Sindbad~EG File Manager

{% extends "users/layout.html" %}
{% block content %}
{% block bottomscript %}
{% endblock %}
<br>

<form id="registration_form" method="POST" action="{{ url_for('user.TestPaymentMail',society_id=society_id,user_id=output.user_id)}}">
      <div class="container" style="background-color:white;">
         <div class="row">
            <div class="col-sm-6">
               <input type="text"  name="user_id" id="user_id"  value="{{output.user_id}}" hidden>
               <input type="text"  name="society_id" id="society_id"  value="{{society_id}}" hidden>
               <input type="text"  name="name" id="name"  value="{{output.full_name}}" hidden>
               <input type="text"  name="email" id="email"  value="{{output.email}}" hidden>
               <input type="text"  name="mobile" id="mobile"  value="{{output.mobile}}" hidden>
               {% if reg_type %}
                  {% for mc in reg_type %}
                       {% if mc.reg_type_id == output.reg_type_id : %}
                       <input type="text"  name="amount" id="amount"  value="{{mc.amount}}" hidden>  
                     {% endif %}
                  {% endfor %}
                  {% endif %}
            
               <label>Prefix <span class="mand">:</span></label>
              
               <label>{{output.prefix|default('')}}</label>
            </div>


            <div class="col-sm-6">
               <label>Full name <span class="mand">:</span> <br> </label>
               <label>{{output.full_name|default('')}}</label>
            </div>
         </div>

         <div class="row">
            <div class="col-sm-6">
               <label>Email <span class="mand">:</span> <br></label>
               <label>{{output.email|default('')}}</label>
            </div>
            <div class="col-sm-6">
               <label>Mobile <span class="mand">:</span></label>
               <label>{{output.mobile|default('')}}</label>
            </div>
         </div>

         <div class="row">
            <div class="col-sm-6">
               <label>DOB <span class="mand">:</span> <br></label>
               <label>{{output.dob|default('')}}</label>
            </div>
            <div class="col-sm-6">
               <label>Gender <span class="mand">:</span> <br></label>
               <label>{{output.gender|default('')}}</label>
            </div>
         </div>

         <div class="row">
            <div class="col-sm-6">
               <label>Address Line 1 <span class="mand">:</span></label>
               <label>{{output.address_line_1|default('')}}</label>
               <br>
               <label>Address Line 2 <span class="mand">:</span></label>
               <label>{{output.address_line_2|default('')}}</label>
               <br>
               <label>Address Line 3 <span class="mand">:</span></label>
               <label>{{output.address_line_3|default('')}}</label>
            </div>
        
            <div class="col-sm-6">
               <label>City <span class="mand">:</span> <br></label>
               <label>{{output.city|default('')}}</label>
           <br>
            
          <!--   <div class="col-sm-12"> -->
               <label>Pincode <span class="mand">:</span> <br></label>
               <label>{{output.pincode|default('')}}</label>
            <br>

               <label>State <span class="mand">:</span> <br></label>
               {% if states %}
                  {% for row in states %}
                       {% if row.state_id == output.state : %}
                        <label>{{row.state_name}}</label>    
                     {% endif %}
                  {% endfor %}
                  {% endif %}     
            </div>
     </div>



         <div class="row">
            <div class="col-sm-6">
                <label>Country <span class="mand">:</span> <br></label>
                <label>{{output.country|default('')}}</label>
            </div>
        


            <div class="col-sm-6">
               <label>MC Number <span class="mand">:</span> <br></label>
               <label>{{output.mc_number|default('')}}</label>
            </div>
         </div>

  

               <div class="row">
            <div class="col-sm-6">
               <label>MC State<span class="mand">:</span> <br></label>
               {% if states %}
                  {% for row in states %}
                       {% if row.state_id == output.mc_state : %}
                        <label>{{row.state_name}}</label>    
                     {% endif %}
                  {% endfor %}
                  {% endif %} 
            </div>
            <div class="col-sm-6">
               <label>Register Type<span class="mand">:</span> <br></label>
                  {% if reg_type %}
                  {% for mc in reg_type %}
                       {% if mc.reg_type_id == output.reg_type_id : %}
                        <label>{{mc.type_name}}</label>
                     {% endif %}
                  {% endfor %}
                  {% endif %}
            </div>
         </div>
         <div class="row">
             <div class="col-sm-6">
               <label>Amount <span class="mand">:</span> <br></label>
               {% if reg_type %}
                  {% for mc in reg_type %}
                       {% if mc.reg_type_id == output.reg_type_id : %}
                        <label>{{mc.amount}}</label>    
                     {% endif %}
                  {% endfor %}
                  {% endif %}
               
            </div>

            <div class="col-sm-3" >
                  <label><span class="mand"></span> <br></label>
               <a style="color:white;"  href="{{ url_for('user.GetDelegates',id=output.user_id,society_id=society_id) }}"><button type="button" name="edit_button"  class="btn btn-primary btn-md btn-block text-uppercase"  style="align-items: center;"> Previous </button> </a>
         
               
            </div>

            <div class="col-sm-3" >
               <label><span class="mand"></span> <br></label>
               <input type="submit" value="Pay" name="submit" id="next_submit"  class="btn btn-primary btn-md btn-block text-uppercase"  style="align-items: center;">
               <!-- <a style="color:white;"  href="{{ url_for('user.TestPaymentMail',id=output.user_id,society_id=society_id) }}"><button type="button" name="edit_button"  class="btn btn-primary btn-md btn-block text-uppercase"  style="align-items: center;"> Pay </button> </a> -->
            </div>
         </div>
         </div>

         <br>

      </div>
</form>

{% endblock %}