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MainPage.html
42.46
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MainPage.js
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MainPage_2.html
34.17
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Notification.pdf
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Registrationpage.html
6.5
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Reprint.html
7.53
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Thumbs.db
3
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admAppForm.html
9.88
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app.php
416
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appForm.html
16.39
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appStatus2.html
12.3
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cconfig.php
1.23
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challan.html
8.38
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chkResponse.php
434
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favicon.ico
1.83
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h1.css
2.4
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h1.html
5
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h1.js
808
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homepage.html
8.52
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index.html
10.01
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index1.html
2.88
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index2.html
5.09
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index_15022018.html
10.01
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lateral.pdf
401.08
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logo.png
588.37
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menubar.html
6.37
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payment_gateway.php
7.78
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paymentresponce.php
10.12
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pgResponse.php
10.01
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pgResponse22.php
9.59
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pgResponse_.php
10.71
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readmission.html
6.53
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upload.php
393
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upload1.php
389
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Code Editor : admAppForm.html
<div class="row clearfix" id = "personal_det"> <div class="col-lg-10 col-md-10 col-sm-12 col-xs-12 m-l--50"> <div class="card"> <div class="header"> <h2>PERSONAL INFORMATION</h2> <span class="pull-right"> <b>Step 1 of 3</b> </span> </div> <div class="body"> <div class="col-md-5"> <b>Full Name</b> <div class="form-group"> <div class="form-line"> <input type="text" class="form-control date" placeholder="Full Name"> </div> </div> </div> <div class="col-md-3"> <form action="upload.php" id="frmFileUpload" class="dropzone" method="post" enctype="multipart/form-data"> <div class="dz-message"> </div> <div class="fallback"> <input name="file" type="file"/> </div> <div id="uploadedImage"> </div> </form> </div> <div class="col-md-5"> <b>Name of the Father/Guardian</b> <div class="form-group"> <div class="form-line"> <input type="text" class="form-control date" placeholder="Full Name"> </div> </div> </div> <div class="row clearfix"> <div class="col-md-6"> <b>Gender</b> <div class="demo-radio-button"> <input name="group1" type="radio" id="radio_1" checked /> <label for="radio_1">Male</label> <input name="group1" type="radio" id="radio_2" /> <label for="radio_2">Female</label> <input name="group1" type="radio" id="radio_3" /> <label for="radio_3">Transgender</label> </div> </div> </div> <div class="row clearfix"> <div class="col-md-6"> <b>Handicap</b> <div class="demo-radio-button"> <input name="group2" type="radio" id="radio_4" checked /> <label for="radio_4">None</label> <input name="group2" type="radio" id="radio_5" /> <label for="radio_5">PHC</label> <input name="group2" type="radio" id="radio_6" /> <label for="radio_6">VHC</label> </div> </div> </div> <div class="row clearfix"> <div class="col-md-5"> <b>Date Of Birth</b> <div class="form-group"> <div class="form-line daterange"> <input type="text" class="form-control date" id="dob" placeholder="dd/mm/yyyy"> </div> </div> </div> </div> <div class="row clearfix"> <div class="col-md-5"> <b>Category</b> <select id="status" class="form-control show-tick"> <option value="">-- Select Category --</option> <option value="GM">General Merit</option> <option value="CAT-1">Catgory-1</option> <option value="CAT-2">Catgory-2</option> <option value="CAT-3">Catgory-3</option> <option value="CAT-4">Catgory-4</option> <option value="SC">Scheduled Caste</option> <option value="ST">Scheduled Tribes</option> </select> </div> </div> <div class="row clearfix"> <div class="col-md-5"> <b>Aadhar Number</b> <div class="form-group"> <div class="form-line"> <input type="text" id="adhar" class="form-control" placeholder="Aadhar Number"> </div> </div> </div> </div> <div class="row clearfix"> <div class="col-md-6"> <b>Handicap</b> <div class="demo-radio-button"> <input name="group3" type="radio" id="indian" checked /> <label for="indian">Indian</label> <input name="group3" type="radio" id="others" /> <label for="others">Others</label> </div> </div> </div> <div class="row clearfix"> <div class="col-md-5"> <b>Address</b> <div class="form-group p-b-10"> <div class="form-line"> <input type="text" class="form-control" placeholder="Address Line - 1"> </div> </div> <div class="form-group p-b-10"> <div class="form-line"> <input type="text" class="form-control" placeholder="Address Line - 2"> </div> </div> <div class="form-group p-b-10"> <div class="form-line"> <input type="text" class="form-control" placeholder="Address Line - 3"> </div> </div> <div class="form-group p-b-10 m-l--15 col-md-6"> <div class="form-line"> <input type="text" class="form-control" placeholder="District"> </div> </div> <div class="form-group pull-right m-r--15 col-md-6"> <div class="form-line"> <input type="text" class="form-control" placeholder="Pincode"> </div> </div> <div class="form-group"> <div class="form-line"> <input type="text" class="form-control" placeholder="State"> </div> </div> </div> </div> <div class="row clearfix"> <div class="col-md-5"> <b>Phone Numbers</b> <div class="form-group p-b-10"> <div class="form-line"> <input type="text" id="mobile" class="form-control" placeholder="Mobile"> </div> </div> <div class="form-group"> <div class="form-line"> <input type="text" class="form-control" placeholder="Land Line (Optional)"> </div> </div> </div> </div> <div class="row clearfix"> <div class="col-md-5"> <b>Email Address</b> <div class="form-group"> <div class="form-line"> <input type="text" class="form-control" id="email" placeholder="Email Address"> </div> </div> </div> </div> <div class="row clearfix"> <div class="col-md-5"> <b>Occupation</b> <div class="form-group"> <div class="form-line"> <input type="text" class="form-control" id="ocupation" placeholder="Occupation"> </div> </div> </div> </div> <div class="row clearfix"> <div class="col-md-5"> <b>Annual Income</b> <div class="form-group"> <div class="form-line"> <input type="text" class="form-control" id="income" placeholder="Income"> </div> </div> </div> </div> </div> <div class="footer"> <button type="button" class="btn btn-primary waves-effect btn-lg" onclick = "SaveApplicationDetails()">Next</button> </div> </div> </div> </div> <script type="text/javascript"> $('#statusDetl').addClass("hidden"); var $demoMaskedInput = $('.daterange'); //Date $demoMaskedInput.find('.date').inputmask('dd/mm/yyyy', { placeholder: '__/__/____' }); $('#adhar').inputmask('9999 9999 9999', { placeholder: '____ ____ ____' }); $('#mobile').inputmask('+99 (999) 999-99-99', { placeholder: '+__ (___) ___-__-__' }); $('#email').inputmask({ alias: "email" }); //$('#income').inputmask('99,99 €', { placeholder: '__,__ €' }); $("#S4").keypress(function (e){ var key = e.which; if(key == 13) // the enter key code { getDetails(); } }); $(document).ready(function () { var inputs = $('input, select').keypress(function (e) { if (e.which == 13) { e.preventDefault(); var nextInput = inputs.get(inputs.index(this) + 1); if (nextInput) { nextInput.focus(); } } }); }); </script> <script src="js/pages/forms/form-wizard.js"></script> <script src="js/pages/forms/advanced-form-elements.js"></script> <!-- Autosize Plugin Js --> <script src="js/form_submit.js"></script>
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