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Your IP : 3.144.95.141
<div
style="border:1px solid black;background-color:skyblue;height:35px;text-align:center"
>
<h4><b>Personal 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;"
>Applicants must avoid entering special characters (Eg: ' " # \ &) while
entering the details.
</span>
</h5>
<br />
</div>
<div>
<div class="row mb40">
<div class="col-md-3 mb5">
Post Applied Category
</div>
<div class="col-md-4 mb5">
<select class="form-control1" id="1S4" title="Category">
<option value="">-Select-</option>
<option>UR</option>
<option>SC</option>
<option>ST</option>
<option>OBC</option>
<option>EWS</option>
<option>PWD(a)</option>
<option>PWD(d/e)</option>
</select>
</div>
</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="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="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">
Whether PWD?
</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"
title="Address for Correspondence"
style="width:280px; padding:2px;"
/><br />
<input
type="text"
maxlength="50"
id="T17"
title="Address for Correspondence"
style="width:280px; padding:2px;"
/><br />
<input
type="text"
maxlength="50"
id="T18"
title="Address for Correspondence"
style="width:280px; padding:2px;"
/><br />
<input
type="text"
maxlength="50"
id="T19"
title="Address for Correspondence"
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"
id="T20"
title="Permanent Address"
style="width:280px; padding:2px;"
/><br />
<input
type="text"
maxlength="50"
id="T21"
title="Permanent Address"
style="width:280px; padding:2px;"
/><br />
<input
type="text"
maxlength="50"
id="T22"
title="Permanent Address"
style="width:280px; padding:2px;"
/><br />
<input
type="text"
maxlength="50"
id="T23"
title="Permanent Address"
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-4 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-4 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>
<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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