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<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Advanced Data Entry System</title>
<script src="https://cdn.tailwindcss.com"></script>
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/6.4.0/css/all.min.css">
<style>
/* Custom scrollbar */
::-webkit-scrollbar {
width: 8px;
}
::-webkit-scrollbar-track {
background: #f1f1f1;
}
::-webkit-scrollbar-thumb {
background: #888;
border-radius: 4px;
}
::-webkit-scrollbar-thumb:hover {
background: #555;
}
/* Animation for form submission */
@keyframes fadeIn {
from { opacity: 0; transform: translateY(20px); }
to { opacity: 1; transform: translateY(0); }
}
.fade-in {
animation: fadeIn 0.5s ease-out forwards;
}
/* Custom checkbox */
.custom-checkbox input:checked ~ .checkmark {
background-color: #3b82f6;
border-color: #3b82f6;
}
.custom-checkbox input:checked ~ .checkmark:after {
display: block;
}
.custom-checkbox .checkmark:after {
left: 7px;
top: 3px;
width: 5px;
height: 10px;
border: solid white;
border-width: 0 2px 2px 0;
transform: rotate(45deg);
}
</style>
</head>
<body class="bg-gray-100 font-sans">
<div class="min-h-screen flex flex-col">
<!-- Header -->
<header class="bg-indigo-600 text-white shadow-lg">
<div class="container mx-auto px-4 py-4 flex justify-between items-center">
<div class="flex items-center space-x-2">
<i class="fas fa-database text-2xl"></i>
<h1 class="text-2xl font-bold">DataEntryPro</h1>
</div>
<div class="flex items-center space-x-4">
<button class="bg-white text-indigo-600 px-4 py-2 rounded-lg font-medium hover:bg-indigo-50 transition">
<i class="fas fa-user mr-2"></i>Login
</button>
<button class="hidden md:block bg-indigo-700 text-white px-4 py-2 rounded-lg font-medium hover:bg-indigo-800 transition">
<i class="fas fa-cloud-upload-alt mr-2"></i>Export Data
</button>
</div>
</div>
</header>
<!-- Main Content -->
<main class="flex-grow container mx-auto px-4 py-8">
<div class="grid grid-cols-1 lg:grid-cols-4 gap-6">
<!-- Sidebar -->
<aside class="lg:col-span-1 bg-white rounded-xl shadow-md p-6 h-fit sticky top-6">
<h2 class="text-xl font-semibold mb-4 text-gray-800">Navigation</h2>
<nav>
<ul class="space-y-2">
<li>
<a href="#" class="flex items-center p-3 rounded-lg bg-indigo-50 text-indigo-600 font-medium">
<i class="fas fa-plus-circle mr-3"></i> New Entry
</a>
</li>
<li>
<a href="#" class="flex items-center p-3 rounded-lg hover:bg-gray-100 text-gray-700 transition">
<i class="fas fa-list mr-3"></i> View Entries
</a>
</li>
<li>
<a href="#" class="flex items-center p-3 rounded-lg hover:bg-gray-100 text-gray-700 transition">
<i class="fas fa-chart-bar mr-3"></i> Reports
</a>
</li>
<li>
<a href="#" class="flex items-center p-3 rounded-lg hover:bg-gray-100 text-gray-700 transition">
<i class="fas fa-cog mr-3"></i> Settings
</a>
</li>
</ul>
</nav>
<div class="mt-8">
<h3 class="text-lg font-medium mb-3 text-gray-800">Quick Stats</h3>
<div class="space-y-3">
<div class="flex justify-between items-center">
<span class="text-gray-600">Total Entries</span>
<span class="font-bold">1,248</span>
</div>
<div class="flex justify-between items-center">
<span class="text-gray-600">Today</span>
<span class="font-bold">24</span>
</div>
<div class="flex justify-between items-center">
<span class="text-gray-600">This Week</span>
<span class="font-bold">156</span>
</div>
</div>
</div>
</aside>
<!-- Main Form -->
<div class="lg:col-span-3">
<div class="bg-white rounded-xl shadow-md overflow-hidden fade-in">
<!-- Form Header -->
<div class="bg-gradient-to-r from-indigo-500 to-purple-600 p-6 text-white">
<div class="flex justify-between items-center">
<div>
<h2 class="text-2xl font-bold">Customer Information</h2>
<p class="text-indigo-100">Fill out the form below to add a new customer record</p>
</div>
<div class="flex space-x-2">
