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Code Editor : application.html
<div class="row clearfix" id = "personal_det"> <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"> <div class="card"> <div class="header boder-top"> <span class="pull-right"> <b>Step 1 of 3</b></span> <h2>Personal Information</h2> </div> <div class="body" id="body"> <span style="display: none;color : red;" id = "verify_app"><center><h4>Verify Your Application</h4></center></span> <div class="field"> <div class="col-md-5"> <span id="regno"></span> <b>Full Name<span style="color: red;">*</span></b> <div class="form-group1 p-b-20"> <span class='fieldError' id="studname_err"> Name is Required </span> <div class="form-line1"> <input type="text" id="studname" class="form-control date" placeholder="Full Name" maxlength="60" onkeypress="return charKeydown(event);" style="text-transform: uppercase" autocomplete="off"> </div> </div> <b>Name of the Father/Guardian<span style="color: red;">*</span></b> <div class="form-group1 p-b-20"> <span class='fieldError' id="fatname_err"> Father Name is Required </span> <div class="form-line1"> <input type="text" id="fatname" class="form-control date" placeholder="Father's Name" maxlength="60" onkeypress="return charKeydown(event);" style="text-transform: uppercase" autocomplete="off"> </div> </div> <b>Religion<span style="color: red;">*</span></b> <div class="form-group1 p-b-20"> <span class='fieldError' id="religion_err"> Religion is Required </span> <div class="form-line1"> <input type="text" id="religion" class="form-control date" placeholder="Religion" maxlength="20" onkeypress="return charKeydown(event);" style="text-transform: uppercase" autocomplete="off"> </div> </div> <b>Category<span style="color: red;">*</span></b> <span class='fieldError' id="category_err"> Select category </span> <div class="p-b-20"> <select id="category" class="form-control"> </select> </div> <b>Gender<span style="color: red;">*</span></b> <span class='fieldError' id="gender_err"> Select Gender </span> <div class="demo-radio-button p-b-20" id="gender"> <input name="gender" type="radio" value="M" id="radio_1" autocomplete="off"/> <label for="radio_1">Male</label> <input name="gender" type="radio" id="radio_2" value="F" autocomplete="off"/> <label for="radio_2">Female</label> <input name="gender" type="radio" id="radio_3" value="T" autocomplete="off"/> <label for="radio_3">Transgender</label> </div> <b>Handicap<span style="color: red;">*</span></b> <span class='fieldError' id="handicap_err"> Select handicap or not </span> <div class="demo-radio-button p-b-20" id="handicap"> <input name="handicap" type="radio" id="radio_4" value="NONE" autocomplete="off"/> <label for="radio_4">None</label> <input name="handicap" type="radio" id="radio_5" value="PHC" autocomplete="off"/> <label for="radio_5">PHC</label> <input name="handicap" type="radio" id="radio_6" value="VHC" autocomplete="off"/> <label for="radio_6">VHC</label> </div> <b>Nationality<span style="color: red;">*</span></b> <span class='fieldError' id="nationality_err"> Select your nationality </span> <div class="demo-radio-button p-b-20" id="nationality"> <input name="nationality" type="radio" id="INDIAN" value="INDIAN" autocomplete="off"/> <label for="INDIAN">Indian</label> <input name="nationality" type="radio" id="OTHERS" value="OTHERS" autocomplete="off"/> <label for="OTHERS">Others</label> </div> <span id='finstn' style="display: none;color: red;"><p>Contact University office with all necessary documents for verification</p></span> <div class="col-md-8 m-l--15"> <b>Date Of Birth<span style="color: red;">*</span></b> <div class="form-group1 p-b-20"> <span class='fieldError' id="dob_err"> Date Of Birth is required </span> <div class="form-line1 daterange"> <input type="text" id="dob" class="form-control date" placeholder="dd/mm/yyyy" autocomplete="off"> </div> </div> <b>Aadhar Number<span style="color: red;">*</span></b> <div class="form-group1"> <span class='fieldError' id="adhar_err"> Aadhar Number is required </span> <div class="form-line1"> <input type="text" id="adhar" class="form-control" placeholder="Aadhar Number" onkeypress="return acceptNumbersOnlyForModule(event);" maxlength="12" autocomplete="off"> </div> </div> </div> </div> </div> <!