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<!DOCTYPE html><html lang="en" dir=""><html xmlns:th="http://www.thymeleaf.org"><head th:replace="~{fragments/modules/base/head :: head}"></head>
<body>
<div class="wrapper"> <!-- header top menu Start --> <header th:replace="~{fragments/modules/base/header :: header}"></header> <!-- header top menu end -->
<div class="page-wrap"> <!--=============== Left Menu side Start ===================--> <div th:replace="~{fragments/modules/base/menu :: menu}"></div> <section class="vh-100 gradient-custom"> <div class="container py-5 h-100"> <div class="row justify-content-center align-items-center h-100"> <div class="col-12 col-lg-9 col-xl-7"> <div class="card shadow-2-strong card-registration" style="border-radius: 15px;"> <div class="card-body p-4 p-md-5"> <h3 class="mb-4 pb-2 pb-md-0 mb-md-5">Circular - New</h3> <hr> <form class="reduce-margin"><br> <div class="row"> <div class="form-group"> <h6 class="mb-2 pb-1"> Document Category :
<div class="form-check form-check-inline"> <input class="form-check-input" type="radio" name="documentcategory" id="common" value="option1" /> <label class="form-check-label" for="common">Common</label> </div>
<div class="form-check form-check-inline"> <input class="form-check-input" type="radio" name="documentcategory" id="flood" value="option2" /> <label class="form-check-label" for="flood">Flood</label> </div>
</h6> </div> </div><br> <div class="row"> <div class="form-group"> <h6 class="mb-2 pb-1"> Type :
<div class="form-check form-check-inline"> <input class="form-check-input" type="radio" name="type" id="circular" value="option1" /> <label class="form-check-label" for="circular">Circular</label> </div>
<div class="form-check form-check-inline"> <input class="form-check-input" type="radio" name="type" id="minutes" value="option2" /> <label class="form-check-label" for="minutes">Minutes</label> </div>
<div class="form-check form-check-inline"> <input class="form-check-input" type="radio" name="type" id="regularreport" value="option3" /> <label class="form-check-label" for="regularreport">Regular Report</label> </div>
<div class="form-check form-check-inline"> <input class="form-check-input" type="radio" name="type" id="rainfallreport" value="option4" /> <label class="form-check-label" for="rainfallreport">Rainfall Report</label> </div>
</h6> </div> </div>
<div class="row"> <div class="col-md-6 mb-4">
<div class="form-group"> <label class="form-label" for="firstName">From Department :</label> <select class="form-control" id="exampleFormControlSelect1"> <option>1</option> <option>2</option> <option>3</option> <option>4</option> <option>5</option> </select> </div>
</div>
<div class="col-md-6 mb-4">
<div class="form-group"> <label class="form-label" for="lastName">Date :</label> <input type="date" class="form-control" id="date" name="date" required> </div>
</div> </div>
<div class="row"> <div class="col-md-6 mb-4 pb-2">
<div class="form-group"> <h6 class="mb-2 pb-1"> SMS :
<div class="form-check form-check-inline"> <input class="form-check-input" type="radio" name="sms" id="send" value="option1" /> <label class="form-check-label" for="send">Send</label> </div>
<div class="form-check form-check-inline"> <input class="form-check-input" type="radio" name="sms" id="notsend" value="option2" /> <label class="form-check-label" for="notsend">Not Send</label> </div>
</h6> </div> </div> </div>
<div class="form-group"> <label class="form-label" for="textarea1">SMS Subject :</label> <textarea class="form-control" id="textarea1" rows="1"></textarea> </div>
<div class="form-group"> <label for="textarea2">Subject :</label> <textarea class="form-control" id="textarea2" rows="1"></textarea> </div>
<div class="form-group"> <label for="file" class="col-form-label">Select File :</label> <div class="custom-file"> <input type="file" class="custom-file-input" id="file" name="file" required> <label class="custom-file-label" for="file">Choose file</label> </div> </div>
<div class="mt-4 pt-2"> <input class="btn btn-primary btn-lg" type="submit" value="Submit" /> </div>
</form> </div> </div> </div> </div> </div> </section> </div> </div>
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</html>
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