<button class="p-2 rounded-full bg-white bg-opacity-20 hover:bg-opacity-30 transition">
<i class="fas fa-save"></i>
</button>
<button class="p-2 rounded-full bg-white bg-opacity-20 hover:bg-opacity-30 transition">
<i class="fas fa-ellipsis-v"></i>
</button>
</div>
</div>
</div>
<!-- Progress Steps -->
<div class="px-6 pt-4">
<div class="flex items-center justify-between mb-6">
<div class="flex items-center">
<div class="w-8 h-8 rounded-full bg-indigo-600 text-white flex items-center justify-center font-bold">1</div>
<div class="ml-2 text-sm font-medium text-gray-700">Basic Info</div>
</div>
<div class="flex-1 h-1 mx-2 bg-gray-200">
<div class="h-1 bg-indigo-600" style="width: 33%"></div>
</div>
<div class="flex items-center">
<div class="w-8 h-8 rounded-full bg-gray-200 text-gray-500 flex items-center justify-center font-bold">2</div>
<div class="ml-2 text-sm text-gray-500">Contact Details</div>
</div>
<div class="flex-1 h-1 mx-2 bg-gray-200"></div>
<div class="flex items-center">
<div class="w-8 h-8 rounded-full bg-gray-200 text-gray-500 flex items-center justify-center font-bold">3</div>
<div class="ml-2 text-sm text-gray-500">Additional Info</div>
</div>
</div>
</div>
<!-- Form Content -->
<form class="p-6 space-y-6" id="dataEntryForm">
<!-- Personal Information Section -->
<div>
<h3 class="text-lg font-medium text-gray-800 mb-4 flex items-center">
<i class="fas fa-user-circle mr-2 text-indigo-600"></i> Personal Information
</h3>
<div class="grid grid-cols-1 md:grid-cols-2 gap-6">
<div>
<label for="firstName" class="block text-sm font-medium text-gray-700 mb-1">First Name*</label>
<input type="text" id="firstName" name="firstName" required
class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-indigo-500 focus:border-indigo-500 transition">
</div>
<div>
<label for="lastName" class="block text-sm font-medium text-gray-700 mb-1">Last Name*</label>
<input type="text" id="lastName" name="lastName" required
class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-indigo-500 focus:border-indigo-500 transition">
</div>
<div>
<label for="dob" class="block text-sm font-medium text-gray-700 mb-1">Date of Birth*</label>
<input type="date" id="dob" name="dob" required
class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-indigo-500 focus:border-indigo-500 transition">
</div>
<div>
<label class="block text-sm font-medium text-gray-700 mb-1">Gender*</label>
<div class="flex space-x-4">
<label class="inline-flex items-center">
<input type="radio" name="gender" value="male" class="h-4 w-4 text-indigo-600 focus:ring-indigo-500" checked>
<span class="ml-2 text-gray-700">Male</span>
</label>
<label class="inline-flex items-center">
<input type="radio" name="gender" value="female" class="h-4 w-4 text-indigo-600 focus:ring-indigo-500">
<span class="ml-2 text-gray-700">Female</span>
</label>
<label class="inline-flex items-center">
<input type="radio" name="gender" value="other" class="h-4 w-4 text-indigo-600 focus:ring-indigo-500">
<span class="ml-2 text-gray-700">Other</span>
</label>
</div>
</div>
</div>
</div>
<!-- Contact Information Section -->
<div>
<h3 class="text-lg font-medium text-gray-800 mb-4 flex items-center">
<i class="fas fa-address-book mr-2 text-indigo-600"></i> Contact Information
</h3>
<div class="grid grid-cols-1 md:grid-cols-2 gap-6">
<div>
<label for="email" class="block text-sm font-medium text-gray-700 mb-1">Email*</label>
<input type="email" id="email" name="email" required
class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-indigo-500 focus:border-indigo-500 transition">
</div>
<div>
<label for="phone" class="block text-sm font-medium text-gray-700 mb-1">Phone Number*</label>
<input type="tel" id="phone" name="phone" required
class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-indigo-500 focus:border-indigo-500 transition">
