/* Decoded by unphp.net */


require_once('../database/header.php');
if($userdata['status']=='paywait'){
echo '<script>
window.location = "paywait.php"
</script>
';
}
;echo '<!-- Begin Page Content -->
   <div class="container-fluid">
';if($userdata['usertype']=="mainadmin"){;echo ' 

          <!-- DataTales Example -->
          <div class="card shadow mb-4">
            <div class="card-header py-3">
              <h6 class="m-0 font-weight-bold text-primary">PAN Application Update and View - ';echo base64_decode($_GET['keypass']);;echo '</h6>
            </div>
            <div class="card-body">
<script src="../bootstrap/vendor/jquery/jquery.min.js"></script>
<script src="../bootstrap/js/aoliist.js"> </script>			   
';
if(isset($_GET['datakey'])){
$stmt = $conn->prepare("select * from nsdlpancard WHERE id = ? AND order_id = ? ");
$stmt->execute([base64_decode($_GET['datakey']),base64_decode($_GET['keypass'])]);
$row=$stmt->fetch();
$rowobj = json_decode($row['changes'],true);
if($row['id']==""){
echo '
<script>
alert("Application Data Not Available!");
window.location = "listofpancard.php" 
</script>';
}
}
if(isset($_POST['action']) ){
$allowed_extensions = array("jpg","jpeg","png","gif");
$allowedExts = array("pdf");
$formexn = end(explode(".",$_FILES["ack_pdf"]["name"]));
$photoexn = end(explode(".",$_FILES["photo"]["name"]));
$signexn = end(explode(".",$_FILES["sign"]["name"]));
if ($_FILES["ack_pdf"]["type"] == "application/pdf"&&
$_FILES["ack_pdf"]["size"] <3000000 &&
in_array($formexn,$allowedExts) 
) {
$form_pdf = str_replace(' ','_',$row["ack_no"])."-".rand(100000,999999)."_Form.pdf";
$form_link = "http://".$_SERVER['SERVER_NAME']."/downloads.php?files=$ack_pdf";
move_uploaded_file($_FILES["ack_pdf"]["tmp_name"],"../pan_doc/".$ack_pdf);
$photo_pdf = $_POST["name_card"]."-".rand(100000,999999)."_Photo.jpg";
$photo_link = "http://".$_SERVER['SERVER_NAME']."/downloads.php?files=$photo_pdf";
move_uploaded_file($_FILES["photo"]["tmp_name"],"../pan_doc/".$photo_pdf);
$sign_pdf = $_POST["name_card"]."-".rand(100000,999999)."_Sign.jpg";
$sign_link = "http://".$_SERVER['SERVER_NAME']."/downloads.php?files=$sign_pdf";
move_uploaded_file($_FILES["sign"]["tmp_name"],"../pan_doc/".$sign_pdf);
}
if($_FILES["ack_pdf"]["name"]==""){
$ack_pdf = $row['ack_pdf'];
}else{
$ack_pdf = $form_link;
}
$response->full_name = filter_var($_POST['full_name'],FILTER_SANITIZE_STRING);
$response->father_name = filter_var($_POST['father_name'],FILTER_SANITIZE_STRING);
$response->date_brith = filter_var($_POST['date_brith'],FILTER_SANITIZE_STRING);
$response->gender = filter_var($_POST['gender_c'],FILTER_SANITIZE_STRING);
$response->address = filter_var($_POST['address'],FILTER_SANITIZE_STRING);
$response->nofdoc = filter_var($_POST['nofdoc'],FILTER_SANITIZE_STRING);
$changes = json_encode($response);
$nsdlsql = "UPDATE nsdlpancard SET cat_applicant=:cat_applicant,pan_number=:pan_number,l_name=:l_name,f_name=:f_name,m_name=:m_name,name_card=:name_card,dob=:dob,gender=:gender,fal_name=:fal_name,
 faf_name=:faf_name,fam_name=:fam_name,aadhaar_num=:aadhaar_num,name_aadhaar=:name_aadhaar,mob_num=:mob_num,email_id=:email_id,address1=:address1,address2=:address2,address3=:address3,address4=:address4,address5=:address5,
 user_state=:user_state,pincode=:pincode,pan_type=:pan_type,r_title=:r_title,rl_name=:rl_name,rf_name=:rf_name,rm_name=:rm_name,r_address1=:r_address1,r_address2=:r_address2,r_address3=:r_address3,r_address4=:r_address4,r_address5=:r_address5,
 r_state=:r_state,r_pincode=:r_pincode,city=:city,area_code=:area_code,ao_type=:ao_type,rangecode=:rangecode,aocode=:aocode,proof_id=:proof_id,proof_add=:proof_add,proof_dob=:proof_dob,ack_pdf=:ack_pdf,changes=:changes,ack_no=:ack_no,remark=:remark,remark=:remark,status=:status WHERE id='".$row['id']."'";
$nsdl = $conn->prepare($nsdlsql);
$nsdl->bindParam(":cat_applicant",filter_var($_POST["cat_applicant"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":pan_number",filter_var($_POST["pan_number"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":l_name",filter_var($_POST["l_name"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":f_name",filter_var($_POST["f_name"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":m_name",filter_var($_POST["m_name"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":name_card",filter_var($_POST["name_card"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":dob",filter_var($_POST["dob"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":gender",filter_var($_POST["gender"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":fal_name",filter_var($_POST["fal_name"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":faf_name",filter_var($_POST["faf_name"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":fam_name",filter_var($_POST["fam_name"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":aadhaar_num",filter_var($_POST["aadhaar_num"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":name_aadhaar",filter_var($_POST["name_aadhaar"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":mob_num",filter_var($_POST["mob_num"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":email_id",filter_var($_POST["email_id"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":address1",filter_var($_POST["address1"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":address2",filter_var($_POST["address2"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":address3",filter_var($_POST["address3"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":address4",filter_var($_POST["address4"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":address5",filter_var($_POST["address5"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":user_state",filter_var($_POST["user_state"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":pincode",filter_var($_POST["pincode"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":pan_type",filter_var($_POST["pan_type"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":r_title",filter_var($_POST["r_title"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":rl_name",filter_var($_POST["rl_name"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":rf_name",filter_var($_POST["rf_name"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":rm_name",filter_var($_POST["rm_name"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":r_address1",filter_var($_POST["r_address1"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":r_address2",filter_var($_POST["r_address2"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":r_address3",filter_var($_POST["r_address3"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":r_address4",filter_var($_POST["r_address4"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":r_address5",filter_var($_POST["r_address5"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":r_state",filter_var($_POST["r_state"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":r_pincode",filter_var($_POST["r_pincode"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":city",filter_var($_POST["city"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":area_code",filter_var($_POST["area_code"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":ao_type",filter_var($_POST["ao_type"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":rangecode",filter_var($_POST["rangecode"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":aocode",filter_var($_POST["aocode"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":proof_id",filter_var($_POST["proof_id"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":proof_add",filter_var($_POST["proof_add"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":proof_dob",filter_var($_POST["proof_dob"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":ack_pdf",$ack_pdf);
$nsdl->bindParam(":changes",$changes);
$nsdl->bindParam(":ack_no",filter_var($_POST["ack_no"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":remark",filter_var($_POST["remark"],FILTER_SANITIZE_STRING));
$nsdl->bindParam(":status",filter_var($_POST["status"],FILTER_SANITIZE_STRING));
if($nsdl->execute()){
echo '<div class="alert alert-success" role="alert">
<strong>Application!</strong> Update Successfully!</div>
<script>
setTimeout(
        function(){
            window.location = "" 
        },
    1000);
</script>';
}else {
echo '<div class="alert alert-danger" role="alert">
<strong>Invalid!</strong> Data Not Insert!</div>';
}
}
;echo '

                <form class="user" action="" method="POST" enctype="multipart/form-data">

               
                <div class="form-group row">
                  <div class="col-sm-3 mb-3">
				  ';
if($row['pan_number']=="newpan"){
;echo '                    <btn-primary6 class="m-0 font-weight-bold text-primary">Category of Applicant <span class="text-danger">*<span></h6>
					<input name="pan_number" class="form-control" type="hidden" value="newpan" required>	
                     <select name="cat_applicant" class="form-control"  required>
										<option value="';echo $row['cat_applicant'];;echo '">';echo $row['cat_applicant'];;echo '</option>
										<option value="Individual">Individual</option>
										<option value="Firm">Firm</option>
										<option value="Body of Individuals">Body of Individuals</option>
										<option value="Hindu Undivided Family">Hindu Undivided Family</option>
										<option value="Association of Persons">Association of Persons</option>
										<option value="Local Authority">Local Authority</option>
										
