IMMREX7

aku nok ndi : /home/spdtg/www/schoolmis/storage/framework/views/
File Up :
aku nok ndi : /home/spdtg/www/schoolmis/storage/framework/views/878caeef915010e15f7bbd1d8a553f675ae6d88a.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.'/'.$school->schoolLogo)); ?>" width="90" alt="School MIS"></a>
                        <h2  style="text-align: center; font-size: 20px;"><strong>Online Enquiry Form</strong></h2>
                    </div>
                    <div class="body">
                        <?php if($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" enctype="multipart/form-data" action="<?php echo e(url('/onlinereg')); ?>">
                            <?php echo e(csrf_field()); ?>

                            <!-- progressbar -->
                            <strong>
                                <ul id="progressbar">
                                    <li class="active">Basic Detail</li>
                                    <li id="second">Contact Information:Residential</li>
                                    <li id="third">Last School Attended</li>
                                    <li id="fourth">Parents Detail</li>
                                    <li id="sixth">Sibling Details</li>
                                </ul>
                            </strong>
                            <div id="sf1" class="frm">
                                 <input type="hidden" name='form_type' value="E">
                                <input type="hidden" name='idSchool' value="<?php echo e($school->idSchool); ?>">
                                <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</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">Nationality</label>
                                        </div>
                                        <div class="col-md-3 col-sm-6">
                                            <div class="form-group">
                                                <?php echo Form::text('nationality',null,['class' => 'form-control','onkeypress'=>'return lettersOnly(event)','style'=>'text-transform:uppercase']); ?>

                                                <?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>
                                    <div class="row clearfix">
                                        <div class="col-md-2 col-sm-5 form-control-label">
                                            <label for="classname" class="required">Enquiry Date</label>
                                        </div>
                                        <div class="col-md-3 col-sm-6">
                                            <div class="form-group">
                                                <?php echo Form::text('enquiryDate',null,['class' => 'form-control datepickerdob','required'=>'required']); ?>

                                                <?php if($errors->has('enquiryDate')): ?>
                                                <label id="minmaxlength-error" class="error" for="minmaxlength">
                                                    <strong><?php echo e($errors->first('enquiryDate')); ?></strong>
                                                </label>
                                                <?php endif; ?>
                                                <span id="enquiryDateerror"></span>
                                            </div>
                                        </div>
                                        <div class="col-md-2 col-sm-5 form-control-label">
                                            <label for="classname" class="required">Session</label>
                                        </div>
                                        <div class="col-md-3 col-sm-6">
                                            <div class="form-group">
                                                <?php echo Form::select('idFinancialYear',$fy,null,['class' => 'form-control show-tick ms','required'=>'required']); ?>

                                                <?php if($errors->has('idFinancialYear')): ?>
                                                <label id="minmaxlength-error" class="error" for="minmaxlength">
                                                    <strong><?php echo e($errors->first('idFinancialYear')); ?></strong>
                                                </label>
                                                <?php endif; ?>
                                                <span id="idFinancialYearerror"></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">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}$']); ?>

                                                <?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="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 class="col-md-2 col-sm-5 form-control-label">
                                            <label for="classname">Telephone</label>
                                        </div>
                                        <div class="col-md-3 col-sm-6">
                                            <div class="form-group">
                                                <?php echo Form::text('resTelephone',null,['class' => 'form-control','onkeypress'=>'return onlyNumbersandSpecialChar(event)']); ?>

                                                <?php if($errors->has('resTelephone')): ?>
                                                <label id="minmaxlength-error" class="error" for="minmaxlength">
                                                    <strong><?php echo e($errors->first('resTelephone')); ?></strong>
                                                </label>
                                                <?php endif; ?>
                                            </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="sf3" class="frm" style="display: none;">
                                <fieldset>
                                    <p class="form-control-static" style="font-weight: bold"> Details of Last School Attended</p>
                                    <div class="row clearfix">
                                        <div class="col-md-2 col-sm-5 form-control-label">
                                            <label for="classname">Name of the School</label>
                                        </div>
                                        <div class="col-md-3 col-sm-6">
                                            <div class="form-group">
                                                <?php echo Form::text('lastSchool',null,['class' => 'form-control','onkeypress'=>'return onlylettersandSpecialChar(event)','style'=>'text-transform:uppercase']); ?>

