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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>
<!-- Optional JavaScript -->
<!-- jQuery first, then Popper.js, then Bootstrap JS -->
<script src="https://code.jquery.com/jquery-3.2.1.slim.min.js"
integrity="sha384-KJ3o2DKtIkvYIK3UENzmM7KCkRr/rE9/Qpg6aAZGJwFDMVNA/GpGFF93hXpG5KkN"
crossorigin="anonymous"></script>
<script
src="https://cdn.jsdelivr.net/npm/popper.js@1.12.9/dist/umd/popper.min.js"
integrity="sha384-ApNbgh9B+Y1QKtv3Rn7W3mgPxhU9K/ScQsAP7hUibX39j7fakFPskvXusvfa0b4Q"
crossorigin="anonymous"></script>
<script
src="https://cdn.jsdelivr.net/npm/bootstrap@4.0.0/dist/js/bootstrap.min.js"
integrity="sha384-JZR6Spejh4U02d8jOt6vLEHfe/JQGiRRSQQxSfFWpi1MquVdAyjUar5+76PVCmYl"
crossorigin="anonymous"></script>
</body>
</html>