AJAX Form Bootstrap: detail.php

<?php
$data = array(
        'nama'=> array(1=>'Nama 1','Nama 2','Nama 3','Nama 4','Nama5'),
        'email' => array(1=>'Email 1','Email 2','Email 3','Email 4','Email 5'),
        'message' => array(1=>'Message 1','Message 2','Message 3','Message 4','Message 5')
        );
$id = $_GET['id'];
$nama = $data['nama'][$id];
$email = $data['email'][$id];
$message = $data['message'][$id];
?>
            <div class="modal-header">
                  <a class="close" data-dismiss="modal">x</a>
                  <h3>Edit Detail</h3>
            </div>
        <div>
            <form class="data">
            <fieldset>
                 <div class="modal-body">
                     <ul class="nav nav-list">
                <li class="nav-header">Name</li>
                <li><input class="input-xlarge" value="<?php echo $nama; ?>" type="text" name="name"></li>
                <li class="nav-header">Email</li>
                <li><input class="input-xlarge" value="<?php echo $email; ?>" type="text" name="Email"></li>
                <li class="nav-header">Message</li>
                <li><textarea class="input-xlarge" name="sug" rows="3"><?php echo $message; ?></textarea></li>
                </ul>
                </div>
            </fieldset>
            </form>
        </div>
         <div class="modal-footer">
             <button class="btn btn-success" id="submit">submit</button>
             <a href="#" class="btn" data-dismiss="modal">Close</a>
        </div>