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<?php include ("include/makeSession.php"); $installment_id=mysqli_query($con,"select * from admin where id='".$_SESSION["ecomid"]."'"); $installment_id=mysqli_fetch_array($installment_id); $installment_id=$installment_id['menuper']; $menuper=explode(',',$installment_id); if(in_array('B.ED ADMISSION',$menuper)){ }else{ header("location:index.php"); } include('include/function.php'); include("include/header.php"); include("include/sidebar.php"); if(isset($_REQUEST['did']) && $_REQUEST['did']!=''){ $dovalue=""; $doid=$_REQUEST['did']; mysqli_query($con,"delete from admission where AdmissionID='$doid'"); echo '<META HTTP-EQUIV="Refresh" Content="0; URL=OnlyAdmissionForm.php">'; exit; } if(isset($_REQUEST['upid']) && $_REQUEST['upid']!=''){ $dovalue="EditAdmissionFormEntry"; $doid=$_REQUEST['upid']; $upuserresult=mysqli_query($con,"select * from admission where AdmissionID='".$_REQUEST['upid']."'"); $upuserarr=mysqli_fetch_array($upuserresult); }else{ $dovalue="AdmissionFormEntry"; $doid=''; } ?> <div class="content-wrapper"> <!-- Content Header (Page header) --> <section class="content-header"> <h1> Admission Form Entry <small></small> </h1> <ol class="breadcrumb"> <li><a href="#"><i class="fa fa-dashboard"></i> Home</a></li> <li><a href="#">Marksheet Upload</a></li> </ol> </section> <!-- Main content --> <section class="content"> <div class="row"> <div class="col-md-12"> <form method="post" action="action.php" enctype="multipart/form-data" role="form"> <input type="hidden" name="do" value="<?php echo $dovalue;?>" /> <input type="hidden" name="doid" value="<?php echo $doid;?>" /> <input type="hidden" name="Degree" value="B.ED" /> <div class="box box-info"> <div class="box-header"> <h3 class="box-title"> Admission Form <small></small></h3> <!-- tools box --> <div class="pull-right box-tools"> <button class="btn btn-info btn-sm" data-widget="collapse" data-toggle="tooltip" title="Collapse"><i class="fa fa-minus"></i></button> <button class="btn btn-info btn-sm" data-widget="remove" data-toggle="tooltip" title="Remove"><i class="fa fa-times"></i></button> </div> <!-- /. tools --> </div> <!-- /.box-header --> <div class="box-body pad"> <!-- text input --> <div class="col-md-8"> <div class="form-group"> <label>Application Type</label> <div class="radio"> <label> <input type="radio" name="rdbappllicant" id="optionsRadios1" value="1" checked=""> DEPUTED </label> </div> <div class="radio"> <label> <input type="radio" name="rdbappllicant" id="optionsRadios2" value="2"> FRESHER </label> </div> </div> </div> <div class="col-md-8"> <div class="form-group"> <label>Academic Year</label> <select name="AcademicYear" class="form-control subject"> <option selected="selected" value="NA">Select</option> <?php $CasteQuery=mysqli_query($con,"select * from caste"); while($CasteRow=mysqli_fetch_array($CasteQuery)){ echo '<option value="'.$CasteRow['CasteID'].'" '.($upuserarr['Cast'] == $CasteRow['CasteID'] ? 'selected="selected"' : '' ).' >'.$CasteRow['CasteName'].'</option>'; } ?> </select> </div> </div> <div class="col-md-6"> <div class="form-group"> <label>University Last Attended</label> <input name="UniversityLastAttended" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> <div class="col-md-6"> <div class="form-group"> <label>Registration No of the University Last Attended</label> <input name="RNOTULA" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>Language</label> <select name="Language" class="form-control subject"> <option selected="selected" value="NA">Select</option> <?php $CasteQuery=mysqli_query($con,"select * from caste"); while($CasteRow=mysqli_fetch_array($CasteQuery)){ echo '<option value="'.$CasteRow['CasteID'].'" '.($upuserarr['Cast'] == $CasteRow['CasteID'] ? 'selected="selected"' : '' ).' >'.$CasteRow['CasteName'].'</option>'; } ?> </select> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>Religion</label> <select name="Religion" class="form-control subject"> <option selected="selected" value="NA">Select</option> <?php $CasteQuery=mysqli_query($con,"select * from caste"); while($CasteRow=mysqli_fetch_array($CasteQuery)){ echo '<option value="'.