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 : 3.15.26.231
<link
rel="stylesheet"
href="https://cdn.jsdelivr.net/npm/bootstrap@4.4.1/dist/css/bootstrap.min.css"
integrity="sha384-Vkoo8x4CGsO3+Hhxv8T/Q5PaXtkKtu6ug5TOeNV6gBiFeWPGFN9MuhOf23Q9Ifjh"
crossorigin="anonymous"
/>
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.5.1/jquery.min.js"></script>
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.4.1/js/bootstrap.min.js"></script>
<script src="../vendor/jquery/jquery.min.js"></script>
<script src="//cdn.jsdelivr.net/npm/sweetalert2@11"></script>
<div class="col-lg-8" style="position: absolute; left: 310px; top: 45px">
<div id="per-det">
<div class="card mb-4">
<div class="card-header">Personal Details</div>
<div class="card-body">
<form>
<div class="row">
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="firstName"
>Member / Alumni Code</label
>
<input
type="text"
id="FMEMCODE"
class="form-control form-control"
required
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName"
>Member / Alumni Name</label
>
<input
type="text"
id="FMEMNAME"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-4 mb-2 d-flex align-items-center">
<div class="form-outline datepicker w-100">
<label class="form-label">Hostel Batch</label>
<select class="select form-control" id="FBATCH">
<option value="1">---Select---</option>
<option value="2">Category 1</option>
<option value="3">Category 2</option>
<option value="4">Category 3</option>
</select>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="firstName"
>Primary Mobile No.</label
>
<input
type="text"
id="FMOBILE"
class="form-control form-control"
required
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName">County Code</label>
<input
type="text"
id="FCNTCODE"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName"
>Email Id (personnel email id)</label
>
<input
type="text"
id="FEMAIL"
class="form-control form-control"
/>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName"
>Alternate Mobile No.</label
>
<input
type="text"
id="FALTMOBILE"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName"
>County Code for Alternate mobile no.</label
>
<input
type="text"
id="FALTCNTCODE"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="firstName"
>Cummunication Address Field 1</label
>
<input
type="text"
id="FADDC1"
class="form-control form-control"
required
/>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName"
>Cummunication Address Field 2</label
>
<input
type="text"
id="FADDC2"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName"
>Cummunication State</label
>
<input
type="text"
id="FSTATEC"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="firstName"
>Cummunication Country</label
>
<input
type="text"
id="FCONTC"
class="form-control form-control"
required
/>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName"
>Communication Pincode</label
>
<input
type="text"
id="FPINCODEC"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName"
>Permanent Address in India Field 1</label
>
<input
type="text"
id="FADDP1"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="firstName"
>Permanent Address in India Field 2</label
>
<input
type="text"
id="FADDP2"
class="form-control form-control"
required
/>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName">Permanent State</label>
<input
type="text"
id="FSTATEP"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName"
>Permanent Country</label
>
<input
type="text"
id="FCONTP"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="firstName"
>Permanent Pincode</label
>
<input
type="text"
id="FPINCODEP"
class="form-control form-control"
required
/>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName"
>Degree Completed</label
>
<select class="select form-control" id="FDEGREE">
<option value="1">---Select---</option>
<option value="2">Category 1</option>
<option value="3">Category 2</option>
<option value="4">Category 3</option>
</select>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName"
>Current Job Description</label
>
<input
type="text"
id="FJOBDESC"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="firstName"
>Year of Admission to hostel</label
>
<select class="select form-control" id="FYOA">
<option value="1">---Select---</option>
<option value="2">Category 1</option>
<option value="3">Category 2</option>
<option value="4">Category 3</option>
</select>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName"
>Year of Move out of hostel</label
>
<select class="select form-control" id="FYOM">
<option value="1">---Select---</option>
<option value="2">Category 1</option>
<option value="3">Category 2</option>
<option value="4">Category 3</option>
</select>
</div>
</div>
<!-- <div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName"
>Current Job Description</label
>
<input
type="text"
id="FJOBDESC"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="firstName"
