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<!-- Powered By - Dream Technology, Solapur. Contact No : +91 9595775120 Email ID - dream.technology@outlook.com --> <link href="vendor/bootstrap/css/bootstrap.min.css" rel="stylesheet"> <script src="vendor/jquery/jquery.min.js"></script> <script src="vendor/jquery/jquery.js"></script> <?php require_once("admin/lib/functions.php"); $db = new login_function(); $flag = 0; $department = ""; $course = ""; $concession = ""; $student_name = ""; $student_name_marathi = ""; $father_name = ""; $marital_status = ""; $aadhar_no = ""; $dob =""; $religion = ""; $caste = ""; $address = ""; $mobile_no = ""; $email_id = ""; //BA $ba_english = ""; $ba_democracy = ""; $ba_optional = ""; $ba_groupa = ""; $ba_groupb1 = ""; $ba_groupb2 = ""; $ba_groupb3 = ""; //B.A 2 $ba2_english =""; $ba2_environmental_science =""; $ba2_id_subject =""; $ba2_optional1 =""; $ba2_optional2 =""; $ba2_optional3 =""; $ba2_optional4 =""; $ba2_optional5 =""; $ba2_optional6 =""; $ba2_optional7 =""; $ba2_optional8 =""; //B.A 3 $ba3_english =""; $ba3_optional =""; // $board_name_10 =""; $school_name_10 =""; $passing_year_10=""; $exam_seat_no_10=""; $grade_10 =""; $out_of_10 =""; // $board_name_12 =""; $school_name_12 =""; $passing_year_12=""; $exam_seat_no_12=""; $grade_12 =""; $out_of_12 =""; // $board_name_121 =""; $school_name_121=""; $passing_year_121=""; $exam_seat_no_121=""; $grade_121 =""; $out_of_121 =""; // $gaurdian_name =""; $occupation_of_guradian = ""; $annual_income = ""; $succ_flag = 0; $subject_list=""; if(isset($_POST['contact_btn'])) { $department = $_POST['department']; $course = $_POST['course']; $concession = ""; $student_name = $_POST['student_name']; $student_name_marathi=$_POST['student_name_marathi']; $father_name = $_POST['father_name']; $marital_status = $_POST['marital_status']; $aadhar_no = $_POST['aadhar_no']; $dob = $_POST['dob']; $religion = $_POST['religion']; $caste = $_POST['caste']; $address = $_POST['address']; $mobile_no = $_POST['mobile_no']; $email_id = $_POST['email_id']; // $board_name_10 =$_POST['board_name_10']; $school_name_10 =$_POST['school_name_10']; $passing_year_10=$_POST['passing_year_10']; $exam_seat_no_10=$_POST['exam_seat_no_10']; $grade_10 =$_POST['grade_10']; $out_of_10 =$_POST['out_of_10']; // $board_name_12 =$_POST['board_name_12']; $school_name_12 =$_POST['school_name_12']; $passing_year_12=$_POST['passing_year_12']; $exam_seat_no_12=$_POST['exam_seat_no_12']; $grade_12 =$_POST['grade_12']; $out_of_12 =$_POST['out_of_12']; // /*$board_name_121 =$_POST['board_name_121']; $school_name_121=$_POST['school_name_121']; $passing_year_121=$_POST['passing_year_121']; $exam_seat_no_121=$_POST['exam_seat_no_121']; $grade_121 =$_POST['grade_121']; $out_of_121 =$_POST['out_of_121'];*/ $board_name_121 =""; $school_name_121=""; $passing_year_121=""; $exam_seat_no_121=""; $grade_121 =""; $out_of_121 =""; // $gaurdian_name = $_POST['gaurdian_name']; $occupation_of_guradian = $_POST['occupation_of_guradian']; $annual_income = $_POST['annual_income']; if(strlen($mobile_no)!=10) { ?> <script> alert("Enter 10 Digit Contact No"); </script> <?php $flag=1; } if(strlen($aadhar_no)!=12) { ?