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${this.title}
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Code Editor : new.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 bg-blue" style="margin-top: 35px;"> <h2> Personal Details</h2> </div> <div class="body" id="idPerDet"> <div class="field"> <div class="col-md-6"> <div class="dz-message p-t-60"> <b >Click to upload<br /> Photo <br /> <span style="color: red;" >*</span ></b > </div> </form> <div id="studphoto" style="display: block; align-items: center; text-align: center;" > <img id="studphoto_img" style=" width: 160px; height: 150px; padding: 3px; " /> <div class="fallback"> <input name="file" type="file" id="photo"/> </div> <center> <button id="idChangePhoto" class="btn btn-success" onclick="photoupload()" > Change </button> </center> </div> <div class="p-t-20"> <p id="photomsg1" style="text-align: justify;"> Upload clearly visible photo having a width of 2 inches and height of 2 inches </p> <p id="photomsg2">Maximum size allowed is 100kb</p> </div> </div> <div class="col-md-8"> <div class="form-group"> <div class="col-md-12"> <b>1. Name Of The Candidate<span style="color: red;">*</span> </b> <span class="fieldError"> Name is Required </span> </div> <div class="form-line col-md-12"> <input type="text" id="fullname" class="form-control date" placeholder="Candidate Name" name="Student Name" maxlength="60" onkeypress="return charKeydown(event);" autocomplete="off" required/> </div> <div class="col-md-12"> <b>2. Father Name<span style="color: red;">*</span> </b> <span class="fieldError"> Father Name is Required </span> </div> <div class="form-line col-md-12"> <input type="text" id="fname" class="form-control date" placeholder="Father Name" name="Father Name" maxlength="60" onkeypress="return charKeydown(event);" autocomplete="off" required/> </div> <div class="col-md-12"> <b>3. Mother Name<span style="color: red;">*</span> </b> <span class="fieldError"> Mother Name is Required </span> </div> <div class="form-line col-md-12"> <input type="text" id="mname" class="form-control date" placeholder="Mother Name" name="Mother Name" maxlength="60" onkeypress="return charKeydown(event);" autocomplete="off" required/> </div> </div> </div> <div class="col-md-8"> <b>4. Date of Birth <span style="color: red;">*</span></b> <div class="form-group"> <span class="fieldError" id="dob_err"> Date of Birth is required </span> <div class="form-line daterange"> <input type="text" id="dob" class="form-control date" name="Date of Birth" placeholder="dd/mm/yyyy" autocomplete="off" /> </div> </div> </div> <div class="col-md-8"> <b>5. Aadhar Number <span style="color: red;">*</span></b> <div class="form-group"> <span class="fieldError" id="dob_err"> Date of Birth is required </span> <div class="form-line daterange"> <input type="text" id="faadhar" class="form-control date" name="faadhar" placeholder="Aadhar Number" autocomplete="off" /> </div> </div> </div> <div class="col-md-12"> <b>6.Nationality<span style="color: red;">*</span> </b> <span class="fieldError"> Nationality is Required </span> </div> <div class="form-line col-md-12"> <input type="text" id="nationality" class="form-control date" placeholder="Nationality" name="Nationality" maxlength="60" onkeypress="return charKeydown(event);" autocomplete="off" required/> </div> <div class="col-md-12"> <b>7.Category<span style="color: red;">*</span> </b> <span class="fieldError"> Category is Required </span> </div> <div class="form-line col-md-12"> <input type="text" id="category" class="form-control date" placeholder="Category" name="Category" maxlength="60" onkeypress="return charKeydown(event);" autocomplete="off" required/> </div> <!-- <div class="form-group"> --> <div class="col-md-12"> <b>8. Gender<span style="color: red;">*</span></b> <div class="form-group"> <span class="fieldError" id="gender_err"> Select Gender </span> <div class="demo-radio-button" id="fgender" name="gender"> <input name="fgender" type="radio" value="M" id="radio_1" autocomplete="off"/> <label for="radio_1">Male</label> <input name="fgender" type="radio" id="radio_2" value="F" autocomplete="off" /> <label for="radio_2">Female</label> <input name="fgender" type="radio" id="radio_3" value="T" autocomplete="off" /> <label for="radio_3">Other</label> </div> </div> <script> </script> </div> <div class="col-md-6"> <span class="fieldError"> Kalyana Karnataka (371J) </span> <b>9. Kalyana Karnataka<span style="color: red;">*</span></b> <div class="focused"> <select id="kalyana_karnataka" class="form-control" name="Kalyana