| Server IP : 172.67.187.206 / Your IP : 172.71.28.155 Web Server : Apache/2.4.25 (Win32) OpenSSL/1.0.2j PHP/5.6.30 System : Windows NT WIN-ECQAAA40806 6.2 build 9200 (Windows Server 2012 Standard Edition) i586 User : SYSTEM ( 0) PHP Version : 5.6.30 Disable Function : NONE MySQL : ON | cURL : ON | WGET : OFF | Perl : OFF | Python : OFF | Sudo : OFF | Pkexec : OFF Directory : /Inetpub/www/news/elearning/admin/ |
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<?php
require '../configs/app_top.php';
if (!is_admin_logged_in()) {
redirect(generate_admin_link("login"));
exit;
}
$title = "Online Application";
try {
$sql2 = "select `c_code`, `c_name` "
. "FROM " . TBL_COURSES . " WHERE 1 ORDER BY c_code ASC ";
$stmt = $DB->prepare($sql2);
$stmt->execute();
$cresults = $stmt->fetchAll();
} catch (Exception $ex) {
echo $ex->getMessage();
}
$country = get_countries();
$states = get_state(99);
include './includes/header.php';
?>
<style type="text/css">
.col-2{width: 18.667% !important;}
</style>
<?php if ($ERROR_TYPE <> "") { ?>
<div class="col-12">
<div class="alert alert-<?php echo $ERROR_TYPE; ?>">
<button data-dismiss="alert" class="close" type="button">×</button>
<?php echo $ERROR_MSG; ?>
</div>
</div>
<?php } ?>
<div class="clearfix"></div>
<div class="row">
<div class="col-12">
<div class="panel panel-default">
<div class="panel-heading"><span class="glyphicon glyphicon-edit"></span> <?php echo $title; ?></div>
<div class="panel-body">
<div class="margin10">
<form class="form-horizontal" name="form1" id="form1" action="<?php echo generate_admin_link("apply_auth"); ?>" method="post">
<input type="hidden" name="mode" value="add_new">
<fieldset>
<div class="well">
<div class="form-group">
<label class="col-2 control-label" for="course"><span class="required">*</span>Course: </label>
<div class="col-4">
<select class="form-control" name="course" id="course" onchange="getSubjectCombination(this.value);">
<option value="">select</option>
<?php
foreach ($cresults as $cr) {
$s = ( $results[0]["sc_course_code"] == $cr["c_code"] ) ? 'selected="selected"' : "";
echo '<option value="' . safe_output($cr["c_code"]) . '" ' . $s . ' >' . safe_output($cr["c_name"]) . '</option>';
}
?>
</select>
</div>
</div>
<div>
<div class="col-4 col-offset-2 progress progress-striped active" style="display: none;" id="cat_progress">
<div style="width: 100%" class="progress-bar" id="cat_progress_bar"></div>
</div>
<div class="clearfix"></div>
<div id="com">
<div class="form-group">
<label class="col-2 control-label" for="sub_com"><span class="required">*</span>Combination: </label>
<div class="col-6">
<input type="hidden" name="scom" id="scom" value="0">
<select class="form-control" name="sub_com" id="sub_com">
<option value="">select</option>
</select>
</div>
</div>
</div>
</div>
</div>
</fieldset>
<div class="clearfix"></div>
<fieldset>
<legend>Personal Information</legend>
<div class="form-group">
<label class="col-2 control-label" for="fname"><span class="required">*</span>First Name: </label>
<div class="col-6">
<input type="text" placeholder="First Name" id="fname" name="fname" autocomplete="off" class="form-control" value="<?php echo $results[0]["s_fname"]; ?>">
</div>
</div>
<div class="form-group">
<label class="col-2 control-label" for="mname">Middle Name: </label>
<div class="col-6">
<input type="text" placeholder="Middle Name" id="mname" name="mname" autocomplete="off" class="form-control" value="<?php echo $results[0]["s_mname"]; ?>">
</div>
</div>
<div class="form-group">
<label class="col-2 control-label" for="lname">Last Name: </label>
<div class="col-6">
<input type="text" placeholder="Last Name" id="lname" name="lname" autocomplete="off" class="form-control" value="<?php echo $results[0]["s_lname"]; ?>">
</div>
</div>
<div class="form-group">
<label class="col-2 control-label" for="gender"><span class="required">*</span>Gender: </label>
<div class="col-6">
<div class="radio" style="float: left;width: 80px;">
<label>
<input type="radio" value="male" id="male" name="gender">
Male
</label>
</div>