> <script> alert("Enter 12 Digit Aadhar No"); </script> <?php $flag=1; } if($flag == 0) { $aadhar_exist=$db->get_aadhar_no_exist_app_form($aadhar_no); if($aadhar_exist=="") { if($db->add_application_form($department,$course,$concession,$student_name,$student_name_marathi,$father_name,$marital_status,$aadhar_no,$dob,$religion,$caste,$address,$mobile_no,$email_id,$subject_list,$board_name_10,$school_name_10,$passing_year_10,$exam_seat_no_10,$grade_10,$out_of_10,$board_name_12,$school_name_12,$passing_year_12,$exam_seat_no_12,$grade_12,$out_of_12,$board_name_121,$school_name_121,$passing_year_121,$exam_seat_no_121,$grade_121,$out_of_121,$gaurdian_name,$occupation_of_guradian,$annual_income)) { $succ_flag = 1; $department = ""; $course = ""; $concession = ""; $student_name = ""; $student_name_marathi = ""; $father_name = ""; $marital_status = ""; $aadhar_no = ""; $dob =""; $religion = ""; $caste = ""; $address = ""; $mobile_no = ""; $email_id = ""; //BA $ba_english = ""; $ba_democracy = ""; $ba_optional = ""; $ba_groupa = ""; $ba_groupb1 = ""; $ba_groupb2 = ""; $ba_groupb3 = ""; //B.A 2 $ba2_english =""; $ba2_environmental_science =""; $ba2_id_subject =""; $ba2_optional1 =""; $ba2_optional2 =""; $ba2_optional3 =""; $ba2_optional4 =""; $ba2_optional5 =""; $ba2_optional6 =""; $ba2_optional7 =""; $ba2_optional8 =""; //B.A 3 $ba3_english =""; $ba3_optional =""; // $board_name_10 =""; $school_name_10 =""; $passing_year_10=""; $exam_seat_no_10=""; $grade_10 =""; $out_of_10 =""; // $board_name_12 =""; $school_name_12 =""; $passing_year_12=""; $exam_seat_no_12=""; $grade_12 =""; $out_of_12 =""; // $board_name_121 =""; $school_name_121=""; $passing_year_121=""; $exam_seat_no_121=""; $grade_121 =""; $out_of_121 =""; // $gaurdian_name =""; $occupation_of_guradian = ""; $annual_income = ""; $subject_list=""; } } else { $succ_flag = 2; } } } ?> <DOCTYPE html> <html> <head> <link href="css/style.css" rel="stylesheet" type="text/css" media="all" /> <link href='http://fonts.googleapis.com/css?family=Montserrat+Alternates' rel='stylesheet' type='text/css'> <title>Laxmibai Bhaurao Patil Mahila Mahavidyalaya</title> <link rel="stylesheet" type="text/css" href="css/stylesheet.css"/> </head> <body> <?php require_once("lib/header.php"); ?> <style> .tab_data { background:#E91546; font-weight:bold; font-size:16px; color:white; border-right:0px solid black; } tr td { padding:10px; border:0px solid black; text-align:left; } th { padding:10px; } label { text-align:left !important; } .tr1 { text-align:left !important; } .order_txt { height:40px; width:100%; border-radius:7px; } </style> <div name="tab_container"> <div class="main_container" style="min-height:1000px;"> <div class="page_highlighter" style="background:orange">Junior College Application form</div> <?php //require_once("highlights.php"); ?> <div class="data_container" style="margin-top:10px; min-height:1000px;"> <form method="post" action="<?php echo $_SERVER['PHP_SELF']; ?>" autocomplete="OFF"> <table border="0"> <tr> <td class="msg" colspan=2> <?php if($succ_flag==1) { ?> <script> alert("Success !Record Added Successfully..."); </script> <!--<div class="alert alert-success"> <span class="alert-link">Success ! </span> Record Added Successfully... </div>--> <?php } if($succ_flag==2) { ?> <script> alert("Sorry !You are Alerady Filled Details..."); </script> <!--<div class="alert alert-danger"> <span class="alert-link">Sorry ! </span> You are Alerady Filled Details... </div> --> <?php } ?> </td> </tr> <tr style="height:20px;"> <td></td> </tr> <tr class="tr1"> <td> <label>Name Of the Department</label> </td> <td> <input type="radio" name="department" class="department" value="Commerce" <?php if($department=="" OR $department=="Commerce") { ?> Checked <?php } ?>>Commerce <input type="radio" name="department" class="department" value="Arts" <?php if( $department=="Arts") { ?> Checked <?php } ?>>Arts <input type="radio" name="department" class="department" value="Science" <?php if( $department=="Science") { ?> Checked <?php } ?>>Science <br /> </td> </tr> <tr class="tr1"> <td> <label>Name Of The Faculty</label> </td> <td> <input type="radio" id="ba1" name="course" value="11" <?php if($course==""OR $course=="11") { ?