--///////Photo Upload\\\\\\\--> <div class="col-md-3 col-md-offset-1" > <b>Photo<span style="color: red;">*</span></b> <span class='fieldError' id="photo_err"> Upload photo </span> <form action="upload1.php" id="frmFileUpload" class="dropzone" method="post" enctype="multipart/form-data" style="min-height: 220px;max-width: 190px"> <div class="dz-message p-t-60"> <b>Click to upload<br> Photo</b> </div> <div class="fallback"> <input name="file" type="file"/> </div> </form> <img id="studphoto" style="min-height: 220px;max-width: 190px;padding: 3px; border: 1px dashed red;" hidden="hidden"> </div> <div class="col-md-3 p-t-20"> <p id="photomsg1" style="text-align: justify;">Upload clearly visible photo having a width of 190 pixels and height of 220 pixels</p> </div> <div class="col-md-3"> <p id="photomsg2">Maximum size allowed is 100kb</p> </div> <div class="col-md-5"> </div> <!--///////Signature upload\\\\\\\--> <div class="col-md-3 col-md-offset-1" id='signdiv'> <b>Signature<span style="color: red;">*</span></b> <span class='fieldError' id="sign_err"> Upload Signature </span> <form action="upload.php" id="signatureUpload" class="dropzone" method="post" enctype="multipart/form-data" style="min-height: 80px;max-width:190px;"> <div class="dz-message"> <b>Click to upload Signature</b> </div> <div class="fallback"> <input name="file" type="file"/> </div> </form> <img id="studsign" style="min-height: 50px;max-width: 190px;padding: 3px; border: 1px dashed red;" hidden="hidden"> </div> <div class="row clearfix" > <div class="col-md-3 p-t-20" id='signmsgdiv'> <p style="text-align: justify;">Ensure a clearly visible image of your signature with width of 190 pixels and height of 50 pixels</p> </div> </div> <div class="col-md-5"> <b>Permanent Address<span style="color: red;">*</span></b> <span class='fieldError' id="padd1_err"> All fields in Address are required </span> <div class="form-group1 p-b-10" style="padding-top:12px;"> <div class="form-line1"> <input type="text" id="padd1" class="form-control" placeholder="Address Line - 1" maxlength="40" autocomplete="off"> </div> </div> <div class="form-group1 p-b-10"> <div class="form-line1"> <input type="text" id="padd2" class="form-control" placeholder="Address Line - 2" maxlength="40" autocomplete="off"> </div> </div> <div class="form-group1 p-b-10"> <div class="form-line1"> <input type="text" id="padd3" class="form-control" placeholder="Address Line - 3" maxlength="40" autocomplete="off"> </div> </div> <div class="form-group1 col-md-6" style="margin-bottom: 10px !important;padding-left: 0px !important;"> <div class="form-line1"> <input type="text" id="pdistrict" class="form-control" placeholder="District" maxlength="30" onkeypress="return charKeydown(event);" autocomplete="off"> </div> </div> <div class="form-group1 col-md-6" style="margin-bottom: 10px !important;padding-right: 0px !important;"> <div class="form-line1"> <input type="text" id="ppincode" class="form-control" placeholder="Pincode" onkeypress="return acceptNumbersOnlyForModule(event);" maxlength="6" autocomplete="off"> </div> </div> <div class="form-group1"> <div class="form-line1"> <input type="text" id="pstate" class="form-control" placeholder="State" maxlength="30" onkeypress="return charKeydown(event);" autocomplete="off"> </div> </div> </div> <div class="row clearfix"> <div class="col-md-5 col-md-offset-1"> <b>Communication Address<span style="color: red;">*   </span> </b> <input type="checkbox" id="idCopyAdd" onchange="autoFilladd(this)" autocomplete="off"/> <label for="idCopyAdd" class="font-6">Same as Permanent Address?</label> <div class="form-group1 p-b-10"> <span class='fieldError' id="cadd1_err"> All fields in Address are required </span> <div class="form-line1"> <input type="text" id="cadd1" class="form-control" placeholder="Address Line - 1" maxlength="40" autocomplete="off"> </div> </div> <div class="form-group1 p-b-10"> <div class="form-line1"> <input type="text" id="cadd2" class="form-control" placeholder="Address Line - 2" maxlength="40" autocomplete="off"> </div> </div> <div class="form-group1 p-b-10"> <div class="form-line1"> <input type="text" id="cadd3" class="form-control" placeholder="Address Line - 3" maxlength="40" autocomplete="off"> </div> </div> <div class="form-group1 col-md-6" style="margin-bottom: 10px !important;padding-left: 0px !important;"> <div class="form-line1"> <input type="text" id="cadistrict" class="form-control" placeholder="District" maxlength="30" onkeypress="return charKeydown(event);" autocomplete="off"> </div> </div> <div class="form-group1 col-md-6" style="margin-bottom: 10px !important;padding-right: 0px !important;"> <div class="form-line1"> <input