| aku nok ndi : /home/spdtg/www/schoolmis/storage/framework/views/ |
| aku nok ndi : /home/spdtg/www/schoolmis/storage/framework/views/1eec509382bc6f77442ae621377d660daa9f12de.php |
<!DOCTYPE html>
<html lang="<?php echo e(app()->getLocale()); ?>">
<?php echo $__env->make('layouts.partial.head', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>
<body class="theme-purple">
<div class="overlay"></div>
<div class="row" style="margin:0px !important;">
<div class="col-sm-1"></div>
<div class="col-sm-10">
<div class="card">
<div style="text-align: center;">
<a><img src="<?php echo e(asset('storage/schools/'.$school->idSchool.'/'.$school->schoolLogo)); ?>" width="90" alt="School MIS"></a>
<h2 style="text-align: center; font-size: 20px;"><strong>Online Registration Form</strong></h2>
</div>
<div class="body">
<?php if($errors->has('stdregistered')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('stdregistered')); ?></strong>
</label>
<?php endif; ?>
<form class="form-horizontal" method="POST" id="register" files="true" action="<?php echo e(url('/onlinereg')); ?>" enctype="multipart/form-data">
<?php echo e(csrf_field()); ?>
<!-- progressbar -->
<strong>
<ul id="progressbar">
<li class="active">Applicant Detail</li>
<li id="second">Contact Information:Residential</li>
<li id="fourth">Parents Detail</li>
<li id="fifth">Other Information</li>
</ul>
</strong>
<div id="sf1" class="frm">
<input type="hidden" name='idSchool' value="<?php echo e($school->idSchool); ?>">
<input type="hidden" name='form_type' value="R">
<fieldset>
<p class="form-control-static" style="font-weight: bold">Basic Detail</p>
<div class="row">
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">First Name</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('firstName',null,['class' => 'form-control','onkeypress'=>'return lettersOnly(event)','required'=>'required','style'=>'text-transform:uppercase']); ?>
<?php if($errors->has('firstName')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('firstName')); ?></strong>
</label>
<?php endif; ?>
<span id="fnameerror"></span>
</div>
</div>
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">Middle Name</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('middleName',null,['class' => 'form-control','onkeypress'=>'return lettersOnly(event)','required'=>'required','style'=>'text-transform:uppercase']); ?>
<?php if($errors->has('middleName')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('middleName')); ?></strong>
</label>
<?php endif; ?>
<span id="mnameerror"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">Last Name</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('lastName',null,['class' => 'form-control','onkeypress'=>'return lettersOnly(event)','required'=>'required','style'=>'text-transform:uppercase']); ?>
<?php if($errors->has('lastName')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('lastName')); ?></strong>
</label>
<?php endif; ?>
<span id="lnameerror"></span>
</div>
</div>
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">Admission For Class</label>
</div>
<div class="col-md-3 col-sm-6">
<?php echo Form::select('idClass',$classes,null,['class' => 'form-control show-tick ms','required'=>'required']); ?>
<div class="form-group">
<?php if($errors->has('idClass')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('idClass')); ?></strong>
</label>
<?php endif; ?>
<span id='classerror'></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">Date Of Birth (in figures)</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('studentDob',null,['class' => 'form-control datepickerdob','required'=>'required']); ?>
<?php if($errors->has('studentDob')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('studentDob')); ?></strong>
</label>
<?php endif; ?>
<span id="doberror"></span>
</div>
</div>
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">Date Of Birth (in words)</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('dobwords',null,['class' => 'form-control','onkeypress'=>'return lettersOnly(event)','style'=>'text-transform:uppercase','required' => 'required']); ?>
<?php if($errors->has('dobwords')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('dobwords')); ?></strong>
</label>
<?php endif; ?>
<span id="dobwordserror"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname">L.C. No (if applicable)</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('lcno',null,['class' => 'form-control','style'=>'text-transform:uppercase']); ?>
<?php if($errors->has('lcno')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('lcno')); ?></strong>
</label>
<?php endif; ?>
<span id="doberror"></span>
</div>
</div>
