MSV FM

dot.antimicrobial@66.96.161.157: ~ $
Path : /hermes/bosweb/b1705/trinix19.ipage.com/Backup/shw/zone/
File Upload :
Current < : /hermes/bosweb/b1705/trinix19.ipage.com/Backup/shw/zone/index.php

<!DOCTYPE html>
<head>
<title></title>
	<link rel="stylesheet" href="//code.jquery.com/ui/1.11.4/themes/smoothness/jquery-ui.css">
	<script src="//code.jquery.com/jquery-1.10.2.js"></script>
	<script src="//code.jquery.com/ui/1.11.4/jquery-ui.js"></script>
    <link href="bootstrap.css" rel="stylesheet" />  
    <link href="bootstrap.min.css" rel="stylesheet" /> 
	
<style type="text/css">
td
{
	background-color:#6C1207;
	color:#FFF;
	font-size:12px;
}
th{
	font-size:12px;
	background-color:#6C1208;
	color:#FFF;
}
</style>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />


 <script>
  $(function() {
    $( "#datepicker" ).datepicker();
  });
  </script>
</head>

<body>
<header></header>
<nav>
</nav>
<section>
<div class="container">

<nav class="navbar navbar-default">
  <div class="container-fluid">
    <div class="navbar-header">
      <a class="navbar-brand" href="#"></a>
    </div>
    <ul class="nav navbar-nav">
      <li class="active"><a href="index.php">Home</a></li>
      <li><a href="chart.php">Charts</a></li>
      <li><a href="#">Page 2</a></li> 
      <li><a href="#">Page 3</a></li> 
    </ul>
  </div>
</nav>
	<div class="jumbotron">
		
		<form class="form-validate form-horizontal" id="feedback_form" method="Post" action="add_zone_val.php">
			<div class="form-group ">
                <label class="control-label col-lg-4">Select Date<span class="required">*</span></label>
                    <div class="col-lg-7">
						<input class="form-control" id="datepicker" name="created_date" type="text" placeholder="Select Date"required />
                     </div>
            </div>
            <div class="form-group ">
                <label class="control-label col-lg-4">Select Zone<span class="required">*</span></label>
                     <div class="col-lg-7">
                        <select class="form-control" name="zone" required onchange='CheckColors(this.value);' />
                           <option value="net">.net</option>
                           <option value="com">.com</option>
						   <option value="org">org</option>
						   <option value="in">.in</option>
                       </select>
                    </div>
            </div> 
			<div class="form-group">
				<div class="col-lg-offset-6 col-lg-10">
					<button class="btn btn-primary" type="submit">Save</button>
					<button class="btn btn-default" type="button">Cancel</button>
				</div>
			</div>	
	</div>
</div>
</section>
</body>
</html>