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add_beneficiary.php
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add_beneficiary.php
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<?php
include "validate_customer.php";
include "header.php";
include "customer_navbar.php";
include "customer_sidebar.php";
include "session_timeout.php";
?>
<!DOCTYPE html>
<html>
<head>
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<link rel="stylesheet" href="customer_add_style.css">
</head>
<body>
<form class="add_customer_form" action="add_beneficiary_action.php" method="post">
<div class="flex-container-form_header">
<h1 id="form_header">Please fill in beneficiary details...</h1>
</div>
<div class="flex-container">
<div class=container>
<label>First Name :</label><br>
<input name="fname" size="30" type="text" required />
</div>
<div class=container>
<label>Last Name :</b></label><br>
<input name="lname" size="30" type="text" required />
</div>
</div>
<div class="flex-container">
<div class=container>
<label>Account No :</label>
<br>
<input name="acno" size="25" type="text" required />
</div>
</div>
<div class="flex-container">
<div class=container>
<label>Email-ID :</label><br>
<input name="email" size="30" type="text" required />
</div>
<div class=container>
<label>Phone No. :</b></label><br>
<input name="phno" size="30" type="text" required />
</div>
</div>
<div class="flex-container">
<div class="container">
<a href="beneficiary.php" class="button">Go Back</a>
</div>
<div class="container">
<button type="submit">Submit</button>
</div>
<div class="container">
<button type="reset" class="reset" onclick="return confirmReset();
">Reset</button>
</div>
</div>
</form>
<script>
function confirmReset()
{
return confirm('Do you really want to reset?')
}
</script>
</body>
</html>