										<option value="Trust">Trust</option>
										<option value="Artificial Juridical Person">Artificial Juridical Person</option>
										<option value="Government">Government</option>
										<option value="Limited Liability Partnership">Limited Liability Partnership</option>
									</select>
';
}else{
;echo '	
<btn-primary6 class="m-0 font-weight-bold text-primary">Pan Number <span class="text-danger">*<span></h6>
<input name="cat_applicant" class="form-control" type="hidden" value="Individual" required>		
<input name="pan_number" class="form-control" value="';echo $row['pan_number'];;echo '"  placeholder="Enter Old Pan Number" maxlength="10" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();" required>	

';
}
;echo '									
                    </div>
			
                  <div class="col-sm-3 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Last Name/ Surname <span class="text-danger">*<span></h6> 
                    <input type="text" class="form-control" placeholder="Last Name/ Surname" name="l_name" value="';echo $row['l_name'];;echo '" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();" required>
                  </div>
                  <div class="col-sm-3 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">First Name</h6> 
                    <input type="text" class="form-control" placeholder="First Name" name="f_name" value="';echo $row['f_name'];;echo '" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();">
                  </div>
                  <div class="col-sm-3 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Middle Name</h6> 
                    <input type="text" class="form-control" placeholder="Middle Name" name="m_name" value="';echo $row['m_name'];;echo '" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();">
                  </div>
				  
				   <div class="col-sm-6 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Name on Card <span class="text-danger">*<span></h6> 
                    <input type="text" class="form-control" placeholder="Name on Card" name="name_card" value="';echo $row['name_card'];;echo '" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();" required>
                  </div>
				  <div class="col-sm-3 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Date of Birth / Incorporation <span class="text-danger">*<span></h6> 
                    <input type="text" class="form-control" placeholder="dd/MM/yyyy" name="dob"  value="';echo $row['dob'];;echo '" onclick=" var v = this.value; if (v.match(/^\d{2}$/) !== null) { this.value = v + \'/\'; } else if (v.match(/^\d{2}\/\d{2}$/) !== null) { this.value = v + \'/\'; }" onkeyup=" var v = this.value; if (v.match(/^\d{2}$/) !== null) { this.value = v + \'/\'; } else if (v.match(/^\d{2}\/\d{2}$/) !== null) { this.value = v + \'/\'; }" maxlength="10" required>
                  </div>
				  <div class="col-sm-3 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Gender <span class="text-danger">*<span></h6> 
					<select name="gender" class="form-control" required>
					<option value="';echo $row['gender'];;echo '">';echo $row['gender'];;echo '</option>
					<option value="Male">Male</option>
					<option value="Female">Female</option>
					<option value="TransGender">Transgender</option> 
					</select>
                  </div>
				  
				  
				  <div class="col-sm-3 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Father\'s Last Name <span class="text-danger">*<span></h6> 
                    <input type="text" class="form-control" placeholder="Father\'s Last Name" name="fal_name"  value="';echo $row['fal_name'];;echo '" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();" required>
                  </div>
                  <div class="col-sm-3 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Father\'s First Name</h6> 
                    <input type="text" class="form-control" placeholder="Father\'s First Name" name="faf_name"  value="';echo $row['faf_name'];;echo '" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();">
                  </div>
                  <div class="col-sm-3 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Father\'s Middle Name</h6> 
                    <input type="text" class="form-control" placeholder="Father\'s Middle Name" name="fam_name"  value="';echo $row['fam_name'];;echo '" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();">
                  </div>
				  
				   <div class="col-sm-3 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Aadhaar Number <span class="text-danger">*<span></h6> 
                    <input type="text" class="form-control" placeholder="Aadhaar Number" name="aadhaar_num" value="';echo $row['aadhaar_num'];;echo '" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();" maxlength="12" required>
                  </div>
				  
				  <div class="col-sm-6 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Name As Per Aadhaar	<span class="text-danger">*<span></h6> 
                    <input type="text" class="form-control" placeholder="Name As Per Aadhaar" name="name_aadhaar"  value="';echo $row['name_aadhaar'];;echo '" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();" required>
                  </div>
				  
				  <div class="col-sm-3 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Mobile Number <span class="text-danger">*<span></h6> 
                    <input type="text" class="form-control" placeholder="Mobile Number" name="mob_num"  value="';echo $row['mob_num'];;echo '" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();" maxlength="10" required>
                  </div>
				  
				  <div class="col-sm-3 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Email Address <span class="text-danger">*<span></h6> 
                    <input type="email" class="form-control" placeholder="Email Address" name="email_id"  value="';echo $row['email_id'];;echo '" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();" required>
                  </div>
				  
				  <div class="col-sm-3 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Flat/Room/Door/Block No. <span class="text-danger">*<span></h6> 
                    <input type="text" class="form-control" placeholder="Flat/Room/Door/Block No." name="address1" value="';echo $row['address1'];;echo '"  onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();" required>
                  </div>
				  <div class="col-sm-3 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Building/Village Name <span class="text-danger">*<span></h6> 
                    <input type="text" class="form-control" placeholder="Building/Village" name="address2" value="';echo $row['address2'];;echo '" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();" required>
                  </div>
				  <div class="col-sm-3 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Road/Street/Lane/Post Office <span class="text-danger">*<span></h6> 
                    <input type="text" class="form-control" placeholder="Road/Street/Lane/Post Office" name="address3" value="';echo $row['address3'];;echo '"onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();" required>
                  </div>
				  <div class="col-sm-3 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Area/Locality/Sub-Division </h6> 
                    <input type="text" class="form-control" placeholder="Area/Locality/Sub-Division" name="address4" value="';echo $row['address4'];;echo '"onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();">
                  </div>
				  <div class="col-sm-3 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Town/City/District <span class="text-danger">*<span></h6> 
                    <input type="text" class="form-control" placeholder="Town/City/District" name="address5" value="';echo $row['address5'];;echo '" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();" required>
                  </div>
				  <div class="col-sm-3 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">State/Union Territory <span class="text-danger">*<span></h6> 
                    <select id="user_state" name="user_state" class="form-control" required>
										<option value="">Please Select</option>
										<option value="1">ANDAMAN AND NICOBAR ISLANDS</option>
										<option value="2">ANDHRA PRADESH</option>
										<option value="3">ARUNACHAL PRADESH</option>
										<option value="4">ASSAM</option>
										<option value="5">BIHAR</option>
										<option value="6">CHANDIGARH</option>
										<option value="33">CHHATISHGARH</option>
										<option value="7">DADRA &amp; NAGAR HAVELI</option>
										<option value="8">DAMAN &amp; DIU</option>
										<option value="9">DELHI</option>
										<option value="10">GOA</option>
										<option value="11">GUJARAT</option>
										<option value="12">HARYANA</option>
										<option value="13">HIMACHAL PRADESH</option>
										<option value="14">JAMMU &amp; KASHMIR</option>
										<option value="35">JHARKHAND</option>
										<option value="15">KARNATAKA</option>
										<option value="16">KERALA</option>
										<option value="37">LADAKH</option>
										<option value="17">LAKHSWADEEP</option>
										<option value="18">MADHYA PRADESH</option>
										<option value="19">MAHARASHTRA</option>
										<option value="20">MANIPUR</option>
										<option value="21">MEGHALAYA</option>
										<option value="22">MIZORAM</option>
										<option value="23">NAGALAND</option>
										<option value="24">ODISHA</option>
										<option value="88">OUTSIDE INDIA</option>
										<option value="25">PONDICHERRY</option>
										<option value="26">PUNJAB</option>
										<option value="27">RAJASTHAN</option>
										<option value="28">SIKKIM</option>
										<option value="29">TAMILNADU</option>
										<option value="36">TELANGANA</option>
										<option value="30">TRIPURA</option>
										<option value="31">UTTAR PRADESH</option>
										<option value="34">UTTARAKHAND</option>
										<option value="32">WEST BENGAL</option>
									</select>
                  </div>
				  