>Year of Admission to hostel</label
>
<input
type="text"
id="FYOA"
class="form-control form-control"
required
/>
</div>
</div> -->
<div class="mt-4 pt-2">
<input
class="btn btn-primary btn"
type="submit"
value="SUBMIT"
onclick="saveStdDet()"
/>
</div>
</div>
</form>
</div>
</div>
<div class="card mb-4">
<div class="card-header">Referred Details</div>
<div class="card-body">
<form>
<div class="row">
<div class="col-md-6 mb-2">
<div class="form-outline">
<label class="form-label" for="firstName"
>Member / Alumni Code</label
>
<input
type="text"
id="FMEMCODE"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-6 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName"
>Hostelmate Reference Mobile</label
>
<input
type="FREFMOBILE"
id="add2"
class="form-control form-control"
/>
</div>
</div>
</div>
<div class="row">
<div class="col-md-6 mb-2">
<div class="form-outline">
<label class="form-label" for="firstName"
>Hostelmate Reference Email</label
>
<input
type="text"
id="FREFEMAIL"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-6 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName"
>Hostelmate Reference Name</label
>
<input
type="text"
id="FREFNAME"
class="form-control form-control"
/>
</div>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
<script src="../js/main.js"></script>
<script src="../js/mainAdm.js"></script>
<!-- <link
rel="stylesheet"
href="https://cdn.jsdelivr.net/npm/bootstrap@4.4.1/dist/css/bootstrap.min.css"
integrity="sha384-Vkoo8x4CGsO3+Hhxv8T/Q5PaXtkKtu6ug5TOeNV6gBiFeWPGFN9MuhOf23Q9Ifjh"
crossorigin="anonymous"
/>
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.5.1/jquery.min.js"></script>
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.4.1/js/bootstrap.min.js"></script>
<script src="../vendor/jquery/jquery.min.js"></script>
<script src="//cdn.jsdelivr.net/npm/sweetalert2@11"></script>
<div class="col-lg-8" style="position: absolute; left: 310px; top: 45px">
<div id="per-det">
<div class="card mb-4">
<div class="card-header">Personal Details</div>
<div class="card-body">
<form>
<div class="row">
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="firstName">Member / Alumni Code</label>
<input
type="text"
id="FMEMCODE"
class="form-control form-control"
required
disabled
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName">Member / Alumni Name</label>
<input
type="text"
id="FMEMNAME"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName">Hostel Batch</label>
<input
type="text"
id="FBATCH"
class="form-control form-control"
/>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4 mb-2">
<h6 class="mb-2 pb-1">Primary Mobile No.</h6>
<input
class="form-control form-control"
type="text"
id="FMOBILE"
/>
</div>
</div>
<div class="col-md-4 mb-2 d-flex align-items-center">
<div class="form-outline datepicker w-100">
<label for="birthdayDate" class="form-label">County Code</label>
<input
type="text"
class="form-control form-control"
id="FCNTCODE"
/>
</div>
</div>
<div class="col-md-4 mb-2 d-flex align-items-center">
<div class="form-outline datepicker w-100">
<label class="form-label">Email Id (personnel email id)</label>
<input
type="text"
class="form-control form-control"
id="FEMALE"
/>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4 mb-2 d-flex align-items-center">
<div class="form-outline datepicker w-100">
<label class="form-label">Alternate Mobile No.</label>
<input
type="text"
class="form-control form-control"
id="FALTMOBILE"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName">County Code for Alternate mobile no.</label>
<input
type="text"
id="FALTCNTCODE"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName"
>Communication Address Field 1</label
>
<input
type="text"
id="FADDC1"
class="form-control form-control"
/>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="firstName">Communication Address Field 2</label>
<input
type="text"
id="FADDC2"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-4 mb-2 d-flex align-items-center">
<div class="form-outline datepicker w-100">
<label class="form-label"
>Permanent State</label
>
<input
type="text"
id="FSTATEP"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-4 mb-2 d-flex align-items-center">
<div class="form-outline datepicker w-100">
<label class="form-label">Permanent Country</label>
<input
type="text"
id="FCONTP"
class="form-control form-control"
/>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="firstName">Degree Completed</label>
<input
type="text"
id="FDEGREE"
class="form-control form-control"
/>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4 mb-2">
<h6 class="mb-2 pb-1">Current Job Description</h6>
<input
class="form-control form-control"
type="text"
id="FJOBDESC"
/>
</div>
</div>
<div class="col-md-4 mb-2 d-flex align-items-center">
<div class="form-outline datepicker w-100">