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">Place Of Birth</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('studentPob',null,['class' => 'form-control','onkeypress'=>'return lettersOnly(event)','style'=>'text-transform:uppercase','required'=>'required']); ?>
<?php if($errors->has('studentPob')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('studentPob')); ?></strong>
</label>
<?php endif; ?>
<span id="poberror"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">District</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('birth_district',null,['class' => 'form-control','onkeypress'=>'return lettersOnly(event)','style'=>'text-transform:uppercase']); ?>
<?php if($errors->has('birth_district')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('birth_district')); ?></strong>
</label>
<?php endif; ?>
<span id="birthdistricterror"></span>
</div>
</div>
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">State</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::select('birth_state',states(),null,['class' => 'form-control show-tick ms select2','required'=>'required']); ?>
<?php if($errors->has('birth_state')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('birth_state')); ?></strong>
</label>
<?php endif; ?>
<span id="birth_state_error"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">Gender</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::select('gender',[''=>'Select','Male'=>'Male','Female'=>'Female'],null,['class' => 'form-control show-tick ms','required'=>'required']); ?>
<?php if($errors->has('gender')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('gender')); ?></strong>
</label>
<?php endif; ?>
<span id="gendererror"></span>
</div>
</div>
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">Aadhaar No.</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('aadhaarNo',null,['class' => 'form-control','maxlength'=>'12','minlength'=>'12','onkeypress'=>'return isNumber(event)', 'pattern'=>'^[2-9]{1}[0-9]{11}$','required' => 'required']); ?>
<?php if($errors->has('aadhaarNo')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('aadhaarNo')); ?></strong>
</label>
<?php endif; ?>
<span id="aadhaarerror"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">Religion</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('religion',null,['class' => 'form-control','onkeypress'=>'return lettersOnly(event)','style'=>'text-transform:uppercase','required'=>'required']); ?>
<?php if($errors->has('religion')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('religion')); ?></strong>
</label>
<?php endif; ?>
<span id="religionrerror"></span>
</div>
</div>
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">Caste</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('caste',null,['class' => 'form-control','onkeypress'=>'return lettersOnly(event)','style'=>'text-transform:uppercase','required' => 'required']); ?>
<?php if($errors->has('caste')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('caste')); ?></strong>
</label>
<?php endif; ?>
<span id="casteerror"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">Sub Caste</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('subcaste',null,['class' => 'form-control','onkeypress'=>'return lettersOnly(event)','style'=>'text-transform:uppercase','required' => 'required']); ?>
<?php if($errors->has('subcaste')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('subcaste')); ?></strong>
</label>
<?php endif; ?>
</div>
</div>
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">Sessions</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php if(count($sessions) > 0): ?>
<?php echo Form::select('idFinancialYear',$sessions,null,['class' => 'form-control show-tick ms','required' => 'required']); ?>
<?php endif; ?>
<?php if($errors->has('sessions')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('sessions')); ?></strong>
</label>
<?php endif; ?>
<span id="stdtypeerror"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">Nationality</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::select('nationality',['India'=>'India','Other'=>'Other'],null,['class' => 'form-control show-tick ms','required'=>'required']); ?>
<?php if($errors->has('nationality')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('nationality')); ?></strong>
</label>
<?php endif; ?>
<span id="nationalityerror"></span>
</div>
</div>
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">Principal language Spoken at Home</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('motherTounge',null,['class' => 'form-control','required'=>'required']); ?>
<?php if($errors->has('motherTounge')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('motherTounge')); ?></strong>
</label>
<?php endif; ?>
<span id="motherToungeerror"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">Photo</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<input type="file"
