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 : 3.15.26.184
<div>
<div class="card">
<div class="card-header">Personal Details</div>
<div class="card-body">
<form id="std_data_form">
<div class="row">
<div class="col-md-4 mb-2">
<div class="form-outline text-start">
<label class="form-label" for="firstName">Full Name</label>
<input
type="text"
id="sname"
class="form-control form-control"
required
/>
<input
type="text"
id="fappno"
class="form-control form-control"
hidden
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName">Mobile</label>
<input
type="text"
id="fmob"
class="form-control form-control"
maxlength="10"
minlength="10"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName">Email</label>
<input
type="text"
id="femail"
class="form-control form-control"
/>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4 mb-2">
<label class="form-label" for="lastName">Gender</label>
<br />
<div class="form-check form-check-inline">
<input
class="form-check-input"
type="radio"
name="inlineRadioOptions"
id="male"
value="M"
/>
<label class="form-check-label" for="maleGender">Male</label>
</div>
<div class="form-check form-check-inline">
<input
class="form-check-input"
type="radio"
name="inlineRadioOptions"
id="female"
value="F"
/>
<label class="form-check-label" for="femaleGender">Female</label>
</div>
<div class="form-check form-check-inline">
<input
class="form-check-input"
type="radio"
name="inlineRadioOptions"
id="other"
value="T"
/>
<label class="form-check-label" for="otherGender"
>Transgender</label
>
</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">Birthday</label>
<input
type="date"
class="form-control form-control"
id="birthdayDate"
/>
</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">Category</label>
<select class="select form-control" id="category"></select>
</div>
</div>
</div>
<div class="row" id="ftypecomb">
<div class="col-md-4 mb-2 d-flex align-items-center">
<div class="form-outline w-100">
<label class="form-label">Type of Seat</label>
<select class="select form-control" id="fseattype"></select>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName">Seat State</label>
<select class="select form-control" id="fseatstate"></select>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName">Combination</label>
<select class="select form-control" id="fcomb"></select>
</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">Nationality</label>
<input
type="text"
class="form-control form-control"
id="nation"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName">Father Name</label>
<input
type="text"
id="fatname"
class="form-control form-control"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="lastName">Father Mobile No.</label>
<input
type="text"
id="fatno"
class="form-control form-control"
maxlength="10"
minlength="10"
/>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="firstName">Mother Name</label>
<input
type="text"
id="motname"
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"
>How did you come to know about us</label
>
<select class="select form-control" id="refer"></select>
</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">Religion</label>
<input type="text" id="relig" 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">Aadhaar No.</label>
<input
type="text"
id="aadhaarNo"
class="form-control form-control"
minlength="12"
maxlength="12"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<label class="form-label" for="firstName">Referred By</label>
<input
type="text"
id="frefercode"
class="form-control form-control"
/>
</div>
</div>
</div>
</form>
</div>
</div>
<div class="card mt-2">
<div class="card-header">Address Details</div>
<div class="card-body">
<form id="std_add">
<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" />
<input type="text" id="add2" class="form-control form-control" />
<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="firstName" style="margin: top 10px"
>State</label
>
<select class="select form-control" id="state"></select>
<!-- <input type="text" id="state" class="form-control form-control" /> -->
</div>
<div class="form-outline">
<label class="form-label" for="lastName">District</label>
<select class="select form-control" id="district"></select>
<!-- <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"
maxlength="7"
/>
</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>
</form>
</div>
</div>