type="text" id="cpincode" class="form-control" placeholder="Pincode" onkeypress="return acceptNumbersOnlyForModule(event);" maxlength="6" autocomplete="off"> </div> </div> <div class="form-group1"> <div class="form-line1"> <input type="text" id="castate" class="form-control" placeholder="State" maxlength="30" onkeypress="return charKeydown(event);" autocomplete="off"> </div> </div> </div> </div> <div class="row clearfix"> <div class="col-md-5 m-l-15"> <b>Mobile Number<span style="color: red;">*</span></b> <div class="form-group1 p-b-20"> <span class='fieldError' id="mobile_err"> Mobile number is required </span> <div class="form-line1"> <input type="text" id="mobile" class="form-control" placeholder="Mobile" onkeypress="return acceptNumbersOnlyForModule(event);" maxlength="10" autocomplete="off"> </div> </div> <b>LandLine Number(with STD code)</b> <div class="form-group1"> <div class="form-line1"> <input type="text" id="landline" class="form-control" placeholder="Land Line (Optional)" onkeypress="return acceptNumbersOnlyForModule(event);" maxlength="15" autocomplete="off"> </div> </div> </div> </div> <div class="row clearfix"> <div class="col-md-5 m-l-15"> <b>Email Address<span style="color: red;">*</span></b> <div class="form-group1"> <span class='fieldError' id="email_err"> Email Address is required </span> <span class='fieldError' id="emailval_err"> The Email ID format is invalid </span> <div class="form-line1"> <input type="text" id="email" class="form-control" placeholder="Email Address" maxlength="30" autocomplete="off"> </div> </div> </div> </div> <div class="row clearfix"> <div class="col-md-5 m-l-15"> <b>Occupation<span style="color: red;">*</span></b> <div class="form-group1"> <span class='fieldError' id="ocupation_err"> Occupation is required </span> <div class="form-line1"> <input type="text" id="ocupation" class="form-control" placeholder="Occupation" maxlength="30" onkeypress="return charKeydown(event);" autocomplete="off"> </div> </div> </div> </div> <div class="row clearfix"> <div class="col-md-5 m-l-15"> <b>Annual Income<span style="color: red;">*</span></b> <div class="form-group1"> <span class='fieldError' id="income_err"> Annual Income is required </span> <div class="form-line1"> <input type="text" id="income" class="form-control" placeholder="Income" maxlength="20" onkeypress="return acceptNumbersOnlyForModule(event);" autocomplete="off"> </div> </div> </div> </div> </div> <div class="footer"> <center> <button type="button" class="btn btn-primary waves-effect btn-lg" onclick = "Showsubdetl()">Next</button> </center> </div> </div> </div> </div> <!--///////Subject Card\\\\\\\--> <div class="row clearfix" id = "subject_det"> <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"> <div class="card"> <div class="header boder-top"> <span class="pull-right"> <b>Step 2 of 3</b> </span> <h2>Course Selection </h2> </div> <div class="body" id="subcarddiv"> <div class="row clearfix" id='mediumdiv'> <div class="col-md-4" id = "graduationdiv"> <b>Graduation / Diploma<span style="color: red;">*</span></b> <div class="form-group1 p-b-20"> <span class='fieldError' id="graduation_err"> Graduation / Diploma is required </span> <div class="form-line1"> <select id = "graduation" class="form-control" onchange = "getdegreedetails()"> <option value=""> -Select- </option> <option value="pg" >P.G (Post Graduation)</option> <option value="ug">U.G (Under Graduation)</option> <option value="pgd">P.G.D (Post Graduation Diploma)</option> </select> </div> </div> </div> <div class="col-md-4" id='coursediv'> <b>Course <span style="color: red;">*</span></b> <div class="form-group1 p-b-20"> <span class='fieldError' id="course_err"> Course is required </span> <div class="form-line1"> <select disabled id = "degree" class="form-control" onchange = "getcombinationdetails()"> </select> </div> </div> </div> <div class="col-md-4" id = "subjectdiv"> <b>Subject <span style="color: red;">*</span></b> <div class="form-group1 p-b-20"> <span class='fieldError' id="subject_err"> Subject is required </span> <div class="form-line1"> <select disabled id = "subject" class="form-control" onchange = "getoptionsdetails()"> </select> </div> </div> </div> </div> <div class="row clearfix"> <div class="col-md-4"> <b>Medium <span style="color: red;">*</span></b> <div class="form-group1"> <span class='fieldError' id="medium_err"> Medium is required </span> <div class="form-line1"> <select id = "moi" class="form-control"> <option