Untitled

<!DOCTYPE html>
{% load static %}
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">

    <!-- Bootstrap CSS -->
    <link rel="stylesheet" href="https://stackpath.bootstrapcdn.com/bootstrap/4.1.3/css/bootstrap.min.css"
          integrity="sha384-MCw98/SFnGE8fJT3GXwEOngsV7Zt27NXFoaoApmYm81iuXoPkFOJwJ8ERdknLPMO" crossorigin="anonymous">
    <title>Servicing Entry</title>

</head>
<body>
<nav class="navbar justify-content-center navbar-dark bg-dark">
    <li class="nav-item">
        <a class="navbar-brand" href="home">Home</a>
    </li>

    <li class="nav-item">
        <a class="navbar-brand" href="logout">Log Out</a>
    </li>
</nav>
<div class="container">
    <div class="jumbotron">
        <h1 class="text-center">Servicing Entry</h1>
        <hr class="my-4">
        <form method="POST" action="">
            {% csrf_token %}

            <br>
            <div class="form-row">
                <div class="col">

                    <input type="text" class="form-control" placeholder="Customer Name" name="name" required>
                </div>
                <div class="col">
                    <input type="number" class="form-control" placeholder="Phone No" name="phone_no" required>
                </div>
            </div>

            <br>

            <div class="form-row">

                <div class="col">
                    <select class="form-control" id="date_estimation" name="imei">
                        <option disabled="True"> IMEI</option>
                        {% for data in sold_imei %}
                            <option> {{ data.imei }}</option>
                        {% endfor %}
                    </select>
                </div>
                <div class="col">

                    <input type="datetime-local" class="form-control" placeholder="Date"
                           name="estimated_delivery_date">

                </div>

            </div>
            <br>
            <input type="text" class="form-control" placeholder="Problem Description" name="problem_description"
                   required>

            <br>
            <div class="form-row">
                <div class="col">
                    Employee ID: {{ employee_id }}
                </div>
            </div>
            <br>
                <p>
                    <b><h5>{{ message2 }}</h5></b>
                </p>
            <div class="text-center">
                <button type="submit" class="btn btn-primary">Submit</button>
            </div>

        </form>
    </div>
</div>


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        crossorigin="anonymous"></script>
<script src="https://stackpath.bootstrapcdn.com/bootstrap/4.1.3/js/bootstrap.min.js"
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        crossorigin="anonymous"></script>
<script>
    if (window.history.replaceState) {
        window.history.replaceState(null, null, window.location.href);
    }
</script>


</body>
</html>