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Your IP : 18.118.32.6
<script>
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$('#reload').click(function(){
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<div class="portlet box blue">
<div class="portlet-title">
<div class="caption">
<i class="fa fa-reorder"></i>Registration Form
</div>
</div>
<div class="portlet-body form" >
<div style='margin-left:6%;'>
<div class="row">
<!-- BEGIN FORM-->
<h3 class="form-section">Student Details</h3>
<form class="form-horizontal" id='form_module_details_upload' enctype='multipart/form-data' method='POST'>
<div class="col-md-7" >
<input type='hidden' name= 'MAX_FILE_SIZE' value='10000000000' />
<div class="form-body">
<!-- <p style = 'color:red'>This application for the 6th Convocation is only applicable to candidates passing in <b>2019 (December Session), 2020, 2021 and 2022</b></p> -->
<div class="form-group">
<label class="col-md-3 control-label" style="text-align:left" >Roll No.<span style='color:red;'>*</span>
<!-- <br> <span style='color:red;'> Please enter valid Roll No. as given in the marks sheet</span> -->
</label>
<div class="col-md-3">
<input type="text" name="registerno" id="T1" class="form-control" style="text-transform: uppercase;min-width:150px;" title='University Register no.' maxlength=10 onblur='CMS.GetstudentdetailsNehu(event,this.value)' >
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label" style="text-align:left" >Candidate's name </label>
<div class="col-md-7">
<input type="text" name="candidate_name" id="T2" class="form-control" disabled maxlength=100 >
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label" style="text-align:left" >College / Department </label>
<div class="col-md-7">
<input type="text" name="college" id="T3" class="form-control" disabled maxlength=100 >
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label" style="text-align:left" >Degree / Diploma </label>
<div class="col-md-7">
<input type="text" name="degree" id="T4" class="form-control" disabled maxlength=100 >
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label" style="text-align:left" >Serial No.</label>
<div class="col-md-7">
<input type="text" name="certificateno" id="certificateno" class="form-control" disabled maxlength=100 >
</div>
</div>
<h4 style = "color:red;display:none;" id = "dcmsg">Candidates having aggregate score less than 45.0% in the honous subjects shall be awarded Simple Pass Degree as per Regulation.</h4>
<!-- MY TASK BEGIN CONDENSED TABLE PORTLET-->
<div class="span11" id='disp_scstatt_not_working' style = "color:red;display:none;" ><div class="portlet box blue">
<div class="portlet-title">
<i class="fa fa-cogs"></i> Upload Documents
</div>
<div class="portlet-body">
<div class="scroller" data-height="380px">
<table id="upload_table" class="table table-bordered table-hover" cellpadding="0" cellspacing="0">
<thead>
<tr>
<th>#</th>
<th><i class="icon-briefcase"></i> Document Type</th>
<th>File </th>
<th>Attachment</th> </tr>
</thead>
<tbody>
<tr>
<td style="width:30px">1</td>
<td id="doc_upload_'.$int_code.'" style="width:300px">Marks Card All Semester</td>
<td style="width:300px"><div style="float:left;"><input type='hidden' id='categoryattpath' /><input type="file" name='categoryatt' id='categoryatt' /></div><div style="float:left;"><a class="btn btn-sm blue" href="#" onclick=CMS.UploadEmployeeDocuments('categoryatt')><i class="fa fa-upload"></i> Upload</a></div></td>
<td style="width:100px" id="attach_td_cat"> </td>
</tr>
<tr>
<td style="width:30px">1</td>
<td id="doc_upload_'.$int_code.'" style="width:300px">Provisional Passing Certificate</td>
<td style="width:300px"><div style="float:left;"><input type='hidden' id='categoryattpath' /><input type="file" name='categoryatt' id='categoryatt' /></div><div style="float:left;"><a class="btn btn-sm blue" href="#" onclick=CMS.UploadEmployeeDocuments('categoryatt')><i class="fa fa-upload"></i> Upload</a></div></td>
<td style="width:100px" id="attach_td_cat"> </td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<img id='student_entry_photo' style="width:148px;z-index:1;height:187px; width:148px" onchange="DiaplayUserSelectedPhoto()" src="img/default_photo.jpg" class="img-responsive" >
</div>
<div class="form-group">
