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academic_det.html
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persnal_det.html
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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>General Details</b></h4> </div> <div class="" style = 'border:1px solid black;padding-left:10px;width:100%;height:100%;'><br> <div> <h5> <span style="color: red;">Note: Special characters are not allowed</span> </h5> </div> <br> <div > <div class="row mb40"> <div class="col-md-3 mb5"> Name (As per your matriculation certificate) </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 </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 </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 </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. </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 </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 </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 </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 </div> <div class="col-md-2 mb5"> <select class="form-control1" id="T9" title = "Gender" > <option value = "0">--Select--</option> <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 </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 </div> <div class="col-md-2 mb5"> <select class="form-control1" id="T11" title = "Martial Status"> <option value = "0">--Select--</option> <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" > Do you come under article 371(j)? </div> <input type="radio" checked value="TRUE" name = "371j" id="T903" /> <td class="col-md-2 mb5"> Yes <input type="radio" name = "371j" id="T904" value="" disabled="disabled" />No </td> </div> <div class="row mb40"> <div class="col-md-3 mb5" > Are you Kannada Medium candidate? </div> <input type="radio" name="kan" value="TRUE" name = "kan" id="T901" /> <td class="col-md-2 mb5">Yes <input type="radio" name="kan" checked id = "T902" value=""/> No </td> </div> <div class="row mb40"> <div class="col-md-3 mb5" > Are you Rural Candidate? </div> <input type="radio" value="TRUE" name = "rural" id="T907" /> <td class="col-md-2 mb5">Yes <input type="radio" name = "rural" checked="checked" id="T908" value=""/> No </td> </div> <div class="row mb40"> <div class="col-md-3 mb5" > Are you Ex-Serviceman? </div> <input type="radio" value="TRUE" name = "ex" id="T909" /> <td class="col-md-2 mb5">Yes <input type="radio" name = "ex" checked="checked" id="T910" value=""/> No </td> </div> <div class="row mb40"> <div class="col-md-3 mb5" > Are you Physically Disabled? </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 </div> <div class="col-md-2 mb5"> <input type='text' maxlength='50' id='T16' onkeypress="singlequtes(this.id)" title = "Address for Correspondence 1" style="width:280px; padding:2px;" /><br> <input type='text' onkeypress="singlequtes(this.id)" maxlength='50' id='T17' title = "Address for Correspondence 2" style="width:280px; padding:2px;" /><br> <input type='text' onkeypress="singlequtes(this.id)" maxlength='50' id='T18' title = "Address for Correspondence 3" style="width:280px; padding:2px;" /><br> <input type='text' onkeypress="singlequtes(this.id)" maxlength='50' id='T19' title = "Address for Correspondence 4" style="width:280px; padding:2px;" /><br> </div> </div> <div class="row mb40"> <div class="col-md-3 mb5" > City </div> <div class="col-md-2 mb5"> <input type='text' maxlength='50' id='T601' onkeypress="singlequtes(this.id)" title = "Correspondence City" style="width:280px; padding:2px;" /><br> </div> </div> <div class="row mb40"> <div class="col-md-3 mb5" > Pincode </div> <div class="col-md-2 mb5"> <input type='text' maxlength='50' id='T602' onkeypress="singlequtes(this.id)" title = "Correspondence Pincode" 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 </div> <div class="col-md-2 mb5"> <input type='text' maxlength='50' onkeypress="singlequtes(this.id)" id='T20' title = "Permanent Address 1" style="width:280px; padding:2px;" /><br> <input type='text' maxlength='50' onkeypress="singlequtes(this.id)" id='T21' title = "Permanent Address 2" style="width:280px; padding:2px;" /><br> <input type='text' maxlength='50' onkeypress="singlequtes(this.id)" id='T22' title = "Permanent Address 3" style="width:280px; padding:2px;" /><br> <input type='text' maxlength='50' onkeypress="singlequtes(this.id)" id='T23' title = "Permanent Address 4" style="width:280px; padding:2px;" /><br> </div> </div> <div class="row mb40"> <div class="col-md-3 mb5" > City </div> <div class="col-md-2 mb5"> <input type='text' maxlength='50' onkeypress="singlequtes(this.id)" id='T603' title = "Permanent City" style="width:280px; padding:2px;" /><br> </div> </div> <div class="row mb40"> <div class="col-md-3 mb5" > Pincode </div> <div class="col-md-2 mb5"> <input type='text' maxlength='50' onkeypress="singlequtes(this.id)" id='T604' title = "Permanent Pincode" style="width:280px; padding:2px;" /><br> </div> </div> <div class="row mb40"> <div class="col-md-3 mb5" > Email Id </div> <div class="col-md-3 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. </div> <div class="col-md-3 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. </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. </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> <!-- <table> <tr> <td style="width: 20%;"> Kannada Medium </td> <td style="width: 10%;"> <input type="checkbox" value="TRUE" name = "kan" id="T901"> </td> </tr> <tr> <td style="width: 20%;"> 371J </td> <td style="width: 10%;"> <input type="checkbox" value="TRUE" name = "371j" id="T902"> </td> </tr> <tr> <td style="width: 20%;"> Physically Disabled </td> <td style="width: 10%;"> <input type="checkbox" value="TRUE" name = "pd" id="T905"> </td> </tr> <tr> <td style="width: 20%;"> Rural Candidate </td> <td style="width: 10%;"> <input type="checkbox" value="TRUE" name = "rural" id="T903"> </td> </tr> <tr> <td style="width: 20%;"> Ex-Serviceman </td> <td style="width: 10%;"> <input type="checkbox" value="TRUE" name = "ex" id="T904"> </td> </tr> </table> --> <div style = "margin-left:2px;" class="row mb40"> <div> <h5>Languages Known</h5> </div> <table class="table table-bordered" id="languageknowntable" style="width:50%"> <thead> <tr> <th style="width: 30%;">Language</th> <th style="width: 10%;">Read</th> <th style="width: 10%;">Write</th> <th style="width: 10%;">Speak</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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