$CasteRow['CasteID'].'" '.($upuserarr['Cast'] == $CasteRow['CasteID'] ? 'selected="selected"' : '' ).' >'.$CasteRow['CasteName'].'</option>'; } ?> </select> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>Caste</label> <select name="Caste" class="form-control subject"> <option selected="selected" value="NA">Select</option> <?php $CasteQuery=mysqli_query($con,"select * from caste"); while($CasteRow=mysqli_fetch_array($CasteQuery)){ echo '<option value="'.$CasteRow['CasteID'].'" '.($upuserarr['Cast'] == $CasteRow['CasteID'] ? 'selected="selected"' : '' ).' >'.$CasteRow['CasteName'].'</option>'; } ?> </select> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>Gender</label> <select name="Gender" class="form-control subject"> <option selected="selected" value="NA">Select</option> <?php $CasteQuery=mysqli_query($con,"select * from caste"); while($CasteRow=mysqli_fetch_array($CasteQuery)){ echo '<option value="'.$CasteRow['CasteID'].'" '.($upuserarr['Cast'] == $CasteRow['CasteID'] ? 'selected="selected"' : '' ).' >'.$CasteRow['CasteName'].'</option>'; } ?> </select> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>Nationality</label> <input name="Nationality" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>Consultant</label> <select name="Consultant" class="form-control subject"> <option selected="selected" value="NA">Select</option> <?php $CasteQuery=mysqli_query($con,"select * from caste"); while($CasteRow=mysqli_fetch_array($CasteQuery)){ echo '<option value="'.$CasteRow['CasteID'].'" '.($upuserarr['Cast'] == $CasteRow['CasteID'] ? 'selected="selected"' : '' ).' >'.$CasteRow['CasteName'].'</option>'; } ?> </select> </div> </div> </div> </div> <div class="box box-info"> <div class="box-header"> <h3 class="box-title"> Personal Details <small></small></h3> <!-- tools box --> <div class="pull-right box-tools"> <button class="btn btn-info btn-sm" data-widget="collapse" data-toggle="tooltip" title="Collapse"><i class="fa fa-minus"></i></button> <button class="btn btn-info btn-sm" data-widget="remove" data-toggle="tooltip" title="Remove"><i class="fa fa-times"></i></button> </div> <!-- /. tools --> </div> <!-- /.box-header --> <div class="box-body pad"> <!-- text input --> <div class="col-md-8"> <div class="form-group"> <label>Candidate Name</label> <input name="CandidateName" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> <div class="col-md-8"> <div class="form-group"> <div class="row"> <div class="col-md-12"> <label>Date Of Birth</label> </div> <div class="col-md-3"> <select name="ddlDay" class="form-control subject"> <option selected="selected" value="NA">Day</option> <option value="1">B.ED</option> <option value="2">D.El.Ed.</option> </select> </div> <div class="col-md-3"> <select name="ddlMonth" class="form-control subject"> <option selected="selected" value="NA">Month</option> <option value="1">B.ED</option> <option value="2">D.El.Ed.</option> </select> </div> <div class="col-md-3"> <select name="ddlYear" class="form-control subject"> <option selected="selected" value="NA">Year</option> <option value="1">B.ED</option> <option value="2">D.El.Ed.</option> </select> </div> </div> </div> </div> <div class="col-md-8"> <div class="form-group"> <div class="row"> <div class="col-md-12"> <label>Candidate Age as per Madhymik/Equivalent Examination records as on 10/03/2018</label> </div> <div class="col-md-2"> <input name="CandidateYears" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> <div class="col-md-2"> <label>Years</label> </div> <div class="col-md-2"> <input name="CandidateMonths" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> <div class="col-md-2"> <label>Months</label> </div> <div class="col-md-2"> <input name="CandidateDays" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> <div class="col-md-2"> <label>Days</label> </div> </div> </div> </div> <div class="col-md-6"> <div class="form-group"> <label>Place of Birth</label> <input name="PlaceofBirth" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> <div class="col-md-6"> <div class="form-group"> <label>Blood Group</label> <input name="BloodGroup" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> <div