<option>50</option>
														<option>75</option>
														<option>100</option>
													</select>
													Per Page
												</p>
											</div>
										</div>
									</div>
								</div>
								<table>
									<tr class="tbl_head"> 
										<th><input type="checkbox" name="" id=""></th>
										<th>S. No.</th>
										<th>Enq No.</th>
										<th class="wdht">Enq Date</th>
										<th>Name</th>
										<th>Company</th>
										<th>E-Mail</th>
										<th>Mobile</th>
										<th>Add Document</th>
									</tr>
									<tr>
										<td><input type="checkbox" name="" id=""></td>
										<td>1</td>
										<td>1753</td>
										<td>2020-07-09</td>
										<td>Pradanya Pandit</td>
										<td>Payal</td>
										<td>Sent by sanchali</td>
										<td></td>
										<td><a class="btn_atv" type="button" data-toggle="modal" data-target="#add_dcmt">Add Document</a></td>
									</tr>
									<tr>
										<td><input type="checkbox" name="" id=""></td>
										<td>2</td>
										<td>1752</td>
										<td>2020-07-09</td>
										<td>N.Suhail Ahmad/ Shibu</td>
										<td>Payal</td>
										<td>Mail Sent by Saloni</td>
										<td></td>
										<td><a class="btn_atv" type="button" data-toggle="modal" data-target="#add_dcmt">Add Document</a></td>
									</tr>
								</table>
							</div>
						</div>
					</div> 
				</div>
			</div>
			
			<?php
				include("../footer-sec.php");
			?>
			
			<div class="container">
				<div class="modal fade" id="add_dcmt" role="dialog">
					<div class="modal-dialog modal-lg">
						<div class="modal-content">
							<div class="modal-header">
								<button type="button" class="close" data-dismiss="modal">&times;</button>
								<h4 class="modal-title">Work in Hand Application Form</h4>
							</div>
							<div class="modal-body">
								<div class="srch_box">
									<form action="">
										<div class="row">
											<div class="col-md-12 col-xs-12">
												<div class="mb-1 enq_box">
													<div class="col-md-6 col-xs-6">	
														<div class="form-group form-select">
															<label>Party Name<span>*</span></label>
															<input class="form-control" type="text" alt="" name="">
														</div>		
													</div>
													
													<div class="col-md-6 col-xs-6">	
														<div class="form-group form-select">
															<label>Company Name<span>*</span></label>
															<input class="form-control" type="text" alt="" name="">
														</div>		
													</div>
												</div>
												<div class="mb-1 enq_box">
													<div class="row">
														<div class="col-md-6 col-xs-6">	
															<div class="form-group form-select">
																<div class="col-xs-1">
																	<input type="checkbox" class="" name="" id="">
																</div>
																<label for="" class="col-xs-11">IEC ,GST , Pan Card & Aadhar Card Copy of Importer</label>
															</div>		
														</div>
														<div class="col-md-6 col-xs-6">		
															<div class="form-group form-select">
																<div class="col-xs-1">
																	<input type="checkbox" class="" name="" id="">
																</div>
																<label for="" class="col-xs-11">Required website</label>
															</div>		
														</div>
														<div class="col-md-6 col-xs-6">		
															<div class="form-group form-select">
																<div class="col-xs-1">
																	<input type="checkbox" class="" name="" id="">
																</div>
																<label for="" class="col-xs-11">Certificate of Incorporation of PVT LTD / LTD.</label>
															</div>		
														</div>
														<div class="col-md-6 col-xs-6">		
															<div class="form-group form-select">
																<div class="col-xs-1">
																	<input type="checkbox" class="" name="" id="">
																</div>
																<label for="" class="col-xs-11">Required Toll free number</label>
															</div>		
														</div>
														<div class="col-md-6 col-xs-6">		
															<div class="form-group form-select">
																<div class="col-xs-1">
																	<input type="checkbox" class="" name="" id="">
																</div>
																<label for="" class="col-xs-11">List of Products with Model No. and Quantity.(Appox.)</label>
															</div>		
														</div>
														<div class="col-md-6 col-xs-6">		
															<div class="form-group form-select">
																<div class="col-xs-1">
																	<input type="checkbox" class="" name="" id="">
																</div>
																<label for="" class="col-xs-11">Letter head : 30 nos.</label>
															</div>		
														</div>
													</div>
													<h6 class="mb-1">If Previous sale already then required:</h6>
													<div class="col-md-4 col-xs-4">	
														<div class="form-group form-select">
															<label>Date of first sales (day/month/year) & Qty.<span>*</span></label>
															<input class="form-control" type="text" alt="" name="">
														</div>		
													</div>
													<div class="col-md-4 col-xs-4">	
														<div class="form-group form-select">
															<label>Products details with Model number<span>*</span></label>
															<input class="form-control" type="text" alt="" name="">
														</div>		
													</div>
													<div class="col-md-4 col-xs-4">	
														<div class="form-group form-select">
															<label>Country of Origin<span>*</span></label>
															<input class="form-control" type="text" alt="" name="">
														</div>		
													</div>
												</div>
												<div class="enq_box">
													<div class="col-md-12 col-xs-12">	
														<div class="form-group form-select">
															<label>Address<span>*</span></label>
															<textarea class="form-control" name="" alt="" type="text" id=""></textarea>
														</div>		
													</div>
													
