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offerRequestChangeModel.php
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offerRequestChangeModel.php
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<script src="/positive/js/offer_request_change_model.js"></script>
<div id="myModel" class="modal fade" tabindex="-1" role="dialog" aria-labelledby="myModel">
<div class="modal-dialog modal-lg">
<div class="modal-content">
<div class="modal-header">
<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button>
<h4 class="modal-title">Talep Bilgilerini Düzenle</h4>
</div>
<div class="modal-body">
<label class="login-error" id="offer-request-error"></label>
<div id="not_desc_fields">
<?php if($offerRequest[OfferRequest::POLICY_TYPE] != PolicyType::DIGER){?>
<div class="input-group">
<span class="input-group-addon" id="basic-addon1">Plaka No</span>
<input type="text" class="form-control" aria-describedby="basic-addon1" id="plaka" name="plaka" placeholder="99 XXX 99999" value="<?php echo $offerRequest[OfferRequest::PLAKA];?>">
</div>
<br>
<div class="input-group">
<span class="input-group-addon" id="basic-addon1">
TC Kimlik No
</span>
<input type="text" <?php echo (empty($offerRequest[OfferRequest::TCKN])?"readonly":"");?> class="form-control" aria-describedby="basic-addon1" id="tckn" name="tckn" value="<?php echo $offerRequest[OfferRequest::TCKN];?>">
</div>
<br>
<div class="input-group">
<span class="input-group-addon" id="basic-addon1">
Vergi No
</span>
<input type="text" <?php echo (empty($offerRequest[OfferRequest::VERGI])?"readonly":"");?> class="form-control" aria-describedby="basic-addon1" id="vergiNo" name="vergiNo" value="<?php echo $offerRequest[OfferRequest::VERGI];?>">
</div>
<br>
<div class="input-group">
<span class="input-group-addon" id="basic-addon1">
Belge No
</span>
<input type="text" <?php echo (empty($offerRequest[OfferRequest::BELGE])?"readonly":"");?> class="form-control" aria-describedby="basic-addon1" id="belgeNo" name="belgeNo" value="<?php echo $offerRequest[OfferRequest::BELGE];?>">
</div>
<br>
<div class="input-group">
<span class="input-group-addon" id="basic-addon1">
ASBİS
</span>
<input type="text" <?php echo (empty($offerRequest[OfferRequest::ASBIS])?"readonly":"");?> class="form-control" aria-describedby="basic-addon1" id="asbis" name="asbis" value="<?php echo $offerRequest[OfferRequest::ASBIS];?>">
</div>
<br>
<div class="input-group">
<span class="input-group-addon" id="basic-addon1">
Marka Kodu
</span>
<input type="text" class="form-control" aria-describedby="basic-addon1" id="marka_kodu" name="marka_kodu" value="<?php echo $offerRequest[OfferRequest::MARKA_KODU];?>">
</div>
<br>
</div>
<?php }?>
<div class="input-group">
<span class="input-group-addon" id="basic-addon1">
Ek Bilgi
</span>
<textarea rows="4" cols="30" class="form-control" aria-describedby="basic-addon1" id="description" name="description" placeholder="Müşteri adı soyadı, sigorta ile alakalı diğer ek bilgiler"><?php echo $offerRequest[OfferRequest::DESCRIPTION];?></textarea>
</div>
<h5><small><b>En fazla 2048 karakter</b></small></h5>
<br>
<button class="btn btn-lg btn-primary btn-block" type="button" id="offer-request-button" onclick="validateOfferRequestChange('<?php echo $offerRequest[OfferRequest::POLICY_TYPE];?>',<?php echo $offerRequest[OfferRequest::ID]; ?>);">Düzelt</button>
</div>
</div>
</div>
</div>