<nav class="large-3 medium-4 columns" id="actions-sidebar">
    <?= $this->element('admin_sidebar') ?>
</nav>
<div class="customers form large-9 medium-8 columns content">


    <?= $this->Form->create($fds) ?>
    <fieldset class="fieldset2">

        <legend><?= __('Add Karvy FD Data') ?></legend>
        <div class="addmenu-col">

         <div class="column-box 21_fd">
                <?php
            echo $this->Form->input('receipt_id', ['id'=>'','class' => __('add-column'),'label' => ['text' => __('ReceiptID: ')],'type'=>'text']);

            echo $this->Form->input('broker_code', ['id'=>'','class' => __('add-column'),'label' => ['text' => __('REFF/PFE Code: ')],'type'=>'text']);

            echo $this->Form->input('broker_name', ['id'=>'','class' => __('add-column'),'label' => ['text' => __('REFF/PFE Name: ')],'type'=>'text']);

            echo $this->Form->input('company_name', ['id'=>'','class' => __('add-column'),'label' => ['text' => __('Company Name: ')],'type'=>'text']);

            echo $this->Form->input('lodged_at', ['id'=>'','class' => __('add-column'),'label' => ['text' => __('Lodged AT: ')],'type'=>'text']);

            echo $this->Form->input('branch_name', ['id'=>'','class' => __('add-column'),'label' => ['text' => __('Lodge BRANCH: ')],'type'=>'text']);

            echo $this->Form->input('period', ['id'=>'','class' => __('add-column'),'label' => ['text' => __('Period: ')],'type'=>'text']);

            echo $this->Form->input('application_no', ['id'=>'','class' => __('add-column'),'label' => ['text' => __('Application Number: ')],'type'=>'text']);

            echo $this->Form->input('maturity_date', ['id'=>'','class' => __('datepicker add-column'),'label' => ['text' => __('Rnewal Date: ')],'type'=>'text']);

            echo $this->Form->input('txn_date', ['id'=>'','class' => __('datepicker add-column'),'label' => ['text' => __('Entry Date: ')],'type'=>'text']);

            echo $this->Form->input('investment_amount', ['id'=>'','class' => __('add-column'),'label' => ['text' => __('Investment Amount: ')],'type'=>'text']);

            echo $this->Form->input('customer_name', ['id'=>'','class' => __('add-column'),'label' => ['text' => __('Investor Name: ')],'type'=>'text']);

            echo $this->Form->input('mobileno', ['id'=>'','class' => __('add-column'),'label' => ['text' => __('Investor MobileNo: ')],'type'=>'text']);

            echo $this->Form->input('address', ['id'=>'','class' => __('add-column'),'label' => ['text' => __('Address: ')],'type'=>'text']);

            echo $this->Form->input('advisor', ['id'=>'','class' => __('add-column'),'label' => ['text' => __('NAME: ')],'type'=>'text']);

            echo $this->Form->input('add1', ['id'=>'','class' => __('add-column'),'label' => ['text' => __('ADD1: ')],'type'=>'text']);

            echo $this->Form->input('add2', ['id'=>'','class' => __('add-column'),'label' => ['text' => __('ADD2: ')],'type'=>'text']);

            echo $this->Form->input('add3', ['id'=>'','class' => __('add-column'),'label' => ['text' => __('ADD3: ')],'type'=>'text']);

            echo $this->Form->input('city', ['id'=>'','class' => __('add-column'),'label' => ['text' => __('CITY: ')],'type'=>'text']);
        ?></div>

          
        </div>
    </fieldset>
    <div class="add-button">
        <?= $this->Form->button(__('Submit'),['class' => 'green-btn']) ?>
    </div>
    <div class="btn-link"><input type="button" value="Back" onclick="window.history.back()"
            class="green-btn new_back" /> </div>
    <?= $this->Form->end() ?>
</div>
<script>
$(document).ready(function() {
    $(".datepicker").datepicker({
        dateFormat: 'd/m/yy',
        changeMonth: true,
        changeYear: true,
        yearRange: '-100:+100'
    });

});
</script>