| aku nok ndi : /home/spdtg/www/schoolmis/storage/framework/views/ |
| aku nok ndi : /home/spdtg/www/schoolmis/storage/framework/views/dd190106ed54e0341422b7e434b61c7b6309f1c4.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($errors->first('stdregistered')); ?></strong>
</label>
<?php endif; ?>
<form class="form-horizontal" method="POST" id="register" files="true" action="<?php echo e(url('/onlinereg')); ?>" enctype="multipart/form-data">
<?php echo e(csrf_field()); ?>
<!-- progressbar -->
<strong>
<ul id="progressbar">
<li class="active">Basic Detail</li>
<li id="second">Contact Information:Residential</li>
<li id="third">Last School Attended</li>
<li id="fourth">Parents Detail</li>
<li id="fifth">Emergency Contact Information</li>
<li id="sixth">Sibling Details</li>
</ul>
</strong>
<div id="sf1" class="frm">
<input type="hidden" name='idSchool' value="<?php echo e($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']); ?>
<?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">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)']); ?>
<?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']); ?>
<?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($errors->first('studentDob')); ?></strong>
</label>
<?php endif; ?>
<span id="doberror"></span>
</div>
</div>
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname">Place Of Birth</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('studentPob',null,['class' => 'form-control','onkeypress'=>'return lettersOnly(event)',]); ?>
<?php if($errors->has('studentPob')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('studentPob')); ?></strong>
</label>
<?php endif; ?>
<span id="poberror"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname" class="required">Gender</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::select('gender',[''=>'Select','Male'=>'Male','Female'=>'Female'],null,['class' => 'form-control show-tick ms','required'=>'required']); ?>
<?php if($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="row clearfix">
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname">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)']); ?>
<?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">Student Type</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php if(count($studentCategory) > 0): ?>
<?php echo Form::select('studentType',$studentCategory,null,['class' => 'form-control show-tick ms']); ?>
<?php else: ?>
<?php echo Form::select('studentType',['New'=>'New'],null,['class' => 'form-control show-tick ms']); ?>
<?php endif; ?>
<?php if($errors->has('studentType')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('studentType')); ?></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">Mother Tongue</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('motherTounge',null,['class' => 'form-control','onkeypress'=>'return lettersOnly(event)']); ?>
<?php if($errors->has('motherTounge')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('motherTounge')); ?></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">Blood Group</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('bloodGroup',null,['class' => 'form-control','required'=>'required']); ?>
<?php if($errors->has('bloodGroup')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('bloodGroup')); ?></strong>
</label>
<?php endif; ?>
<span id="bloodgrp"></span>
</div>
</div>
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname">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']); ?>
<?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">Photo</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<input type="file" name="photo" required="required"/>
<?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>
<p class="col-md-6 col-sm-6" style="color:red;">Note : Photo should be passport size with white background </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']); ?>
<?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']); ?>
<?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']); ?>
<?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)']); ?>
<?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)']); ?>
<?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">Percentage</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('percentage',null,['class' => 'form-control','onkeypress'=>'return onlyNumbersandSpecialChar(event)']); ?>
<?php if($errors->has('percentage')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('percentage')); ?></strong>
</label>
<?php endif; ?>
</div>
</div>
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname">Address</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('lastSchoolAddress',null,['class' => 'form-control','onkeypress'=>'return onlylettersandSpecialChar(event)']); ?>
<?php if($errors->has('lastSchoolAddress')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('lastSchoolAddress')); ?></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">City</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('lastSchoolCity',null,['class' => 'form-control','onkeypress'=>'return onlylettersandSpecialChar(event)']); ?>
<?php if($errors->has('lastSchoolCity')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('lastSchoolCity')); ?></strong>
</label>
<?php endif; ?>
</div>
</div>
<div class="col-md-2 col-sm-5 form-control-label">
<label for="classname">Postal/zipcoode</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::text('lastSchoolPincode',null,['class' => 'form-control','minlength'=>'6','maxlength'=>'6','onkeypress'=>'return isNumber(event)']); ?>
<?php if($errors->has('lastSchoolPincode')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('lastSchoolPincode')); ?></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">State</label>
</div>
<div class="col-md-3 col-sm-6">
<div class="form-group">
<?php echo Form::select('lastSchoolState',states(),null,['class' => 'form-control show-tick ms select2']); ?>
<?php if($errors->has('lastSchoolState')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('lastSchoolState')); ?></strong>
</label>
<?php endif; ?>
</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('lastSchoolPhone',null,['class' => 'form-control','onkeypress'=>'return onlyNumbersandSpecialChar(event)']); ?>
<?php if($errors->has('lastSchoolPhone')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('lastSchoolPhone')); ?></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">Reason for Change</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)']); ?>
<?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 / 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']); ?>
<?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']); ?>
<?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">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']); ?>
<?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']); ?>
<?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']); ?>
<?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']); ?>
<?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">Name Of Company</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('father_company',null,['class' => 'form-control']); ?>
<?php if($errors->has('father_company')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('father_company')); ?></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">Work Location</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('father_workloc',null,['class' => 'form-control']); ?>
<?php if($errors->has('father_workloc')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('father_workloc')); ?></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">Pan No.</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('father_panno',null,['class' => 'form-control','maxlength'=>'10','minlength'=>'10','pattern'=>'[A-Za-z]{5}\d{4}[A-Za-z]{1}']); ?>
<?php if($errors->has('father_panno')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('father_panno')); ?></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">Telephone No.</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('father_telephone',null,['class' => 'form-control']); ?>