                                                <?php if($errors->has('lastSchool')): ?>
                                                <label id="minmaxlength-error" class="error" for="minmaxlength">
                                                    <strong><?php echo e($errors->first('lastSchool')); ?></strong>
                                                </label>
                                                <?php endif; ?>
                                            </div>
                                        </div>
                                        <div class="col-md-2 col-sm-5 form-control-label">
                                            <label for="classname">Curriculum/Board</label>
                                        </div>
                                        <div class="col-md-3 col-sm-6">
                                            <div class="form-group">
                                                <?php echo Form::text('board',null,['class' => 'form-control','onkeypress'=>'return onlylettersandSpecialChar(event)','style'=>'text-transform:uppercase']); ?>

                                                <?php if($errors->has('board')): ?>
                                                <label id="minmaxlength-error" class="error" for="minmaxlength">
                                                    <strong><?php echo e($errors->first('board')); ?></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">which kind of school are you searching</label>
                                        </div>
                                        <div class="col-md-3 col-sm-6">
                                            <div class="form-group">
                                                <?php echo Form::text('reasonForChange',null,['class' => 'form-control','onkeypress'=>'return onlylettersandSpecialChar(event)','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; ?>
                                            </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 back3 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="next3">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::select('ralationship_one',['Father'=>'Father','Mother'=>'Mother','Guardian'=>'Guardian'],null,['class' => 'form-control show-tick ms select2']); ?>

                                                        <?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">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">Occupation</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']); ?>

                                                        <?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">Designation</label>
                                                </div>
                                                <div class="col-sm-6">
                                                    <div class="form-group">
                                                        <?php echo Form::text('father_designation',null,['class' => 'form-control','style'=>'text-transform:uppercase']); ?>

                                                        <?php if($errors->has('father_designation')): ?>
                                                        <label id="minmaxlength-error" class="error" for="minmaxlength">
                                                            <strong><?php echo e($errors->first('father_designation')); ?></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)']); ?>

                                                        <?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">Email</label>
                                                </div>
                                                <div class="col-sm-6">
                                                    <div class="form-group">
                                                        <?php echo Form::email('father_email',null,['class' => 'form-control']); ?>

                                                        <?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>
                                        <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::select('ralationship_two',['Mother'=>'Mother','Father'=>'Father','Guardian'=>'Guardian'],null,['class' => 'form-control show-tick ms select2']); ?>

                                                        <?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">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']); ?>

                                                        <?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">Professional</label>
                                                </div>
                                                <div class="col-sm-6">
                                                    <div class="form-group">
                                                    <?php echo Form::select('mother_designation',[''=>'Select','Professional'=>'Yes',''=>'No'],null,['class' => 'form-control show-tick ms']); ?>

                                                        <?php if($errors->has('mother_designation')): ?>
                                                        <label id="minmaxlength-error" class="error" for="minmaxlength">
                                                            <strong><?php echo e($errors->first('mother_designation')); ?></strong>
                                                        </label>
                                                        <?php endif; ?>
                                                        <span id="professional"></span>
                                                    </div>
                                                </div>
                                            </div>
                                            <div class="row clearfix">
                                                <div class="col-md-3 col-sm-6 form-control-label">
                                                    <label for="classname" class="required">Housewife</label>
                                                </div>
                                                <div class="col-sm-6">
                                                    <div class="form-group">
                                                        <?php echo Form::select('mother_designation',[''=>'Select','Housewife'=>'Yes',''=>'No'],null,['class' => 'form-control show-tick ms']); ?>