<div class="radio" style="float: left; width: 80px;">
<label>
<input type="radio" value="female" id="female" name="gender">
Female
</label>
</div>
<div class="radio" style="float: left; width: 80px;">
<label>
<input type="radio" value="others" id="others" name="gender">
Others
</label>
</div>
</div>
<div class="clearfix"></div>
</div>
<div class="clearfix"></div>
<div class="form-group">
<label class="col-2 control-label" for="gaurdian_name"><span class="required">*</span>Guardian Name: </label>
<div class="col-6">
<input type="text" placeholder="Guardian Name" id="gaurdian_name" name="gaurdian_name" autocomplete="off" class="form-control" value="<?php echo $results[0]["s_gaurdian_name"]; ?>">
</div>
</div>
<div class="form-group">
<label class="col-2 control-label" for="gaurdian_relation"><span class="required">*</span>Relation: </label>
<div class="col-4">
<select class="form-control" name="gaurdian_relation" id="gaurdian_relation">
<option value="">select</option>
<option value="father">Father</option>
<option value="mother">Mother</option>
<option value="uncle">Uncle</option>
<option value="aunt">Aunt</option>
<option value="husband">Husband</option>
</select>
</div>
<div class="col-1">
<label>
<input type="checkbox" name="is_relation_others" id="is_relation_others" value="1" onclick="otherShow('#is_relation_others', '#relation_others', '#gaurdian_relation');"> Others
</label>
</div>
<div class="col-3">
<input type="text" placeholder="Other Relation" id="relation_others" name="relation_others" autocomplete="off" class="form-control" value="<?php echo $results[0]["s_gaurdian_relation_others"]; ?>" style="display: none;">
</div>
</div>
<div class="form-group">
<label class="col-2 control-label" for="gaurdian_mobile_no"><span class="required">*</span>Guardian Mobile#: </label>
<div class="col-4">
<input type="text" placeholder="Guardian Mobile No" id="gaurdian_mobile_no" name="gaurdian_mobile_no" autocomplete="off" class="form-control" value="<?php echo $results[0]["s_gaurdian_mobile_no"]; ?>">
</div>
</div>
<div class="form-group">
<label class="col-2 control-label" for="family_income"><span class="required">*</span>Family Income: </label>
<div class="col-4">
<select class="form-control" name="family_income" id="family_income">
<option value="<5000"><5000</option>
<option value="5000-10000">5000-10000</option>
<option value=">10000">>10000</option>
<option value=">20000">>20000</option>
</select>
</div>
</div>
<div class="form-group">
<label class="col-2 control-label" for="dob"><span class="required">*</span>Date of Birth: </label>
<div class="col-4">
<input type="text" placeholder="dd/mm/YYYY" id="dob" name="dob" autocomplete="off" class="form-control" value="<?php echo $results[0]["s_dob"]; ?>">
</div>
</div>
<div class="form-group">
<label class="col-2 control-label" for="category"><span class="required">*</span>Category: </label>
<div class="col-6">
<div class="radio" style="float: left;width: 80px;">
<label>
<input type="radio" value="general" name="category">
General
</label>
</div>
<div class="radio" style="float: left; width: 60px;">
<label>
<input type="radio" value="sc" name="category">
SC
</label>
</div>
<div class="radio" style="float: left; width: 50px;">
<label>
<input type="radio" value="st" name="category">
ST
</label>
</div>
<div class="radio" style="float: left; width: 80px;">
<label>
<input type="radio" value="obc_a" name="category">
OBC A
</label>
</div>
<div class="radio" style="float: left; width: 80px;">
<label>
<input type="radio" value="obc_b" name="category">
OBC B
</label>
</div>
</div>
<div class="clearfix"></div>
</div>
<div class="clearfix"></div>
<div class="form-group">
<label class="col-2 control-label" for="physically_challenged"><span class="required">*</span>Physically Challenged: </label>
<div class="col-6">
<div class="radio" style="float: left;width: 80px;">
<label>
<input type="radio" value="yes" name="physically_challenged">
Yes
</label>
</div>
<div class="radio" style="float: left; width: 60px;">
<label>
