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<!DOCTYPE html>
<html>
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        <title>School MIS</title>
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    <body>
        <!--<htmlpageheader name="page-header" >-->
        <table class="table" style="width:100%;border-collapse: collapse;overflow: wrap;margin-top:20px;;">
            <tbody>
                <tr>
                    <td></td>
                    <td style="vertical-align: middle;text-align: center;">
                        Acknowledgment Slip<br>
                        ------------------------------
                        <br>
                        To Be filled By Student
                    </td>
                    <td></td>
                </tr>
               
                <tr>
                    <td style="padding: 0px;text-align: left;"><img src="<?php echo e(asset('storage/schools/'.$school->idSchool.'/'.$school->schoolLogo)); ?>" height="120" width="120"></td>
                    <td style="padding: 0px;vertical-align: middle;text-align: center;">
                        <strong><span style="font-size:35px;word-spacing: 5px;">M.J. </span><span style="font-size: 24px; word-spacing: 5px;">JUNIOR COLLEGE OF SCIENCE</span></strong>
                    </td>
                </tr>
                <tr>
                    <td colspan="2" style="font-size:12px;text-align:center;">Add 1: MJ Education Trust, Near Fire Brigade, Next to Seven Bunglow, Borivali (West),Mumbai - 400 091 T 76100 13003/9819309329
                    <br>
                        Add 2. M.J. Junior College of Science Commerce Arts, Plot No. 15/09, Near Jaideep Vijay Deep Society, Near Gaonidevi Mandir,<br> New DP Road, Kulgaon,
                        <br>
                        <span style="text-align:center !important;">  Badlapur (E)-421503 Contact: 9870238716</span>
                    </td>
                </tr>
            </tbody>
        </table>
        <!--</htmlpageheader>-->
        <section>
            <div class="content">
                <table style="width:100% ;border-collapse: collapse;overflow: wrap;margin-top:20px;text-align: left;">
                    <tbody>

                        <tr>
                            <th colspan="2" style="vertical-align: middle;text-align: center;font-size:16px;padding: 0px; ">
                                <span style="text-decoration:underline;">APPLICATION FOR ADMISSION </span><br> <?php if(isset($financialYear)): ?>
                                    FYJC/SYJC SCIENCE <?php echo e($financialYear->financialYearName); ?>

                                    <?php else: ?>
                                    FYJC/SYJC SCIENCE 20___ - 20___
                                    <?php endif; ?>
                            </th>
                            <th style="text-align:center;padding: 10px;">
                                No:<br> <span style="border:1px solid;padding: 10px;"> <?php echo e(str_replace("REGM.J ","",$reg_student->registrationNo)); ?></span>
                            </th>
                        </tr>
                        <tr>
                            <td colspan="2" style="text-align:left;margin-top: 10px;font-size:14px;">
                                To,
                                <br>
                                The Principal
                                <br>
                                M.J. Junior College of Science
                                <br>
                                Sir,
                            </td>
                            
                            <td style="vertical-align: middle;text-align: center;height:100px;width:100px;border:1px solid; ">
                            <?php if(isset($reg_student->photo)): ?>
                                <img src="<?php echo e(asset('storage/schools/'.$school->idSchool.'/onlinereg/'.$reg_student->photo)); ?>" height="100" width="100">
                                <?php endif; ?> 
                            </td>
                        </tr>
                        <tr>
                            
                            <td colspan="2" style="vertical-align: middle;text-align: left;padding: 0px;padding-left:10px;font-size:12px;">
                                I seek admission to the F.Y.J.C./S.Y.J.C. Class in the Junior College. I will abide by
                                <br>
                                the Rules and Regulations of the College and Higher Secondary Board's Regulations. 
                                <br>It will be my endeavor to enhance the prestige of theJr. College..
                                <br>
                            </td>
                        </tr>
                        <tr>
                            
                            <td colspan="2" style="vertical-align: middle;text-align:left;padding-top:10px;padding-left:30px;font-size:12px;">
                               
                                <span style="margin-left:10px;">I present relevant details about myself below:</span>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <h3>A. Personal Data : </h3>
                <table cellpadding="10" style="width:100% ;border-collapse: collapse;overflow: wrap;text-align: left;font-size:12px;">
                    <tbody>
                        