<label class="control-label" style="margin:0">Choose a file to upload photo <b>(Please upload valid passport size photograph for convocation. Selfie Image Will Be Rejected) </b> <span style='color:red;'>*</span></label>
<input type="file" name="student_entry_upload" id="student_entry_upload" onchange='DisplayUserSelectedPhoto();' style="padding:0;width:200px;" class="form-control">
</div>
</div>
<div class="col-md-8" style = "margin-top: 0px;">
<div class="form-group">
<label class="col-md-3 control-label" style="text-align:left" >Whether applying to attend in-person or in-absentia<span style='color:red;'>*</span> </label>
<div class="col-md-7">
<select class="form-control" id='rctype' style='min-width:150px;' onchange='CMS.loadConvoFee(this.value)' title='Category'>
<option value=''>-Select-</option>
<option value='IN PERSON'>In Person</option>
<option value='IN ABSENTIA'>In Absentia</option>
</select>
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label" style="text-align:left" >Mobile Number<span style='color:red;'>*</span> </label>
<div class="col-md-7">
<input type="text" name="mobile no" id="T5" class="form-control" style='min-width:150px;' title='Mobile no.' onkeypress="return acceptNumbersOnlyForModule(event);" maxlength=10>
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label" style="text-align:left" >Confirm Mobile No.<span style='color:red;'>*</span> </label>
<div class="col-md-7">
<input type="text" name="confirm mobile" id="T6" class="form-control" style='min-width:150px;' title='Confirm Mobile no.' onkeypress="return acceptNumbersOnlyForModule(event);" maxlength=10>
</div>
</div>
<span style = 'color:red'>OTP will be sent to Mobile No. after submitting this form</span>
<div class="form-group">
<label class="col-md-3 control-label" style="text-align:left" >Email Id.<span style='color:red;'>*</span></label>
<div class="col-md-7">
<input type="text" name="email id" id="T7" class="form-control" style='min-width:150px;' style="text-transform: lowercase;" title='Email id.' maxlength=50>
</div>
</div>
<span style = 'color:red'>Application details shall be forwarded to the given mobile no and email id. Please ensure to enter correct details</span>
</div>
<div class="col-md-8">
<div class="form-group">
<label class="col-md-3 control-label" style="text-align:left" >Postal Address of the Candidate<span style='color:red;'>*</span></label>
<div class="col-md-7">
<input type="text" name="address" id="T8" onkeypress="CMS.allowAlphaNumericSpace(event)" class="form-control" maxlength=50 title='Postal Address'><br>
<input type="text" name="address" id="T9" class="form-control" onkeypress="CMS.allowAlphaNumericSpace(event)" style='margin-top:-18px;' maxlength=50><br>
<!-- <input type="text" name="address" id="T10" class="form-control" style='margin-top:-18px;display:none;' maxlength=50><br>
<input type="text" name="address" id="T11" class="form-control" style='margin-top:-18px;display:none;' maxlength=50><br> -->
</div>
</div>
<div class="form-group" style=''>
<label class="col-md-3 control-label" style="text-align:left" >City <span style='color:red;'>*</span></label>
<div class="col-md-7">
<input type="text" name="" onkeypress="CMS.allowAlphaNumericSpace(event)" id="T31" class="form-control" >
<!--<select class="form-control" id='T15'></select> -->
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label" style="text-align:left" >State<span style='color:red;'>*</span></label>
<div class="col-md-7">
<input type="text" name="" onkeypress="CMS.allowAlphaNumericSpace(event)" id="T32" class="form-control" >
<!--<select class="form-control" id='T15'></select> -->
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label" style="text-align:left" >Pincode<span style='color:red;'>*</span></label>
<div class="col-md-7">
<input type="text" name="" onkeypress="CMS.allowAlphaNumericSpace(event)" id="T33" class="form-control" >
<!--<select class="form-control" id='T15'></select>-->
<input type='hidden' value='' id='TH1' />
</div>
</div>
<span style = 'color:red'>For In Absentia Candidates certificate shall be posted to the given address . Please ensure to enter the correct details.</span>
<div id = "privmarks">
</div>
<div class="form-group">
<label class="col-md-3 control-label" style="text-align:left" >Convocation<span style='color:red;'>*</span></label>
<div class="col-md-7">
<input type="text" name="" id="T15" class="form-control" disabled >
