27 lines
1.1 KiB
PHP
27 lines
1.1 KiB
PHP
<div class="container mt-5">
|
|
<h2>Edit Emergency Contact</h2>
|
|
|
|
<form action="<?= base_url('administrator/emergency_contact/update/' . $contact['id']) ?>" method="post">
|
|
<?= csrf_field() ?>
|
|
<div class="form-group">
|
|
<label>Name:</label>
|
|
<input type="text" class="form-control" name="emergency_contact_name"
|
|
value="<?= esc($contact['emergency_contact_name']) ?>" required>
|
|
</div>
|
|
|
|
<div class="form-group">
|
|
<label>Phone:</label>
|
|
<input type="text" class="form-control" name="cellphone" value="<?= esc($contact['cellphone']) ?>"
|
|
required>
|
|
</div>
|
|
|
|
<div class="form-group">
|
|
<label>Relation:</label>
|
|
<input type="text" class="form-control" name="relation" value="<?= esc($contact['relation']) ?>"
|
|
required>
|
|
</div>
|
|
|
|
<button type="submit" class="btn btn-primary">Update</button>
|
|
<a href="<?= base_url('administrator/emergency_contact') ?>" class="btn btn-secondary">Cancel</a>
|
|
</form>
|
|
</div>
|