Your IP : 216.73.216.26
<?php
$title= "Edit Bank Detail";
include 'header.php';
$uid = $_SESSION['userid'];
?>
<style type="text/css">
#comments label{
width: 170px;
}
</style>
<h1>Add a Bank Account</h1>
<section id="comments">
<?php echo getMessage();?>
<form name="form" id="form" action="add_bank_account_model.php" method="post">
<p>
<label for="account_name">Account Name <span>*</span></label>
<input type="text" name="account_name" id="account_name" value="" required="required" maxlength="50">
</p>
<p>
<label for="ifsc">IFSC Code <span>*</span></label>
<input type="text" name="ifsc" id="ifsc" value="" required="required" maxlength="20">
</p>
<p>
<label for="bank_name">Bank Name <span>*</span></label>
<input type="text" name="bank_name" id="bank_name" value="" required="required" maxlength="100">
</p>
<p>
<label for="account_number">Account Number <span>*</span></label>
<input type="text" name="account_number" id="account_number" value="" required="required" maxlength="100">
</p>
<p>
<label for="account_holder_name">Name <span>*</span></label>
<input type="text" name="account_holder_name" id="account_holder_name" value="" pattern="[a-zA-Z ]+" required="required" maxlength="50">
</p>
<p><br />
<input type="hidden" name="bank_id" value="<?php echo $_GET['id']?>"/>
<input style="position: relative; left: 180px;" name="submit" type="submit" id="submit" value="Save">
</p>
</form>
</section>
<?php include 'footer.php';?>