value=""> -Select- </option> <option value="KANNADA" >Kannada</option> <option value="ENGLISH">English</option> <option value="HINDI">Hindi</option> </select> </div> </div> </div> <div class="col-md-4" id = "optionsdiv"> <b>Optional Subject<span style="color: red;">*</span></b> <div class="form-group1"> <span class='fieldError' id="options_err"> Options is required </span> <div class="form-line1"> <select id = "options1" class="form-control" onchange = "getsubjectdetails()"> </select> </div> </div> </div> </div> <div class="row clearfix" > <div class="col-md-4 col-md-offset-4 " id = "mbacomb" style="display: none;"> <b>Combination <span style="color: red;">*</span></b> <div class="form-group1"> <span class='fieldError' id="mbacomb_err"> Combination is required </span> <div class="form-line1"> <select id = "mbacombcode" class="form-control" onchange="getmbasubjects()"> <option value=""> -Select- </option> <option value="H" >HRM</option> <option value="M">MM</option> <option value="F">FS</option> </select> </div> </div> </div> </div> <div id = "subjectdet" class="row clearfix"> <div class="col-md-12"> <center><h4>Paper Detail of selected Course</h4></center> <div class="form-group1"> <div class="form-line1"> <div id = "subdet"></div> </div> </div> </div> </div> <div id="centerSelection"> <div class="row clearfix"> <center><h4>Selection of Study Center</h4></center> <div class="col-md-4 col-md-offset-2"> <b>State <span style="color: red;">*</span></b> <div class="form-group1 p-b-20"> <span class='fieldError' id="state_err"> State is required </span> <div class="form-line1"> <select id = "cstate" class="form-control"> <option value=""> -Select- </option> <option value="Karnataka" >Karnataka</option> </select> </div> </div> </div> <div class="col-md-4"> <b>District <span style="color: red;">*</span></b> <div class="form-group1 p-b-20"> <span class='fieldError' id="district_err"> District is required </span> <div class="form-line1"> <select id = "cdistrict" class="form-control"> <option value=""> -Select- </option> <option value="Shimoga" >Shimoga</option> </select> </div> </div> </div> </div> <div class="row clearfix"> <div class="col-md-8 col-md-offset-2"> <b>Counselling Center Name <span style="color: red;">*</span></b> <div class="form-group1"> <span class='fieldError' id="counselling_err"> Counselling Center Name is required </span> <div class="form-line1"> <select id = "centercode" class="form-control"> </select> </div> </div> </div> </div> </div> </div> <div class="footer"> <div class="p-l-100"> <center> <button type="button" class="btn btn-primary waves-effect btn-lg" onclick = "Showperdetl()">Previous </button> <button type="button" class="m-l-40 btn btn-primary waves-effect btn-lg m-l-8" onclick = "Showfeedetl()">Next </button> </center> </div> </div> </div> </div> </div> <!--/////////Fee Details\\\\\\\\ --> <div class="row clearfix" style="display: ;" id = "fee_det"> <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"> <div class="card"> <div class="header boder-top"> <span class="pull-right"> <b>Step 3 of 3</b> </span> <h2 id = "def">Details of Eligibility Exam / Fee Payment </h2> <!-- <h2 id = "dee">Details of Eligibility Exam</h2> --> </div> <div class="body"> <div class="row clearfix" id="prev1"> <div class="col-md-3"> <b>Eligibility Exam Passed</b> <div class="form-group1 p-b-20"> <span class='fieldError' id="qaldeg_err"> Eligibility Exam Passed is required </span> <div class="form-line1"> <input type = 'text' class="form-control" id = "qaldeg" autocomplete="off"> </div> </div> </div> <div class="col-md-4"> <b>Combination / Subject Studied</b> <div class="form-group1 p-b-20"> <span class='fieldError' id="qalsub_err"> Combination is required </span> <div class="form-line1"> <input type = 'text' class="form-control" id = "qalsub" autocomplete="off"> </div> </div> </div> <div class="col-md-4"> <b>Electives / If Any</b> <div class="form-group1 p-b-20"> <div class="form-line1"> <input type = 'text' class="form-control" id = "qaloption" autocomplete="off"> </div> </div> </div> </div> <div class="row clearfix" id="ceninst" style="display: none;"> <div class="col-md-offset-2 col-md-8"> <b>Centre Name</b> <div class="form-group1"> <div class="form-line1"> <div> <input type = 'text' class="form-control col-md-8" id = "ceninstitut" autocomplete="off" disabled="disabled"> </div> </div> </div> </div> </div> <div class="row clearfix" id="prev2"> <div class="col-md-3"> <b>Register