관리-도구

편집 파일: admission.php

<!DOCTYPE html>
<html dir="ltr" lang="en">

<div id="preloader">
            <div id="spinner">
                <img alt src="images/preloaders/5.gif">
            </div>
            <div id="disable-preloader" class="btn btn-default btn-sm">Disable Preloader</div>
        </div>

<?php
        include('include/header.php')
        ?>

<div class="col-sm-12 col-md-6 mt-0 wow fadeInDown" data-wow-duration="1s" data-wow-delay="0.5s">
                                <div>
                                <?php $image = json_decode($admission['image']); ?>
                                <img src="media/about/<?php echo $image[0] ?>" alt="<?= $admission['image_alt_tag'] ?>" class="img-responsive img-fullwidth mt-10 ml-30 ml-xs-0 ml-sm-0">
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
            </section>

<div class="row pt-5">
                        <h1 class="title text-dark text-center">Admission Form</h1>

<div class="col-md-12">
                            <h3 class="line-bottom mt-0 mb-30">Students Profile Details:</h3>

<form name="contact_form" class action="form.php" method="post" enctype="multipart/form-data">
                                <div class="row">
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>First Name <small>*</small></label>
                                            <input name="f_name" class="form-control" type="text" placeholder="First Name" required>
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Last Name </label>
                                            <input name="l_name" class="form-control" type="text" placeholder="Last Name">
                                        </div>
                                    </div>
                                </div>
                                <div class="row">
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Middle Name <small>*</small></label>
                                            <input name="m_name" class="form-control" type="text" placeholder="Middle Name" required>
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Date Of Birth </label>
                                            <input name="dob" class="form-control" type="date" placeholder="Date of Birth">
                                        </div>
                                    </div>
                                </div>
                                <div class="row">

<div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Gender</label>
                                            <select name="gender" class="form-control">
                                                <option>--Select Gender--</option>
                                                <option>Male</option>
                                                <option>Female</option>
                                            </select>
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Blood Group</label>
                                            <select name="blood_group" class="form-control">
                                                <option>--Blood Group--</option>
                                                <option>A Positive</option>
                                                <option>A Negative</option>
                                                <option>B Positive</option>
                                                <option>B Negative</option>
                                                <option>AB Positive</option>
                                                <option>O Positive</option>
                                                <option>O Negative</option>
                                            </select>
                                        </div>
                                    </div>
                                </div>
                                <h3 class="line-bottom mt-0 mb-20">Students Parent Details:</h3>

<div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Father's Name </label>
                                            <input name="father_name" class="form-control" type="text" placeholder="Father Name">
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Father's Qualification </label>
                                            <input name="father_qualification" class="form-control  email" type="text" placeholder="Father Qualification">
                                        </div>
                                    </div>
                                </div>
                                <div class="row">

<div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Father's Occupation </label>
                                            <input name="father_occupation" class="form-control" type="text" placeholder="Father Occupation">
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Residential Address </label>
                                            <input name="residential_address" class="form-control  email" type="text" placeholder=" Address">
                                        </div>
                                    </div>
                                </div>
                                <div class="row">
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Mother's Name </label>
                                            <input name="mother_name" class="form-control" type="text" placeholder="Mother Name">
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Mother's Qualification </label>
                                            <input name="mother_qualification" class="form-control  email" type="text" placeholder=" Mother Qualification">
                                        </div>
                                    </div>
                                </div>
                                <div class="row">
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Mother's Occupation </label>
                                            <input name="mother_occupation" class="form-control" type="text" placeholder="Mother Occupation">
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Family Income </label>
                                            <input name="family_income" class="form-control  email" type="text" placeholder="Family Income">
                                        </div>
                                    </div>
                                </div>
                                <h3 class="line-bottom mt-0 mb-20">Student Contact Details:</h3>

<div class="row">
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Contact No 1 <small>*</small></label>
                                            <input name="phone" class="form-control" type="tel" placeholder="Contact No 1" required>
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Contact No 2 </label>
                                            <input name="phone2" class="form-control  email" type="tel" placeholder="Contact No 2">
                                        </div>
                                    </div>
                                </div>
                                <div class="row">
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Email Id </label>
                                            <input name="email" class="form-control" type="email" placeholder="Email">
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Permenant Address </label>
                                            <input name="permanent_address" class="form-control  email" type="text" placeholder="Address">
                                        </div>
                                    </div>
                                </div>
                                <h3 class="line-bottom mt-0 mb-20">Student Other Details:</h3>

<div class="row">
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Nationality </label>
                                            <input name="nationality" class="form-control" type="text" placeholder="Nationality">
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Mother Toungue </label>
                                            <input name="mother_toungue" class="form-control  email" type="text" placeholder="Mother Toungue">
                                        </div>
                                    </div>
                                </div>
                                <div class="row">
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Religion </label>
                                            <input name="religion" class="form-control" type="text" placeholder="Religion">
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Caste </label>
                                            <input name="caste" class="form-control  email" type="text" placeholder="Caste">
                                        </div>
                                    </div>
                                </div>
                                <div class="row">
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Aadhar Card Na </label>
                                            <input name="adhar_no" class="form-control" type="text" placeholder="Aadhar Card">
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Upload Student Photo </label>
                                            <input name="image" class="form-control  email" type="file">
                                        </div>
                                    </div>
                                </div>
                                <h3 class="line-bottom mt-0 mb-20">Student Admission Details:</h3>

<div class="row">
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Class to Which Admission is Sought:</label>
                                            <select name="class" class="form-control">
                                                <option>--Select Class--</option>
                                                <option>Class 1st</option>
                                                <option>Class 2nd</option>
                                                <option>Class 3rd</option>
                                                <option>Class 4th</option>
                                            </select>
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Medium </label>
                                            <input name="medium" class="form-control" type="text" placeholder="Medium">
                                        </div>
                                    </div>
                                </div>
                                <div class="row">

<div class="col-sm-6">
                                        <div class="form-group">
                                            <label>School last Attended </label>
                                            <input name="last_school" class="form-control" type="text" placeholder="Previous School Name">
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label>Previous Class Average Grade </label>
                                            <input name="pre_avg_grade" class="form-control" type="text" placeholder="Previous Class Average Grade">
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group text-center">
                                    
                                    <button type="submit" name="admission" class="btn btn-dark  btn-theme-colored btn-flat" data-loading-text="Please wait...">Submit Admission Form</button>
                                </div>
                            </form>
                        </div>
                    </div>
                </div>
            </section>

</div>

<?php
        include('include/footer.php')
        ?>
        <a class="scrollToTop" href="#"><i class="fa fa-angle-up"></i></a>

<?php
        include('include/foot.php')
        ?>
</body>

</html>