BLACKSITE


	: 216.73.216.66
	: 198.12.242.136 / crwi.org.in
	: Linux p3plzcpnl504187.prod.phx3.secureserver.net 4.18.0-553.54.1.lve.el8.x86_64 #1 SMP Wed Jun 4 13:01:13 UTC 2025 x86_64
: /home/xiobm0pxw0u0/www/
files >> /home/xiobm0pxw0u0/www/donate.php
 <?php
include_once "adminlte/includes/class.Main.php";
include_once "adminlte/includes/common.php";
$dbf = new User();

if (isset($_POST['contact_form']) && !empty($_POST['contact_form'])) {
  $name = $dbf->checkXssSqlInjection($_REQUEST['name']);
  $mobile_no = $dbf->checkXssSqlInjection($_REQUEST['mobile_no']);
  $email = $dbf->checkXssSqlInjection($_REQUEST['email']);
  $pancard = $dbf->checkXssSqlInjection($_REQUEST['pancard']);
  $category = $dbf->checkXssSqlInjection($_REQUEST['category']);
  $amt = $dbf->checkXssSqlInjection($_REQUEST['amt']);
  $address = $dbf->checkXssSqlInjection($_REQUEST['address']);
  $purpose = $dbf->checkXssSqlInjection($_REQUEST['purpose']);

  $lastId = $dbf->insertSet("donate_lead", "name='$name', mobile_no='$mobile_no', email='$email', pancard='$pancard', category='$category', amt='$amt', address='$address', purpose='$purpose'");
  $_SESSION['success'] = 'Thank you, Your request submit successfully';
}
?>
<!doctype html>
<html><!-- InstanceBegin template="/Templates/maintemp.dwt.php" codeOutsideHTMLIsLocked="false" -->

<head>
  <meta charset="utf-8">

  <meta name="description" content="">
  <meta charset="UTF-8">
  <meta name="viewport" content="width=device-width, initial-scale=1.0">

  <link rel="icon" type="image/png" href="Templates/assets/images/favicon.png">
  <!-- Fonts -->
  <link href='http://fonts.googleapis.com/css?family=Open+Sans:400,300,700' rel='stylesheet' type='text/css'>
  <link href='http://fonts.googleapis.com/css?family=Dosis:400,700' rel='stylesheet' type='text/css'>

  <!-- Bootsrap -->
  <link rel="stylesheet" href="assets/css/bootstrap.min.css">

  <!-- Font awesome -->
  <link rel="stylesheet" href="assets/css/font-awesome.min.css">

  <!-- Owl carousel -->
  <link rel="stylesheet" href="assets/css/owl.carousel.css">

  <!-- Template main Css -->
  <link rel="stylesheet" href="assets/css/style.css">

  <!-- Modernizr -->
  <script src="Templates/assets/js/modernizr-2.6.2.min.js"></script>
  <!-- InstanceBeginEditable name="doctitle" -->
  <title>CRWI:Donate</title>

  <!-- InstanceEndEditable -->
  <!-- InstanceBeginEditable name="head" -->
  <!-- InstanceEndEditable -->
</head>

<body>
  <header class="main-header">


    <nav class="navbar navbar-static-top">

      <div class="navbar-top">

        <div class="container">
          <?php include "include/t1.php"; ?>
        </div>

      </div>

      <div class="navbar-main">

        <?php include "include/t2.php"; ?> <!-- /.container -->

      </div> <!-- /.navbar-main -->
      <div class="navbar-main1">

        <?php include "include/t22.php"; ?>
      </div>

    </nav>

  </header> <!-- /. main-header -->

  <div class="page-heading text-center">

    <div class="container zoomIn animated">

      <h1 class="page-title"><!-- InstanceBeginEditable name="pageTitle" -->
        Donate
        <!-- InstanceEndEditable -->
      </h1>
      <p class="page-description">
        <!-- InstanceBeginEditable name="pageTitledes" -->
        <!-- InstanceEndEditable -->
      </p>

    </div>

  </div>


  <div class="container">

    <div class="row">

      <div class="col-md-12">
        <!-- InstanceBeginEditable name="pageText" -->
        <div class="row">

          <div class="col-md-7 col-sm-12 col-form">

            <h2 class="title-style-2">Donate FORM <span class="title-under"></span></h2>

            <form action="donate-details.php" class="contact-form ajax-form" method="post" id="contact-us-form">
              <input type="hidden" name="contact_form" value="contact_form" />
              <div class="row" style="color:red;">
                <div class="form-group col-md-12" id="errorcode"></div>
              </div><?php
              if (isset($_SESSION['success']) && !empty($_SESSION['success'])) { ?>
                <div class="row" style="color:green;">
                  <div class="form-group col-md-12"><?= $_SESSION['success'] ?></div>
                </div><?php
              } ?>

              <div class="row">
                <div class="form-group col-md-6">
                  <input type="text" name="name" id="name" class="form-control" placeholder="Name*">
                </div>

                <div class="form-group col-md-6">
                  <input type="text" id="mobile_no" name="mobile_no" class="form-control" placeholder="Mobile No.*">
                </div>
              </div>

              <div class="row">
                <div class="form-group col-md-6">
                  <input type="email" name="email" id="email" class="form-control" placeholder="E-mail*">
                </div>
                <div class="form-group col-md-6">
                  <input type="text" name="pancard" id="pancard" class="form-control" placeholder="PAN card no*">
                </div>
              </div>

              <div class="row">
                <div class="form-group col-md-6">
                  <select name="category" id="category" class="form-control">
                    <option>Select Category</option>
                    <option value="Foreign">Foreign</option>
                    <option value="Government">Government</option>
                    <option value="Philanthropy">Philanthropy</option>
                    <option value="Individual">Individual</option>
                  </select>
                </div>