                        <tr>
                            <td colspan="4">1. Full Name in BLOCK CAPITAL LETTERS: (Strictly as in the S.S.C./10th Std. mark sheet)</td>
                        </tr>
                        <tr>
                            <td>Shri./Kum./Smt.</td>
                            <td style="border: 1px solid #000;text-decoration: none;text-align: center;"> 
                            <?php if(isset($reg_student->firstName)): ?>
                            <?php echo e(strtoupper($reg_student->firstName)); ?> 
                            <?php endif; ?> 
                            </td>
                            <td style="border: 1px solid #000;text-decoration: none;text-align: center;"> 
                            <?php if(isset($reg_student->middleName)): ?>
                            <?php echo e(strtoupper($reg_student->middleName)); ?> 
                            <?php endif; ?> 
                            </td>
                            <td style="border: 1px solid #000;text-decoration: none;text-align: center;"> 
                            <?php if(isset($reg_student->lastName)): ?>
                            <?php echo e(strtoupper($reg_student->lastName)); ?>

                            <?php endif; ?> 
                            </td>
                        </tr>
                        <tr>
                            <td>2. Local Address</td>
                            <td colspan="3" style="border-bottom: 1px dotted #000;text-decoration: none;"> 
                            <?php if(isset($reg_student->resAddress)): ?>
                            <?php echo e(strtoupper($reg_student->resAddress)); ?> 
                            <?php endif; ?> 
                            </td>
                        </tr>
                        <tr>
                            <td></td>
                            <td colspan="3" style="border-bottom: 1px dotted #000;text-decoration: none;"> 

                            <?php if(isset($reg_student->resCity)): ?>
                            <?php echo e(strtoupper($reg_student->resCity)); ?> 
                            <?php endif; ?> 
                            <?php if(isset($reg_student->landmark)): ?>
                            <?php echo e(strtoupper($reg_student->landmark)); ?>

                            <?php endif; ?>
                            <?php if(isset($reg_student->resState)): ?>
                            <?php echo e(strtoupper(DB::table('states')->where('idState',$reg_student->resState)->first()->stateName)); ?>

                            <?php endif; ?>
                            <?php if(isset($reg_student->resPincode)): ?>
                            <?php echo e(strtoupper($reg_student->resPincode)); ?>

                            <?php endif; ?>
                            </td>
                        </tr>
                        <tr>
                            <td>3.  Date Of Birth  : <?php if(isset($reg_student->studentDob)): ?>
                                                    <span style="border-bottom: 1px dotted #000;text-decoration: none;"><?php echo e($reg_student->studentDob); ?></span>
                                                    <?php endif; ?> 
                            </td>
                            <?php
                            $bday = new DateTime($reg_student->studentDob); 
                            $today = new DateTime(date('y-m-d'));
                            $diff = $today->diff($bday);
                            ?>
                            <td> 
                                Age : <?php if(isset($diff->y)): ?>  <span style="border-bottom: 1px dotted #000;text-decoration: none;"><?php echo e($diff->y); ?> Years</span> <?php else: ?> ___________________ <?php endif; ?>
                            </td>
                            <td> 
                               <?php if(isset($diff->m)): ?>  <span style="border-bottom: 1px dotted #000;text-decoration: none;"><?php echo e($diff->m); ?> Months</span> <?php else: ?>  Months :  ___________________ <?php endif; ?>
                            </td>
                            <td> 
                               <?php if(isset($diff->d)): ?>  <span style="border-bottom: 1px dotted #000;text-decoration: none;"><?php echo e($diff->d); ?> Days</span> <?php else: ?> Days :  ___________________ <?php endif; ?>
                            </td>
                        </tr>
                        <tr>
                            <td colspan="2">4. Place Of Birth <?php if(isset($reg_student->studentPob)): ?>
                                                    <span style="border-bottom: 1px dotted #000;text-decoration: none;"><?php echo e(strtoupper($reg_student->studentPob)); ?></span>
                                                    <?php else: ?> ______________________ ___________________ <?php endif; ?></td>
                            <td>District <?php if(isset($reg_student->birth_district)): ?>
                                                    <span style="border-bottom: 1px dotted #000;text-decoration: none;"><?php echo e(strtoupper($reg_student->birth_district)); ?></span>
                                                    <?php else: ?> ______________ <?php endif; ?></td>
                            <td>State <?php if(isset($reg_student->birth_state)): ?>
                                                    <span style="border-bottom: 1px dotted #000;text-decoration: none;"><?php echo e(strtoupper(DB::table('states')->where('idState',$reg_student->birth_state)->first()->stateName)); ?></span>
                                                    <?php else: ?> ___________________ <?php endif; ?></td>
                        </tr>
                        <tr>
                            <td colspan="2">5. Male/Female <?php if(isset($reg_student->gender)): ?>
                                                    <span style="border-bottom: 1px dotted #000;text-decoration: none;"><?php echo e(strtoupper($reg_student->gender)); ?></span>
                                                    <?php else: ?> ______________________________________ <?php endif; ?></td>
                            <td colspan="2"> Married/Unmarried <?php if(isset($reg_student->marital)): ?>
                                                    <span style="border-bottom: 1px dotted #000;text-decoration: none;"><?php echo e(strtoupper($reg_student->marital)); ?></span>
                                                    <?php else: ?> ______________________________________ <?php endif; ?></td>
                        </tr>
                        <tr>
                            <td colspan="2">6. Nationality <?php if(isset($reg_student->nationality)): ?>
                                                    <span style="border-bottom: 1px dotted #000;text-decoration: none;"><?php echo e(strtoupper($reg_student->nationality)); ?></span>
                                                    <?php else: ?> ______________________________________ <?php endif; ?></td>
                            <td colspan="2"> State to which I belong. <?php if(isset($reg_student->belong_state)): ?>
                                                    <span style="border-bottom: 1px dotted #000;text-decoration: none;"><?php echo e(strtoupper($reg_student->belong_state)); ?></span>
                                                    <?php else: ?> ______________________________________ <?php endif; ?></td>
                        </tr>
                        <tr>
                            <td colspan="2">7. Mother-tongue <?php if(isset($reg_student->motherTounge)): ?>
                                                    <span style="border-bottom: 1px dotted #000;text-decoration: none;"><?php echo e(strtoupper($reg_student->motherTounge)); ?></span>
                                                    <?php else: ?> ______________________________________ <?php endif; ?></td>
                            <td colspan="2">Religion <?php if(isset($reg_student->religion)): ?>
                                                    <span style="border-bottom: 1px dotted #000;text-decoration: none;"><?php echo e(strtoupper($reg_student->religion)); ?></span>
                                                    <?php else: ?> ______________________________________ <?php endif; ?></td>
                        </tr>
                        </tbody>
                </table>
                <table cellpadding="10" style="width:100% ;border-collapse: collapse;overflow: wrap;text-align: left;font-size:11px;">
                    <tbody>
                        <tr>
                            <td colspan="4">8. I belong to: Non-backward Class/Backward Class <br>(SC/ST/DT/NT/OBC/SBC) <?php if(isset($reg_student->caste)): ?>
                                                    <span style="border-bottom: 1px dotted #000;text-decoration: none;"><?php echo e($reg_student->caste); ?></span>
                                                    <?php else: ?> ______________________________________ <?php endif; ?></td>
                        </tr>
                        <tr>
                            <td colspan="4" style="font-size: 11px;">(Submit the required document at the time of admission)</td>
                        </tr>
                        
