diff --git a/resources/views/form/rapport-arise/1793873536-4dbb58cb-76ad-4e4e-b395-5ff6ff6203e9.blade.php b/resources/views/form/rapport-arise/1793873536-4dbb58cb-76ad-4e4e-b395-5ff6ff6203e9.blade.php
index 09577ebf..a1c0e14e 100644
--- a/resources/views/form/rapport-arise/1793873536-4dbb58cb-76ad-4e4e-b395-5ff6ff6203e9.blade.php
+++ b/resources/views/form/rapport-arise/1793873536-4dbb58cb-76ad-4e4e-b395-5ff6ff6203e9.blade.php
@@ -325,40 +325,80 @@
                 $('#field-eptus_extended_sep,#field-eptus_extended_oct,#field-eptus_extended_nov,#field-sitazit_dm_sept,#field-sitazit_d_dm_oct,#field-sitazit_d_dm_gimmick_nov,#field-lobg_trial_sep,#field-lobg_isp_oct,#field-lobg_nov26,#field-ziten_lbl_sept,#field-ziten_lbl_oct,#field-ziten_lbl_nov').prop('required',false);
             }
         })
+
+        $('#field-eptus_extended_sep').on('change',function(){
+            
+            $('#report-form').append('<input type="hidden"  name="eptus_extended_sep" value="1">');
+        })
+
+        $('#field-eptus_extended_oct').on('change',function(){
+            
+            $('#report-form').append('<input type="hidden" class="dynamic-hidden" name="eptus_extended_oct" value="1">');
+        })
+
+        $('#field-eptus_extended_nov').on('change',function(){
+             
+            $('#report-form').append('<input type="hidden" class="dynamic-hidden" name="field-eptus_extended_nov" value="1">');
+        })
+
+
+        $('#field-sitazit_dm_sept').on('change',function(){
+             
+            $('#report-form').append('<input type="hidden" class="dynamic-hidden" name="sitazit_dm_sept" value="1">');
+        })
+
+        $('#field-sitazit_d_dm_oct').on('change',function(){
+            
+            $('#report-form').append('<input type="hidden" class="dynamic-hidden" name="sitazit_d_dm_oct" value="1">');
+        })
+
+        $('#field-sitazit_d_dm_gimmick_nov').on('change',function(){
+            
+            $('#report-form').append('<input type="hidden"  name="sitazit_d_dm_gimmick_nov" value="1">');
+        })
+        
+
+        $('#field-lobg_trial_sep').on('change',function(){
+             
+            $('#report-form').append('<input type="hidden"  name="lobg_trial_sep" value="1">');
+        })
+
+        $('#field-lobg_isp_oct').on('change',function(){
+             
+            $('#report-form').append('<input type="hidden"  name="lobg_isp_oct" value="1">');
+        })
+
+        $('#field-lobg_nov26').on('change',function(){
+             
+            $('#report-form').append('<input type="hidden"  name="lobg_nov26" value="1">');
+        })
+
+
+        $('#field-ziten_lbl_sept').on('change',function(){
+             
+            $('#report-form').append('<input type="hidden"  name="ziten_lbl_sept" value="1">');
+        })
+
+        $('#field-ziten_lbl_oct').on('change',function(){
+             
+            $('#report-form').append('<input type="hidden"  name="ziten_lbl_oct" value="1">');
+        })
+
+        $('#field-ziten_lbl_nov').on('change',function(){
+            
+            $('#report-form').append('<input type="hidden"  name="ziten_lbl_nov" value="1">');
+        })
+
          
         
 
-        $('#field-file_upload').on('change', function () {
-            let file = this.files[0];
-
-            if (file) {
-                let allowedTypes = ['image/png', 'image/jpg', 'image/jpeg'];
-                let maxSize = 10 * 1024 * 1024; // 10 MB
-
-                // Type validation
-                if (!allowedTypes.includes(file.type)) {
-                    alert('Only PNG, JPG, and JPEG files are allowed.');
-                    $(this).val('');
-                    return;
-                }
-
-                // Size validation
-                if (file.size > maxSize) {
-                    alert('File size should not exceed 10 MB.');
-                    $(this).val('');
-                    return;
-                }
-            }
-        });
+        
 
         $(document).ready(function () {
             $('#field-contact_id').trigger('change');
         });
 
-        $('#field-city,#field-state,#field-departmental_head_name').on('input', function () {
-            this.value = this.value.replace(/[^a-zA-Z\s]/g, '');
-        });
-            
+        
 
         $('#report-form').on('submit', function(event){
             event.preventDefault();
@@ -367,6 +407,8 @@
             for (let [key, value] of formData.entries()) {
                 console.log(key, value);
             }
+
+
             $("#pageloader").fadeIn();
             $.ajax({
                 type: "POST",