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Code Editor : persnal_det.html
<div style = "border:1px solid black;background-color:skyblue;height:35px;text-align:center"> <h4><b>Personal Details ವೈಯಕ್ತಿಕ ವಿವರಗಳು</b></h4> </div> <div class="" style = 'border:1px solid black;padding-left:10px;width:100%;height:100%;'><br> <div > <div class="row mb40"> <div class="col-md-3 mb5"> Name (as per your matriculation certificate) <br>ಅಭ್ಯರ್ಥಿಯ ಹೆಸರು </div> <div class="col-md-4 mb5"> <input type="text" class="form-control1" id="T1" maxlength= "100" title = "Name" placeholder="Name"> </div> </div> <div class="row mb40"> <div class="col-md-3 mb5"> Father's Name <br> ತಂದೆಯ ಹೆಸರು </div> <div class="col-md-4 mb5"> <input type="text" class="form-control1" id="T5" maxlength= "100" title = "Father's Name" placeholder="Father's Name"> </div> </div> <div class="row mb40"> <div class="col-md-3 mb5"> Mother's Name <br> ತಾಯಿಯ ಹೆಸರು </div> <div class="col-md-4 mb5"> <input type="text" class="form-control1" id="T6" maxlength= "100" title = "Mother's Name" placeholder="Mother's Name"> </div> </div> <div class="row mb40" > <div class="col-md-3 mb5"> Date of Birth <br> ಜನ್ಮ ದಿನಾಂಕ </div> <div class="col-md-2 mb5"> <input type="text" class="form-control1" id="T2" maxlength= "10" onkeypress="return acceptNumbersOnlyForModule(event);" title = 'Date of Birth in "dd/mm/yyyy" Format' onchange = 'getage()' placeholder="DD/MM/YYYY" onkeyup = "dmydateformat(event,this.id);"> </div> </div> <div class="row mb40"> <div class="col-md-3 mb5"> Age as on Closing Date of Advt. <br>ವಯಸ್ಸು </div> <div class="col-md-1 mb3"> <input type="text" class="form-control1" id="T3" maxlength= "2" title = "Age as on date of advertisement" disabled placeholder="Advertisement"> </div> </div> <div class="row mb40"> <div class="col-md-3 mb5"> Place of Birth <br> ಹುಟ್ಟಿದ ಸ್ಥಳ </div> <div class="col-md-2 mb5"> <input type="text" class="form-control1" id="T4" maxlength= "20" title = "Place of Birth" placeholder="Place of Birth"> </div> </div> <div class="row mb40"> <div class="col-md-3 mb5"> Religion <br> ಧರ್ಮ </div> <div class="col-md-2 mb5"> <input type="text" class="form-control1" id="T7" maxlength= "10" title = "Religion" placeholder="Religion"> </div> </div> <div class="row mb40"> <div class="col-md-3 mb5"> Nationality <br> ರಾಷ್ಟ್ರೀಯತೆ </div> <div class="col-md-2 mb5"> <input type="text" class="form-control1" id="T8" maxlength= "10" title = "Nationality" placeholder="Nationality"> </div> </div> <div class="row mb40"> <div class="col-md-3 mb5"> Gender <br> ಲಿಂಗ </div> <div class="col-md-2 mb5"> <select class="form-control1" id="T9" title = "Gender" > <option value = "Male">Male</option> <option value = "Female">Female</option> <option value = "Other">Other</option> </select> </div> </div> <div class="row mb40"> <div class="col-md-3 mb5" style="margin-top:8px;"> Category <br> ವರ್ಗ </div> <div class="col-md-2 mb5"> <select class="form-control1" id="S3" title = "Category" style="margin-top:8px;"></select> </div> </div> <div class="row mb40"> <div class="col-md-3 mb5" > Marital Status <br> ವೈವಾಹಿಕ ಜೀವನ </div> <div class="col-md-2 mb5"> <select class="form-control1" id="T11" title = "Martial Status"> <option value = "Unmarried">Unmarried</option> <option value = "Married">Married</option> <option value = "Widowed">Widowed</option> <option value = "Diverse">Divorced</option> </select> </div> </div> <div class="row mb40"> <div class="col-md-3 mb5" > Are you physically challenged? <br> ನೀವು ಅಂಗವೈಕಲ್ಯ ಹೊಂದಿರುವ ವ್ಯಕ್ತಿಯೇ? </div> <input type="radio" name="fqualify" id="T12" title = "physical challenged,indicate" onclick="enableappeared(this.id)" value="T" onclick="enableappeared(this.value)" /> <td class="col-md-2 mb5">Yes <input type="radio" name="fqualify" id="T13" checked="checked" onclick="enableappeared(this.id)" value="F"/> No </td> </div> <div id = "TDISABILITY" class="row mb40"> <div class="col-md-3 mb5" > If yes, enter type of disability </div> <div class="col-md-3 mb6"> <input type="text" class="form-control1" id="T14" title = "Type of Disability" placeholder=""> </div> </div> <div id = "PDISABILITY" class="row mb40"> <div class="col-md-3 