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<?php
header('location:index_pay_otherpayment.php');
/**
* Created by PhpStorm.
* User: adisa
* Date: 3/2/2016
* Time: 3:31 PM
*/
include('headMain2.php');
//die('<div style="color: #003300"><h2 align="center">Payment Starts Soon..</h2></div><br>;
//<div align="right"><a href="javascript:history.go(-1)"> Go to Previous page</a></div>');
?>
<script type="text/javascript" language="javascript" src="../js/jquery-1.7.1.js"></script>
<script type="text/javascript" language="javascript" >
$(function(){
$("#idNo").change(function(){
alert ($("#idNo").val());
$.post("../js/getNameNon.php",{idNo:$("#idNo").val()},function(data){
$("#names").html(data);
});
});
});
$(function(){
$("#ptype").change(function(){
alert ($("#ptype").val());
//alert("make sure the amount is "+$("#ptype").val());
$.post("../js/getAmount.php",{ptype:$("#ptype").val()},function(data){
$("#amt2").html(data);
});
});
});
</script>
<div id="wrapper">
<table width="80%" align="center" cellpadding="3" cellspacing="5">
<tr>
<td><fieldset>
<legend >
<h3></h3></legend>
<form action="processpaymentb.php" method="post" name="RemitaPaymentForm" role="form">
<fieldset>
<legend>
<div class="row">
<div class="col-lg-2"></div>
<div class="col-lg-10">
<div class="panel panel-default">
<div class="panel-heading">
Other Fees Payment
</div>
<div class="panel-body">
<div class="row">
<div class="col-lg-12">
<form role="form">
<table width="100%" align="center">
<tbody>
<tr>
<td width="40%">ID No (Matric No/Staff No/Tender No.)</td>
<td><input name="idNo" type="text" required="required" id="idNo" value="" class="form-control" /></td>
<?php
if (isset($_SESSION['idNo'])){
$idNo= $_SESSION['idNo'];
}
?>
</tr>
<tr>
<td width="200">Payer Full Name:</td>
<td id="names"><input name="payerName" type="text" class="form-control" value="" size="45" readonly="readonly" id="payerName"></td>
</tr>
<tr>
<td width="200">Payer Email: <font color="red">*</font></td>
<td><input name="payerEmail" required value="" type="email" id="payerEmail" class="form-control"></td>
</tr>
<tr>
<td width="200">Payer Phone:</td>
<td><input name="payerPhone" value="" type="text" id="payerPhone" class="form-control"></td>
</tr>
<tr>
<td>Payment Type</td>
<td><label for="ptype"></label>
<select name="ptype" id="ptype" class="form-control">
<option value="New Transcript Request, 5000">New Transcript Request</option>
<option value="Reprint Transcript,5000">Reprint Transcript</option>
<option value="Development,10000">Development</option>
<option value="Certificate Levy,2000">Certificate Levy</option>
<option value="Lost of School Receipt,1000">Lost of School Receipt</option>
<option value="Student Association/Club Reg.,1000">Student Association/Club Reg.</option>
<option value="Verification of result,3500">Verification of Result</option>
<option value="Re-Notification of Result,2500">Re-Notification of Result</option>
<option value="Change of Course Fee,5000" style="display: none">Change of Course Levy</option>
<!-- <option value="Late Registration Penalty Charges,5000">Late Registration Penalty</option>-->
<option value="Refund of Turning Advance,0">Refund of Turning Advance</option>
<option value="Refund of Cash Advance,0">Refund of Cash Advance</option>
<option value="Registration of contractor,0">Registration of contractor</option>
<option value="Rentage of Hall,0">Rentage of Hall</option>
<option value="Sales of Boarded Items,0">Hiring of Vehicle</option>
<option value="Sales of Boarded Items,0">Sales of Boarded Items</option>
<option value="Tender Fee,0">Tender Fee</option>
<option value="Other Payments,0">Other Payment</option>
</select></td>
</tr>
<tr>
<td>Payment Description</td>
<td><input name="desc" type="text" id="desc" value="" class="form-control"/></td>
</tr>
<tr>
<td width="200">Amount: <font color="red">*</font></td>
<td id="amt2"><input name="amt" type="text" required value="5000" class="form-control"readonly="readonly" id="amt"></td>
</tr>
<tr>
<td width="200">Payment Channel:</td>
<td>
<select class="required-entry form-control" title="Credit Card Type" name="paymenttype" id="paymenttype" autocomplete="off">
<option>-- Select Payment Type --</option>
<option value="VERVE"> Verve Card</option>
<option value="VISA"> Visa</option>
<option value="MASTERCARD"> MasterCard</option>
<option value="POCKETMONI"> PocketMoni</option>
<option value="POS"> POS</option>
<option value="ATM"> ATM</option>
<option value="BANK_BRANCH">BANK BRANCH</option>
<option value="BANK_INTERNET">BANK INTERNET</option>
<option value="REMITA_PAY"> Remita Account Transfer</option>
</select>
</td>
</tr>
<tr>
<td width="200"></td>
<td> <p></p><input type ="submit" name="" value="Pay" class="btn btn-primary form-control">
<img src="../images/remitaLogo.jpg" alt="" width="418" height="90" /></td>
</tr>
<tr>
<td></td>
<td> <p><?php echo' <br /><a href="reprintNon.php"> Click to check Payment History</a>';?></td>
</tr>
<!-- <tr>
<td></td>
<td> <p><?php // echo' <br /><a href="remitaPaymentB.php"> Click to Pay Transcrpt Balance</a>';?></td>
</tr>-->
</tbody>
</table>
</form>
</fieldset></td>
</tr>
</table>
</div>
<?php
include('footMain.php');
?>
</div>