class="col-md-6"> <div class="form-group"> <label>Father's Name</label> <input name="FathersName" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> <div class="col-md-6"> <div class="form-group"> <label>Father's Last Name</label> <input name="FathersLastName" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Father's Last Name"> </div> </div> <div class="col-md-6"> <div class="form-group"> <label>Mother's Name</label> <input name="MothersName" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> <div class="col-md-6"> <div class="form-group"> <label>Mother Last Name</label> <input name="MotherLastName" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Mother Last Name"> </div> </div> <div class="col-md-8"> <div class="form-group"> <label>ADHAAR NO</label> <input name="ADHAARNO" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="ADHAAR NO"> </div> </div> </div> </div> <div class="box box-info"> <div class="box-header"> <h3 class="box-title"> Communication Details <small></small></h3> <!-- tools box --> <div class="pull-right box-tools"> <button class="btn btn-info btn-sm" data-widget="collapse" data-toggle="tooltip" title="Collapse"><i class="fa fa-minus"></i></button> <button class="btn btn-info btn-sm" data-widget="remove" data-toggle="tooltip" title="Remove"><i class="fa fa-times"></i></button> </div> <!-- /. tools --> </div> <!-- /.box-header --> <div class="box-body pad"> <!-- text input --> <div class="col-md-4"> <div class="form-group"> <label>Landline No</label> <input name="LandlineNo" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>Mobile No</label> <input name="MobileNo" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>Email Id</label> <input name="EmailId" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>Address</label> <input name="Address" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>City</label> <input name="City" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>District</label> <input name="District" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>State</label> <input name="State" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>Pin Code</label> <input name="PinCode" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> <div class="col-md-12"> <div class="form-group"> <label>Permanent Address (Same As Present Address)(Check if address same as present address)</label> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>Address</label> <input name="Address1" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>City</label> <input name="City1" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>District</label> <input name="District1" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>State</label> <input name="State1" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>Pin Code</label> <input name="PinCode1" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> </div> </div> <div class="box box-info"> <div class="box-header"> <h3 class="box-title"> Admission Details <small></small></h3> <!-- tools box --> <div class="pull-right box-tools"> <button class="btn btn-info btn-sm" data-widget="collapse" data-toggle="tooltip" title="Collapse"><i class="fa fa-minus"></i></button> <button class="btn btn-info btn-sm" data-widget="remove" data-toggle="tooltip" title="Remove"><i class="fa fa-times"></i></button> </div> <!-- /. tools --> </div> <!-- /.box-header --> <div class="box-body pad"> <!-- text input --> <div class="col-md-6"> <div class="form-group"> <label>Registration Date</label> <input name="RegistrationDate" type="text" class="form-control" value="<?php if(isset($_REQUEST['upid'])){ echo $upuserarr['StudentCode'];}?>" placeholder="Enter Batch Session"> </div> </div> <div class="col-md-8"> <label>Subject</label> <select name="ddlSubject" class="form-control subject"> <option selected="selected" value="NA">Year</option> <option value="1">B.ED</option> <option value="2">D.El.Ed.</option> </select> </div> </div> </div> <div class="box box-info"> <div class="box-header"> <h3 class="box-title"> UPLOADS <small></small></h3> <!