<!--<select class="form-control" id='T15'></select> -->
</div>
</div>
<div class="form-group" id = "feediv">
<label class="col-md-3 control-label" style="text-align:left" >Total Fee<span style='color:red;'>*</span></label>
<div class="col-md-3">
<input type="text" name="" value='' id="T12" style='min-width:150px;' class="form-control" disabled maxlength=10>
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label" style="text-align:left" >Payment Type<span style='color:red;'>*</span></label>
<div class="col-md-4">
<select class="form-control" id='T13' style='min-width:200px;' ></select>
</div>
</div>
</div>
</form>
</div>
<form class="form-horizontal" id='form_tab_uploads' enctype='multipart/form-data' method='POST'>
<style type = "text/css">
.table-upd tbody tr td {
padding : 2px;
vertical-align:middle;
border: 1px solid #949494;
text-align: left;
}
.table-upd tbody upd-file {
display: inline !important;
}
.table-upd tbody input[type="file"] {
display: inline;
}
.table-upd tbody button {
padding : 7px;
margin: 15px;
}
.table-upd thead tr td {
text-align: center;
}
</style>
<div id="disp_uploads" >
<table class='table table-bordered table-striped table-upd' id = "uploaddet" style="width: 60%;">
<thead style = "height:40px;background-color: #184F76 !important;color: #fff;">
<tr class = "bg-cyan">
<td style = "width :5%">Sl. No.</td>
<td style = "width : 40%;" >Description</td>
<td style = "width : 30%;">Upload</td>
<td style = "width : 25%;">File</td>
</tr>
</thead>
<tbody>
<tr>
<td style = "text-align: center;">1</td>
<td id = "doc_upload_sem">All Semester Marks cards</td>
<td >
<input type="file" name="sem_mks"
id="sem_mks" class = "upd-file"
style="width:100px;padding:5px 0px;" />
<input type = "hidden" id = "h_sem_mks" value="">
<button class="btn btn-success waves-effect btn-lg" style = "padding: 5px;"
onclick= 'CMS.UploadEmployeeDocumentsTAB("sem_mks")'>Upload
</button>
</td>
<td id="attach_td_sem_mks"></td>
</tr>
<tr>
<td style = "text-align: center;">1</td>
<td id = "doc_upload_degcert">Provisional Passing Certificate</td>
<td >
<input type="file" name="deg_cert"
id="deg_cert" class = "upd-file"
style="width:100px;padding:5px 0px;" />
<input type = "hidden" id = "h_deg_cert" value="">
<button class="btn btn-success waves-effect btn-lg" style = "padding: 5px;"
onclick= 'CMS.UploadEmployeeDocumentsTAB("deg_cert")'>Upload
</button>
</td>
<td id="attach_td_deg_cert"></td>
</tr>
</tbody>
</table>
</div>
</form>
<div class="form-body" style="margin-left: -5%;width: 103%;">
<div class="row">
<h3 class="form-section">Declaration</h3>
<div class="col-md-12">
<div class="form-group">
<p>The information provided herein above is accurate and correct to the best of my knowledge
and belief. In case any of the information above is found untrue/incomplete,
I understand that my application shall be deemed invalid and I may not be eligible
for refund of application fees. I also hereby undertake to abide by all the rules
and regulations of the University governing the award of the certificate.
</p>
<div class="col-md-12">
<div class="col-md-12" style="text-align:center">
<a href = '#'>I agree to the Terms</a> <input type = "checkbox" id = "student_declr" />
</div>
</div>
<br><br>
<!-- <p style='text-align:center;'>Please enter the letters displayed in the image below.
If the image is not clear, click on "Can't read the text? Get a new image"</p>
<php
@session_start();
$_SESSION = array();
$main_src ="captcha/simple-php-captcha.php";
include($main_src);
$_SESSION['captcha'] = simple_php_captcha();
?>
<php
echo '<img src="' . $_SESSION['captcha']['image_src'] . '" alt="CAPTCHA code">';
?> </div>
</div>
</div>
<div class="row">
<div class="col-md-2">
<div class="form-group">
<input type="text" id='passing_year' placeholder="enter letters displayed above" class="form-control">
</div>
</div>
</div> -->
</div>
</div>
<div class="form-actions fluid">
<div class="row">
<div class="col-md-12">
<div class="col-md-12" style="text-align:center" >
<button class="btn purple" onclick='CMS.SendMailOtPToUser();' type="button"><i class="fa fa-check"></i> Submit</button>
<button class="btn red" onclick='home();' type="button" ><i class="fa fa-times">Cancel</i></button>
</div>
</div>
</div>
</div>
</div>
</div>
<div>
<input type="hidden" value="018" id="univ">
</div>
<!-- END Row-->
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