id="photo" name="photo"
accept="image/png, image/jpeg">
<?php if($errors->has('photo')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('photo')); ?></strong>
</label>
<?php endif; ?>
</div>
</div>
</div>
<div class="row clearfix">
<p class="col-md-6 col-sm-6" style="color:red;">Note : Photo should be passport size with white background and this photograph will be used in <u><b>School ID Card</b></u> </p>
</div>
<div class="clearfix" style="height: 10px;clear: both;"></div>
<div class="form-group">
<div class="col-sm-12" style="text-align: center;">
<button class="btn btn-primary open1 center-block" type="button" id="next1"> Next <span class="fa fa-arrow-right"></span></button>
</div>
</div>
</fieldset>
</div>
<div id="sf2" class="frm" style="display: none;">
<fieldset>
<p class="form-control-static" style="font-weight: bold">Contact Information:Residential</p>
<div class="row clearfix">
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">Residential Address</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('resAddress',null,['class' => 'form-control','required'=>'required','style'=>'text-transform:uppercase']); ?>
<?php if($errors->has('resAddress')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('resAddress')); ?></strong>
</label>
<?php endif; ?>
<span id="resaddress"></span>
</div>
</div>
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">City</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('resCity',null,['class' => 'form-control','required'=>'required','style'=>'text-transform:uppercase']); ?>
<?php if($errors->has('resCity')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('resCity')); ?></strong>
</label>
<?php endif; ?>
<span id="rescity"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">Postal/Zipcode</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('resPincode',null,['class' => 'form-control','required'=>'required','minlength'=>'6','maxlength'=>'6','onkeypress'=>'return isNumber(event)']); ?>
<?php if($errors->has('resPincode')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('resPincode')); ?></strong>
</label>
<?php endif; ?>
<span id="respincode"></span>
</div>
</div>
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname">Landmark</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('landmark',null,['class' => 'form-control','style'=>'text-transform:uppercase']); ?>
<?php if($errors->has('landmark')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('landmark')); ?></strong>
</label>
<?php endif; ?>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">State</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::select('resState',states(),null,['class' => 'form-control show-tick ms select2','required'=>'required']); ?>
<?php if($errors->has('resState')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('resState')); ?></strong>
</label>
<?php endif; ?>
<span id="resstate"></span>
</div>
</div>
</div>
<div class="clearfix" style="height: 10px;clear: both;"></div>
<div class="clearfix" style="height: 10px;clear: both;"></div>
<div class="form-group">
<div class="col-sm-12" style="text-align: center;">
<button class="btn btn-warning back2 pull-left" type="button" id="previous"><span class="fa fa-arrow-left"></span> Previous</button>
<button class="btn btn-primary open2 pull-right" type="button" id="next2">Next <span class="fa fa-arrow-right"></span></button>
</div>
</div>
</fieldset>
</div>
<div id="sf4" class="frm" style="display: none;">
<fieldset>
<div class="row clearfix">
<div class="col-sm-12 col-md-12 col-lg-6">
<p class="form-control-static" style="font-weight: bold"> Particulars of Father / Mother / Guardian #1</p>
<div class="row clearfix">
<div class="col-md-3 col-sm-6 form-control-label">
<label for="classname">Relationship with the child</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('ralationship_one','Father',['class' => 'form-control', 'readonly' => 'readonly']); ?>
<?php if($errors->has('ralationship_one')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('ralationship_one')); ?></strong>
</label>
<?php endif; ?>
<span id="relone"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-3 col-sm-6 form-control-label">
<label for="classname" class="required">Name</label>
</div>
<div class="col-sm-4">
<div class="form-group">
<?php echo Form::text('father_fname',null,['class' => 'form-control','required'=>'required','style'=>'text-transform:uppercase']); ?>
<?php if($errors->has('father_fname')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('father_fname')); ?></strong>
</label>
<?php endif; ?>
<span id="fatherfname"></span>
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<?php echo Form::text('father_lname',null,['class' => 'form-control','style'=>'text-transform:uppercase']); ?>
