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| Server IP : 122.155.177.87 / Your IP : 122.155.177.87 Web Server : Apache/2 System : Linux cat177-87.static.lnwhostname.com 3.10.0-1160.62.1.el7.x86_64 #1 SMP Tue Apr 5 16:57:59 UTC 2022 x86_64 User : apache ( 994) PHP Version : 5.3.29 Disable Function : dl,eval,exec,mail,passthru,popen,posix_getpwuid,posix_kill,posix_mkfifo,posix_setegid,posix_seteuid,posix_setgid,posix_setpgid,posix_setsid,posix_setuid,posix_uname,proc_close,proc_open,putenv,shell_exec,show_source,system MySQL : ON | cURL : ON | WGET : OFF | Perl : OFF | Python : OFF | Sudo : OFF | Pkexec : OFF Directory : /home/moungngam/domains/moungngam.go.th/public_html/form/ |
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<?
session_start();
if($user==""){
$message = "¡ÃØ³Ò Login ¡è͹.";
$url = "../admin/index.php";
include("../admin/alert.php");
exit;
}
?>
<?php require_once('../admin/Connections/conndb.php'); ?>
<?php
$colname_Recordset1 = "-1";
if (isset($_GET['id'])) {
$colname_Recordset1 = (get_magic_quotes_gpc()) ? $_GET['id'] : addslashes($_GET['id']);
}
mysql_select_db($database_conndb, $conndb);
$query_Recordset1 = sprintf("SELECT * FROM form_1 WHERE id = %s", $colname_Recordset1);
$Recordset1 = mysql_query($query_Recordset1, $conndb) or die(mysql_error());
$row_Recordset1 = mysql_fetch_assoc($Recordset1);
$totalRows_Recordset1 = mysql_num_rows($Recordset1);
?>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=windows-874" />
<title>Ẻ¿ÍÃìÁÃкºÃѺàÃ×èͧÃéͧàÃÕ¹/Ãéͧ·Ø¡¢ì·ÑèÇä» </title>
<style type="text/css">
<!--
body {
margin-left: 0px;
margin-top: 5px;
margin-right: 0px;
margin-bottom: 5px;
color:#000000;
}
-->
</style>
<link href="styles_form.css" rel="stylesheet" type="text/css" />
</head>
<body>
<div align="center">
<table width="800" border="0" cellpadding="2" cellspacing="2">
<tr align="center">
<td height="25" colspan="2" class="from1">Ẻ¿ÍÃìÁÃкºÃѺàÃ×èͧÃéͧàÃÕ¹/Ãéͧ·Ø¡¢ì·ÑèÇä» <br></td>
</tr>
<tr>
<td colspan="2" class="form" style="height:5px;"></td>
</tr>
<tr>
<td colspan="2" class="form"><div align="left">àÃÕ¹ ¹Ò¡ͧ¤ì¡ÒúÃÔËÒÃÊèǹµÓºÅÁèǧ§ÒÁ
</div></td>
</tr>
<tr>
<td colspan="2" class="form" style="height:5px;"></td>
</tr>
<tr>
<td colspan="2" class="form"><div align="left">
¢éÒ¾à¨éÒ <?php echo $row_Recordset1['fm_name']; ?> ·ÕèÍÂÙè <?php echo $row_Recordset1['fm_address']; ?> àºÍÃìâ·ÃÈѾ·ì <?php echo $row_Recordset1['fm_phone']; ?> ÍÕàÁÅì <?php echo $row_Recordset1['fm_email']; ?></div></td>
</tr>
<tr>
<td colspan="2" class="form" style="height:5px;"></td>
</tr>
<tr>
<td width="181" valign="top" class="form"><div align="right">»ÃÐàÀ· : </div></td>
<td width="385" valign="top" class="form"><div align="left"><?php echo nl2br($row_Recordset1['fm_type']); ?></div></td>
</tr>
<tr>
<td width="181" valign="top" class="form"><div align="right">ÁÕ¤ÇÒÁà´×Í´Ãé͹àÃ×èͧ ÃкØâ´ÂÊÃØ» : </div></td>
<td width="385" valign="top" class="form"><div align="left"><?php echo nl2br($row_Recordset1['fm_subject']); ?></div></td>
</tr>
<tr>
<td width="181" valign="top" class="form"><div align="right">ÊÒà˵طÕèä´éÃѺ¤ÇÒÁà´×Í´Ãé͹ : </div></td>
<td width="385" valign="top" class="form"><div align="left"><?php echo nl2br($row_Recordset1['fm_desc']); ?></div></td>
</tr>
<tr>
<td width="181" valign="top" class="form"><div align="right">â´ÂÁÕàÍ¡ÊÒÃṺ¤ÓÃéͧ´Ñ§¹Õé : </div></td>
<td width="385" class="form"><div align="left">
<input name="other1" type="checkbox" class="form" id="other1" value="ÊÓà¹Ò·ÐàºÕ¹ºéÒ¹" />
ÊÓà¹Ò·ÐàºÕ¹ºéÒ¹<br />
<input name="other2" type="checkbox" class="form" id="other2" value="ÊÓà¹Ò»ÃШӵÑÇ»ÃЪҪ¹ ¾ÃéÍÁ©ºÑº¨ÃÔ§" />
ÊÓà¹Ò»ÃШӵÑÇ»ÃЪҪ¹ ¾ÃéÍÁ©ºÑº¨ÃÔ§<br />
<input name="other3" type="checkbox" id="other3" value="Í×è¹ æ" />
Í×è¹ æ ...................................................... </div></td>
</tr>
<tr>
<td colspan="2" class="form" style="height:5px;"></td>
</tr>
<tr>