                                                        <?php if($errors->has('mother_designation')): ?>
                                                        <label id="minmaxlength-error" class="error" for="minmaxlength">
                                                            <strong><?php echo e($errors->first('mother_designation')); ?></strong>
                                                        </label>
                                                        <?php endif; ?>
                                                        <span id="housewife"></span>
                                                    </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)']); ?>

                                                        <?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>
                                    </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">Details of Child's Sibling</p>
                                    <div class="body table-responsive">
                                        <table class="table">
                                            <thead>
                                                <tr>
                                                    <th>S.NO.</th>
                                                    <th>First Name</th>
                                                    <th>Last Name</th>
                                                    <th>Age</th>
                                                    <th>Education</th>
                                                    <th>Name Of the School</th>
                                                </tr>
                                            </thead>
                                            <tbody  id="optional_list">
                                                <tr>
                                                    <td class="sno">1</td>
                                                    <td>
                                                        <input class="form-control" type="text"  name = "siblings[1][fName]">
                                                    </td>
                                                    <td>
                                                        <input class="form-control" type="text"  name = "siblings[1][lName]">
                                                    </td>
                                                    <td>
                                                        <input class="form-control" type="text"   name = "siblings[1][age]">
                                                    </td>
                                                    <td>
                                                        <input class="form-control" type="text"   name = "siblings[1][education]">
                                                    </td>
                                                    <td>
                                                        <input class="form-control" type="text" name = "siblings[1][schoolName]">
                                                    </td>
                                                </tr>
                                            </tbody>
                                            <tr>
                                                <td colspan="3" style="text-align: right"><input type="button" class="add-row btn btn-sm btn-danger" value="Add Row"></td>
                                            </tr>
                                        </table>
                                    </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 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>
$('.datepickerdob').datepicker({
      autoclose: true,
      autoWidth: false,
      format: 'dd-mm-yyyy',
      endDate: '+0d',
      orientation: 'auto'
});
$(document).ready(function () {
    var i = 1;
    $(".add-row").click(function(){
        i++;  
        var markup = '<tr><td class="sno">'+i+'</td>\
                <td><input class="form-control" type="text" name="siblings['+i+'][fName]" autocomplete="off"></td>\n\
                <td><input class="form-control" type="text" name="siblings['+i+'][lName]" autocomplete="off"></td>\n\
                <td><input class="form-control" name="siblings['+i+'][age]"></td>\n\
                <td><input class="form-control" name="siblings['+i+'][education]"></td>\n\
                <td><input class="form-control" name="siblings['+i+'][schoolName]"></td>\n\
                <td style="text-align:right;vertical-align: middle;"><input type="button" required="required" class="btn btn-sm btn-danger" value="Delete" id="remove_row"></td></tr>';
            $("#optional_list").append(markup);
    });
    $('#optional_list').on('click', 'input[type="button"]', function () {
        $(this).closest('tr').remove();
         i = $('.sno:last').text();
         
    });
    //Add Input field if others is selecyted
    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");
            $("#sf3").show("slow");
            $("#progressbar li#third").addClass("active");
        }
    });
    $("#next3").click(function () {
        if (v.form()) {
            $(".frm").hide("fast");
            $("#sf4").show("slow");
            $("#progressbar li#fourth").addClass("active");
        }
    });
    $("#next4").click(function () {
        if (v.form()) {
            $(".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");
    });

    $(".back3").click(function () {
        $(".frm").hide("fast");
        $("#sf2").show("slow");
        $("#progressbar li#third").removeClass("active");
    });
    $(".back4").click(function () {
        $(".frm").hide("fast");
        $("#sf3").show("slow");
        $("#progressbar li#fourth").removeClass("active");
    });
    $(".back6").click(function () {
        $(".frm").hide("fast");
        $("#sf4").show("slow");
        $("#progressbar li#fifth").removeClass("active");
    });
});
 </script>
    </body>
</html>

Copyright © 2021 - 2025 IMMREX7