<?php if($errors->has('father_lname')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('father_lname')); ?></strong>
</label>
<?php endif; ?>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-3 col-sm-6 form-control-label">
<label for="classname" class="required">Date Of Birth</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('father_dob',null,['class' => 'form-control datepicker','required'=>'required']); ?>
<?php if($errors->has('father_dob')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('father_dob')); ?></strong>
</label>
<?php endif; ?>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-3 col-sm-6 form-control-label">
<label for="classname" class="required">Qualification</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('father_qualification',null,['class' => 'form-control','required'=>'required','style'=>'text-transform:uppercase']); ?>
<?php if($errors->has('father_qualification')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('father_qualification')); ?></strong>
</label>
<?php endif; ?>
<span id="fatherqual"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-3 col-sm-6 form-control-label">
<label for="classname" class="required">Business/Employee</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('father_occupation',null,['class' => 'form-control','style'=>'text-transform:uppercase','required'=>'required']); ?>
<?php if($errors->has('father_occupation')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('father_occupation')); ?></strong>
</label>
<?php endif; ?>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-3 col-sm-6 form-control-label">
<label for="classname" class="required">Mobile</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('father_mobile',null,['class' => 'form-control','required'=>'required','maxlength'=>'10','minlength'=>'10','onkeypress'=>'return isNumber(event)','id' => 'fmobile']); ?>
<?php if($errors->has('father_mobile')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('father_mobile')); ?></strong>
</label>
<?php endif; ?>
<br>
<p style="color:red;">This number will be your UserID for login</p>
<span id="fathermobile"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-3 col-sm-6 form-control-label">
<label for="classname" class="required">Email</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::email('father_email',null,['class' => 'form-control','required'=>'required']); ?>
<?php if($errors->has('father_email')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('father_email')); ?></strong>
</label>
<?php endif; ?>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-3 col-sm-6 form-control-label">
<label for="classname" class="required">Father Photo</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<input type="file"
id="fphoto" name="fphoto"
accept="image/png, image/jpeg">
<?php if($errors->has('photo')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('photo')); ?></strong>
</label>
<?php endif; ?>
</div>
</div>
</div>
</div>
<div class="col-sm-12 col-md-12 col-lg-6">
<p class="form-control-static" style="font-weight: bold"> Particulars of Mother / Guardian #2</p>
<div class="row clearfix">
<div class="col-md-3 col-sm-6 form-control-label">
<label for="classname">Relationship with the child</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('ralationship_two','Mother',['class' => 'form-control', 'readonly' => 'readonly']); ?>
<?php if($errors->has('ralationship_two')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('ralationship_two')); ?></strong>
</label>
<?php endif; ?>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-3 col-sm-6 form-control-label">
<label for="classname" class="required">Name</label>
</div>
<div class="col-sm-4">
<div class="form-group">
<?php echo Form::text('mother_fname',null,['class' => 'form-control','required'=>'required','style'=>'text-transform:uppercase']); ?>
<?php if($errors->has('mother_fname')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('mother_fname')); ?></strong>
</label>
<?php endif; ?>
<span id="motherfname"></span>
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<?php echo Form::text('mother_lname',null,['class' => 'form-control','style'=>'text-transform:uppercase']); ?>
<?php if($errors->has('mother_lname')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('mother_lname')); ?></strong>
</label>
<?php endif; ?>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-3 col-sm-6 form-control-label">
<label for="classname" class="required">Date Of Birth</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('mother_dob',null,['class' => 'form-control datepicker','required'=>'required']); ?>
<?php if($errors->has('mother_dob')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('mother_dob')); ?></strong>
</label>