<?php if($errors->has('father_telephone')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('father_telephone')); ?></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">Aadhaar No.</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('father_aadhaar',null,['class' => 'form-control']); ?>
<?php if($errors->has('father_aadhaar')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('father_aadhaar')); ?></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">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 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']); ?>
<?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']); ?>
<?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">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']); ?>
<?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']); ?>
<?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">Occupation</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('mother_occupation',null,['class' => 'form-control']); ?>
<?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">Designation</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('mother_designation',null,['class' => 'form-control']); ?>
<?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; ?>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-md-3 col-sm-6 form-control-label">
<label for="classname">Name Of Company</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('mother_company',null,['class' => 'form-control']); ?>
<?php if($errors->has('mother_company')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('mother_company')); ?></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">Work Location</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('mother_workloc',null,['class' => 'form-control']); ?>
<?php if($errors->has('mother_workloc')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('mother_workloc')); ?></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">Pan No.</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('mother_panno',null,['class' => 'form-control','maxlength'=>'10','minlength'=>'10','pattern'=>'[A-Za-z]{5}\d{4}[A-Za-z]{1}']); ?>
<?php if($errors->has('mother_panno')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('mother_panno')); ?></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">Telephone No.</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('mother_telephone',null,['class' => 'form-control']); ?>
<?php if($errors->has('mother_telephone')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('mother_telephone')); ?></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">Aadhaar No.</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('mother_aadhaar',null,['class' => 'form-control']); ?>
<?php if($errors->has('mother_aadhaar')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('mother_aadhaar')); ?></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">Email</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::email('mother_email',null,['class' => 'form-control']); ?>
<?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>
</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="sf5" class="frm" style="display: none;">
<fieldset>
<p class="form-control-static" style="font-weight: bold">Emergency Contact Information (Here parent can fill there details)</p>
<div class="row clearfix">
<div class="col-sm-12 col-md-12 col-lg-6">
<div class="row clearfix">
<div class="col-sm-4 form-control-label">
<label for="classname" class="required">Name of Contact Person</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('contactPerson',null,['class' => 'form-control','required'=>'required']); ?>
<?php if($errors->has('contactPerson')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('contactPerson')); ?></strong>
</label>
<?php endif; ?>
<span id="contactperson"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-sm-4 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('contactPersonRelation',null,['class' => 'form-control']); ?>
<?php if($errors->has('contactPersonRelation')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('contactPersonRelation')); ?></strong>
</label>
<?php endif; ?>
<span id="contactpersonrel"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-sm-4 form-control-label">
<label for="classname">Telephone</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('contactPersonTel',null,['class' => 'form-control']); ?>
<?php if($errors->has('contactPersonTel')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('contactPersonTel')); ?></strong>
</label>
<?php endif; ?>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-sm-4 form-control-label">
<label for="classname" class="required">Mobile</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::text('contactPersonMobile',null,['class' => 'form-control','required'=>'required','maxlength'=>'10','minlength'=>'10','onkeypress'=>'return isNumber(event)']); ?>
<?php if($errors->has('contactPersonMobile')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('contactPersonMobile')); ?></strong>
</label>
<?php endif; ?>
<span id="contactpersonmobile"></span>
</div>
</div>
</div>
</div>
<div class="col-sm-12 col-md-12 col-lg-6">
<div class="row clearfix">
<div class="col-sm-4 form-control-label">
<label for="classname">Address of Contact Person</label>
</div>
<div class="col-sm-6">
<div class="form-group">
<?php echo Form::textarea('contactPersonAddress',null,['class' => 'form-control','size'=>'30x2']); ?>
<?php if($errors->has('contactPersonAddress')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('contactPersonAddress')); ?></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 back5 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="next5">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-sm-8 form-control-label">
<label for="classname">Do You require food service facility for your child.?</label>
</div>
<div class="col-sm-4">
<div class="form-group">
<div class="inlineblock m-r-20">
<input name="food" class="with-gap" type="radio" value="Y">
<label for="Yes">Yes</label>
</div>
<div class="inlineblock">
<input name="food" class="with-gap" type="radio" checked="N" 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('lastSchool')); ?></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">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" value="Y">
<label for="Yes">Yes</label>
</div>
<div class="inlineblock">
<input name="transport" class="with-gap" type="radio" checked="N" 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">Has your child identified with any learning disability.?</label>
</div>
<div class="col-md-2 col-sm-5">
<div class="form-group">
<div class="inlineblock m-r-20">
<input name="learningDisability" class="with-gap" type="radio" value="Y">
<label for="Yes">Yes</label>
</div>
<div class="inlineblock">
<input name="learningDisability" class="with-gap" type="radio" checked="" value="N">
<label for="No">No</label>
</div>
<?php if($errors->has('learningDisability')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('learningDisability')); ?></strong>
</label>
<?php endif; ?>
<span id="learningDerror"></span>
</div>
</div>
</div>
<div class="row clearfix">
<div class="col-sm-8 form-control-label">
<label for="classname">Please specify any requirement if any.?</label>
</div>
<div class="col-md-2 col-sm-5">
<div class="form-group">
<?php echo Form::textarea('otherRequirement',null,['class' => 'form-control','size'=>'30x2','Placeholder'=>'Other Requirement']); ?>
<?php if($errors->has('otherRequirement')): ?>
<label id="minmaxlength-error" class="error" for="minmaxlength">
<strong><?php echo e($errors->first('otherRequirement')); ?></strong>
</label>
<?php endif; ?>
</div>
</div>
</div>
</fieldset>
<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(); ?>
<?php echo $__env->make('onlinereg.regscript', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>
</body>
</html>