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<?php
class Application_Form_Nrileaveyournumber extends Zend_Form
{
public function __construct($params = null)
{
$state = new Application_Model_State();
$allcountry = $state->getAllActiveCountryCodeList();
$this->setMethod("POST");
$this->setAction("lms/nri-leave-your-number");
$this->setName("add_nri_leave_number_form");
/************ User Type *****************/
$usertype = array();
//$usertype[""]="--Title--";
$usertype_arr = array( 'Mr'=>'Mr.',
'Mrs'=>'Mrs.',
'Ms'=>'Ms.'
);
$title = $this->createElement('select', 'title');
foreach ($usertype_arr as $key=>$val) {
$usertype[$key] = $val;
}
$title->setRequired(true);
$title->setMultiOptions($usertype);
$title->setErrorMessages(array('Select title'));
$title->removeDecorator('label');
$title->removeDecorator('HtmlTag');
$title->class = "styled";
$title->style = "width:30px; border:none;";
$title->tabindex = "1";
/************ First Name *****************/
$fname = $this->createElement('text','fname',
array(
'value' => trim($params['fname']),
'class' => 'txtfield_fname fl',
'id' => 'fname',
'placeholder' => 'First name',
'tabindex' => '2',
'required'=>true,
'filters' => array('StringTrim'),
'validators' => array(array("Alpha", true, array("allowWhiteSpace" => false))),
))
->setErrorMessages(array('Enter first name'))
->removeDecorator('label')
->removeDecorator('HtmlTag')
->removeDecorator('DtDdWrapper');
/************ Last Name *****************/
$lname = $this->createElement('text','lname',
array(
'value' => trim($params['lname']),
'class' => 'txtfield',
'id' => 'lname',
'placeholder' => 'Last name',
'tabindex' => '3',
'required'=>true,
'filters' => array('StringTrim'),
'validators' => array(array("Alpha", true, array("allowWhiteSpace" => false))),
))
->setErrorMessages(array('Enter last name'))
->removeDecorator('label')
->removeDecorator('HtmlTag')
->removeDecorator('DtDdWrapper');
/************ Email *****************/
$email = $this->createElement('text','email',
array(
'value' => trim($params['email']),
'class' => 'txtfield',
'id' => 'email',
'placeholder' => 'Email ID',
'tabindex' => '4',
'required'=>true,
'filters' => array('StringTrim'),
'validators' => array('EmailAddress',)
))
->setErrorMessages(array('Enter valid email id'))
->removeDecorator('label')
->removeDecorator('HtmlTag')
->removeDecorator('DtDdWrapper');
/************ Country List *****************/
$dataCountry = array();
$dataCountry[""]="--Select Country --";
$countrylist = $this->createElement('select', 'country_name');
foreach ($allcountry as $data) {
$country_code_list = ucwords(strtolower($data['Name'])).' (+'.$data['CountryCode'].')';
$dataCountry[$data['Name']] = $country_code_list;
}
$countrylist->setRequired(true);
$countrylist->setMultiOptions($dataCountry);
$countrylist->setErrorMessages(array('Select country name'));
$countrylist->removeDecorator('label');
$countrylist->removeDecorator('HtmlTag');
$countrylist->class = "styled";
$countrylist->style = "width:198px; border:none;";
$countrylist->tabindex = "5";
/************ City *****************/
$citylist = $this->createElement('text','city_name',
array(
'value' => trim($params['city_name']),
'class' => 'txtfield',
'id' => 'city_name',
'placeholder' => 'City',
'tabindex' => '6',
'required'=>true,
'filters' => array('StringTrim'),
'validators' => array(array("Alpha", true, array("allowWhiteSpace" => false))),
))
->setErrorMessages(array('Enter city'))
->removeDecorator('label')
->removeDecorator('HtmlTag')
->removeDecorator('DtDdWrapper');
/************ Mobil Number *****************/
$mobile_no = $this->createElement('text','mobile_no',
array(
'value' => trim($params['mobile_no']),
'class' => 'txtfield',
'id' => 'mobile_no',
'maxlength' => '12',
'placeholder' => 'Mobile no.',
'tabindex' => '7',
'required'=>false,
'filters' => array('StringTrim'),
'validators' => array('Digits'),
))
->setAttrib('onkeypress', 'return isNumber(event);')
->setErrorMessages(array('Enter mobile number'))
->removeDecorator('label')
->removeDecorator('HtmlTag')
->removeDecorator('DtDdWrapper');
/************ Area Code *****************/
$area_code = $this->createElement('text','area_code',
array(
'value' => trim($params['area_code']),
'class' => 'txtfield_small mrgn_right',
'id' => 'country_code',
'placeholder' => 'Area code',
'maxlength' => '6',
'tabindex' => '8',
'required'=>false,
'filters' => array('StringTrim'),
'validators' => array('Digits'),
))
->setAttrib('onkeypress', 'return isNumber(event);')
->setErrorMessages(array('Enter area code'))
->removeDecorator('label')
->removeDecorator('HtmlTag')
->removeDecorator('DtDdWrapper');
/************ Landline Number *****************/
$landline_no = $this->createElement('text','landline_no',
array(
'value' => trim($params['landline_no']),
'class' => 'txtfield_sm',
'id' => 'landline_no',
'placeholder' => 'Landline no.',
'maxlength' => '12',
'tabindex' => '9',
'required'=>false,
'filters' => array('StringTrim'),
'validators' => array('Digits'),
))
->setAttrib('onkeypress', 'return isNumber(event);')
->setErrorMessages(array('Enter landline number'))
->removeDecorator('label')
->removeDecorator('HtmlTag')
->removeDecorator('DtDdWrapper');
/************ Captcha Code *****************/
$captcha = $this->createElement('text','captcha',
array(
'value' => trim($params['captcha']),
'class' => 'txtfield_fname',
'id' => 'captcha',
'placeholder' => 'Captcha code',
'tabindex' => '10',
'autocomplete' => 'off',
'required'=>true,
'filters' => array('StringTrim'),
'validators' => array(array("Alnum", true, array("allowWhiteSpace" => false))),
))
->setErrorMessages(array('Enter captcha'))
->removeDecorator('label')
->removeDecorator('HtmlTag')
->removeDecorator('DtDdWrapper');
/************ Terms and Conditions *****************/
$terms_condition = $this->createElement('checkbox','terms_condition',
array(
'value' => trim($params['terms_condition']),
'id' => 'terms_condition',
'tabindex' => '11',
'required'=>false,
'filters' => array('StringTrim'),
//'validators' => array(array('StringLength', false, array(3, 100))),
))
->setErrorMessages(array('Check authorize'))
->removeDecorator('label')
->removeDecorator('HtmlTag')
->removeDecorator('DtDdWrapper');
$this->addElements(array(
$title,
$fname,
$lname,
$email,
$countrylist,
$citylist,
$area_code,
$landline_no,
$mobile_no,
$captcha,
$terms_condition
));
}
}