KrushiSahay/complaint.html at main · JINAY2910/KrushiSahay · GitHub

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<!DOCTYPE html>
<html lang="en">
<head>
  <meta charset="UTF-8">
  <title>Farmer Complaint Portal</title>
  <link rel="stylesheet" href="css/style.css">
</head>
<body class="default-page">

  <div class="schemes-container">
    <h2 class="section-title">Raise a Complaint to the Government</h2>

    <!-- ✅ Intro Box -->
    <div class="welcome-box">
      <p><strong>Note:</strong> This portal is connected with verified NGOs across India who help escalate farmer issues directly to government authorities. Once you submit, we forward your complaint through our network for resolution.</p>
    </div>

    <!-- ✅ Certificate -->
    <div class="certificate-section">
      <h4 style="margin-bottom: 10px;">Our NGO Partnership Certification</h4>
      <img src="Assets/images/certificate.jpg" alt="NGO Certificate" class="certificate-img">
    </div>

    <!-- ✅ Complaint Form -->
    <div class="scheme-card">
      <form class="complaint-form" action="PHP/complaint.php" method="POST" enctype="multipart/form-data">

        <label for="name">Full Name:</label>
        <input type="text" id="name" name="name" required>

        <label for="phone">Mobile Number:</label>
        <input type="text" id="phone" name="phone" required>

        <label for="location">District / Village:</label>
        <input type="text" id="location" name="location" required>

        <label for="scheme">Select Scheme:</label>
        <select id="scheme" name="scheme" required>
          <option value="">-- Select a Scheme --</option>
          <option value="PM-KISAN">PM-KISAN</option>
          <option value="PMFBY">PMFBY</option>
          <option value="KCC">Kisan Credit Card</option>
          <option value="Soil Health Card">Soil Health Card</option>
          <option value="PMKSY">PMKSY</option>
          <!-- Add more schemes as needed -->
        </select>

        <label for="complaint">Complaint Description:</label>
        <textarea id="complaint" name="complaint" rows="5" required></textarea>

        <label for="proof">Upload Proof (optional):</label>
        <input type="file" id="proof" name="proof" accept=".pdf,.jpg,.jpeg,.png">

        <input type="submit" value="Submit Complaint">
      </form>
    </div>
  </div>

</body>
</html>