<input type="radio" value="no" name="physically_challenged">
No
</label>
</div>
</div>
<div class="clearfix"></div>
</div>
<div class="clearfix"></div>
<div class="form-group">
<label class="col-2 control-label" for="religion"><span class="required">*</span>Religion: </label>
<div class="col-4">
<input type="text" placeholder="Religion" id="religion" name="religion" autocomplete="off" class="form-control" value="<?php echo $results[0]["s_religion"]; ?>">
</div>
</div>
<div class="form-group">
<label class="col-2 control-label" for="nationality"><span class="required">*</span>Nationality: </label>
<div class="col-4">
<select class="form-control" name="nationality" id="nationality">
<option value="">select</option>
<option value="indian">Indian</option>
<option value="nepali">Nepali</option>
<option value="bhutiya">Bhutiya</option>
<option value="bangladeshi">Bangladeshi</option>
<option value="pakistani">Pakistani</option>
</select>
</div>
<div class="col-1">
<label>
<input type="checkbox" name="is_other_nationality" id="is_other_nationality" value="1" onclick="otherShow('#is_other_nationality', '#nationality_others', '#nationality')"> Others
</label>
</div>
<div class="col-3">
<input type="text" id="nationality_others" name="nationality_others" autocomplete="off" class="form-control" value="<?php echo $results[0]["s_nationality_others"]; ?>" style="display: none;">
</div>
</div>
<div class="form-group">
<label class="col-2 control-label" for="mobile"><span class="required">*</span>Mobile#: </label>
<div class="col-4">
<input type="text" placeholder="Mobile Number" id="mobile" name="mobile" autocomplete="off" class="form-control" value="<?php echo $results[0]["s_mobile"]; ?>">
</div>
</div>
<div class="form-group">
<label class="col-2 control-label" for="phone">Phone#: </label>
<div class="col-4">
<input type="text" placeholder="Phone Number" id="phone" name="phone" autocomplete="off" class="form-control" value="<?php echo $results[0]["s_phone"]; ?>">
</div>
</div>
<div class="form-group">
<label class="col-2 control-label" for="email_add">Email Address: </label>
<div class="col-4">
<input type="text" placeholder="Email Address" id="email_add" name="email_add" autocomplete="off" class="form-control" value="<?php echo $results[0]["s_email_address"]; ?>">
</div>
</div>
<div class="form-group">
<label class="col-2 control-label" for="cur_street_address"><span class="required">*</span>Street Address: </label>
<div class="col-6">
<input type="text" placeholder="Current Address" id="cur_street_address" name="cur_street_address" autocomplete="off" class="form-control" value="<?php echo $results[0]["s_cur_street_address"]; ?>">
</div>
</div>
<div class="form-group">
<label class="col-2 control-label" for="cur_pincode"><span class="required">*</span>Pincode: </label>
<div class="col-4">
<input type="text" placeholder="Pincode" id="cur_pincode" name="cur_pincode" autocomplete="off" class="form-control" value="<?php echo $results[0]["s_cur_pincode"]; ?>">
</div>
</div>
<div class="form-group">
<label class="col-2 control-label" for="cur_country"><span class="required">*</span>Country: </label>
<div class="col-4">
<select class="form-control" name="cur_country" id="cur_country" onchange="getState1(this.value, 'cur_state', 'cur_dist')">
<option value="">select</option>
<?php
foreach ($country as $cr) {
$s = ( $cr["countries_id"] == 99 ) ? 'selected="selected"' : "";
echo '<option value="' . safe_output($cr["countries_id"]) . '" ' . $s . ' >' . safe_output($cr["countries_name"]) . '</option>';
}
?>
</select>
</div>
</div>
<div >
<div class="form-group" >
<label class="col-2 control-label" for="cur_state"><span class="required">*</span>State: </label>
<div class="col-4" id="state1">
<select class="form-control" name="cur_state" id="cur_state" onchange="getCity1(this.value, 'cur_dist')">
<option value="">select</option>
<?php
foreach ($states as $cr) {
$s = ( $cr["state_id"] == 99 ) ? 'selected="selected"' : "";
echo '<option value="' . safe_output($cr["state_id"]) . '" ' . $s . ' >' . safe_output($cr["state_name"]) . '</option>';