<?php endif; ?>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-3 col-sm-6 form-control-label">
<label for="classname" class="required">Qualification</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('mother_qualification',null,['class' => 'form-control','style'=>'text-transform:uppercase','required'=>'required']); ?>
<?php if($errors->has('mother_qualification')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('mother_qualification')); ?></strong>
</label>
<?php endif; ?>
<span id="motherqual"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-3 col-sm-6 form-control-label">
<label for="classname" class="required">Business/Employee</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('mother_occupation',null,['class' => 'form-control','style'=>'text-transform:uppercase','required'=>'required']); ?>
<?php if($errors->has('mother_occupation')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('mother_occupation')); ?></strong>
</label>
<?php endif; ?>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-3 col-sm-6 form-control-label">
<label for="classname" class="required">Mobile</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('mother_mobile',null,['class' => 'form-control','required'=>'required','maxlength'=>'10','minlength'=>'10','onkeypress'=>'return isNumber(event)','id' => 'mmobile']); ?>
<?php if($errors->has('mother_mobile')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('mother_mobile')); ?></strong>
</label>
<?php endif; ?>
<span id="mothermobile"></span>
<br>
<p style="color:red;">This number will be your UserID for login</p>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-3 col-sm-6 form-control-label">
<label for="classname" class="required">Email</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::email('mother_email',null,['class' => 'form-control','required'=>'required']); ?>
<?php if($errors->has('mother_email')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('mother_email')); ?></strong>
</label>
<?php endif; ?>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-3 col-sm-6 form-control-label">
<label for="classname" class="required">Mother Photo</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<input type="file"
id="mphoto" name="mphoto"
accept="image/png, image/jpeg">
<?php if($errors->has('photo')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('photo')); ?></strong>
</label>
<?php endif; ?>
</div>
</div>
</div>
</div>
</div>
<div class="clearfix" style="height: 10px;clear: both;"></div>
<div class="form-group">
<div class="col-sm-12" style="text-align: center;">
<button class="btn btn-warning back4 pull-left" type="button" id="previous"><span class="fa fa-arrow-left"></span> Previous</button>
<button class="btn btn-primary open2 pull-right" type="button" id="next4">Next <span class="fa fa-arrow-right"></span></button>
</div>
</div>
</fieldset>
</div>
<div id="sf6" class="frm" style="display: none;">
<fieldset>
<p class="form-control-static" style="font-weight: bold">Requirements</p>
<div class="row clearfix">
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname">Category</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::select('category',[''=>'Select','General'=>'General','OBC'=>'OBC','SC'=>'SC','ST'=>'ST'],null,['class' => 'form-control show-tick ms','required'=>'required']); ?>
<?php if($errors->has('category')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('category')); ?></strong>
</label>
<?php endif; ?>
<span id="categoryerror"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-8 form-control-label">
<label for="classname">SC,ST,OBC Certificate Submitted</label>
</div>
<div class="col-md-2 col-sm-5">
<div class="form-group">
<?php echo Form::select('categoryCertificate',[''=>'Select','Yes'=>'Yes','No'=>'No','NA'=>'NA'],null,['class' => 'form-control show-tick ms','required'=>'required']); ?>
<?php if($errors->has('categoryCertificate')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('categoryCertificate')); ?></strong>
</label>
<?php endif; ?>
<span id="categoryCertificateerror"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-8 form-control-label">
<label for="classname">Birth Certificate/ L.C. Submitted</label>
</div>
<div class="col-md-2 col-sm-5">
<div class="form-group">
<?php echo Form::select('birth_certificate',[''=>'Select','Submitted'=>'Submitted','Not Submitted'=>'Not Submitted'],null,['class' => 'form-control show-tick ms','required'=>'required']); ?>
<?php if($errors->has('category')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('birth_certificate')); ?></strong>
</label>
<?php endif; ?>
<span id="birtherror"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-8 form-control-label">
<label for="classname">Reason for Non Submitting of Birth Certificate / Leaving Certificate</label>
</div>