</div>
<div class="md:col-span-2">
<label for="address" class="block text-sm font-medium text-gray-700 mb-1">Address*</label>
<input type="text" id="address" name="address" required
class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-indigo-500 focus:border-indigo-500 transition">
</div>
<div>
<label for="city" class="block text-sm font-medium text-gray-700 mb-1">City*</label>
<input type="text" id="city" name="city" required
class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-indigo-500 focus:border-indigo-500 transition">
</div>
<div>
<label for="zip" class="block text-sm font-medium text-gray-700 mb-1">ZIP Code*</label>
<input type="text" id="zip" name="zip" required
class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-indigo-500 focus:border-indigo-500 transition">
</div>
</div>
</div>
<!-- Additional Information Section -->
<div>
<h3 class="text-lg font-medium text-gray-800 mb-4 flex items-center">
<i class="fas fa-info-circle mr-2 text-indigo-600"></i> Additional Information
</h3>
<div class="grid grid-cols-1 gap-6">
<div>
<label for="notes" class="block text-sm font-medium text-gray-700 mb-1">Notes</label>
<textarea id="notes" name="notes" rows="3"
class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-indigo-500 focus:border-indigo-500 transition"></textarea>
</div>
<div>
<label class="block text-sm font-medium text-gray-700 mb-1">Preferences</label>
<div class="space-y-2">
<label class="custom-checkbox flex items-center">
<input type="checkbox" name="newsletter" class="opacity-0 absolute h-5 w-5">
<div class="checkmark bg-white border-2 rounded border-gray-300 w-5 h-5 flex flex-shrink-0 justify-center items-center mr-2 focus-within:border-indigo-500">
<svg class="fill-current hidden w-3 h-3 text-white pointer-events-none" viewBox="0 0 20 20"><path d="M0 11l2-2 5 5L18 3l2 2L7 18z"/></svg>
</div>
<span class="text-gray-700">Subscribe to newsletter</span>
</label>
<label class="custom-checkbox flex items-center">
<input type="checkbox" name="promotions" class="opacity-0 absolute h-5 w-5">
<div class="checkmark bg-white border-2 rounded border-gray-300 w-5 h-5 flex flex-shrink-0 justify-center items-center mr-2 focus-within:border-indigo-500">
<svg class="fill-current hidden w-3 h-3 text-white pointer-events-none" viewBox="0 0 20 20"><path d="M0 11l2-2 5 5L18 3l2 2L7 18z"/></svg>
</div>
<span class="text-gray-700">Receive promotional offers</span>
</label>
</div>
</div>
<div>
<label for="source" class="block text-sm font-medium text-gray-700 mb-1">How did you hear about us?</label>
<select id="source" name="source"
class="w-full px-4 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-indigo-500 focus:border-indigo-500 transition">
<option value="">Select an option</option>
<option value="social">Social Media</option>
<option value="search">Search Engine</option>
<option value="friend">Friend/Family</option>
<option value="ad">Advertisement</option>
<option value="other">Other</option>
</select>
</div>
</div>
</div>
<!-- Form Actions -->
<div class="flex flex-col sm:flex-row justify-between pt-4 border-t border-gray-200">
<button type="button" class="px-6 py-2 border border-gray-300 rounded-lg text-gray-700 hover:bg-gray-50 transition mb-2 sm:mb-0">
<i class="fas fa-times mr-2"></i> Cancel
</button>
<div class="space-x-3">
<button type="button" class="px-6 py-2 border border-gray-300 rounded-lg text-gray-700 hover:bg-gray-50 transition">
<i class="fas fa-save mr-2"></i> Save Draft
</button>
<button type="submit" class="px-6 py-2 bg-indigo-600 text-white rounded-lg hover:bg-indigo-700 transition">
<i class="fas fa-check mr-2"></i> Submit
</button>
</div>
</div>
</form>
</div>
<!-- Recent Entries Card -->
<div class="mt-6 bg-white rounded-xl shadow-md overflow-hidden fade-in">
<div class="p-6">