}
?>
</select>
</div>
</div>
</div>
<div >
<div class="form-group">
<label class="col-2 control-label" for="cur_dist"><span class="required">*</span>District/City: </label>
<div class="col-4" id="city1">
<select class="form-control" name="cur_dist" id="cur_dist">
<option value="">select</option>
</select>
</div>
</div>
</div>
<div class="form-group">
<label class="col-2 control-label" for="is_same_address"><span class="required">*</span>Permanent Address: </label>
<div class="col-6">
<div class="radio" style="float: left;width: 150px;">
<label>
<input type="radio" value="yes" name="is_same_address" checked="" onclick="$('#perm_address').fadeOut('slow');
resetPermAdd();">
Same as Current
</label>
</div>
<div class="radio" style="float: left; width: 60px;">
<label>
<input type="radio" value="no" name="is_same_address" onclick="$('#perm_address').fadeIn('slow');
resetPermAdd();">
Different
</label>
</div>
</div>
<div class="clearfix"></div>
</div>
<div class="clearfix"></div>
<div id="perm_address" style="display: none">
<div class="form-group">
<label class="col-2 control-label" for="per_street_address">Street Address: </label>
<div class="col-6">
<input type="text" placeholder="Permanent Address" id="per_street_address" name="per_street_address" autocomplete="off" class="form-control" value="<?php echo $results[0]["s_per_street_address"]; ?>">
</div>
</div>
<div class="form-group">
<label class="col-2 control-label" for="per_pincode">Pincode: </label>
<div class="col-4">
<input type="text" placeholder="Pincode" id="per_pincode" name="per_pincode" autocomplete="off" class="form-control" value="<?php echo $results[0]["s_per_pincode"]; ?>">
</div>
</div>
<div class="form-group">
<label class="col-2 control-label" for="per_country">Country: </label>
<div class="col-4">
<select class="form-control" name="per_country" id="per_country" onchange="getState2(this.value, 'per_state', 'per_dist')">
<option value="">select</option>
<?php
foreach ($country as $cr) {
$s = ( $cr["countries_id"] == 99 ) ? 'selected="selected"' : "";
echo '<option value="' . safe_output($cr["countries_id"]) . '" ' . $s . ' >' . safe_output($cr["countries_name"]) . '</option>';
}
?>
</select>
</div>
</div>
<div >
<div class="form-group">
<label class="col-2 control-label" for="per_state">State: </label>
<div class="col-4" id="state2">
<select class="form-control" name="per_state" id="per_state" onchange="getCity2(this.value, 'per_dist')">
<option value="">select</option>
<?php
foreach ($states as $cr) {
$s = ( $cr["state_id"] == 99 ) ? 'selected="selected"' : "";
echo '<option value="' . safe_output($cr["state_id"]) . '" ' . $s . ' >' . safe_output($cr["state_name"]) . '</option>';
}
?>
</select>
</div>
</div>
</div>
<div >
<div class="form-group">
<label class="col-2 control-label" for="per_dist">District/City: </label>
<div class="col-4" id="city2">
<select class="form-control" name="per_dist" id="per_dist">
<option value="">select</option>
</select>
</div>
</div>
</div>
</div>
</fieldset>
<fieldset>
<legend>Academic Information</legend>
<div class="form-group">
<label class="col-2 control-label" for="board">Board/Council (10+2): </label>
<div class="col-4">
<select class="form-control" name="board" id="board" onchange="placeRoll(this.value)">
<option value="">Select</option>
<option value="cbse">CBSE</option>
<option value="wbchse">WBCHSE</option>
<option value="isc">ISC</option>
</select>
</div>
<div class="col-1">
<label>
<input type="checkbox" name="is_board_others" id="is_board_others" value="1" onclick="otherShow('#is_board_others', '#board_others', '#board');"> Others
</label>
</div>
<div class="col-3">
<input type="text" id="board_others" name="board_others" autocomplete="off" class="form-control" value="<?php echo $results[0]["s_board_others"]; ?>" style="display: none;">
</div>
</div>
<div class="form-group">
<label class="col-2 control-label" for="roll_no1">Roll No/Index Number: </label>
<div class="col-4">
<input type="text" id="roll_no1" name="roll_no1" autocomplete="off" class="form-control" value="<?php echo $results[0]["s_roll_no1"]; ?>">