<label for="birthdayDate" class="form-label">Year of Admission to hostel</label>
<input
type="text"
class="form-control form-control"
id="FYOA"
/>
</div>
</div>
<div class="col-md-4 mb-2 d-flex align-items-center">
<div class="form-outline datepicker w-100">
<label class="form-label">Year of Move out of hostel</label>
<input
type="text"
class="form-control form-control"
id="FYOM"
/>
</div>
</div>
</div>
</form>
</div>
</div>
<div class="card mb-4">
<div class="card-header">Degree Completed</div>
<div class="card-body">
<form>
<div class="row">
<div class="col-md-6 mb-2">
<div class="form-outline">
<label class="form-label" for="firstName">Address 1</label>
<input
type="text"
id="add1"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-6 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName">Address 2</label>
<input
type="text"
id="add2"
class="form-control form-control"
/>
</div>
</div>
</div>
<div class="row">
<div class="col-md-6 mb-2">
<div class="form-outline">
<label class="form-label" for="firstName">Address 3</label>
<input
type="text"
id="add3"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-6 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName">Country</label>
<input
type="text"
id="country"
class="form-control form-control"
/>
</div>
</div>
</div>
<div class="row">
<div class="col-md-6 mb-2">
<div class="form-outline">
<label class="form-label" for="firstName">State</label>
<input
type="text"
id="state"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-6 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName">District</label>
<input
type="text"
id="district"
class="form-control form-control"
/>
</div>
</div>
</div>
<div class="row">
<div class="col-md-6 mb-2">
<div class="form-outline">
<label class="form-label" for="firstName">Pin Code</label>
<input
type="text"
id="pincode"
class="form-control form-control"
/>
</div>
</div>
</div>
</form>
</div>
</div>
<div class="card mb-4">
<div class="card-header">Upload Documents [ max file size: 1MB]</div>
<div class="card-body">
<form>
<div class="row">
<div class="col-md-6 mb-2">
<div class="form-outline">
<label class="form-label" for="firstName"
>Upload Aadhaar Card</label
>
<input
type="file"
id="aadhaarFile"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-6 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName"
>Upload 10th Marksheet</label
>
<input
type="file"
id="tenMarks"
class="form-control form-control"
/>
</div>
</div>
</div>
<div class="row">
<div class="col-md-6 mb-2">
<div class="form-outline">
<label class="form-label" for="firstName"
>Other Supportive Documents (Optional, max file
size:1MB)</label
>
<input
type="file"
id="aadhaarFile"
class="form-control form-control"
/>
</div>
</div>
</div>
</form>
</div>
</div>
<div class="card mb-4">
<div class="card-header">Declaration</div>
<div class="card-body">
<p>
I declare that nothing is concealed and the information furnished by
me in the application form is true in all respects and incase any
entry or information is found to be false, this shall entail automatic
cancellation of my admission besides rendering me liable to such
action as the University may deem proper. I hereby undertake that I
have carefully gone through the eligibility conditions prescribed in
the Prospectus for the programme and I am eligible for the above
applied program as per the norms of UGC, AICTE,BCI, COA or any other
regulatory body whichever is necessary for the applied program. If at
any stage it is found that I do not fulfil the minimum prescribed
eligibility criteria, my admission, if granted, shall stand cancelled
and I shall have no right to admission whatsoever. I also understand
that the application/registration form fee is non-refundable in nature
and merely filling up the provisional admission form doesn't guarantee
my admission and it is subject to document verification by RR
Institute admissions team.
</p>
<div class="row">
<div class="col-md-2 mb-2">
<h6 class="mb-2 pb-1">I agree</h6>
<div class="form-check form-check-inline">
<input
class="form-check-input"
type="radio"
name="inlineRadioOptions"
id="condYes"
value="Y"
checked
/>
<label class="form-check-label" for="yes">Yes</label>
</div>
<div class="form-check form-check-inline">
<input
class="form-check-input"
type="radio"
name="inlineRadioOptions"
id="condNo"
value="N"
/>
<label class="form-check-label" for="no">No</label>
</div>
</div>
</div>
<div class="mt-4 pt-2">
<input
class="btn btn-primary btn"
type="submit"
value="CONFIRM AND SUBMIT APPLICATION"
onclick="saveStdDet()"
/>
</div>
</div>
</div>
</div>
<div id="payemnt-not-done" hidden>
<div class="card mb-4">
<div class="card-header">Personal Details</div>
<div class="card-body">
<h4>Please Make Payment First</h4>
</div>
</div>
</div>
</div>
<script src="../js/main.js"></script>
<script src="../js/mainAdm.js"></script> -->
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