				  <div class="col-sm-3 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Pincode <span class="text-danger">*<span></h6> 
                    <input type="text" class="form-control" placeholder="Pincode" name="pincode" value="';echo $row['pincode'];;echo '" maxlength="6" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();" required>
                  </div>
				  <div class="col-sm-3 mb-3">
';
if($row['pan_number']=="newpan"){
;echo '				  
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Pan Card Type <span class="text-danger">*<span></h6> 
                    <select id="pan_type" name="pan_type" class="form-control" onchange="TypeFunction(this.value)"  required="">
					<option value="Normal">Normal</option>
					<option value="Minor">Minor</option>
					</select>
';
}else{
;echo '			
<btn-primary6 class="m-0 font-weight-bold text-primary">Number of Documents <span class="text-danger">*<span></h6> 
                    <select id="nofdoc" name="nofdoc" class="form-control" required>
	<option value="">Select</option>
    <option value="1">1</option>
    <option value="2">2</option>
    <option value="3">3</option>
    <option value="4">4</option>
    <option value="5">5</option>
    <option value="6">6</option>
    <option value="7">7</option>
    <option value="8">8</option>
    <option value="9">9</option>
    <option value="10">10</option>
				</select>
';
}
;echo '	  
                  </div>
<script>
$(document).ready(function(){
  document.getElementById("user_state").value  = "';echo $row['user_state'];;echo '";	
  document.getElementById("pan_type").value  = "';if($row['pan_type']==""){echo 'Normal';}else{echo $row['pan_type'];};echo '";		
  TypeFunction("';echo $row['pan_type'];;echo '");  
});
</script> 						  
';
if($row['pan_number']=="newpan"){
;echo '						  
				  <div class="col-sm-4 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">City </h6> 
                    <select class="form-control" id="city" name="city" onchange="city_aoCode()" >
					<option value="">Select City</option>
<option value="ABOHAR">ABOHAR</option>
<option value="ABU">ABU</option>
<option value="ADILABAD">ADILABAD</option>
<option value="ADONI">ADONI</option>
<option value="AGAR">AGAR</option>
<option value="AGARTALA">AGARTALA</option>
<option value="AGRA">AGRA</option>
<option value="AHMEDABAD">AHMEDABAD</option>
<option value="AHMEDNAGAR">AHMEDNAGAR</option>
<option value="AIZAWL">AIZAWL</option>
<option value="AJMER">AJMER</option>
<option value="AKOLA">AKOLA</option>
<option value="ALAPPUZHA">ALAPPUZHA</option>
<option value="ALIGARH">ALIGARH</option>
<option value="ALIPURDUAR">ALIPURDUAR</option>
<option value="ALLAHABAD">ALLAHABAD</option>
<option value="ALMORA">ALMORA</option>
<option value="ALUVA">ALUVA</option>
<option value="ALWAR">ALWAR</option>
<option value="AMALAPURAM">AMALAPURAM</option>
<option value="AMBALA">AMBALA</option>
<option value="AMBEDKAR NAGAR">AMBEDKAR NAGAR</option>
<option value="AMBIKAPUR">AMBIKAPUR</option>
<option value="AMETHI">AMETHI</option>
<option value="AMRAVATI">AMRAVATI</option>
<option value="AMRELI">AMRELI</option>
<option value="AMRITSAR">AMRITSAR</option>
<option value="AMROHA">AMROHA</option>
<option value="ANAKAPALLI">ANAKAPALLI</option>
<option value="ANAND">ANAND</option>
<option value="ANANTAPUR">ANANTAPUR</option>
<option value="ANANTNAG">ANANTNAG</option>
<option value="ANDAMAN">ANDAMAN & NICOBAR</option>
<option value="ANGUL">ANGUL</option>
<option value="ARA">ARA</option>
<option value="ASANSOL">ASANSOL</option>
<option value="ASHOK NAGAR">ASHOK NAGAR</option>
<option value="AURAIYA">AURAIYA</option>
<option value="AURANGABAD">AURANGABAD</option>
<option value="AZAMGARH">AZAMGARH</option>
<option value="BADAUN">BADAUN</option>
<option value="BADDI">BADDI</option>
<option value="BAGALKOT">BAGALKOT</option>
<option value="BAHRAICH">BAHRAICH</option>
<option value="BAJPUR">BAJPUR</option>
<option value="BALAGHAT">BALAGHAT</option>
<option value="BALASORE">BALASORE</option>
<option value="BALLIA">BALLIA</option>
<option value="BALOTRA">BALOTRA</option>
<option value="BALURGHAT">BALURGHAT</option>
<option value="BANDA">BANDA</option>
<option value="BANGALORE">BANGALORE</option>
<option value="BANKURA">BANKURA</option>
<option value="BANSWARA">BANSWARA</option>
<option value="BAPATLA">BAPATLA</option>
<option value="BARABANKI">BARABANKI</option>
<option value="BARAMULLA">BARAMULLA</option>
<option value="BARAN">BARAN</option>
<option value="BARAUT">BARAUT</option>
<option value="BARDOLI">BARDOLI</option>
<option value="BAREILLY">BAREILLY</option>
<option value="BARGARH">BARGARH</option>
<option value="BARIPADA">BARIPADA</option>
<option value="BARMER">BARMER</option>
<option value="BARNALA">BARNALA</option>
<option value="BARODA">BARODA</option>
<option value="BARPETA">BARPETA</option>
<option value="BASTI">BASTI</option>
<option value="BATALA">BATALA</option>
<option value="BATHINDA">BATHINDA</option>
<option value="BEAWER">BEAWER</option>
<option value="BEED">BEED</option>
<option value="BEGUSARAI">BEGUSARAI</option>
<option value="BEHERAMPUR">BEHERAMPUR</option>
<option value="BEHROR">BEHROR</option>
<option value="BELGAUM">BELGAUM</option>
<option value="BELLARY">BELLARY</option>
<option value="BETTIAH">BETTIAH</option>
<option value="BETUL">BETUL</option>
<option value="BHADOHI">BHADOHI</option>
<option value="BHADRAK">BHADRAK</option>
<option value="BHAGALPUR">BHAGALPUR</option>
<option value="BHANDARA">BHANDARA</option>
<option value="BHARATPUR">BHARATPUR</option>
<option value="BHARUCH">BHARUCH</option>
<option value="BHATAPARA">BHATAPARA</option>
<option value="BHAVNAGAR">BHAVNAGAR</option>
<option value="BHAWANIPATNA">BHAWANIPATNA</option>
<option value="BHILAI">BHILAI</option>
<option value="BHILWARA">BHILWARA</option>
<option value="BHIMAVARAM">BHIMAVARAM</option>
<option value="BHIWADI">BHIWADI</option>
<option value="BHIWANI">BHIWANI</option>
<option value="BHOPAL">BHOPAL</option>
<option value="BHUBANESWAR">BHUBANESWAR</option>
<option value="BIDAR">BIDAR</option>
<option value="BIHARSHARIF">BIHARSHARIF</option>
<option value="BIJAPUR">BIJAPUR</option>
<option value="BIJNORE">BIJNORE</option>
<option value="BIKANER">BIKANER</option>
<option value="BILASPUR">BILASPUR</option>
<option value="BINA">BINA</option>
<option value="BOKARO">BOKARO</option>
<option value="BOLANGIR">BOLANGIR</option>
<option value="BONGAIGAON">BONGAIGAON</option>
<option value="BULANDSHAHAR">BULANDSHAHAR</option>
<option value="BUNDI">BUNDI</option>
<option value="BURDWAN">BURDWAN</option>
<option value="BURHANPUR">BURHANPUR</option>
<option value="BUXAR">BUXAR</option>
<option value="BYRNIHAT">BYRNIHAT</option>
<option value="CHAMARAJA NAGAR">CHAMARAJA NAGAR</option>
<option value="CHANDAUSI">CHANDAUSI</option>
<option value="CHANDIGARH">CHANDIGARH</option>
<option value="CHANDRAPUR">CHANDRAPUR</option>
<option value="CHAPRA">CHAPRA</option>
<option value="CHENNAI">CHENNAI</option>
<option value="CHHATTARPUR">CHHATTARPUR</option>
<option value="CHHINDWARA">CHHINDWARA</option>
<option value="CHIKABALLAPUR">CHIKABALLAPUR</option>
<option value="CHIKMAGALUR">CHIKMAGALUR</option>
<option value="CHIRALA">CHIRALA</option>
<option value="CHITRADURGA">CHITRADURGA</option>
<option value="CHITTOOR">CHITTOOR</option>
<option value="CHITTORGARH">CHITTORGARH</option>
<option value="CHURU">CHURU</option>
<option value="COIMBATORE">COIMBATORE</option>
<option value="COOCH BEHAR">COOCH BEHAR</option>
<option value="CUDDALORE">CUDDALORE</option>
<option value="CUTTACK">CUTTACK</option>
<option value="DAHOD">DAHOD</option>
<option value="DALHOUSIE">DALHOUSIE</option>
<option value="DAMAN">DAMAN</option>
<option value="DAMOH">DAMOH</option>
<option value="DARBHANGA">DARBHANGA</option>
<option value="DARJEELING">DARJEELING</option>
<option value="DASUYA">DASUYA</option>
<option value="DAUSA">DAUSA</option>
<option value="DAVANAGERE">DAVANAGERE</option>
<option value="DEHRADUN">DEHRADUN</option>
<option value="DELHI">DELHI</option>
<option value="DEOBAND">DEOBAND</option>
<option value="DEOGARH">DEOGARH</option>
<option value="DEORIA">DEORIA</option>
<option value="DEWAS">DEWAS</option>
<option value="DHAMPUR">DHAMPUR</option>
<option value="DHAMTARI">DHAMTARI</option>
<option value="DHANBAD">DHANBAD</option>
<option value="DHAR">DHAR</option>
<option value="DHARAMSHALA">DHARAMSHALA</option>
<option value="DHARMANAGAR">DHARMANAGAR</option>
<option value="DHARMAPURI">DHARMAPURI</option>
<option value="DHENKANAL">DHENKANAL</option>
<option value="DHUBRI">DHUBRI</option>
<option value="DHULE">DHULE</option>
<option value="DIBRUGARH">DIBRUGARH</option>
<option value="DIGBOI">DIGBOI</option>
<option value="DIMAPUR">DIMAPUR</option>
<option value="DINDIGUL">DINDIGUL</option>
<option value="DULIAJAN">DULIAJAN</option>
<option value="DUMKA">DUMKA</option>
<option value="DUNGARPUR">DUNGARPUR</option>
<option value="DURGAPUR">DURGAPUR</option>
