SignAnImage/form.html at master · prophecy/SignAnImage · GitHub

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<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="utf-8">
    <meta name="viewport" content="width=device-width, initial-scale=1">
    <link rel="stylesheet" type="text/css"
          href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap.min.css"/>
    <script src="https://code.jquery.com/jquery-3.1.1.min.js"
            integrity="sha256-hVVnYaiADRTO2PzUGmuLJr8BLUSjGIZsDYGmIJLv2b8="
            crossorigin="anonymous"></script>

    <script  id="config_json" src="config.js" type="text/javascript"></script>

    <script type="text/javascript">
        $(document).ready(function () {

            $('#image').on('change', function () {
                readURL(this);
            });
            $('#manager-name').on('keyup', function () {
                $('#manager-name-place').text($(this).val());
            });
            $('#manager-position').on('keyup', function () {
                $('#manager-position-place').text($(this).val());
            });
            $('#position').on('keyup', function () {
                $('#position-place').text($(this).val());
            });
            $('#tel').on('keyup', function () {
                $('#tel-place').text($(this).val());
            });

            // Apply configuration values for text fields in the form

            var conf = getConfiguration();

            $('#manager-name-place').text(conf.manager_name);
            $('#manager-position-place').text(conf.manager_position);
            $('#position-place').text(conf.position);
            $('#tel-place').text(conf.tel);

        });

        function readURL(input) {
            if (input.files && input.files[0]) {
                var reader    = new FileReader();
                reader.onload = function (e) {
                    $('#image-place').attr('src', e.target.result);
                };
                reader.readAsDataURL(input.files[0]);
            }
        }
    </script>
    <style type="text/css">
        .signature {
            margin-top: 50px;
        }
        .signature-form {
            margin: 10px 0;
        }
    </style>
</head>
<body>
    <div class="container-fluid">

        <form class="form-inline hidden-print text-center signature-form">
            <div class="form-group">
                <input type="file" id="image"/>
            </div>

            <div class="form-group">
                <input type="text" class="form-control" id="manager-name" name="manager-name"
                       placeholder="Manager Name"/>
            </div>
            <div class="form-group">
                <input type="text" class="form-control" id="manager-position" name="manager-position"
                       placeholder="Manager Position"/>
            </div>
            <div class="form-group">
                <input type="text" class="form-control" id="position" name="position" placeholder="Position"/>
            </div>
            <div class="form-group">
                <input type="text" class="form-control" id="tel" name="tel" placeholder="Mobile Number"/>
            </div>
        </form>

        <div class="row">
            <img id="image-place" class="img-responsive center-block"/>
        </div>

        <div class="row signature">
            <div class="col-xs-6 text-center" id="signature-01">
                <p>(___________________________)</p>
                <p id="manager-name-place"></p>
                <p>Position: <span id="manager-position-place"></span></p>
            </div>
            <div class="col-xs-6 text-center" id="signature-02">
                <p>(___________________________)</p>
                <p>Position: <span id="position-place"></span></p>
                <p>Tel: <span id="tel-place"></span></p>
            </div>
        </div>
    </div>
</body>
</html>