Karnataka" value=""> <option value="">--Select--</option> <option value="yes">Yes</option> <option value="no">No</option> </select> </div> </div> <div class="col-md-6"> <span class="fieldError"> Physically Challenged </span> <b>10. Physically Challenged<span style="color: red;">*</span></b> <div class="focused"> <select id="pc" class="form-control" name="Kalyana Karnataka" value=""> <option value="">--Select--</option> <option value="yes">Yes</option> <option value="no">No</option> </select> </div> </div> <div class="col-md-6"> <b >11. Permanent Address<span style="color: red;" >*</span ></b > <div class="form-group p-b-10" style="padding-top: 12px;"> <span class="fieldError" id="padd1_err"> All fields in Address are required </span> <div class="form-line"> <input type="text" id="fpermadd1" name="Permanent Address Line - 1" class="form-control" placeholder="Address Line - 1" maxlength="40" autocomplete="off" /> </div> </div> <div class="form-group p-b-10"> <div class="form-line"> <input type="text" id="fpermadd2" name="Permanent Address Line - 2" class="form-control" placeholder="Address Line - 2" maxlength="40" autocomplete="off" /> </div> </div> <div class="form-group p-b-10"> <div class="form-line"> <input type="text" name="Permanent Address Line - 3" id="fpermadd3" class="form-control" placeholder="Address Line - 3" maxlength="40" autocomplete="off" /> </div> </div> <div class="form-group p-b-10 m-l--15 col-md-6"> <div class="form-line"> <input type="text" name="Permanent District" id="fpermdist" class="form-control" placeholder="District" maxlength="30" onkeypress="return charKeydown(event);" autocomplete="off" /> </div> </div> <div class="form-group pull-right m-r--15 col-md-6"> <div class="form-line"> <input type="text" id="fpermpin" name="Permanent Pincode" class="form-control" placeholder="Pincode" onkeypress="return acceptNumbersOnlyForModule(event);" maxlength="6" autocomplete="off" /> </div> </div> <div class="form-group"> <div class="form-line p-b-10"> <input type="text" id="fpermstate" class="form-control" placeholder="State" maxlength="30" onkeypress="return charKeydown(event);" autocomplete="off" /> </div> </div> </div> <div class="col-md-6 p-r-30"> <b >12. Communication Address <span style="color: red;" >*   </span > </b> <input type="checkbox" id="basic_checkbox_1" onclick="autoFillAddr()" autocomplete="off" /> <label for="basic_checkbox_1" style="font-size: 10px !important;" >Same as Perm. Add.?</label > <div class="form-group p-b-10"> <span class="fieldError" id="cadd1_err"> All fields in Address are required </span> <div class="form-line"> <input type="text" id="fcurradd1" class="form-control" name="Communication Address Line - 1" placeholder="Address Line - 1" maxlength="40" autocomplete="off" /> </div> </div> <div class="form-group p-b-10"> <div class="form-line"> <input type="text" id="fcurradd2" name="Communication Address Line - 2" class="form-control" placeholder="Address Line - 2" maxlength="40" autocomplete="off" /> </div> </div> <div class="form-group p-b-10"> <div class="form-line"> <input type="text" id="fcurradd3" name="Communication Address Line - 3" class="form-control" placeholder="Address Line - 3" maxlength="40" autocomplete="off" /> </div> </div> <div class="form-group p-b-10 m-l--15 col-md-6"> <div class="form-line"> <input type="text" id="fcurrdist" name="Communication District" class="form-control" placeholder="District" maxlength="30" onkeypress="return charKeydown(event);" autocomplete="off" /> </div> </div> <div class="form-group pull-right m-r--15 col-md-6"> <div class="form-line"> <input type="text" id="fcurrpin" name="Communication Pincode" class="form-control" placeholder="Pincode" onkeypress="return acceptNumbersOnlyForModule(event);" maxlength="6" autocomplete="off" /> </div> </div> <div class="form-group"> <div class="form-line p-b-10"> <input type="text" id="fcurrstate" name="Communication State" class="form-control" placeholder="State" maxlength="30" onkeypress="return charKeydown(event);" autocomplete="off" value="Karnataka" /> </div> </div> </div> </div> </div> <div class="clearfix"></div> </div> <center> <button type="button" style="font-weight: 600; font-size: 16px; margin-bottom:17px;" class="btn btn-warning waves-effect btn-lg" onclick="personaldetails()" > Save </button> </center> </div> <div class="form-group"> <div class="form-line p-b-10"> <input type="hidden" id="photopath" name="photopath" class="form-control" /> </div> </div> </div>
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