-- tools box --> <div class="pull-right box-tools"> <button class="btn btn-info btn-sm" data-widget="collapse" data-toggle="tooltip" title="Collapse"><i class="fa fa-minus"></i></button> <button class="btn btn-info btn-sm" data-widget="remove" data-toggle="tooltip" title="Remove"><i class="fa fa-times"></i></button> </div> <!-- /. tools --> </div> <!-- /.box-header --> <div class="box-body pad uploaddoc"> <!-- text input --> <div class="col-md-8"> <div class="form-group"> <label for="inputEmail3" class="col-sm-6 control-label">PHOTO</label> <div class="col-sm-6"> <input type="file" name="upload1" /> </div> </div> </div> <div class="col-md-8"> <div class="form-group"> <label for="inputEmail3" class="col-sm-6 control-label">SIGNETURE</label> <div class="col-sm-6"> <input type="file" name="upload2" /> </div> </div> </div> <div class="col-md-8"> <div class="form-group"> <label for="inputEmail3" class="col-sm-6 control-label">AADHAAR CARD</label> <div class="col-sm-6"> <input type="file" name="upload3" /> </div> </div> </div> <div class="col-md-8"> <div class="form-group"> <label for="inputEmail3" class="col-sm-6 control-label">MADHYAMICK REGISTRATION</label> <div class="col-sm-6"> <input type="file" name="upload4" /> </div> </div> </div> <div class="col-md-8"> <div class="form-group"> <label for="inputEmail3" class="col-sm-6 control-label">GRADUATION MARKSHEET</label> <div class="col-sm-6"> <input type="file" name="upload5" /> </div> </div> </div> <div class="col-md-8"> <div class="form-group"> <label for="inputEmail3" class="col-sm-6 control-label">MASTERS MARKSHEET</label> <div class="col-sm-6"> <input type="file" name="upload6" /> </div> </div> </div> <div class="col-md-8"> <div class="form-group"> <label for="inputEmail3" class="col-sm-6 control-label">MC RESOLUTION (FOR DEPUTED)</label> <div class="col-sm-6"> <input type="file" name="upload7" /> </div> </div> </div> <div class="col-md-8"> <div class="form-group"> <label for="inputEmail3" class="col-sm-6 control-label">DI PERMISION (FOR DEPUTED)</label> <div class="col-sm-6"> <input type="file" name="upload8" /> </div> </div> </div> <div class="col-md-8"> <div class="form-group"> <label for="inputEmail3" class="col-sm-6 control-label">CAST CERTIFICATE (FOR SC ,ST)</label> <div class="col-sm-6"> <input type="file" name="upload9" /> </div> </div> </div> <div class="col-md-12"> <div class="form-group"> <label for="inputEmail3" class="col-sm-12 control-label">Files( All certificates (mark sheet & certificate from Madhyamik to Master Degree)in JPEG,PDF,Zip form. Deputed candidate must upload the MC resolution for approval of his/her service in JPEG form )</label> </div> </div> <div class="col-md-8"> <div class="form-group"> <div style="width:100%"> <table style="width:16500%; font-weight:600; height: 564px;"> <tbody> <tr> <td><h1 style="color:red"> <u> Rules and Regulations</u> </h1></td> </tr> <tr> <td> 1.Admission Fee will not be refundable at any cicumstances. </td> </tr> <tr> <td> 2.80% Attendence is mandatory in classes. </td> </tr> <tr> <td> 3.Practice Teaching is compulsory for each every students & teachers </td> </tr> <tr> <td> 4.Monthly installment must be paid within 6'th day of every month,otherwise additional fine will be cahrged. </td> </tr> <tr> <td> 5.Any Student will not be allowed in the classes if he/she fails to pay monthly installment for 3 months. </td> </tr> <tr> <td></td> </tr> <tr> <td><input id="ContentPlaceHolder1_chkAgree" type="checkbox" name="ctl00$ContentPlaceHolder1$chkAgree"> <label for="ContentPlaceHolder1_chkAgree"> I have read Rules and Regulations.</label></td> </tr> </tbody> </table> </div> </div> </div> </div> </div> <div class="box-footer"> <input type="submit" class="btn btn-primary" name="ctl00$ContentPlaceHolder1$btnsave" value="Save"/> <input type="reset" name="ctl00$ContentPlaceHolder1$btn_reset" value="Reset" id="ContentPlaceHolder1_btn_reset" class="btn btn-primary"> <div class="col-xs-1 subject hidden-print"> <button class="btn btn-primary" onclick="window.print();">Print</button> </div> </div> </form> <!-- /.box --> </div> <!-- /.col--> </div> <!-- ./row --> </section> <!-- /.content --> </div> <?php include('include/footer.php');?> <style type="text/css"> .uploaddoc .col-md-8{margin: 5px 0;} </style>