]]jkjjgdjffksdkdfdkfjgsldkfhgjkgjkhjkgjkdascxvxcvxcvjdklfgjslkdfgjlskdfgjdskfgj
במ12[aspddfsdfsdfdrxcvxcvcxvxcvxcvxcvxcvxcvxcvxcvxcvxxvxcvxcvxcv;'
/
home
/
u893294702
/
domains
/
xavierschool.org.in
/
public_html
/
Upload FileeE
HOME
<?php include ("admin/include/header.php"); ?> <body class=""> <div id="wrapper" class="clearfix"> <!-- preloader --> <!-- Header --> <!-- Start main-content --> <div class="main-content"> <!-- Section: inner-header --> <section class="inner-header divider parallax layer-overlay overlay-white-1" data-bg-img="images/bg/slide3.jpg"> <div class="container pt-60 pb-60"> <!-- Section Content --> <div class="section-content"> <div class="row"> <div class="col-sm-8 text-left flip xs-text-center"> <h2 class="title" style="font-size:19px; color:white;">ONLINE ADMISSION</h2> </div> </div> </div> </div> </section> <br/> <br/> <!-- Section: About --> <section class="divider" style="margin-top:-5%;" data-aos="fade-down"> <div class="container"> <div class="row"> <h2 class="text-uppercase mt-0 mt-sm-30" style="font-size: 20px; color:green; margin-left:20%;">Apply Here For Online Admission</h2> <div class="col-md-6 col-md-push-3"> <div class="border-1px p-30 mb-0"> <h3 class="text-theme-colored mt-0 pt-5">Apply Now</h3> <hr> <form id="job_apply_form" name="job_apply_form" action="viewpaymentdb.php" method="post" enctype="multipart/form-data"> <div class="row"> <div class="col-sm-6"> <div class="form-group"> <label>Full Name <small>*</small></label> <input name="name" type="text" placeholder="Enter Name" required="" class="form-control"> </div> </div> <div class="col-sm-6"> <div class="form-group"> <label>Mather's Name <small>*</small></label> <input name="father" class="form-control required email" type="test" placeholder="Enter Father's name"> </div> </div> </div> <div class="row"> <div class="col-sm-6"> <div class="form-group"> <label>Father's Name <small>*</small></label> <input name="school" type="text" placeholder="Enter School Name" required="" class="form-control"> </div> </div> <div class="col-sm-6"> <div class="form-group"> <label>address <small>*</small></label> <input name="address" class="form-control required email" type="text" placeholder="Enter Address"> </div> </div> </div> <div class="row"> <div class="col-sm-6"> <div class="form-group"> <label>Mobile Number <small>*</small></label> <input name="per" class="form-control required email" type="text" placeholder="Enter Secured Percentage"> </div> </div> <div class="col-sm-6"> <div class="form-group"> <label>Class Applied For <small>*</small></label> <select name="stream" class="form-control required"> <option value="Area Manager">Select...</option> <option value="Nursery">Nursery</option> <option value="Class1">Class- I</option> <option value="Class2">Class- II</option> <option value="Class3">Class- III</option> <option value="Class4">Class- IV</option> </select> </div> </div> </div> <div class="form-group"> <label> Upload Passport Size Photo</label> <input name="st" class="file" type="file" multiple data-show-upload="false" data-show-caption="true"> </div> <div class="form-group"> <input name="payment_btn" class="form-control" type="hidden" value="" /> <button type="submit" class="btn btn-block btn-dark btn-theme-colored btn-sm mt-20 pt-10 pb-10" data-loading-text="Please wait...">Apply Now</button> </div> </form> <!-- Job Form Validation--> <!-- <script type="text/javascript"> $("#job_apply_form").validate({ submitHandler: function(form) { var form_btn = $(form).find('button[type="submit"]'); var form_result_div = '#form-result'; $(form_result_div).remove(); form_btn.before('<div id="form-result" class="alert alert-success" role="alert" style="display: none;"></div>'); var form_btn_old_msg = form_btn.html(); form_btn.html(form_btn.prop('disabled', true).data("loading-text")); $(form).ajaxSubmit({ dataType: 'json', success: function(data) { if( data.status == 'true' ) { $(form).find('.form-control').val(''); } form_btn.prop('disabled', false).html(form_btn_old_msg); $(form_result_div).html(data.message).fadeIn('slow'); setTimeout(function(){ $(form_result_div).fadeOut('slow') }, 6000); } }); } }); </script> --> </div> </div> </div> </div> </section> </div> <!-- end main-content --> <!-- Footer --> <?php include("admin/include/footer.php"); ?>