itflow/client_domain_edit_modal.php

<div class="modal" id="editDomainModal" tabindex="-1">
  <div class="modal-dialog">
    <div class="modal-content bg-dark">
      <div class="modal-header">
        <h5 class="modal-title"><i class="fa fa-fw fa-globe"></i><span id="editHeader"></span></h5>
        <button type="button" class="close text-white" data-dismiss="modal">
          <span>&times;</span>
        </button>
      </div>
      <form action="post.php" method="post" autocomplete="off">
        <input type="hidden" name="domain_id" value="" id="editDomainId">
        <div class="modal-body bg-white">

          <ul class="nav nav-pills nav-justified mb-3">
            <li class="nav-item">
              <a class="nav-link active" data-toggle="pill" href="#pills-overview">Overview</a>
            </li>
            <li class="nav-item">
              <a class="nav-link" data-toggle="pill" href="#pills-records">Records</a>
            </li>
          </ul>

          <hr>

          <div class="tab-content">

            <div class="tab-pane fade show active" id="pills-overview">

              <div class="form-group">
                <label>Domain Name <strong class="text-danger">*</strong></label>
                <div class="input-group">
                  <div class="input-group-prepend">
                    <span class="input-group-text"><i class="fa fa-fw fa-globe"></i></span>
                  </div>
                  <input type="text" class="form-control" name="name" id="editDomainName" placeholder="Domain name example.com" value="" required>
                </div>
              </div>

              <div class="form-group">
                <label>Domain Registrar</label>
                <div class="input-group">
                  <div class="input-group-prepend">
                    <span class="input-group-text"><i class="fa fa-fw fa-server"></i></span>
                  </div>
                  <select class="form-control select2" name="registrar" id="editRegistrarId">
                  </select>
                </div>
              </div>

              <div class="form-group">
                <label>Webhost</label>
                <div class="input-group">
                  <div class="input-group-prepend">
                    <span class="input-group-text"><i class="fa fa-fw fa-server"></i></span>
                  </div>
                  <select class="form-control select2" name="webhost" id="editWebhostId">
                  </select>
                </div>
              </div>

              <div class="form-group">
                <label>Expire Date</label>
                <div class="input-group">
                  <div class="input-group-prepend">
                    <span class="input-group-text"><i class="fa fa-fw fa-calendar"></i></span>
                  </div>
                  <input type="date" class="form-control" id="editExpire" name="expire">
                </div>
              </div>

            </div>

            <div class="tab-pane fade" id="pills-records">

              <div class="form-group">
                <label>Domain IP(s)</label>
                <div class="input-group">
                  <div class="input-group-prepend">
                    <span class="input-group-text"><i class="fa fa-fw fa-project-diagram"></i></span>
                  </div>
                  <textarea class="form-control" id="editDomainIP" name="domain_ip" rows="1" disabled></textarea>
                </div>
              </div>

              <div class="form-group">
                <label>Name Servers</label>
                <div class="input-group">
                  <div class="input-group-prepend">
                    <span class="input-group-text"><i class="fa fa-fw fa-crown"></i></span>
                  </div>
                  <textarea class="form-control" id="editNameServers" name="name_servers" disabled></textarea>
                </div>
              </div>


              <div class="form-group">
                <label>MX Records</label>
                <div class="input-group">
                  <div class="input-group-prepend">
                    <span class="input-group-text"><i class="fa fa-fw fa-mail-bulk"></i></span>
                  </div>
                  <textarea class="form-control" id="editMailServers" name="mail_servers" rows="1" disabled></textarea>
                </div>
              </div>

              <div class="form-group">
                <label>Raw WHOIS</label>
                <div class="input-group">
                  <div class="input-group-prepend">
                    <span class="input-group-text"><i class="fa fa-fw fa-search-plus"></i></span>
                  </div>
                  <textarea class="form-control" id="editRawWhois" name="raw_whois" rows="8" disabled></textarea>
                </div>
              </div>

            </div>

          </div>

        </div>
        <div class="modal-footer bg-white">
          <button type="button" class="btn btn-secondary" data-dismiss="modal">Cancel</button>
          <button type="submit" name="edit_domain" class="btn btn-primary">Save</button>
        </div>
      </form>
    </div>
  </div>
</div>