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1 forms found in the DOM

POST genpdf.php

<form action="genpdf.php" method="POST">
  <!-- Company Details Section -->
  <div class="mb-4">
    <h5 class="border-bottom pb-2">Company Details</h5>
    <div class="row">
      <div class="col-md-6">
        <div class="mb-3">
          <label class="form-label">Client Name</label>
          <input type="text" name="client_name" class="form-control" required="">
        </div>
      </div>
      <div class="col-md-6">
        <div class="mb-3">
          <label class="form-label">Client Registration Number</label>
          <input type="text" name="client_reg" class="form-control" required="">
        </div>
      </div>
    </div>
  </div>
  <!-- Course Details Section -->
  <div class="mb-4">
    <h5 class="border-bottom pb-2">Course Details</h5>
    <div class="row">
      <div class="col-md-6">
        <div class="mb-3">
          <label class="form-label">Course Name</label>
          <input type="text" name="course_name" class="form-control" value="IT Tech Support NQF4" required="">
        </div>
      </div>
      <div class="col-md-6">
        <div class="mb-3">
          <label class="form-label">Training Period</label>
          <input type="text" name="training_period" class="form-control" value="Jan - Dec 2025" required="">
        </div>
      </div>
    </div>
  </div>
  <!-- Learner Distribution -->
  <div class="mb-4">
    <h5 class="border-bottom pb-2">Learner Distribution</h5>
    <div class="row">
      <div class="col-md-6">
        <div class="mb-3">
          <label class="form-label">Number of African Males</label>
          <input type="number" name="african_males" class="form-control" value="5" min="0" required="">
        </div>
      </div>
      <div class="col-md-6">
        <div class="mb-3">
          <label class="form-label">Number of African Females</label>
          <input type="number" name="african_females" class="form-control" value="5" min="0" required="">
        </div>
      </div>
    </div>
  </div>
  <!-- Cost Details -->
  <div class="mb-4">
    <h5 class="border-bottom pb-2">Cost Details</h5>
    <div class="row">
      <div class="col-md-6">
        <div class="mb-3">
          <label class="form-label">Cost per Student (R)</label>
          <input type="number" name="cost_per_student" class="form-control" value="36600" min="0" step="0.01" required="">
        </div>
      </div>
      <div class="col-md-6">
        <div class="mb-3">
          <label class="form-label">Admin Fee per Student (R)</label>
          <input type="number" name="admin_fee" class="form-control" value="3500" min="0" step="0.01" required="">
        </div>
      </div>
    </div>
    <div class="row">
      <div class="col-md-6">
        <div class="mb-3">
          <label class="form-label">Monthly Stipend per Student (R)</label>
          <input type="number" name="monthly_stipend" class="form-control" value="5000" min="0" step="0.01" required="">
        </div>
      </div>
      <div class="col-md-6">
        <div class="mb-3">
          <label class="form-label">VAT Rate (%)</label>
          <input type="number" name="vat_rate" class="form-control" value="15" min="0" max="100" step="0.01" required="">
        </div>
      </div>
    </div>
  </div>
  <div class="text-end">
    <button type="reset" class="btn btn-secondary me-2">Reset</button>
    <button type="submit" class="btn btn-primary">Generate Quote</button>
  </div>
</form>

Text Content

LEARNERSHIP QUOTE GENERATOR

COMPANY DETAILS

Client Name
Client Registration Number

COURSE DETAILS

Course Name
Training Period

LEARNER DISTRIBUTION

Number of African Males
Number of African Females

COST DETAILS

Cost per Student (R)
Admin Fee per Student (R)
Monthly Stipend per Student (R)
VAT Rate (%)
Reset Generate Quote