<td colspan="2" class="styles1"><table width="720" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="360" valign="top"><div align="center">
</div></td>
<td width="360" valign="top"><div align="center">
<table width="360" border="0" cellspacing="2" cellpadding="2">
<tr>
<td><div align="center" class="form">(ŧª×èÍ) <?php echo $row_Recordset1['fm_name']; ?> ¼ÙéÂ×蹤ÓÃéͧ </div></td>
</tr>
<tr>
<td><div align="center"><span class="form">(<?php echo $row_Recordset1['fm_request']; ?></span> <span class="form"><?php echo $row_Recordset1['fm_name']; ?>)</span></div></td>
</tr>
</table></div></td>
</tr>
</table></td>
</tr>
<tr>
<td colspan="2" class="styles1"> </td>
</tr>
<tr>
<td colspan="2" class="styles1"><div align="center"><table width="816" border="1" cellpadding="0" cellspacing="0">
<tr>
<td width="343" valign="top" class="form"><p><strong> </strong>1.ºÑ¹·Ö¡¤ÇÒÁ¤Ô´àË繨ҡà¨éÒ˹éÒ·Õè <br />
.......................................................................................................... <br />
.......................................................................................................... <br />
.......................................................................................................... </p>
<p align="center"> (ŧª×èÍ)...................................................à¨éÒ˹éÒ·Õè <br />
(..................................................) <br />
.............../................../.............. </p></td>
<td width="343" valign="top" class="form"><p><strong> </strong>2.ºÑ¹·Ö¡¤ÇÒÁàËç¹ËÑÇ˹éÒÊӹѡ»ÅѴͧ¤ì¡ÒúÃÔËÒÃÊèǹµÓºÅ <br />
.......................................................................................................... <br />
.......................................................................................................... <br />
.......................................................................................................... </p>
<p align="center">(ŧª×èÍ)................................................ËÑÇ˹éÒÊӹѡ»ÅÑ´<br />
(...............................................) <br />
............../.............../.............. </p></td>
</tr>
<tr>
<td width="343" valign="top" class="form"><p> 3.ºÑ¹·Ö¡¤ÇÒÁ¤Ô´àËç¹»ÅѴͧ¤ì¡ÒúÃÔËÒÃÊèǹµÓºÅ <br />
.......................................................................................................... <br />
.......................................................................................................... <br />
.......................................................................................................... </p>
<p> (ŧª×èÍ)..................................................»ÅѴͺµ. <br />
<strong> (................................................)</strong> <br />
<strong> .............../.............../...............</strong> </p></td>
<td width="343" valign="top" class="form"><p><strong> </strong>4.¼Å¡ÒþԨÒÃ³Ò <br />
<input type="checkbox" name="checkbox6" value="checkbox" />
ÃѺ·ÃÒº
<input type="checkbox" name="checkbox22" value="checkbox" />
͹ØÁѵÔ
<input type="checkbox" name="checkbox32" value="checkbox" />
äÁè͹ØÁѵÔ<br />
.......................................................................................................... <br />
.......................................................................................................... </p>
<p align="center"> (ŧª×èÍ).......................................................¹Ò¡ͺµ. <br />
(....................................................) <br />
.............../................./................ </p></td>
</tr>
</table></div></td>
</tr>
<tr>
<td colspan="2" class="form"><div align="center"><a href="javascript:window.print()" class="styles2"><img src="images/print.gif" alt="¾ÔÁ¾ì" width="16" height="16" border="0" /></a></div></td>
</tr>
</table>
</div>
</body>
</html>
<?php
mysql_free_result($Recordset1);
if($conndb)
{
mysql_close($conndb);
unset($conndb);
}
?>