<div class="flex justify-between items-center mb-4">
<h2 class="text-xl font-semibold text-gray-800">Recent Entries</h2>
<button class="text-indigo-600 hover:text-indigo-800 transition">
<i class="fas fa-sync-alt"></i>
</button>
</div>
<div class="overflow-x-auto">
<table class="min-w-full divide-y divide-gray-200">
<thead class="bg-gray-50">
<tr>
<th scope="col" class="px-6 py-3 text-left text-xs font-medium text-gray-500 uppercase tracking-wider">Name</th>
<th scope="col" class="px-6 py-3 text-left text-xs font-medium text-gray-500 uppercase tracking-wider">Email</th>
<th scope="col" class="px-6 py-3 text-left text-xs font-medium text-gray-500 uppercase tracking-wider">Phone</th>
<th scope="col" class="px-6 py-3 text-left text-xs font-medium text-gray-500 uppercase tracking-wider">Date Added</th>
<th scope="col" class="px-6 py-3 text-left text-xs font-medium text-gray-500 uppercase tracking-wider">Actions</th>
</tr>
</thead>
<tbody class="bg-white divide-y divide-gray-200">
<tr>
<td class="px-6 py-4 whitespace-nowrap">
<div class="flex items-center">
<div class="flex-shrink-0 h-10 w-10 bg-indigo-100 rounded-full flex items-center justify-center">
<span class="text-indigo-600 font-medium">JD</span>
</div>
<div class="ml-4">
<div class="text-sm font-medium text-gray-900">John Doe</div>
</div>
</div>
</td>
<td class="px-6 py-4 whitespace-nowrap text-sm text-gray-500">john.doe@example.com</td>
<td class="px-6 py-4 whitespace-nowrap text-sm text-gray-500">(555) 123-4567</td>
<td class="px-6 py-4 whitespace-nowrap text-sm text-gray-500">2023-05-15</td>
<td class="px-6 py-4 whitespace-nowrap text-sm font-medium">
<a href="#" class="text-indigo-600 hover:text-indigo-900 mr-3"><i class="fas fa-edit"></i></a>
<a href="#" class="text-red-600 hover:text-red-900"><i class="fas fa-trash-alt"></i></a>
</td>
</tr>
<tr>
<td class="px-6 py-4 whitespace-nowrap">
<div class="flex items-center">
<div class="flex-shrink-0 h-10 w-10 bg-indigo-100 rounded-full flex items-center justify-center">
<span class="text-indigo-600 font-medium">AS</span>
</div>
<div class="ml-4">
<div class="text-sm font-medium text-gray-900">Alice Smith</div>
</div>
</div>
</td>
<td class="px-6 py-4 whitespace-nowrap text-sm text-gray-500">alice.smith@example.com</td>
<td class="px-6 py-4 whitespace-nowrap text-sm text-gray-500">(555) 987-6543</td>
<td class="px-6 py-4 whitespace-nowrap text-sm text-gray-500">2023-05-14</td>
<td class="px-6 py-4 whitespace-nowrap text-sm font-medium">
<a href="#" class="text-indigo-600 hover:text-indigo-900 mr-3"><i class="fas fa-edit"></i></a>
<a href="#" class="text-red-600 hover:text-red-900"><i class="fas fa-trash-alt"></i></a>
</td>
</tr>
<tr>
<td class="px-6 py-4 whitespace-nowrap">
<div class="flex items-center">
<div class="flex-shrink-0 h-10 w-10 bg-indigo-100 rounded-full flex items-center justify-center">
<span class="text-indigo-600 font-medium">RJ</span>
</div>
<div class="ml-4">
<div class="text-sm font-medium text-gray-900">Robert Johnson</div>
</div>
</div>
</td>
<td class="px-6 py-4 whitespace-nowrap text-sm text-gray-500">robert.j@example.com</td>
<td class="px-6 py-4 whitespace-nowrap text-sm text-gray-500">(555) 456-7890</td>
<td class="px-6 py-4 whitespace-nowrap text-sm text-gray-500">2023-05-13</td>
<td class="px-6 py-4 whitespace-nowrap text-sm font-medium">
<a href="#" class="text-indigo-600 hover:text-indigo-900 mr-3"><i class="fas fa-edit"></i></a>
<a href="#" class="text-red-600 hover:text-red-900"><i class="fas fa-trash-alt"></i></a>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
</div>
</div>
</main>
<!-- Footer -->
<footer class="bg-gray-800 text-white py-8">
<div class="container mx-auto px-4">
<div class="grid grid-cols-1 md:grid-cols-4 gap-8">
<div>
<h3 class="text-lg font-semibold mb-4">DataEntryPro</h3>