<option value="DWARKA">DWARKA</option>
<option value="ELURU">ELURU</option>
<option value="ERODE">ERODE</option>
<option value="ETAH">ETAH</option>
<option value="ETAWAH">ETAWAH</option>
<option value="FAIZABAD">FAIZABAD</option>
<option value="FARIDABAD">FARIDABAD</option>
<option value="FARIDKOT">FARIDKOT</option>
<option value="FARRUKHABAD">FARRUKHABAD</option>
<option value="FATEHABAD">FATEHABAD</option>
<option value="FATEHPUR">FATEHPUR</option>
<option value="FEROZEPUR">FEROZEPUR</option>
<option value="FIROZABAD">FIROZABAD</option>
<option value="GADAG">GADAG</option>
<option value="GANDHIDHAM">GANDHIDHAM</option>
<option value="GANDHINAGAR">GANDHINAGAR</option>
<option value="GANGTOK">GANGTOK</option>
<option value="GAUTAM BUDH NAGAR">GAUTAM BUDH NAGAR</option>
<option value="GAYA">GAYA</option>
<option value="GHAZIABAD">GHAZIABAD</option>
<option value="GHAZIPUR">GHAZIPUR</option>
<option value="GIRIDIH">GIRIDIH</option>
<option value="GOALPARA">GOALPARA</option>
<option value="GOBINDGARH">GOBINDGARH</option>
<option value="GODHRA">GODHRA</option>
<option value="GOKAK">GOKAK</option>
<option value="GOLAGHAT">GOLAGHAT</option>
<option value="GONDA">GONDA</option>
<option value="GONDIA">GONDIA</option>
<option value="GORAKHPUR">GORAKHPUR</option>
<option value="GUDIWADA">GUDIWADA</option>
<option value="GUDUR">GUDUR</option>
<option value="GULBARGA">GULBARGA</option>
<option value="GUNA">GUNA</option>
<option value="GUNTAKAL">GUNTAKAL</option>
<option value="GUNTUR">GUNTUR</option>
<option value="GURDASPUR">GURDASPUR</option>
<option value="GURGAON">GURGAON</option>
<option value="GURUVAYOOR">GURUVAYOOR</option>
<option value="GUWAHATI">GUWAHATI</option>
<option value="GWALIOR">GWALIOR</option>
<option value="HALDIA">HALDIA</option>
<option value="HALDWANI">HALDWANI</option>
<option value="HAMIRPUR">HAMIRPUR</option>
<option value="HANUMANGARH">HANUMANGARH</option>
<option value="HAPUR">HAPUR</option>
<option value="HARDA">HARDA</option>
<option value="HARDOI">HARDOI</option>
<option value="HARDWAR">HARDWAR</option>
<option value="HASSAN">HASSAN</option>
<option value="HATHRAS">HATHRAS</option>
<option value="HAVERI">HAVERI</option>
<option value="HAZARIBAGH">HAZARIBAGH</option>
<option value="HIMMATNAGAR">HIMMATNAGAR</option>
<option value="HINDUPUR">HINDUPUR</option>
<option value="HINGOLI">HINGOLI</option>
<option value="HISSAR">HISSAR</option>
<option value="HOOGHLY">HOOGHLY</option>
<option value="HOOGLY">HOOGLY</option>
<option value="HOSHIARPUR">HOSHIARPUR</option>
<option value="HOSPET">HOSPET</option>
<option value="HOSUR">HOSUR</option>
<option value="HUBLI">HUBLI</option>
<option value="HYDERABAD">HYDERABAD</option>
<option value="ICHALKARANJI">ICHALKARANJI</option>
<option value="IMPHAL">IMPHAL</option>
<option value="INDORE">INDORE</option>
<option value="ITANAGAR">ITANAGAR</option>
<option value="ITARSI">ITARSI</option>
<option value="JABALPUR">JABALPUR</option>
<option value="JAGDALPUR">JAGDALPUR</option>
<option value="JAGRAON">JAGRAON</option>
<option value="JAIPUR">JAIPUR</option>
<option value="JAISALMER">JAISALMER</option>
<option value="JAJPUR">JAJPUR</option>
<option value="JALANDHAR">JALANDHAR</option>
<option value="JALGAON">JALGAON</option>
<option value="JALNA">JALNA</option>
<option value="JALORE">JALORE</option>
<option value="JALPAIGURI">JALPAIGURI</option>
<option value="JAMMU">JAMMU</option>
<option value="JAMNAGAR">JAMNAGAR</option>
<option value="JAMSHEDPUR">JAMSHEDPUR</option>
<option value="JANJGIR CHAMPA">JANJGIR CHAMPA</option>
<option value="JAUNPUR">JAUNPUR</option>
<option value="JEYPORE">JEYPORE</option>
<option value="JHABUA">JHABUA</option>
<option value="JHALAWAR">JHALAWAR</option>
<option value="JHANSI">JHANSI</option>
<option value="JHARSUGUDA">JHARSUGUDA</option>
<option value="JHUNJHUNU">JHUNJHUNU</option>
<option value="JIND">JIND</option>
<option value="JODHPUR">JODHPUR</option>
<option value="JORHAT">JORHAT</option>
<option value="JUNAGADH">JUNAGADH</option>
<option value="KADAPA">KADAPA</option>
<option value="KAITHAL">KAITHAL</option>
<option value="KAKINADA">KAKINADA</option>
<option value="KALINGPONG">KALINGPONG</option>
<option value="KALPETTA">KALPETTA</option>
<option value="KALYAN">KALYAN</option>
<option value="KANCHEEPURAM">KANCHEEPURAM</option>
<option value="KANKER">KANKER</option>
<option value="KANNAUJ">KANNAUJ</option>
<option value="KANNUR">KANNUR</option>
<option value="KANPUR">KANPUR</option>
<option value="KAPURTHALA">KAPURTHALA</option>
<option value="KARAIKUDI">KARAIKUDI</option>
<option value="KARAULI">KARAULI</option>
<option value="KARIMGANJ">KARIMGANJ</option>
<option value="KARIMNAGAR">KARIMNAGAR</option>
<option value="KARNAL">KARNAL</option>
<option value="KARUR">KARUR</option>
<option value="KARWAR">KARWAR</option>
<option value="KASARGOD">KASARGOD</option>
<option value="KASGANJ">KASGANJ</option>
<option value="KASHIPUR">KASHIPUR</option>
<option value="KATHUA">KATHUA</option>
<option value="KATIHAR">KATIHAR</option>
<option value="KATNI">KATNI</option>
<option value="KATRA">KATRA</option>
<option value="KAUSHAMBI">KAUSHAMBI</option>
<option value="KAWARDHA">KAWARDHA</option>
<option value="KENDRAPADA">KENDRAPADA</option>
<option value="KEONJHAR">KEONJHAR</option>
<option value="KHAMGAON">KHAMGAON</option>
<option value="KHAMMAM">KHAMMAM</option>
<option value="KHANDWA">KHANDWA</option>
<option value="KHANNA">KHANNA</option>
<option value="KHARGONE">KHARGONE</option>
<option value="KHATAULI">KHATAULI</option>
<option value="KHATIMA">KHATIMA</option>
<option value="KHURDA">KHURDA</option>
<option value="KISHENGARH">KISHENGARH</option>
<option value="KOCHI">KOCHI</option>
<option value="KODERMA">KODERMA</option>
<option value="KOLAR">KOLAR</option>
<option value="KOLHAPUR">KOLHAPUR</option>
<option value="KOLKATA">KOLKATA</option>
<option value="KOLLAM">KOLLAM</option>
<option value="KOPPAL">KOPPAL</option>
<option value="KORBA">KORBA</option>
<option value="KOTA">KOTA</option>
<option value="KOTDWAR">KOTDWAR</option>
<option value="KOTHAGUDEM">KOTHAGUDEM</option>
<option value="KOTTAYAM">KOTTAYAM</option>
<option value="KOZHIKODE">KOZHIKODE</option>
<option value="KRISHNAGIRI">KRISHNAGIRI</option>
<option value="KUDAL">KUDAL</option>
<option value="KULLU">KULLU</option>
<option value="KUMBAKONAM">KUMBAKONAM</option>
<option value="KURNOOL">KURNOOL</option>
<option value="KURUKSHETRA">KURUKSHETRA</option>
<option value="KUSHINAGAR">KUSHINAGAR</option>
<option value="LAKHIMPUR">LAKHIMPUR</option>
<option value="LAKHISARAI">LAKHISARAI</option>
<option value="LALITPUR">LALITPUR</option>
<option value="LATUR">LATUR</option>
<option value="LUCKNOW">LUCKNOW</option>
<option value="LUDHIANA">LUDHIANA</option>
<option value="LUNAWADA">LUNAWADA</option>
<option value="MACHILIPATNAM">MACHILIPATNAM</option>
<option value="MADANAPALLE">MADANAPALLE</option>
<option value="MADHUBANI">MADHUBANI</option>
<option value="MADURAI">MADURAI</option>
<option value="MAHABUBNAGAR">MAHABUBNAGAR</option>
<option value="MAHASAMUND">MAHASAMUND</option>
<option value="MAINPURI">MAINPURI</option>
<option value="MAKRANA">MAKRANA</option>
<option value="MALDA">MALDA</option>
<option value="MALEGAON">MALEGAON</option>
<option value="MALERKOTLA">MALERKOTLA</option>
<option value="MANCHIRIYAL">MANCHIRIYAL</option>
<option value="MANDI">MANDI</option>
<option value="MANDLA">MANDLA</option>
<option value="MANDSAUR">MANDSAUR</option>
<option value="MANDYA">MANDYA</option>
<option value="MANENDRAGARH">MANENDRAGARH</option>
<option value="MANGALDOI">MANGALDOI</option>
<option value="MANGALORE">MANGALORE</option>
<option value="MANSA">MANSA</option>
<option value="MARGAO">MARGAO</option>
<option value="MARIGAON">MARIGAON</option>
<option value="MATHURA">MATHURA</option>
<option value="MAU">MAU</option>
<option value="MEERUT">MEERUT</option>
<option value="MEHSANA">MEHSANA</option>
<option value="MERCARA">MERCARA</option>
<option value="MIDNAPUR">MIDNAPUR</option>
<option value="MIRZAPUR">MIRZAPUR</option>
<option value="MODASA">MODASA</option>
<option value="MOGA">MOGA</option>
<option value="MORADABAD">MORADABAD</option>
<option value="MORBI">MORBI</option>
<option value="MORENA">MORENA</option>
<option value="MOTIHARI">MOTIHARI</option>
<option value="MUKTSAR">MUKTSAR</option>
<option value="MUNGER">MUNGER</option>
<option value="MURSHIDABAD">MURSHIDABAD</option>
<option value="MUZAFFARNAGAR">MUZAFFARNAGAR</option>
<option value="MUZAFFARPUR">MUZAFFARPUR</option>
<option value="MYSORE">MYSORE</option>
<option value="NABHA">NABHA</option>
<option value="NADIA">NADIA</option>
<option value="NADIAD">NADIAD</option>
<option value="NAGAON">NAGAON</option>
<option value="NAGAPATTINAM">NAGAPATTINAM</option>
<option value="NAGAUR">NAGAUR</option>
<option value="NAGERCOIL">NAGERCOIL</option>
<option value="NAGPUR">NAGPUR</option>
<option value="NAHAN">NAHAN</option>
<option value="NAKODAR">NAKODAR</option>