</div>
<div class="col-5" id="roll2" style="display: none;">
<label class="control-label" for="roll_no2" style="float: left;">Number: </label>
<input type="text" id="roll_no2" name="roll_no2" autocomplete="off" class="form-control" value="<?php echo $results[0]["roll_no2"]; ?>" style="width: 250px;">
</div>
</div>
<div class="form-group">
<label class="col-2 control-label" for="passing_year">Year of Passing: </label>
<div class="col-4">
<input type="text" placeholder="YYYY" id="passing_year" name="passing_year" autocomplete="off" class="form-control" value="<?php echo $results[0]["s_passing_year"]; ?>">
</div>
</div>
<div class="well well-lg">
<p><span class="required">*</span> Marks obtained in H.S. or equivalent (10 + 2) Exams:</p>
<p></p>
<p>Do not enter makrs if Compulsary Enviroment Studies/Education/Science in the marks obtained table</p>
</div>
<table class="table tab-content table-hover table-striped">
<thead>
<tr>
<th>Subjects (as mentioned in your mark sheet)</th>
<th style="text-align: center;">Marks Obtained</th>
<th style="text-align: center;">Full Marks</th>
<th style="text-align: center;">Remarks</th>
</tr>
</thead>
<tfoot>
<tr>
<th>Subjects (as mentioned in your mark sheet)</th>
<th style="text-align: center;">Marks Obtained</th>
<th style="text-align: center;"> Full Marks</th>
<th style="text-align: center;">Remarks</th>
</tr>
</tfoot>
<tbody>
<tr>
<td class="col-5"><input type="text" name="subj[]" class="form-control" value="English" autocomplete="off" readonly=""></td>
<td class="col-2"><input style="text-align: center;" onkeyup="calculate_best4();" type="text" name="mo[]" class="form-control bst" autocomplete="off" value=""></td>
<td class="col-2"><input style="text-align: center;" type="text" name="fm[]" class="form-control" autocomplete="off" value="100" readonly=""></td>
<td>
<select class="form-control" name="rem[]">
<option value="">SELECT</option>
<option value="pass">PASS</option>
<option value="fail">FAIL</option>
<option value="na">NA</option>
</select>
</td>
</tr>
<?php
for ($l = 1; $l < 6; $l++) {
?>
<tr>
<td><input type="text" name="subj[]" class="form-control" value="" autocomplete="off"></td>
<td><input style="text-align: center;" type="text" name="mo[]" onkeyup="calculate_best4();" class="form-control bst" autocomplete="off" value=""></td>
<td><input style="text-align: center;" type="text" name="fm[]" class="form-control" autocomplete="off" value="100" readonly=""></td>
<td>
<select class="form-control" name="rem[]">
<option value="">SELECT</option>
<option value="pass">PASS</option>
<option value="fail">FAIL</option>
<option value="na">NA</option>
</select>
</td>
</tr>
<?php
}
?>
<tr>
<td style="text-align: right;font-weight: bold;vertical-align: middle;">BEST 4: </td>
<td><input style="text-align: center;" type="text" name="best4" id="best4" class="form-control" autocomplete="off" value="0" readonly=""></td>
<td></td>
<td></td>
</tr>
</tbody>
</table>
</fieldset>
<fieldset>
<div class="form-group">
<div class="col-10 col-offset-1">
<label>
<input type="checkbox" onclick="if ($('#is_accept').is(':checked')) {
$('#sub').attr('disabled', false);
} else {
$('#sub').attr('disabled', true);
}
" id="is_accept" name="is_accept"> I have checked the form twice, all the values are correct and now I want to submit.
</label>
</div>
</div>
<div class="form-group">
<div class="col-10 col-offset-1">
<button class="btn btn-primary" type="submit" disabled="" id="sub">Submit</button>
</div>
</div>
</fieldset>
</form>
</div>
</div>
</div>
</div>
</div>
<script src="<?php echo get_admin_url(); ?>js/jquery.validate.js"></script>
<script src="<?php echo get_admin_url(); ?>js/students_validate.js"></script>
<link rel="stylesheet" type="text/css" media="all" href="<?php echo get_admin_url(); ?>js/datepicker/jsDatePick_ltr.css" />
<script type="text/javascript" src="<?php echo get_admin_url(); ?>js/datepicker/jsDatePick.full.1.3.js"></script>
<?php
include './includes/footer.php';
require '../configs/app_bottom.php';
?>