mb5" > Percentage of disability </div> <div class="col-md-2 mb5"> <input type="text" class="form-control1" id="T15" style = 'width:80px;' title = "Percentage of Disability" onkeypress="return acceptNumbersOnlyForModule(event);" maxlength = '3' placeholder=""> % </div> </div> <div class="row mb40"> <div class="col-md-3 mb5" > Address for Correspondence <br> ಪತ್ರ ವ್ಯವಹಾರ ವಿಳಾಸ </div> <div class="col-md-2 mb5"> <input type='text' maxlength='50' id='T16' title = "Address for Correspondence" style="width:280px; padding:2px;" /><br> <input type='text' maxlength='50' id='T17' title = "Address for Correspondence" style="width:280px; padding:2px;" /><br> <input type='text' maxlength='50' id='T18' title = "Address for Correspondence" style="width:280px; padding:2px;" /><br> <input type='text' maxlength='50' id='T19' title = "Address for Correspondence" style="width:280px; padding:2px;" /><br> <p>Click on checkbox if your permanent address is same as Address for Correspondence <input type = 'checkbox' onclick = "getaddress()" style = '"display: inline-block;vertical-align: middle;cursor: pointer;background: #fff;border: 1px solid #888;padding: 1px;height: 20px;width: 20px;"'></p> </div> </div> <div class="row mb40"> <div class="col-md-3 mb5" > Permanent Address <br> ಶಾಶ್ವತ ವಿಳಾಸ </div> <div class="col-md-2 mb5"> <input type='text' maxlength='50' id='T20' title = "Permanent Address" style="width:280px; padding:2px;" /><br> <input type='text' maxlength='50' id='T21' title = "Permanent Address" style="width:280px; padding:2px;" /><br> <input type='text' maxlength='50' id='T22' title = "Permanent Address" style="width:280px; padding:2px;" /><br> <input type='text' maxlength='50' id='T23' title = "Permanent Address" style="width:280px; padding:2px;" /><br> </div> </div> <div class="row mb40"> <div class="col-md-3 mb5" > Email Id <br> ಇಮೇಲ್ </div> <div class="col-md-4 mb5"> <input type="text" class="form-control1" id="T24" title = "Email Id" maxlength = '50' placeholder="Email Id"> </div> </div> <div class="row mb40"> <div class="col-md-3 mb5" > Aadhar No. <br> ಆಧಾರ್ ಸಂಖ್ಯೆ </div> <div class="col-md-4 mb5"> <input type="text" class="form-control1" id="T90" title = "Aadhar No." onkeypress="return acceptNumbersOnlyForModule(event);" maxlength = '12' placeholder="Aadhar No."> </div> </div> <div class="row mb40"> <div class="col-md-3 mb5" > Phone No. <br> ದೂ.ಸಂಖ್ಯೆ </div> <div class="col-md-3 mb5"> <input type="text" class="form-control1" id="T25" title = "Phone No." onkeypress="return acceptNumbersOnlyForModule(event);" maxlength = '15' placeholder="Phone No."> </div> </div> <div class="row mb40"> <div class="col-md-3 mb5" > Mobile No. <br> ಮೊಬೈಲ್ ಸಂಖ್ಯೆ </div> <div class="col-md-3 mb5"> <input type="text" class="form-control1" id="T26" title = "Mobile No." onkeypress="return acceptNumbersOnlyForModule(event);" maxlength = '12' placeholder="Mobile No."> </div> </div> <div style = "margin-left:2px;" class="row mb40"> <div> <h5>Languages Known <br> ಭಾಷೆಗಳ ವಿವರ</h5> </div> <table class="table table-bordered" id="languageknowntable" style="width:50%"> <thead> <tr> <th style="width: 30%;">Language <br> ಭಾಷೆಗಳು</th> <th style="width: 10%;">Read <br> ಓದುವಿಕೆ</th> <th style="width: 10%;">Write <br> ಬರವಣಿಗೆ</th> <th style="width: 10%;">Speak <br> ಮಾತನಾಡುವಿಕೆ</th> <th style="width: 5%;">Del.</th> </tr> </thead> <tbody id = "lanknown"> <tr> <td><input type="text" id = "1HT1" class="form-control1" name ="language"/></td> <td><input type="checkbox" id = "1HT2" class="form-control1" /></td> <td><input type="checkbox" id = "1HT3" class="form-control1" /></td> <td><input type="checkbox" id = "1HT4" class="form-control1" /></td> <td><input type="hidden" id = "1HT5" class="form-control1"/></td> </tr> </tbody> </table> <div style="margin-left:"> <button onclick ="addlanguagesdet()" class="btn btn_3 btn-lg btn-info" >Click to add more language Fields +</button> </div> </div> <div class="row mb40"> <div class="col-md-10 mb5"> <center> <button type="submit" class="btn btn_3 btn-lg btn-info" onclick="savepersonaldetails()">Submit</button> </center> </div> </div> </div> </div>
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