<option value="NALBARI">NALBARI</option>
<option value="NALGONDA">NALGONDA</option>
<option value="NAMAKKAL">NAMAKKAL</option>
<option value="NANDED">NANDED</option>
<option value="NANDURBAR">NANDURBAR</option>
<option value="NANDYAL">NANDYAL</option>
<option value="NANITAL">NANITAL</option>
<option value="NARASARAOPET">NARASARAOPET</option>
<option value="NARNAUL">NARNAUL</option>
<option value="NARSINGPUR">NARSINGPUR</option>
<option value="NASHIK">NASHIK</option>
<option value="NAVSARI">NAVSARI</option>
<option value="NAWANSHAHAR">NAWANSHAHAR</option>
<option value="NAZIBABAD">NAZIBABAD</option>
<option value="NEEM KA THANA">NEEM KA THANA</option>
<option value="NEEMUCH">NEEMUCH</option>
<option value="NELLORE">NELLORE</option>
<option value="NIPPANI">NIPPANI</option>
<option value="NIRMAL">NIRMAL</option>
<option value="NIZAMABAD">NIZAMABAD</option>
<option value="NOHAR">NOHAR</option>
<option value="NOKHA">NOKHA</option>
<option value="NORTH LAKHIMPUR">NORTH LAKHIMPUR</option>
<option value="NURPUR">NURPUR</option>
<option value="ONGOLE">ONGOLE</option>
<option value="OOTY">OOTY</option>
<option value="ORAI">ORAI</option>
<option value="OSMANABAD">OSMANABAD</option>
<option value="PALAKKAD">PALAKKAD</option>
<option value="PALAKOL">PALAKOL</option>
<option value="PALAMPUR">PALAMPUR</option>
<option value="PALANPUR">PALANPUR</option>
<option value="PALGHAR">PALGHAR</option>
<option value="PALI">PALI</option>
<option value="PANAJI">PANAJI</option>
<option value="PANCHKULA">PANCHKULA</option>
<option value="PANDHARPUR">PANDHARPUR</option>
<option value="PANIPAT">PANIPAT</option>
<option value="PANVEL">PANVEL</option>
<option value="PARADEEP">PARADEEP</option>
<option value="PARBHANI">PARBHANI</option>
<option value="PARWANOO">PARWANOO</option>
<option value="PATAN">PATAN</option>
<option value="PATHANKOT">PATHANKOT</option>
<option value="PATIALA">PATIALA</option>
<option value="PATNA">PATNA</option>
<option value="PERAMBALUR">PERAMBALUR</option>
<option value="PETLAD">PETLAD</option>
<option value="PHAGWARA">PHAGWARA</option>
<option value="PHALODI">PHALODI</option>
<option value="PHULBANI">PHULBANI</option>
<option value="PILIBHIT">PILIBHIT</option>
<option value="PITHORAGARH">PITHORAGARH</option>
<option value="POLLACHI">POLLACHI</option>
<option value="PORBANDAR">PORBANDAR</option>
<option value="PRATAPGARH">PRATAPGARH</option>
<option value="PRODDATUR">PRODDATUR</option>
<option value="PUDUCHERRY">PUDUCHERRY</option>
<option value="PUDUKKOTTAI">PUDUKKOTTAI</option>
<option value="PUNE">PUNE</option>
<option value="PURI">PURI</option>
<option value="PURNEA">PURNEA</option>
<option value="PURULIA">PURULIA</option>
<option value="PUTTUR">PUTTUR</option>
<option value="RAEBARELI">RAEBARELI</option>
<option value="RAICHUR">RAICHUR</option>
<option value="RAIGANJ">RAIGANJ</option>
<option value="RAIGARH">RAIGARH</option>
<option value="RAIPUR">RAIPUR</option>
<option value="RAISEN">RAISEN</option>
<option value="RAJAHMUNDRY">RAJAHMUNDRY</option>
<option value="RAJGARH">RAJGARH</option>
<option value="RAJKOT">RAJKOT</option>
<option value="RAJNANDGAON">RAJNANDGAON</option>
<option value="RAJPURA">RAJPURA</option>
<option value="RAJSAMAND">RAJSAMAND</option>
<option value="RAM NAGAR">RAM NAGAR</option>
<option value="RAMANATHAPURAM">RAMANATHAPURAM</option>
<option value="RAMGARH">RAMGARH</option>
<option value="RAMNAGAR">RAMNAGAR</option>
<option value="RAMPUR">RAMPUR</option>
<option value="RAMPUR BUSHAHR">RAMPUR BUSHAHR</option>
<option value="RANCHI">RANCHI</option>
<option value="RATLAM">RATLAM</option>
<option value="RATNAGIRI">RATNAGIRI</option>
<option value="RAYAGADA">RAYAGADA</option>
<option value="REWA">REWA</option>
<option value="REWARI">REWARI</option>
<option value="RISHIKESH">RISHIKESH</option>
<option value="ROHTAK">ROHTAK</option>
<option value="ROORKEE">ROORKEE</option>
<option value="ROPAR">ROPAR</option>
<option value="ROURKELA">ROURKELA</option>
<option value="RUDRAPUR">RUDRAPUR</option>
<option value="SAGAR">SAGAR</option>
<option value="SAHARANPUR">SAHARANPUR</option>
<option value="SAHARSA">SAHARSA</option>
<option value="SAHIBGANJ">SAHIBGANJ</option>
<option value="SALEM">SALEM</option>
<option value="SAMANA">SAMANA</option>
<option value="SAMASTIPUR">SAMASTIPUR</option>
<option value="SAMBA">SAMBA</option>
<option value="SAMBALPUR">SAMBALPUR</option>
<option value="SAMBHAL">SAMBHAL</option>
<option value="SANGAREDDY">SANGAREDDY</option>
<option value="SANGLI">SANGLI</option>
<option value="SANGRUR">SANGRUR</option>
<option value="SASARAM">SASARAM</option>
<option value="SATARA">SATARA</option>
<option value="SATNA">SATNA</option>
<option value="SAWAI MADHOPUR">SAWAI MADHOPUR</option>
<option value="SEHORE">SEHORE</option>
<option value="SENDHWA">SENDHWA</option>
<option value="SEONI">SEONI</option>
<option value="SHAHDOL">SHAHDOL</option>
<option value="SHAHJAHANPUR">SHAHJAHANPUR</option>
<option value="SHAJAPUR">SHAJAPUR</option>
<option value="SHAMLI">SHAMLI</option>
<option value="SHILLONG">SHILLONG</option>
<option value="SHIMLA">SHIMLA</option>
<option value="SHIMOGA">SHIMOGA</option>
<option value="SHIVPURI">SHIVPURI</option>
<option value="SIBSAGAR">SIBSAGAR</option>
<option value="SIDDHARTH NAGAR">SIDDHARTH NAGAR</option>
<option value="SIDDIPET">SIDDIPET</option>
<option value="SIKAR">SIKAR</option>
<option value="SILCHAR">SILCHAR</option>
<option value="SILIGURI">SILIGURI</option>
<option value="SILVASSA">SILVASSA</option>
<option value="SINGRAULI">SINGRAULI</option>
<option value="SIRHIND">SIRHIND</option>
<option value="SIROHI">SIROHI</option>
<option value="SIRSA">SIRSA</option>
<option value="SIRSI">SIRSI</option>
<option value="SITAMARHI">SITAMARHI</option>
<option value="SITAPUR">SITAPUR</option>
<option value="SIWAN">SIWAN</option>
<option value="SOLAN">SOLAN</option>
<option value="SOLAPUR">SOLAPUR</option>
<option value="SONBHADRA">SONBHADRA</option>
<option value="SONEPAT">SONEPAT</option>
<option value="SRIGANGANAGAR">SRIGANGANAGAR</option>
<option value="SRIKAKULAM">SRIKAKULAM</option>
<option value="SRINAGAR">SRINAGAR</option>
<option value="SULTANPUR">SULTANPUR</option>
<option value="SUMERPUR">SUMERPUR</option>
<option value="SUNAM">SUNAM</option>
<option value="SUNDER NAGAR">SUNDER NAGAR</option>
<option value="SURAT">SURAT</option>
<option value="SURATGARH">SURATGARH</option>
<option value="SURENDRANAGAR">SURENDRANAGAR</option>
<option value="SURI">SURI</option>
<option value="SURYAPET">SURYAPET</option>
<option value="TADEPALLIGUDEM">TADEPALLIGUDEM</option>
<option value="TAMBARAM">TAMBARAM</option>
<option value="TANUKU">TANUKU</option>
<option value="TARN TARAN">TARN TARAN</option>
<option value="TEHRI">TEHRI</option>
<option value="TENALI">TENALI</option>
<option value="TEZPUR">TEZPUR</option>
<option value="THANE">THANE</option>
<option value="THANJAVUR">THANJAVUR</option>
<option value="THENI">THENI</option>
<option value="THIRUVALLA">THIRUVALLA</option>
<option value="THIRUVANANTHAPURAM">THIRUVANANTHAPURAM</option>
<option value="THODUPUZHA">THODUPUZHA</option>
<option value="THRISSUR">THRISSUR</option>
<option value="TIKAMGARH">TIKAMGARH</option>
<option value="TINSUKIA">TINSUKIA</option>
<option value="TIPTUR">TIPTUR</option>
<option value="TIRUNELVELI">TIRUNELVELI</option>
<option value="TIRUPATI">TIRUPATI</option>
<option value="TIRUPPUR">TIRUPPUR</option>
<option value="TIRUR">TIRUR</option>
<option value="TIRUVALLUR">TIRUVALLUR</option>
<option value="TIRUVANNAMALAI">TIRUVANNAMALAI</option>
<option value="TIRUVARUR">TIRUVARUR</option>
<option value="TONK">TONK</option>
<option value="TRICHY">TRICHY</option>
<option value="TUMKUR">TUMKUR</option>
<option value="TUNI">TUNI</option>
<option value="TUTICORIN">TUTICORIN</option>
<option value="UDAIPUR">UDAIPUR</option>
<option value="UDHAMPUR">UDHAMPUR</option>
<option value="UDUPI">UDUPI</option>
<option value="UJJAIN">UJJAIN</option>
<option value="UMARIA">UMARIA</option>
<option value="UNA">UNA</option>
<option value="UNNAO">UNNAO</option>
<option value="VAISHALI">VAISHALI</option>
<option value="VALSAD">VALSAD</option>
<option value="VAPI">VAPI</option>
<option value="VARANASI">VARANASI</option>
<option value="VELLORE">VELLORE</option>
<option value="VIDISHA">VIDISHA</option>
<option value="VIJAYANAGARAM">VIJAYANAGARAM</option>
<option value="VIJAYAWADA">VIJAYAWADA</option>
<option value="VIKARABAD">VIKARABAD</option>
<option value="VILLUPURAM">VILLUPURAM</option>
<option value="VIRUDHUNAGAR">VIRUDHUNAGAR</option>
<option value="VISAKHAPATNAM">VISAKHAPATNAM</option>
<option value="WARANGAL">WARANGAL</option>
<option value="WARDHA">WARDHA</option>
<option value="YADGIR">YADGIR</option>
<option value="YAMUNANAGAR">YAMUNANAGAR</option>
<option value="YAVATMAL">YAVATMAL</option>
<option value="ZIRA">ZIRA</option>
					</select>
					<img class="ajax_loader" src="../bootstrap/img/rel_interstitial_loading.gif" style="display:none;">
                  </div>
				  
