Your IP : 3.144.6.144
<script>
$(function() {
$('#reload').click(function() {
var d = new Date();
$('img').attr('src', ' .php?' + d.getTime());
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</script>
<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" value='14SA0886'
style="text-transform: uppercase;min-width:150px;"
title='University Register no.' maxlength=10>
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label" style="text-align:left">Date Of Birth<span
style='color:red;'>*</span>
<br>
</label>
<div class="col-md-3">
<input type="date" name="dob" id="T" class="form-control"
style="text-transform: uppercase;min-width:150px;"
title='University Register no.' maxlength=10
onblur='CMS.Getstudentdetails(event,this.value)'>
</div>
</div>
<div class="form-group" id="hidden1" hidden>
<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" id="hidden2" hidden>
<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" id="hidden3" hidden>
<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>
<h4 style="color:red;display:none;" id="dcmsg" hidden>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="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" id="hidden4" hidden>
<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;" id="hidden5" hidden>
<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" disabled
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" disabled
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;'
disabled 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 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'>Receive by self (in person) at the University</option>
<option value='IN ABSENTIA'>Receive by authorised
individual</option>
<option value='by Post'>Receive by Post</option>
</select>
</div>
<div style="margin-left: 7%;">
<div id="authorizedperson" class="form-body" style="margin-left: -5%;width: 103%;"
hidden>
<div class="row">
<table
style="padding: 10px; border: 1px solid #ccc; width: 1900px; border-radius: 20px; box-shadow: 0 0 10px rgba(0, 0, 0, 0.1);">
<caption class="form-section" style="margin-left: -40%;">
<h3 style="margin-left: -10%;">Authorised Person Details</h3>
</caption>
<div class="col-md-12">
<div class="form-group" style="margin-left: 5%; margin-top:10%">
<tr>
<td> </td>
<td><span> </span></td>
</tr>
<tr>
<td class="col-md-3 control-label" style="text-align:left">
Upload Letter</td>
<td style="padding:8px;"><input type="file" style="width: 100%;"
id="letter_upload" /></td>
</tr>
<tr>
<td class="col-md-3 control-label" style="text-align:left">
Name</td>
<td style="padding: 8px;">
<input type="text" class="form-control"
style='min-width:150px;' id="thirdName" />
</td>
</tr>
<tr>
<td class="col-md-3 control-label" style="text-align:left">
Relation with Applicant</td>
<td style="padding: 8px;">
<select id="relative" class="form-control"
style='min-width:150px;'
onchange='CMS.loadrelation (this.value)'>
<option value="father">Father</option>
<option value="mother">Mother</option>
<option value="spouse">Spouse</option>
<option value="other">Other</option>
</select>
</td>
</tr>
<tr>
<th> <span> </span></th>
<td id="createrow" hidden></td>
</tr>
<tr>
<td class="col-md-3 control-label" style="text-align:left">
Email Id</td>
<td style="padding: 8px;"><input type="text"
class="form-control" style='min-width:150px;'
id="thirdPersonEmail" />
</td>
</tr>
<tr>
<td class="col-md-3 control-label" style="text-align:left">
Mobile No.</td>
<td style="padding: 8px;"><input type="text"
class="form-control" style='min-width:150px;'
id="thirdPersonMobile" />
</td>
</tr>
<tr>
<td class="col-md-3 control-label" style="text-align:left">
Permanent Address</td>
<td style="padding: 8px;"><textarea type="text"
class="form-control" style='min-width:150px;'
id="thirdPersonAddress"></textarea>
</td>
</tr>
<tr>
<td class="col-md-3 control-label" style="text-align:left">
Id Proof</td>
<td style="padding: 8px;">
<select class="form-control" style='min-width:150px;'
id="idproof" onchange='CMS.loadidproof (this.value)'>
<option value="aadhar">Aadhar Card</option>
<option value="driving">Driving licence</option>
<option value="voter">Voter Id</option>
<option value="other">Other</option>
</select>
</td>
</tr>
<tr>
<th></th>
<td id="createIdrow"></td>
</tr>
<tr>
<td class="col-md-3 control-label" style="text-align:left">
Upload Id Doc</td>
<td> <input type="file" /></td>
</tr>
<tr>
<td> </td>
<td><span> </span></td>
</tr>
</div>
</div>
</table>
</div>
</div>
<div id="bypostway" hidden>
<div class="row">
<table
style="padding: 10px; border: 1px solid #ccc; width: 1900px; border-radius: 8px; box-shadow: 0 0 10px rgba(0, 0, 0, 0.1);">
<caption class="form-section" style="margin-left: -40%;">
<h3 style="margin-left: -10%;">By Post</h3>
</caption>
<div class="col-md-12">
<div class="form-group" style="margin-left: 5%;">
<tr>
<td> </td>
<td><span> </span></td>
</tr>
<tr>
<td class="col-md-3 control-label" style="text-align:left">