Number</b> <div class="form-group1 p-b-20"> <span class='fieldError' id="qalreg_err"> Register Number is required </span> <div class="form-line1"> <input type = 'text' class="form-control" id = "qalreg" autocomplete="off"> </div> </div> </div> <div class="col-md-4"> <b>Month & Year of Passing</b> <div class="form-group1 m-l--15"> <span class='fieldError' id="qalpassyear_err"> Month & Year of Passing is required </span> <div class="col-md-6"> <select id="qalpassmonth" class="form-control" autocomplete="off"> <option selected="selected" value="0">- Month -</option> <option value='January' >January</option> <option value='February'>February</option> <option value='March'>March</option> <option value='April'>April</option> <option value='May'>May</option> <option value='June'>June</option> <option value='July'>July</option> <option value='August'>August</option> <option value='September'>September</option> <option value='October'>October</option> <option value='November'>November</option> <option value='December'>December</option> </select> </div> </div> <div class="form-line1"> <div class="col-md-6" style="padding-right: 0px !important;"> <select id = "qalpassyear" class="form-control"> </select> </div> </div> </div> <div id = "passuniv" class="col-md-4"> <b calss = 'col-md-6'>From which University the applying course is unfinished</b> <div class="form-group1 m-l--15"> <span class='fieldError' id="qalpassyear_err"> University is Required </span> <div class="form-line1 col-md-6"> <select id="fpassuniv" class="form-control" autocomplete="off"> <option selected="selected" value="">- Select -</option> <option value='KUVEMPU UNIVERSITY' >KUVEMPU UNIVERSITY</option> </select> </div> </div> </div> </div> <div class="row clearfix" id='prev3'> <div class="col-md-6"> <b>College/Institution/University where you studied (Including Place Name)</b> <div class="form-group1"> <span class='fieldError' id="qalinstitut_err"> College is required </span> <div class="form-line1"> <div> <input type = 'text' class="form-control" id = "qalinstitut" autocomplete="off"> </div> </div> </div> </div> <div class="col-md-4" id = "lyear"> <b>Lateral Entry Year</b> <div class="form-group1"> <div class="form-line1"> <select id="year" class="form-control" autocomplete="off"> <option selected="selected" value="">- Select -</option> <option value='B' >Second Year</option> <option value='C'>Third Year</option> </select> </div> </div> </div> </div> <div id = "feedetl" class="row clearfix"> <center><h4>Fee Details</h4></center> <div class="col-md-4 col-md-offset-2"> <b>Total Amount</b> <span class='fieldError' id="sum_err"> Fees Not defined Contact University </span> <div class="form-group1"> <div class="form-line1"> <input type = 'text' id = "sum" class="form-control col-md-4" disabled > </div> </div> </div> <div class="col-md-4"> <b>Payment Type</b> <div class="form-group1"> <span class='fieldError' id="paymenttype_err"> Payment type is required </span> <div class="form-line1"> <select id = "paymenttype" class="form-control"> </select> </div> </div> </div> </div> <div class="row clearfix"> </div> </div> <div class="footer"> <center> <button type="button" class="btn btn-primary waves-effect btn-lg" onclick = "Showsubdetl()">Previous</button> <button type="button" class="m-l-20 btn btn-primary waves-effect btn-lg" onclick = "saveRerigistation()">Submit</button> </center> </div> </div> </div> </div> <!---////////Application Status Card \\\\\\--> <div class="row clearfix" id = "success_card"> <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"> <div class="card"> <div class="header boder-top"> <h2>Application Status</h2> </div> <div class="body"> <div class="row clearfix"> <div class="col-md-12" id = "sbmchallan"> <center> <b><span id="app_msg"></span></b><br><br> <b>Application Number: <span id="app_no"></span></b><br><br> <b>Click here generate a copy of Application & Bank Challan</b> <br><br> <button id="challanBtn" type="button" class="btn btn-primary waves-effect btn-lg" onclick = "challanGenerate()">Generate Challan</button> </center> </div> <div class="col-md-12" id = "makepayment"> <center> <b><span id="app_msg"></span></b><br><br> <b>Application Number: <span id="dapp_no"></span></b><br><br> <button id="paytmBtn" type="button" class="btn btn-primary waves-effect btn-lg" onclick = "challanGenerate()">Make Payment</button> </center> </div> </div> </div> </div> </div> </div>
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