				<div class="col-sm-2 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Area Code <span class="text-danger">*<span></h6> 
                    <select class="form-control" id="area_code" name="area_code" required="required" readonly required>
					<option>';echo $row['area_code'];;echo '</option>
					</select>
                </div> 
				<div class="col-sm-2 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Ao Type <span class="text-danger">*<span></h6> 
                    <select class="form-control" id="aotype" name="ao_type" required="required" readonly required>
					<option>';echo $row['ao_type'];;echo '</option>
					</select>
                </div> 
				<div class="col-sm-2 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Range Code <span class="text-danger">*<span></h6> 
                    <select class="form-control" id="rangecode" name="rangecode" required="required" readonly required>
					<option>';echo $row['rangecode'];;echo '</option>
					</select>
                </div> 
				<div class="col-sm-2 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Ao No <span class="text-danger">*<span></h6> 
                    <select class="form-control" id="aocode" name="aocode" required="required" readonly required>
					<option>';echo $row['aocode'];;echo '</option>
					</select>
                </div>  
';
}else{
if($rowobj['full_name']=='Y'){
$full_name = 'checked';
}
if($rowobj['father_name']=='Y'){
$father_name = 'checked';
}
if($rowobj['date_brith']=='Y'){
$date_brith = 'checked';
}
if($rowobj['gender']=='Y'){
$gender_c = 'checked';
}
if($rowobj['address']=='Y'){
$address = 'checked';
}
;echo '<div class="col-sm-12 mb-3">
<h6><b>Changes Or Correction ?</b></h6>
    <input type="checkbox" name="full_name" value="Y" id="full_name" ';echo $full_name;;echo '>
    <label for="full_name">Full Name</label>