<div class="card mt-2" id="doc_data">
<div class="card-header">
Upload Documents [ max file size: 1MB, Only JPG or PDF files]
</div>
<div class="card-body">
<form id="std_doc">
<div class="row">
<div class="col-md-4 mb-2">
<div class="form-outline">
<div class="d-flex justify-content-between">
<div class="mr-auto">
<label class="form-label" for="firstName"
>10th Marksheet</label
>
</div>
<div class="float-right">
<a id="10thmark_view" style="display: none" target="_blank"
>View</a
>
</div>
</div>
<input
type="file"
id="10th_file"
name="10th_file"
class="form-control form-control"
accept=".pdf,.jpg,.jpeg"
onchange="document.getElementById('10th_file').src = window.URL.createObjectURL(this.files[0])"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<div class="d-flex justify-content-between">
<div class="mr-auto">
<label class="form-label" for="firstName"
>12th Marksheet</label
>
</div>
<div class="float-right">
<a id="12thmark_view" style="display: none" target="_blank"
>View</a
>
</div>
</div>
<input
type="file"
id="12th_file"
name="12th_file"
class="form-control form-control"
accept=".pdf,.jpg,.jpeg"
onchange="document.getElementById('12th_file').src = window.URL.createObjectURL(this.files[0])"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<div class="d-flex justify-content-between">
<div class="mr-auto">
<label class="form-label" for="firstName"
>Transfer Certificate</label
>
</div>
<div class="float-right">
<a id="tc_view" style="display: none" target="_blank">View</a>
</div>
</div>
<input
type="file"
id="tc_file"
name="tc_file"
class="form-control form-control"
accept=".pdf,.jpg,.jpeg"
onchange="document.getElementById('tc_file').src = window.URL.createObjectURL(this.files[0])"
/>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4 mb-2">
<div class="form-outline">
<div class="d-flex justify-content-between">
<div class="mr-auto">
<label class="form-label" for="firstName"
>Migration Certificate</label
>
</div>
<div class="float-right">
<a id="migCer_view" style="display: none" target="_blank"
>View</a
>
</div>
</div>
<input
type="file"
id="migCer_file"
class="form-control form-control"
accept=".pdf,.jpg,.jpeg"
onchange="document.getElementById('migCer_file').src = window.URL.createObjectURL(this.files[0])"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<div class="d-flex justify-content-between">
<div class="mr-auto">
<label class="form-label" for="firstName">Aadhar Card</label>
</div>
<div class="float-right">
<a id="aadhaar_view" style="display: none" target="_blank"
>View</a
>
</div>
</div>
<input
type="file"
id="aadhar_file"
class="form-control form-control"
accept=".pdf,.jpg,.jpeg"
onchange="document.getElementById('aadhar_file').src = window.URL.createObjectURL(this.files[0])"
/>
</div>
</div>
<div class="col-md-4 mb-2">
<div class="form-outline">
<div class="d-flex justify-content-between">
<div class="mr-auto">
<label class="form-label" for="firstName"
>Student Photo</label
>
</div>
<div class="float-right">
<a id="stdPic_view" style="display: none" target="_blank"
>View</a
>
</div>
</div>
<input
type="file"
id="std_photo"
class="form-control form-control"
accept=".pdf,.jpg,.jpeg"
onchange="document.getElementById('std_photo').src = window.URL.createObjectURL(this.files[0])"
/>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4 mb-2">
<div class="form-outline">
<div class="d-flex justify-content-between">
<div class="mr-auto">
<label class="form-label" for="firstName"
>UG CERTIFICATES 3 year or 6-8th sem</label
>
</div>
<div class="float-right">
<a id="ugcer_view" style="display: none" target="_blank"
>View</a
>
</div>
</div>
<input
type="file"
id="ug_file"
name="ug_file"
class="form-control form-control"
accept=".pdf,.jpg,.jpeg"
onchange="document.getElementById('ug_file').src = window.URL.createObjectURL(this.files[0])"
/>
</div>
</div>
</div>
</form>
</div>
</div>
<div class="card mt-2" id="cond_data">
<div class="card-header">Declaration</div>
<div class="card-body">
<p id="decl_det"></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"
checked
onchange="getCondYes()"
/>
<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"
onchange="getCondVal()"
/>
<input id="save_type" hidden />
<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="SUBMIT"
id="confrimBtn"
onclick="saveStdDet()"
/>
</div>
</div>
</div>
</div>
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