کد PHP:
	
<?php
    session_start();
    require("dbConnect.php"); 
?>
<?php
  if (isset($_POST['action']))
  {
    $action = addslashes($_POST['action']);
    $subject = addslashes($_POST['subject']);
    $person = addslashes($_POST['person']);
    $text = addslashes($_POST['text']);
    if ($action == 'new')
    {
      $sql = "INSERT INTO `shekayat`(`subject`,`text`,`person`)"
             ."VALUES('$subject','$text','$person')";
      mysql_query($sql);
      $id = mysql_insert_id();
      $uploaddir = 'pic/';
      
      $path = $_FILES['pic']['name'];
      $file_ext = pathinfo($path, PATHINFO_EXTENSION);
      
      if ($file_ext=='gif') {
         $uploadfile = $uploaddir . $id . '.gif';
      } 
      elseif ($file_ext=='zip') 
      {
         $uploadfile = $uploaddir . $id . '.zip';
      } 
      elseif ($file_ext=='rar') 
      {
         $uploadfile = $uploaddir . $id . '.rar';
      } 
      else 
      {
       die ("<br><br>پسوند مجاز نیست<br><br>$file_ext");
      } 
      
      !move_uploaded_file($_FILES['pic']['tmp_name'], $uploadfile);
      header('Location: shekayat.php');
    }
  }
?>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN"
    "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
    <link rel="stylesheet" type="text/css" href="style.css" />
    <meta  http-equiv="content-type" content="text/html;  charset=utf-8" />
    <title>سايت تاکسیرانی</title>
    <style type="text/css">
.auto-style1 {
    font-family: Tahoma;
}
</style>
</head>
<body style="background-image: url('pic/Abstract%20Green%20Wallpaper.jpg')">
    <div id="main">
        <div id="banner">
            <img alt="" height="132" src="pic/banner.jpg" width="751"></div>
        <?php
          require("menu.php");
        ?>
        <div id="rbody">
          <form action="#" method="post" enctype="multipart/form-data">
            <input type="hidden" name="action" value="new" />
            <table>
                <tr>
                    <td>موضوع شکايت/تشویق</td>
                    <td>
                    <input name="subject" type="text" value="" class="auto-style1" /> </td>
                </tr>
                <tr>
                    <td>نام شخص</td>
                    <td>
                    <input name="person" type="text" value="" class="auto-style1" /> </td>
                </tr>
                <tr>
                    <td>متن</td>
                    <td><textarea name="text" class="auto-style1" ></textarea> </td>
                </tr>
                <tr>
                    <td>تصوير</td>
                    <input type="hidden" name="MAX_FILE_SIZE" value="30000" />
                    <td><input name="pic" type="file" class="auto-style1"/> </td>
                </tr>
                <tr>
                    <td colspan="2">
                        <input type="submit" value="ثبت" class="auto-style1" />
                        <input type="reset" value="پاک" class="auto-style1" />
                    </td>
                </tr>
            </table>
          </form>
        </div>
    </div>
</body>
</html>