                <div class="form-group col-md-6">
                  <input type="number" name="amt" id="amt" class="form-control" min="1" max="99999999"
                    placeholder="Amount*">
                </div>
              </div>

              <div class="row">
                <div class="form-group col-md-12">
                  <textarea type="text" name="address" id="address" class="form-control" rows="3"
                    placeholder="Address*"></textarea>
                </div>
              </div>

              <div class="row">
                <div class="form-group col-md-12">
                  <textarea rows="3" type="text" name="purpose" id="purpose" class="form-control"
                    placeholder="Purpose*"></textarea>
                </div>
              </div>

              <div class="form-group">
                <button class="btn btn-primary pull-right" id="submit_button">Send
                  message</button>
              </div>

              <div class="clearfix"></div>

            </form>

          </div>
					<div class="col-md-4 col-md-offset-1 col-contact">

                       <img src="assets/images/donate.png" />

                    </div>
        </div>
        <br />

        <!-- InstanceEndEditable -->
      </div>
    </div>

    <!-- /.row -->

  </div>

  <!-- /.our-sponsors -->





  <footer class="main-footer">

    <div class="footer-top">

    </div>

    <?php include "include/t7.php"; ?>


    <div class="footer-bottom">
      <?php include "include/t8.php"; ?>

    </div>

  </footer> <!-- main-footer -->


  <!--  Scripts
    ================================================== -->

  <!-- jQuery -->
  <script src="//ajax.googleapis.com/ajax/libs/jquery/1.11.1/jquery.min.js"></script>
  <script>window.jQuery || document.write('<script src="assets/js/jquery-1.11.1.min.js"><\/script>')</script>

  <!-- Bootsrap javascript file -->
  <script src="Templates/assets/js/bootstrap.min.js"></script>

  <!-- owl carouseljavascript file -->
  <script src="Templates/assets/js/owl.carousel.min.js"></script>

  <!-- Template main javascript -->
  <script src="Templates/assets/js/main.js"></script>

  <!-- Google Analytics: change UA-XXXXX-X to be your site's ID. -->
  <script>
      (function (b, o, i, l, e, r) {
        b.GoogleAnalyticsObject = l; b[l] || (b[l] =
          function () { (b[l].q = b[l].q || []).push(arguments) }); b[l].l = +new Date;
        e = o.createElement(i); r = o.getElementsByTagName(i)[0];
        e.src = '//www.google-analytics.com/analytics.js';
        r.parentNode.insertBefore(e, r)
      }(window, document, 'script', 'ga'));
    ga('create', 'UA-XXXXX-X'); ga('send', 'pageview');
  </script>

  <script>
    $(document).ready(function () {
      $("#submit_button").click(function () {
        $("#errorcode").html('');

        name = $.trim($("#name").val());
        mobile_no = $.trim($("#mobile_no").val());
        email = $.trim($("#email").val());
        pancard = $.trim($("#pancard").val());
        category = $.trim($("#category").val());
        amt = parseInt($.trim($("#amt").val()));
        address = $.trim($("#address").val());
        purpose = $.trim($("#purpose").val());

console.log(pancard);

        var mobilePattern = /[0-5][0-9]{9}/;
        var emailPattern = /^([a-zA-Z0-9_\.\-\+])+\@(([a-zA-Z0-9\-])+\.)+([a-zA-Z0-9]{2,4})+$/;
        var pancardPattern = /^([a-zA-Z]){5}([0-9]){4}([a-zA-Z]){1}?$/;

        if (name == '' || name === undefined || name === null) {
          $("#errorcode").html('Name can not be empty');
          return false;
        } else if (name.length < 3) {
          $("#errorcode").html('Name length must be minimum 3 character');
          return false;
        } else if (mobile_no == '' || mobile_no === undefined || mobile_no === null) {
          $("#errorcode").html('Mobile no is can not be empty');
          return false;
        } else if (mobile_no.length != 10) {
          $("#errorcode").html('Mobile no length must be 10 digit');
          return false;
        } else if (mobilePattern.test(mobile_no)) {
          $("#errorcode").html('Mobile no must be valid');
          return false;
        } else if (email == '' || email === undefined || email === null) {
          $("#errorcode").html('Email id is can not be empty');
          return false;
        } else if (!emailPattern.test(email)) {
          $("#errorcode").html('Email id be valid');
          return false;
        } else if (pancard == '' || pancard === undefined || pancard === null) {
          $("#errorcode").html('PAN card no is can not be empty');
          return false;
        } else if (pancardPattern.test(pancard)) {
          $("#errorcode").html('PAN card no must be valid');
          return false;
        } if (category == '' || category === undefined || category === null || category == 'Select Category') {
          $("#errorcode").html('Category is can not be empty');
          return false;
        } else if (isNaN(amt)) {
          $("#errorcode").html('Amount is can not be empty');
          return false;
        } else if (amt < 1) {
          $("#errorcode").html('Amount can not be less then 1');
          return false;
        } else if (amt > 99999999) {
          $("#errorcode").html('Amount can not be greater then 99999999');
          return false;
        } else if (address == '' || address === undefined || address === null) {
          $("#errorcode").html('Address can not be empty');
          return false;
        } else if (address.length < 3) {
          $("#errorcode").html('Address length must be minimum 3 character');
          return false;
        } else if (purpose == '' || purpose === undefined || purpose === null) {
          $("#errorcode").html('Purpose can not be empty');
          return false;
        } else if (purpose.length < 3) {
          $("#errorcode").html('Purpose length must be minimum 3 character');
          return false;
        } else {
          //submit form
          $("#contact-us-form").submit();
        }
      });
    })
  </script>
</body>
<!-- InstanceEnd -->

</html>