House no</td>
<td style="padding:8px;"><input type="text" class="form-control"
style='min-width:150px;' id="byposthouseno" /></td>
</tr>
<tr>
<td class="col-md-3 control-label" style="text-align:left">
Street Name</td>
<td style="padding: 8px;">
<input type="text" class="form-control"
style='min-width:150px;' id="bypoststreetname" />
</td>
</tr>
<tr>
<td class="col-md-3 control-label" style="text-align:left">
Area/ Locality</td>
<td style="padding: 8px;">
<input type="text" class="form-control"
style='min-width:150px;' id="bypostarea" />
</td>
</tr>
<!-- <tr>
<th> <span> </span></th>
<td id="createrow" hidden></td>
</tr> -->
<tr>
<td class="col-md-3 control-label" style="text-align:left">
Landmark</td>
<td style="padding: 8px;"><input type="text"
class="form-control" style='min-width:150px;'
id="bypostlandmark" />
</td>
</tr>
<tr>
<td class="col-md-3 control-label" style="text-align:left">
Country</td>
<td style="padding: 8px;">
<select class="form-control" style='min-width:150px;'
id="counties" onchange='CMS.loadcountry (this.value)'>
<option value="">---Select---</option>
<option value="india">India</option>
<option value="bhutan">Bhutan</option>
<option value="nepal">Nepal</option>
<option value="bangladesh">Bangladesh</option>
<option value="other">Others</option>
</select>
</td>
</tr>
<tr id="Othercountryother" hidden>
<td class="col-md-3 control-label" style="text-align:left">
</td>
<td style="padding: 8px;"><input type="text"
class="form-control" style='min-width:150px;'
placeholder="Enter Country Name" id="otherthanall" />
</td>
</tr>
<!-- <div id="Othercountryother" hidden></div> -->
<tr>
<td class="col-md-3 control-label" style="text-align:left">
State</td>
<td style="padding: 8px;" id="states" hidden>
<select class="form-control" style='min-width:150px;'
onchange='CMS.loadidproof (this.value)'
id="indiasState">
<option value="">---Select---</option>
<option value="andhra">Andhra Pradesh</option>
<option value="arunachal">Arunachal Pradesh</option>
<option value="assam">Assam</option>
<option value="bihar">Bihar</option>
<option value="chhattisgarh">Chhattisgarh</option>
<option value="goa">Goa</option>
<option value="gujarat">Gujarat</option>
<option value="haryana">Haryana</option>
<option value="himachal">Himachal Pradesh</option>
<option value="jammu">Jammu and Kashmir</option>
<option value="jharkhand">Jharkhand</option>
<option value="karnataka">Karnataka</option>
<option value="kerala">Kerala</option>
<option value="madhyapradesh">Madhya Pradesh</option>
<option value="mararashtra">Maharashtra</option>
<option value="manipur">Manipur</option>
<option value="meghalaya">Meghalaya</option>
<option value="mizoram">Mizoram</option>
<option value="nagaland">Nagaland</option>
<option value="odisha">Odisha</option>
<option value="punjab">Punjab</option>
<option value="rajasthan">Rajasthan</option>
<option value="sikkim">Sikkim</option>
<option value="tamilnadu">Tamil Nadu</option>
<option value="telangana">Telangana</option>
<option value="tripura">Tripura</option>
<option value="uttarpradesh">Uttar Pradesh</option>
<option value="uttarakhand">Uttarakhand</option>
<option value="westbengal">West Bengal</option>
</select>
</td>
<td style="padding: 8px;" id="otherCountry"><input type="text"
class="form-control" style='min-width:150px;'
placeholder="Enter State" id="otherthanstate" /></td>
</tr>
<tr>
<td class="col-md-3 control-label" style="text-align:left">
District</td>
<td style="padding: 8px;"><input type="text"
class="form-control" style='min-width:150px;'
id="postdist" />
</td>
</tr>
<tr>
<td class="col-md-3 control-label" style="text-align:left">
PIN/ ZIP Code</td>
<td style="padding: 8px;">
<input type="text" class="form-control"
style='min-width:150px;' id="bypostpincode" />
</td>
</tr>
<tr>
<th></th>
<td id="createIdrow"></td>
</tr>
<tr>
<td> </td>
<td><span> </span></td>
</tr>
</div>
</div>
</table>
</div>
</div>
</div>
</div>
</div>
<div class=" col-md-8" id="hidden6" hidden>
<div id="hideforPost">
<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' disabled><br>
<input type="text" name="address" id="T9" class="form-control"
onkeypress="CMS.allowAlphaNumericSpace(event)" style='margin-top:-18px;'
maxlength=50 disabled><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" disabled>
<!--<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" disabled>
<!--<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" disabled>
<!--<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>
<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;' disabled></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" hidden>
<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">Degree 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%;" id="hidden7" hidden>
<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" id="hidden8" hidden>
<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--> |