GetAddReviewerQAFields.php

<?php

/**
 * Created by PhpStorm.
 * User: ritwik.shanker
 * Copyright of Esterline Technologies (c) 2018.
 */

include 'connect.php';
?>
<!DOCTYPE html>
<html lang="en">
<head>

    <meta charset="utf-8">
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <meta name="viewport" content="width=device-width, initial-scale=1">

    <link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap.min.css">
    <script src="https://ajax.googleapis.com/ajax/libs/jquery/1.12.4/jquery.min.js"></script>
    <script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/js/bootstrap.min.js"></script>
    <script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
    <link href="//maxcdn.bootstrapcdn.com/font-awesome/4.2.0/css/font-awesome.min.css" rel="stylesheet">

    <link href="style.css" rel="stylesheet" type="text/css"/>

</head>

<body>
<form action="" method="POST" id="PostAddReviewerQAFields" role="form">
    <div class="container-fluid">
        <table class="table">
            <div>
                <select type="text" name="Review" id="AddReview" style="margin-left:16%;" required>
                    <option value="" style="font-weight:bold" disabled selected>--Select Review Type--</option>
                    <option value="PR">Peer Review</option>
                    <option value="IR">Internal Review</option>
                </select>
            </div>
            <tr>
                <th>Error Code</th>
                <td><input type="text" name="ErrorCode" id="AddErrorCode"></td>
            </tr>

            <tr>
                <th>Error Description</th>
                <td><input type="text" name="ErrorDescription" id="AddErrorDescription"></td>
            </tr>

            <tr>
                <th>Quantity</th>
                <td><input type="text" name="Quantity" id="AddQuantity"></td>
            </tr>
            <tr>
                <th>Start Date</th>
                <td><input type="date" name="StartDate" id="AddStartDate"></td>
            </tr>

            <tr>
                <th>Completion Date</th>
                <td><input type="date" name="CompletionDate" id="AddCompletionDate"></td>
            </tr>

        </table>

        <input style="margin-left:40%;" type="submit" name="SubmitRQA" value="Submit">
    </div>
</form>

<br><br>

</body>
</html>