> Checked <?php } ?>>11 <input type="radio" id="ba2" name="course" value="12" <?php if( $course=="12") { ?> Checked <?php } ?> >12 </td> </tr> <tr class="tr1"> <td> <label>Name of the Student </label> </td> <td> <input type="textbox" class="order_txt" name="student_name" id="txtname" value="<?php echo $student_name;?>" required> </td> </tr> <tr class="tr1"> <td> <label>Name of the Student ( In Marathi) </label> </td> <td> <input type="textbox" class="order_txt" name="student_name_marathi" id="txtname" value="<?php echo $student_name_marathi;?>" required> </td> </tr> <tr class="tr1"> <td> <label>Name of the Father/Husband </label> </td> <td> <input type="textbox" class="order_txt" name="father_name" id="txtcno" value="<?php echo $father_name;?>" required> </td> </tr> <tr class="tr1"> <td> <label>Marital Status </label> </td> <td> <input type="radio" name="marital_status" value="Married" <?php if($marital_status=='Married') { ?> Checked <?php } ?>>Married <input type="radio" name="marital_status" value="Unmarried" <?php if($marital_status=='Unmarried' OR $marital_status=="" ) { ?> Checked <?php } ?>>Unmarried<br /> </td> </tr> <tr class="tr1"> <td> <label>Adhar Card No </label> </td> <td> <input type="number" class="order_txt" name="aadhar_no" id="txtcno" value="<?php echo $aadhar_no;?>" required > </td> </tr> <tr class="tr1"> <td> <label>Date of Birth </label> </td> <td> <input type="date" class="order_txt" name="dob" id="txtcno" value="<?php echo $dob;?>" required > </td> </tr> <tr class="tr1"> <td> <label>Religion </label> </td> <td> <input type="textbox" class="order_txt" name="religion" id="txtcno" value="<?php echo $religion;?>" required> </td> </tr> <tr class="tr1"> <td> <label>Caste </label> </td> <td> <input type="textbox" class="order_txt" name="caste" id="txtcno" value="<?php echo $caste;?>" required> </td> </tr> <tr class="tr1"> <td> <label>Address for Corresepondence </label> </td> <td> <input type="textbox" class="order_txt" name="address" id="txtcno" value="<?php echo $address;?>" required> </td> </tr> <tr class="tr1"> <td> <label>Mobile No </label> </td> <td> <input type="number" class="order_txt" name="mobile_no" id="txtcno" value="<?php echo $mobile_no;?>" required> </td> </tr> <tr class="tr1"> <td> <label>Email Id </label> </td> <td> <input type="email" class="order_txt" name="email_id" id="txtcno" value="<?php echo $email_id;?>" required> </td> </tr> </table> <table border="1" class="table table-bordered"> <tr class="tr1"><label>Education Details</label></tr> <tr> <td>Name Of Exam.</td> <td>Name of Board or University</td> <td>Name of School or College</td> <td>Month & year of Passing</td> <td>Exam. Seat No</td> <td>Grade /Total Marks Obtained </td> <td>Out of</td> </tr> <tr class="tr1" style="border:1px solid black;"> <td>10th</td> <td><input type="textbox" class="order_txt" name="board_name_10" id="txtcno" value="<?php echo $board_name_10;?>" required></td> <td><input type="textbox" class="order_txt" name="school_name_10" id="txtcno" value="<?php echo $school_name_10;?>" required></td> <td><input type="textbox" class="order_txt" name="passing_year_10" id="txtcno" value="<?php echo $passing_year_10;?>" required></td> <td><input type="textbox" class="order_txt" name="exam_seat_no_10" id="txtcno" value="<?php echo $exam_seat_no_10;?>" required></td> <td><input type="textbox" class="order_txt" name="grade_10" id="txtcno" value="<?php echo $grade_10;?>" required> </td> <td><input type="textbox" class="order_txt" name="out_of_10" id="txtcno" value="<?php echo $out_of_10;?>" required></td> </tr> <tr class="tr1 show_tr " style="border:1px solid black; display:none; "> <td>11th</td> <td><input type="textbox" class="order_txt" name="board_name_12" id="txtcno" value="<?php echo $board_name_12;?