Linux ip-172-26-7-228 5.4.0-1103-aws #111~18.04.1-Ubuntu SMP Tue May 23 20:04:10 UTC 2023 x86_64
Your IP : 3.138.204.147
<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 >
<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" >
Are you physicaly challenged?
</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 = '2' 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%;">Spoken</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 Fileds +</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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