	<input type="checkbox" name="father_name" value="Y" id="father_name" ';echo $father_name;;echo '>
    <label for="father_name">Father\'s Name</label>
	
	<input type="checkbox" name="date_brith" value="Y" id="date_brith" ';echo $date_brith;;echo '>
    <label for="date_brith">Date of Birth</label>
	
	<input type="checkbox" name="gender_c" value="Y" id="gender_c" ';echo $gender_c;;echo '>
    <label for="gender_c">Gender</label>
	
	<input type="checkbox" name="address" value="Y" id="address" ';echo $address;;echo '>
    <label for="address">Address</label>
	
</div>		
';
}
;echo '			  
                </div>
				
				
				
				<div  id="ra">

				
   </div><hr>
                  <div class="form-group row">
				  <div class="col-sm-4 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Proof of Identity <span class="text-danger">*<span></h6>
				   <select id="proof_id" name="proof_id" class="form-control" required>
					<option value="">Please Select</option>
					<option>Certificate of Identity signed by a Gazetted Officer</option>
					<option>Certificate of Identity signed by a Member of Legislative Assembly</option>
					<option>Certificate of Identity signed by a Member of Parliament</option>
					<option>Certificate of Identity signed by a Municipal Councillor</option>
					<option>Driving License</option>
					<option>Passport</option>
					<option>Arm\'s license</option>
					<option>Central Government Health Scheme Card</option>
					<option>Ex-Servicemen Contributory Health Scheme photo card</option>
					<option>Bank certificate in Original on letter head from the branch (along with name and stamp of the issuing officer) containing duly attested photograph and bank account number of the applicant</option>
					<option>Photo identity Card issued by the Central Government or State Government or Public Sector Undertaking</option>
					<option>Pensioner Card having photograph of the applicant</option>
					<option>Elector\'s photo identity card</option>
					<option>Ration card having photograph of the applicant</option>
					<option>AADHAAR Card issued by the Unique Identification Authority of India</option>
					</select>
				 </div> 
				 
				 <div class="col-sm-4 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Proof of Address <span class="text-danger">*<span></h6>
				   <select id="proof_add" name="proof_add" class="form-control" required>
					<option value="">Please Select</option>
					<option>Latest property tax assessment order</option>
					<option>Depository account statement (Not more than 3 months old from the date of application)</option>
					<option>Credit card statement (Not more than 3 months old from the date of application)</option>
					<option>Bank account statement/passbook (Not more than 3 months old from the date of application)</option>
					<option>Landline Telephone Bill (Not more than 3 months old from the date of application)</option>
					<option>Certificate of Address signed by a Municipal Councillor</option>
					<option>Driving License</option>
					<option>Passport</option>
					<option>Property Registration Document</option>
					<option>Electricity Bill (Not more than 3 months old from the date of application)</option>
					<option>Bank Account Statement in the country of residence (Not more than 3 months old from the date of application)</option>
					<option>NRE bank account statement (Not more than 3 months old from the date of application)</option>
					<option>Employer certificate in original</option>
					<option>Elector\'s photo identity card</option>
					<option>Certificate of Address signed by a Gazetted Officer</option>
					<option>Passport of the spouse</option>
					<option>Post office passbook having address of the applicant</option>
					<option>Domicile certificate issued by the Government</option>
					<option>Allotment letter of accommodation issued by Central or State Government of not more than three years old</option>
					<option>Certificate of Address signed by a Member of Legislative Assembly</option>
					<option>Certificate of Address signed by a Member of Parliament</option>
					<option>AADHAAR Card issued by the Unique Identification Authority of India</option>
					<option>Consumer gas connection card or book or piped gas bill(Not more than 3 months old from date of application)</option>
					<option>Water Bill (Not more than 3 months old from the date of application)</option>
					<option>Broadband Connection Bill (Not more than 3 months old from the date of application)</option>
					</select>
				 </div>
				 
				 <div class="col-sm-4 mb-3">
                    <btn-primary6 class="m-0 font-weight-bold text-primary">Proof of DOB <span class="text-danger">*<span></h6>
				   <select id="proof_dob" name="proof_dob" class="form-control" required>
					<option value="">Please Select</option>
					<option>Birth Certificate issued by the Municipal Authority or any office authorized to issue Birth and Death Certificate by the Registrar of Birth and Death of the Indian Consulate</option>
					<option>Pension payment order</option>
					<option>Marriage certificate issued by Registrar of Marriages</option>
					<option>Matriculation certificate</option>
					<option>Passport</option>
					<option>Driving License</option>
					<option>Domicile certificate issued by the Government</option>
					<option>Affidavit sworn before a magistrate stating the date of birth</option>
					<option>Matriculation Marksheet of recognised board</option>
					<option>AADHAAR Card issued by the Unique Identification Authority of India</option>
					<option>Elector\'s photo identity card</option>
					<option>Photo identity Card issued by the Central Government or State Government or Public Sector Undertaking</option>
					<option>Central Government Health Scheme Card</option>
					<option>Ex-Servicemen Contributory Health Scheme photo card</option>
					</select>
				 </div>
					  
				  </div>
				  
		  
<div class="form-group row">	
<div class="col-sm-3 mb-3">
<btn-primary6 class="m-0 font-weight-bold text-primary">Acknowledgement No. <span class="text-danger">*<span></h6>
<input type="text" name="ack_no" class="form-control"  value="';echo $row['ack_no'];;echo '" maxlength=\'15\' placeholder=\'Acknowledgement No.\' required>
</div>		
<div class="col-sm-3 mb-3">
<btn-primary6 class="m-0 font-weight-bold text-primary">Ack PDF (200dpi)</h6>
<input type="file" name="ack_pdf" accept="application/pdf" class="form-control" >
</div>		
<div class="col-sm-3 mb-3">
<btn-primary6 class="m-0 font-weight-bold text-primary">Remarks <span class="text-danger">*<span></h6>
<input type="text" name="remark" class="form-control" placeholder=\'Remarks\' value="';echo $row['remark'];;echo '" required>
</div>		
<div class="col-sm-3 mb-3">
<btn-primary6 class="m-0 font-weight-bold text-primary">Status <span class="text-danger">*<span></h6>
<select name="status" id="status" class="form-control" required>
					<option value="hold">Hold</option>
					<option value="holdprocess">HoldPorcess</option>
					<option value="process">Process</option>
					<option value="rejected">Rejected</option>
					<option value="success">Success</option> 
					</select>
</div>	 
<!--div class="col-sm-3 mb-3">
<btn-primary6 class="m-0 font-weight-bold text-primary">Photo (300dpi 213x213px) <span class="text-danger">*<span></h6>
<input type="file" name="photo" accept="image/gif,image/jpeg" class="form-control" required>
</div>	
<div class="col-sm-3 mb-3">
<btn-primary6 class="m-0 font-weight-bold text-primary">Sign(600dpi 1024x680px) <span class="text-danger">*<span></h6>
<input type="file" name="sign" accept="image/gif,image/jpeg" class="form-control" required>
</div-->	 
  
