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<style>
.mandatory{
color:red;
}
.form-group {
margin-bottom: 15px;
height: 93px;
}
.error{
color: red;
font-size: 12px;
}
</style>
<div class="container dashboard form-page" style="min-height:600px">
<div class="row">
<div class="col-sm-12"><br/>
<h3 class="contact-title">Financial Institution Registration</h3>
</div>
<?php echo form_open_multipart("auth/fi_register", array(
'class' => 'register-form', 'onsubmit="return validateForm()"'));?>
<div class="col-sm-12">
<?php if(!empty( $this->session->flashdata('message') ) ){ ?>
<div class="alert alert-success" role="alert">
<?php echo $this->session->flashdata('message'); ?>
</div>
<?php }else if(!empty($message)){ ?>
<div class="alert alert-danger" role="alert">
<?php echo $message; ?>
</div>
<?php }?>
</div>
<div class="col-sm-4">
<div class="form-group">
<label for="">Name Of Financial Insitution<space class="mandatory">*</space></label>
<input type="text" required placeholder="Agency or Bank Name" maxlength="100" class="form-control" name="company" value="<?php echo set_value('company'); ?>">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label for="">Address of Financial Institution<space class="mandatory">*</space></label>
<input type="text" placeholder="Address" class="form-control" maxlength="200" name="address" value="<?php echo set_value('address'); ?>">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label for="">Category<space class="mandatory">*</space></label>
<select name="category" class="form-control">
<option value="scb">Scheduled commercial banks (SCB)</option>
<option value="nbfc">Non-Banking Financial Company (NBFC)</option>
<option value="mfi">Microfinance Institutions (MFIs)</option>
<option value="dfi">Development Financial Institution (DFI)</option>
</select>
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label for="">Name of Nodal Official<space class="mandatory">*</space></label>
<input type="text" required placeholder="Name" class="form-control" maxlength="100" name="name" value="<?php echo set_value('name'); ?>">
<div><?php echo form_error('name'); ?></div>
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label for="">Designation <space class="mandatory">*</space></label>
<input type="text" required placeholder="Designation" class="form-control" name="designation" maxlength="100" value="<?php echo set_value('designation'); ?>">
<div><?php echo form_error('designation'); ?></div>
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label for="">Mobile Number <space class="mandatory">*</space></label>
<input type="text" required placeholder="Mobile Number" class="form-control" maxlength="10" name="mobile_number" value="<?php echo set_value('mobile_number'); ?>">
<div><?php echo form_error('mobile_number'); ?></div>
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label for="">Email ID <space class="mandatory">*</space> <small >(Only official email allow)</small></label>
<input type="email" id="emailid" required placeholder="Email" class="form-control" maxlength="100" name="email" value="<?php echo set_value('email'); ?>" style="margin-bottom:0">
<div class="error"><?php echo form_error('email'); ?><?php echo !empty($this->session->flashdata('error')) ? $this->session->flashdata('error'): ''; ?></div>
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label for="">Authorized by <space class="mandatory">*</space>
<small>(Not below the rank of General Manager.)</small>
</label>
<input type="text" required placeholder="Authorized By" class="form-control" maxlength="100" name="authorized_by" value="<?php echo set_value('authorized_by'); ?>">
<div><?php echo form_error('authorized_by'); ?></div>
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label for="">PLEASE UPLOAD AUTHORIZATION LETTER<space class="mandatory">*</space> <br> <small>( file size for uploading authorization letter upto 5 MB )</small></label>
<input type="file" required name="userfile" accept="image/png, image/jpeg, Application/pdf, image/jpg, image/png"> <a href="<?php echo base_url('/assets/form/al-smaple.doc'); ?>" target="_blank">Download Sample Authorization letter</a>
</div>
</div>
<div class="col-sm-12"><input type="checkbox" name="consent"> I am fully authorized by competent authority to submit registration form to BEE’s facilitation centre on
behalf of Financial Institution/NBFC. I hereby take the sole responsibility for the correctness of
information provided above. I also confirm that the FI/NBFC is not insolvent or filed for bankruptcy.</div>
<div class="col-sm-12"> </div>
<div class="col-sm-12" style="text-align: center;">
<div class="form-group">
<button class="btn btn-default" type="submit">Register</button>
</div>
</div>
<?php echo form_close();?>
</div>
</div>
<script>
function validateForm() {
let x = document.getElementById("emailid");
if (x == "") {
alert("Name must be filled out");
return false;
}
}
</script>