Your IP : 216.73.216.26
<?php
$title= "Add Receiver Request";
include 'header.php';
$result = mysqli_query($connection,"SELECT uid, login_id, name FROM user ORDER BY name ");
?>
<h1>Manual Add Receiver Request</h1>
<section id="comments">
<?php echo getMessage();?>
<form name="form" id="form" action="receiver_add_request_model.php" method="post" onsubmit="return confirm('Are you sure for manual add receiver');">
<p>
<label for="receiver">Select Receiver<span>*</span></label>
<select name="receiver" id="receiver" required="required" >
<option selected="selected" value="" >--Select Receiver--</option>
<?php
if(mysqli_num_rows($result)>0){
while($row = mysqli_fetch_object($result)){
?>
<option value="<?php echo $row->uid; ?>"><?php echo $row->name." ( ".$row->login_id." )"; ?></option>
<?php }
}?>
</select>
</p>
<p>
<label for="request_amount">Receive request amount <span>*</span></label>
<input name="request_amount" id="request_amount" type="text" required="required" />
</p>
<p><br />
<input style="position: relative; left: 160px;" name="submit" type="submit" id="submit" value="Submit" />
</p>
</form>
</section>
<?php include 'footer.php';?>