>" ></td> <td><input type="textbox" class="order_txt" name="school_name_12" id="txtcno" value="<?php echo $school_name_12;?>" ></td> <td><input type="textbox" class="order_txt" name="passing_year_12" id="txtcno" value="<?php echo $passing_year_12;?>" ></td> <td><input type="textbox" class="order_txt" name="exam_seat_no_12" id="txtcno" value="<?php echo $exam_seat_no_12;?>" ></td> <td><input type="textbox" class="order_txt" name="grade_12" id="txtcno" value="<?php echo $grade_12;?>" > </td> <td><input type="textbox" class="order_txt" name="out_of_12" id="txtcno" value="<?php echo $out_of_12;?>" ></td> </tr> <!--<tr class="tr1" style="border:1px solid black;"> <td>Other</td> <td><input type="textbox" class="order_txt" name="board_name_121" id="txtcno" value="<?php echo $board_name_121;?>" ></td> <td><input type="textbox" class="order_txt" name="school_name_121" id="txtcno" value="<?php echo $school_name_121;?>" ></td> <td><input type="textbox" class="order_txt" name="passing_year_121" id="txtcno" value="<?php echo $passing_year_121;?>" ></td> <td><input type="textbox" class="order_txt" name="exam_seat_no_121" id="txtcno" value="<?php echo $exam_seat_no_121;?>" ></td> <td><input type="textbox" class="order_txt" name="grade_121" id="txtcno" value="<?php echo $grade_121;?>" > </td> <td><input type="textbox" class="order_txt" name="out_of_121" id="txtcno" value="<?php echo $out_of_121;?>" ></td> </tr>--> </table> <table> <tr> <td>Name of Guardian</td> <td> <input style="width:100% !important;" type="textbox" class="order_txt" name="gaurdian_name" id="txtcno" value="<?php echo $gaurdian_name;?>" required> </td> </tr> <tr> <td>Occupation of Guardian</td> <td> <input type="radio" name="occupation_of_guradian" value="Service" <?php if($occupation_of_guradian=="" OR $occupation_of_guradian=="Service" ) { ?> Checked <?php } ?>> Service <input type="radio" name="occupation_of_guradian" value="Business" <?php if($occupation_of_guradian=="Business" ) { ?> Checked <?php } ?> >Business <input type="radio" name="occupation_of_guradian" value="Farmer" <?php if($occupation_of_guradian=="Farmer" ) { ?> Checked <?php } ?> >Farmer <input type="radio" name="occupation_of_guradian" value="Profession" <?php if($occupation_of_guradian=="Profession" ) { ?> Checked <?php } ?> >Profession <input type="radio" name="occupation_of_guradian" value="Laborer" <?php if($occupation_of_guradian=="Laborer" ) { ?> Checked <?php } ?> >Laborer <input type="radio" name="occupation_of_guradian" value="Retired" <?php if($occupation_of_guradian=="Retired" ) { ?> Checked <?php } ?> >Retired </td> </tr> <tr> <td>Annual Income of Guardian </td> <td> <input type="textbox" class="order_txt" name="annual_income" id="txtcno" value="<?php echo $annual_income;?>" required> </td> </tr> </table> <table> <tr class="tr1"> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td class="order_btn_contnr"> <input type="submit" value="Submit Details" name="contact_btn" class="btn btn-primary"> </td> </tr> <tr> <td></td> </tr> </table> </form> </div> </div> </div> </div> <?php //require_once("lib/footer.php"); ?> <script src="vendor/jquery/jquery.min.js"></script> <script src="vendor/jquery/jquery.js"></script> <script> $(document).ready(function(){ $(".department").change(function(){ if($(this).val()=="Commerce") { $(".ba_degree").hide(); $(".bcom_degree").show(); } else { $(".ba_degree").show(); $(".bcom_degree").hide(); } }); $("#ba1").change(function(){ $(".show_tr").hide(); }); $("#ba2").change(function(){ $(".show_tr").show(); }); }); </script> </body> </html>
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