Untitled

<?php
require_once('appvars.php');
require_once('connectvarsT.php');

if(isset($_POST['submit'])) {
	// Grab the score data from the POST
	$image= $_FILES['image']['name'];
	$image_type= $_FILES['image']['type'];
	$image_size= $_FILES['image']['size'];
	$prefix= $_POST['prefix'];
	$lname= $_POST['lname'];
	$info= $_POST['info'];
	$fname= $_POST['fname'];
	$suffix=$_POST['suffix'];
	$mname=$_POST['mname'];
	$email=$_POST['email'];
	$iid=$_POST['iid'];
	$eid=$_POST['eid'];

	if(!empty($fname) && !empty($lname) && !empty($email)) {
		if((($image_type == 'image/jpeg') || ($image_type =='image/pjpeg') || ($image_type == 'image/png'))
		&& ($image_size > 0) && ($image_size <= GW_MAXFILESIZE)){
			if ($_FILES['image']['error'] == 0) {
					//Move the file to the target upload folder
					$target = GW_UPLOADPATH . $image;
					if(move_uploaded_file($_FILES['image']['tmp_name'], $target)) {

						// Connect to the database
						$dbc = mysqli_connect(DB_HOST, DB_USER, DB_PASSWORD, DB_NAME);

						//Write the data to the database
						$query = "INSERT INTO login VALUES ('$image', '$prefix', '$lname', '$info', '$fname', '$suffix', '$mname', '$email', '$iid', '$eid')";
						mysqli_query($dbc, $query);

						// Clear the score data to clear the form

						$image="";
						$prefix="";
						$lname="";
						$info="";
						$fname="";
						$suffix="";
						$mname="";
						$email="";
						$iid="";
						$eid="";
						mysqli_close($dbc);
					}
					 else {
						echo '<p class="error">Sorry, there was a problem uploading your image.</p>';
					}
				}
		    }
				else {
				echo '<p class="error">The screen shot must be a JPEG, or PNG image file.</p>';
				}
		}
		else {
			echo '<p class="error">Please enter all of the information.</p>';
			}
	}
?>
	<!DOCTYPE html>
<html lang="en">
<head>
  <title>Bootstrap Example</title>
  <meta charset="utf-8">
  <meta name="viewport" content="width=device-width, initial-scale=1">
  <link rel="stylesheet" href="http://maxcdn.bootstrapcdn.com/bootstrap/3.3.6/css/bootstrap.min.css">
  <link rel="stylesheet" type="text/css" href="Tripnologies.css">
  <script src="https://ajax.googleapis.com/ajax/libs/jquery/1.12.4/jquery.min.js"></script>
  <script src="http://maxcdn.bootstrapcdn.com/bootstrap/3.3.6/js/bootstrap.min.js"></script>
</head>
<body>
<form enctype="multipart/form-data" method="post" action="<?PHP echo $_SERVER['PHP_SELF']; ?>" >
<input type="hidden" name="MAX_FILE_SIZE" value="32768" />

<div class="container">
	<table class="table">
		<tr>
			<td>
			 <p class="text-primary">Remove</p>
			</td>
			<td>
				<label class="btn btn-default btn-file">
					Choose File <input type="file" name="image" style="display: none;">
				</label><br />
				<small>image size(130x130)... jpg or png only.</small></h4>
			</td>
			<td>
				<button type="submit" class="btn btn-primary btn-lg" name="submit">Save Changes</button>
			</td>
		</tr>
		<tr>
			<td>
				<div class="form-group">
					<label class="col-xs-3 control label">Prefix:</label><br />
						<div class="col-xs-5 selectContainer">
						<select name="prefix" class="form-control">
							<option value="Mr">Mr</option>
							<option value="Miss">Miss</option>
							<option value="Ms">Ms</option>
						</select>
						</div>
					</div>
				</div>
			</td>
			<td>
			<div class="form-group">
				<label for="lname">Last Name:</label>
				<input type="text" class="form-control" id="lname" name="lname">
			</div>
			</td>
			<td>
			<div class="form-group">
				<label for="info">Information:</label>
				<textarea class="form-control" rows="4" id="info" name="info"></textarea>
			</div>
			</td>
		</tr>
		<tr>
			<td>
			<label for="fname">First Name:</label>
			<input type="text" class="form-control" id="fname" name="fname">
			</td>
			<td>
			<label for="suffix">Suffix:</label>
			<input type="text" class="form-control" id="suffix" name="suffix">
			</td>
		</tr>
		<tr>
			<td>
			<label for="mname">Middle Name:</label>
			<input type="text" class="form-control" id="mname" name="mname">
			</td>
			<td>
			<label for="lg">Login Email:</label>
			<input type="text" class="form-control" id="email" name="email">
			</td>
		</tr>
		<tr>
			<td>
			<label for="id">ID:</label>
			<input type="text" class="form-control" id="id" name="id" disabled>
			</td>
			<td>
			<label for="ii">Internal ID:</label>
			<input type="text" class="form-control" id="ii" name="iid">
			</td>
			<td>
			<label for="ei">External ID:</label>
			<input type="text" class="form-control" id="ei" name="eid">
			</td>
		</tr>
	</table>
</div>
</form>
</body>
</html>