       <div class="col-sm-3">
	   <btn-primary6 class="m-0 font-weight-bold text-primary">Document PDF</h6>
        <a class="btn btn-info bg-info text-white btn-block" href="';echo $row['form_pdf'];;echo '" target=\'_blank\'>Download</a>
       </div>
       <div class="col-sm-3">
	   <btn-primary6 class="m-0 font-weight-bold text-primary">Update</h6>
        <button class="btn btn-primary bg-primary text-white btn-block" name="action" type="submit">Submit</button>
       </div>
	   </div>
<div class="embed-responsive embed-responsive-16by9">
<iframe class="embed-responsive-item" id="getImgUrl" src="';echo $row['form_pdf'];;echo '" allowfullscreen></iframe>
</div>	   
 <script>
function TypeFunction(value) {
	if(value==\'Minor\'){
  document.getElementById("ra").innerHTML  = \'<h5>Representative Assessee (RA)</h5><hr> <div class="form-group row"> <div class="col-sm-3 mb-3"> <btn-primary6 class="m-0 font-weight-bold text-primary">Title <span class="text-danger">*<span></h6> <select id="r_title" name="r_title" class="form-control" required=""> <option value="">Select Title</option> <option value="1">SHRI</option> <option value="2">SMT</option> <option value="3">KUMARI</option> <option value="4">M/S</option> </select> </div> <div class="col-sm-3 mb-3"> <btn-primary6 class="m-0 font-weight-bold text-primary">Last Name/ Surname <span class="text-danger">*<span></h6> <input type="text" class="form-control" placeholder="Last Name/ Surname" id="rl_name" name="rl_name" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();" required> </div> <div class="col-sm-3 mb-3"> <btn-primary6 class="m-0 font-weight-bold text-primary">First Name</h6> <input type="text" class="form-control" placeholder="First Name" id="rf_name" name="rf_name" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();"> </div> <div class="col-sm-3 mb-3"> <btn-primary6 class="m-0 font-weight-bold text-primary">Middle Name</h6> <input type="text" class="form-control" placeholder="Middle Name" id="rm_name" name="rm_name" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();"> </div> <div class="col-sm-3 mb-3"> <btn-primary6 class="m-0 font-weight-bold text-primary">Flat/Room/Door/Block No. <span class="text-danger">*<span></h6> <input type="text" class="form-control" placeholder="Flat/Room/Door/Block No." id="r_address1" name="r_address1" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();" required> </div> <div class="col-sm-3 mb-3"> <btn-primary6 class="m-0 font-weight-bold text-primary">Building/Village Name <span class="text-danger">*<span></h6> <input type="text" class="form-control" placeholder="Building/Village" id="r_address2" name="r_address2" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();" required> </div> <div class="col-sm-3 mb-3"> <btn-primary6 class="m-0 font-weight-bold text-primary">Road/Street/Lane/Post Office <span class="text-danger">*<span></h6> <input type="text" class="form-control" placeholder="Road/Street/Lane/Post Office" id="r_address3"  name="r_address3" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();" required> </div> <div class="col-sm-3 mb-3"> <btn-primary6 class="m-0 font-weight-bold text-primary">Area/Locality/Sub-Division </h6> <input type="text" class="form-control" placeholder="Area/Locality/Sub-Division" id="r_address4" name="r_address4" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();"> </div> <div class="col-sm-3 mb-3"> <btn-primary6 class="m-0 font-weight-bold text-primary">Town/City/District <span class="text-danger">*<span></h6> <input type="text" class="form-control" placeholder="Town/City/District" id="r_address5" name="r_address5" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();" required> </div> <div class="col-sm-3 mb-3"> <btn-primary6 class="m-0 font-weight-bold text-primary">State/Union Territory <span class="text-danger">*<span></h6> <select id="r_state" name="r_state" class="form-control" required> <option value="">Please Select</option> <option value="1">ANDAMAN AND NICOBAR ISLANDS</option> <option value="2">ANDHRA PRADESH</option> <option value="3">ARUNACHAL PRADESH</option> <option value="4">ASSAM</option> <option value="5">BIHAR</option> <option value="6">CHANDIGARH</option> <option value="33">CHHATISHGARH</option> <option value="7">DADRA &amp; NAGAR HAVELI</option> <option value="8">DAMAN &amp; DIU</option> <option value="9">DELHI</option> <option value="10">GOA</option> <option value="11">GUJARAT</option> <option value="12">HARYANA</option> <option value="13">HIMACHAL PRADESH</option> <option value="14">JAMMU &amp; KASHMIR</option> <option value="35">JHARKHAND</option> <option value="15">KARNATAKA</option> <option value="16">KERALA</option> <option value="37">LADAKH</option> <option value="17">LAKHSWADEEP</option> <option value="18">MADHYA PRADESH</option> <option value="19">MAHARASHTRA</option> <option value="20">MANIPUR</option> <option value="21">MEGHALAYA</option> <option value="22">MIZORAM</option> <option value="23">NAGALAND</option> <option value="24">ODISHA</option> <option value="88">OUTSIDE INDIA</option> <option value="25">PONDICHERRY</option> <option value="26">PUNJAB</option> <option value="27">RAJASTHAN</option> <option value="28">SIKKIM</option> <option value="29">TAMILNADU</option> <option value="36">TELANGANA</option> <option value="30">TRIPURA</option> <option value="31">UTTAR PRADESH</option> <option value="34">UTTARAKHAND</option> <option value="32">WEST BENGAL</option> </select> </div> <div class="col-sm-3 mb-3"> <btn-primary6 class="m-0 font-weight-bold text-primary">Pincode <span class="text-danger">*<span></h6> <input type="text" class="form-control" placeholder="Pincode" id="r_pincode" name="r_pincode" maxlength="6" onkeyup="this.value = this.value.toUpperCase();" onblur="this.value = this.value.toUpperCase();" required> </div> </div>\';		
	}else {
  document.getElementById("ra").innerHTML  = "";				
	}

}
$(document).ready(function(){
  document.getElementById("status").value  = "';echo $row['status'];;echo '";	
});
$(document).ready(function(){
  document.getElementById("nofdoc").value  = "';echo $rowobj['nofdoc'];;echo '";	
});
$(document).ready(function(){
	
  document.getElementById("proof_id").value  = "';echo $row['proof_id'];;echo '";	
  document.getElementById("proof_add").value  = "';echo $row['proof_add'];;echo '";	
  document.getElementById("proof_dob").value  = "';echo $row['proof_dob'];;echo '";		
  document.getElementById("r_title").value  = "';echo $row['r_title'];;echo '";	
  document.getElementById("rl_name").value  = "';echo $row['rl_name'];;echo '";	
  document.getElementById("rf_name").value  = "';echo $row['rf_name'];;echo '";	
  document.getElementById("rm_name").value  = "';echo $row['rm_name'];;echo '";	
  document.getElementById("r_address1").value  = "';echo $row['r_address1'];;echo '";
  document.getElementById("r_address2").value  = "';echo $row['r_address2'];;echo '";
  document.getElementById("r_address3").value  = "';echo $row['r_address3'];;echo '";
  document.getElementById("r_address4").value  = "';echo $row['r_address4'];;echo '";
  document.getElementById("r_address5").value  = "';echo $row['r_address5'];;echo '";
  document.getElementById("r_state").value  = "';echo $row['r_state'];;echo '";
  document.getElementById("r_pincode").value  = "';echo $row['r_pincode'];;echo '";
});
</script> 				
                        
     </form>

            </div>
          </div>
';};echo '        </div>
        <!-- /.container-fluid -->
      <!-- End of Main Content -->
';
require_once('../database/footer.php');
;