													<div class="col-md-4 col-xs-4">	
														<div class="form-group form-select">
															<label>State<span>*</span></label>
															<select class="form-control">
																<option value="Andaman &amp; Nicobar">Andaman &amp; Nicobar</option>
																<option value="Andhra Pradesh">Andhra Pradesh</option>
																<option value="Arunachal Pradesh">Arunachal Pradesh</option>
																<option value="Assam">Assam</option>
																<option value="Bihar">Bihar</option>
																<option value="Chandigarh">Chandigarh</option>
																<option value="Chhattisgarh">Chhattisgarh</option>
																<option value="Dadra &amp;Nagar Haveli">Dadra &amp;Nagar Haveli</option>
																<option value="Daman &amp; Diu">Daman &amp; Diu</option>
																<option value="Delhi NCR">Delhi NCR</option>
																<option value="Goa">Goa</option>
																<option value="Gujarat">Gujarat</option>
																<option value="Haryana">Haryana</option>
																<option value="Himachal Pradesh">Himachal Pradesh</option>
																<option value="Jammu &amp; Kashmir">Jammu &amp; Kashmir</option>
																<option value="Jharkhand">Jharkhand</option>
																<option value="Karnataka">Karnataka</option>
																<option value="Kerala">Kerala</option>
																<option value="Lakshadweep">Lakshadweep</option>
																<option value="Madhya Pradesh">Madhya Pradesh</option>
																<option value="Maharashtra">Maharashtra</option>
																<option value="Manipur">Manipur</option>
																<option value="Meghalaya">Meghalaya</option>
																<option value="Mizoram">Mizoram</option>
																<option value="Nagaland">Nagaland</option>
																<option value="Orissa">Orissa</option>
																<option value="Pondicherry">Pondicherry</option>
																<option value="Punjab">Punjab</option>
																<option value="Rajasthan">Rajasthan</option>
																<option value="Sikkim">Sikkim</option>
																<option value="Tamil Nadu">Tamil Nadu</option>
																<option value="Tripura">Tripura</option>
																<option value="Uttar Pradesh">Uttar Pradesh</option>
																<option value="Uttarakhand">Uttarakhand</option>
																<option value="West Bengal">West Bengal</option>
															</select>
														</div>		
													</div>
													<div class="col-md-4 col-xs-4">	
														<div class="form-group form-select">
															<label>State<span>*</span></label>
															<input class="form-control" type="text" alt="" name="">
														</div>
													</div>
													<div class="col-md-4 col-xs-4">	
														<div class="form-group form-select">
															<label>Pincode<span>*</span></label>
															<input class="form-control" type="text" alt="" name="">
														</div>
													</div>
													<div class="col-md-4 col-xs-4">	
														<div class="form-group form-select">
															<label>Mobile No.<span>*</span></label>
															<input class="form-control" type="text" alt="" name="">
														</div>
													</div>
													<div class="col-md-4 col-xs-4">	
														<div class="form-group form-select">
															<label>E-Mail<span>*</span></label>
															<input class="form-control" type="text" alt="" name="">
														</div>
													</div>
													<div class="col-md-4 col-xs-4">	
														<div class="form-group form-select">
															<label>Status<span>*</span></label>
															<select class="form-control">
																<option value="Pending in Dept.">Pending in Dept.</option>
																<option value="EPR Issued">EPR Issued</option>
															</select>
														</div>
													</div>
												</div>
												<div class="row">	
													<div class="col-md-4 col-xs-4">	
														<div class="form-select">
															<input name="submit" type="submit" class="mt-1 btn_add" id="" value="Apply" onclick="return submitforms();">
														</div>
													</div>
												</div>	
											</div>	
										</div>	
									</form>
								</div>
							</div>
						</div>
					</div>
				</div>
			</div>
		
		
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