<p class="text-gray-400">Efficient data management solution for businesses of all sizes.</p>
</div>
<div>
<h4 class="text-md font-semibold mb-4">Quick Links</h4>
<ul class="space-y-2">
<li><a href="#" class="text-gray-400 hover:text-white transition">Home</a></li>
<li><a href="#" class="text-gray-400 hover:text-white transition">Features</a></li>
<li><a href="#" class="text-gray-400 hover:text-white transition">Pricing</a></li>
<li><a href="#" class="text-gray-400 hover:text-white transition">Contact</a></li>
</ul>
</div>
<div>
<h4 class="text-md font-semibold mb-4">Support</h4>
<ul class="space-y-2">
<li><a href="#" class="text-gray-400 hover:text-white transition">Documentation</a></li>
<li><a href="#" class="text-gray-400 hover:text-white transition">FAQs</a></li>
<li><a href="#" class="text-gray-400 hover:text-white transition">Help Center</a></li>
<li><a href="#" class="text-gray-400 hover:text-white transition">Community</a></li>
</ul>
</div>
<div>
<h4 class="text-md font-semibold mb-4">Connect With Us</h4>
<div class="flex space-x-4">
<a href="#" class="text-gray-400 hover:text-white transition"><i class="fab fa-facebook-f"></i></a>
<a href="#" class="text-gray-400 hover:text-white transition"><i class="fab fa-twitter"></i></a>
<a href="#" class="text-gray-400 hover:text-white transition"><i class="fab fa-linkedin-in"></i></a>
<a href="#" class="text-gray-400 hover:text-white transition"><i class="fab fa-instagram"></i></a>
</div>
<div class="mt-4">
<p class="text-gray-400">Subscribe to our newsletter</p>
<div class="flex mt-2">
<input type="email" placeholder="Your email" class="px-3 py-2 bg-gray-700 text-white rounded-l focus:outline-none w-full">
<button class="bg-indigo-600 text-white px-4 rounded-r hover:bg-indigo-700 transition">
<i class="fas fa-paper-plane"></i>
</button>
</div>
</div>
</div>
</div>
<div class="border-t border-gray-700 mt-8 pt-6 text-center text-gray-400">
<p>© 2023 DataEntryPro. All rights reserved.</p>
</div>
</div>
</footer>
</div>
<!-- Success Modal -->
<div id="successModal" class="fixed inset-0 bg-black bg-opacity-50 flex items-center justify-center z-50 hidden">
<div class="bg-white rounded-xl p-8 max-w-md w-full mx-4 transform transition-all fade-in">
<div class="text-center">
<div class="mx-auto flex items-center justify-center h-12 w-12 rounded-full bg-green-100 mb-4">
<i class="fas fa-check text-green-600 text-xl"></i>
</div>
<h3 class="text-lg font-medium text-gray-900 mb-2">Success!</h3>
<p class="text-sm text-gray-500 mb-6">Your data has been successfully submitted.</p>
<div class="flex justify-center">
<button id="closeModal" type="button" class="px-6 py-2 bg-indigo-600 text-white rounded-lg hover:bg-indigo-700 transition">
Continue
</button>
</div>
</div>
</div>
</div>
<script>
// Form submission handling
document.getElementById('dataEntryForm').addEventListener('submit', function(e) {
e.preventDefault();
// Show success modal
document.getElementById('successModal').classList.remove('hidden');
// You would typically send the form data to a server here
// For demo purposes, we're just showing the success modal
});
// Close modal
document.getElementById('closeModal').addEventListener('click', function() {
document.getElementById('successModal').classList.add('hidden');
});
// Custom checkbox functionality
document.querySelectorAll('.custom-checkbox input').forEach(checkbox => {
checkbox.addEventListener('change', function() {
const checkmark = this.nextElementSibling;
if (this.checked) {
checkmark.querySelector('svg').classList.remove('hidden');
} else {
checkmark.querySelector('svg').classList.add('hidden');
}
});
});
// Responsive menu toggle (if needed)
// This would be used if we had a mobile menu in the future
function toggleMenu() {
// Menu toggle logic here
}
</script>
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