<div class="col-md-12  full min_ht">
<div class="col-md-9  text-center">


<h1 style="text-align:left;"><i class="fa fa-bars" aria-hidden="true"></i> <?php echo $heading ; ?></h1>
<div class="clr2"></div>

<div class="err_msg" >
<?php 
echo validation_errors(); 
echo $str; 
?>
</div>

<div class="col-md-12 text-left">

<form name="form1" method="post" action="" enctype="multipart/form-data">

<p>
<label>Order * </label><br>
<select name="order" class="form-control" style="width:auto;"  >
<option value="">-Select-</option>
<?php for($i=1;$i<=20;$i++): ?>
<option value="<?=$i?>" <?php if($i==$order){echo "selected";}?> ><?php echo $i ; ?></option>
<?php endfor; ?>
</select>
</p>


<p>
<label>Title *</label><br>
<input type="text" name="title" class="form-control" value="<?php echo $title ; ?>" />
</p>


<p>
<input name="submit" class="btn btn-lg btn-primary btn-block btn2" value="Submit" type="submit" style="width:150px;">
</p>

</form>

</div>

</div>
<div class="clr2"></div>
<div class="col-md-3 bord_lft">
</div>
</div>