</div>
<div class="row clearfix">
<div class="col-md-10 form-control-label">
<div class="form-group">
<?php echo Form::textarea('reasonForChange',null,['class' => 'form-control','size'=>'30x2','style'=>'text-transform:uppercase']); ?>
<?php if($errors->has('reasonForChange')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('reasonForChange')); ?></strong>
</label>
<?php endif; ?>
<span id="reasonserror"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-sm-8 form-control-label">
<label for="classname">Do You require transport service facility for your child.?</label>
</div>
<div class="col-md-2 col-sm-5">
<div class="form-group">
<div class="inlineblock m-r-20">
<input name="transport" class="with-gap" type="radio" checked="" value="Y">
<label for="Yes">Yes</label>
</div>
<div class="inlineblock">
<input name="transport" class="with-gap" type="radio" value="N">
<label for="No">No</label>
</div>
<?php if($errors->has('transport')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('transport')); ?></strong>
</label>
<?php endif; ?>
<span id="transporterror"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-sm-8 form-control-label">
<label for="classname">Do You require canteen service.?</label>
</div>
<div class="col-md-2 col-sm-5">
<div class="form-group">
<div class="inlineblock m-r-20">
<input name="food" class="with-gap" type="radio" checked="" value="Y">
<label for="Yes">Yes</label>
</div>
<div class="inlineblock">
<input name="food" class="with-gap" type="radio" value="N">
<label for="No">No</label>
</div>
<?php if($errors->has('food')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('food')); ?></strong>
</label>
<?php endif; ?>
<span id="fooderror"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-sm-8 form-control-label">
<label for="classname">Xerox of Other Document (With Parents Signature)</label>
</div>
<div class="col-md-2 col-sm-5">
<div class="form-group">
<?php echo Form::select('xerox_docs',[''=>'Select','Submitted'=>'Submitted','Not Submitted'=>'Not Submitted'],null,['class' => 'form-control show-tick ms','required'=>'required']); ?>
<?php if($errors->has('xerox_docs')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('xerox_docs')); ?></strong>
</label>
<?php endif; ?>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-sm-12 form-control-label">
<p>Note : Check mark the box below to enable or show submit button</p>
<input type="checkbox" id="chAgree" name="chAgree" value="">
<label for="chAgree">I agree to be charged if any changes required in the given information after submitting this form.</label>
</div>
</div>
<div class="form-group">
<div class="col-sm-12" style="text-align: center;">
<button class="btn btn-warning back6 pull-left" type="button" id="previous"><span class="fa fa-arrow-left"></span> Previous</button>
<button class="btn btn-primary open3 pull-right" type="submit" id="submit">Submit </button>
</div>
</div>
</fieldset>
</div>
</form>
</div>
</div>
</div>
</div>
<!-- Scripts -->
<?php echo $__env->make('layouts.partial.script', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>
<script>
$('input[name=chAgree]').change(function() {
if ($(this).is(':checked')) {
$('#submit').show();
} else {
$('#submit').hide();
}
});
$('.datepickerdob').datepicker({
autoclose: true,
autoWidth: false,
format: 'dd-mm-yyyy',
endDate: '+0d',
orientation: 'auto'
});
$(document).ready(function () {
//Add Input field if others is selecyted
$('#submit').hide();
var v = $('#register').validate({
rules: {
firstName: {
required: true,
maxlength: 40,
minlength: 2
}
},
messages: {
firstName: {
required: "First name should not be empty.",
minlength: "First name must have atleast 2 Characters."
}
}
});
$("select").on("select2:close", function (e) {
$(this).valid();
});
$("#next1").click(function () {
if (v.form()) {
$(".frm").hide("fast");
$("#sf2").show("slow");
$("#progressbar li#second").addClass("active");
}
});
$("#next2").click(function () {
if (v.form()) {
$(".frm").hide("fast");
$("#sf4").show("slow");
$("#progressbar li#fourth").addClass("active");
}
});
$("#next4").click(function () {
if (v.form()) {
if( $('#fmobile').val() == $('#mmobile').val()){
alert('Both father mobile number and mother mobile number cannot be the same.');
}else{
$(".frm").hide("fast");
$("#sf6").show("slow");
$("#progressbar li#sixth").addClass("active");
}
}
});
$(".back2").click(function () {
$(".frm").hide("fast");
$("#sf1").show("slow");
$("#progressbar li#second").removeClass("active");
});
$(".back4").click(function () {
$(".frm").hide("fast");
$("#sf2").show("slow");
$("#progressbar li#fourth").removeClass("active");
});
$(".back6").click(function () {
$(".frm").hide("fast");
$("#sf4").show("slow");
$("#progressbar li#sixth").removeClass("active");
});
});
</script>
</body>
</html>