                        <tr>
                            <td colspan="4">9. Particulars about my Guardian</td>
                        </tr>
                   
                         <tr>
                             <td colspan="1" style="padding-left: 50px;">a) Full Name</td>
                             <td colspan="3" style="border-bottom: 1px dotted #000;text-decoration: none;"><?php if(isset($reg_student->father_fname)): ?>
                            <?php echo e(strtoupper($reg_student->father_fname)); ?> 
                            <?php endif; ?> 
                            <?php if(isset($reg_student->father_lname)): ?>
                            <?php echo e(strtoupper($reg_student->father_lname)); ?>

                            <?php endif; ?></td>
                        </tr>
                         <tr>
                            <td colspan="1" style="padding-left: 50px;">b) Relation to the Applicant.</td>
                            <td colspan="3" style="border-bottom: 1px dotted #000;text-decoration: none;">FATHER</td>
                        </tr>
                         <tr>
                            <td colspan="1" style="padding-left: 50px;">c) Occupation</td>
                            <td colspan="3" style="border-bottom: 1px dotted #000;text-decoration: none;"><?php if(isset($reg_student->father_occupation)): ?>
                            <?php echo e(strtoupper($reg_student->father_occupation)); ?>

                            <?php endif; ?></td>
                        </tr>
                         <tr>
                            <td colspan="1" style="padding-left: 50px;">d) Office Address</td>
                            <td colspan="3" style="border-bottom: 1px dotted #000;text-decoration: none;"><?php if(isset($reg_student->father_company)): ?>
                            <?php echo e(strtoupper($reg_student->father_company)); ?>

                            <?php endif; ?></td>
                        </tr>
                         <tr>
                            <td colspan="1" style="padding-left: 50px;">e) Telephone No.: Res.</td>
                            <td colspan="3" style="border-bottom: 1px dotted #000;text-decoration: none;"><?php if(isset($reg_student->father_mobile)): ?>
                            <?php echo e(strtoupper($reg_student->father_mobile)); ?>

                            <?php endif; ?></td>
                        </tr>
                         <tr>
                            <td colspan="1" style="padding-left: 50px;">f) Annual Income from all sources Rs.</td>
                            <td colspan="3" style="border-bottom: 1px dotted #000;text-decoration: none;"></td>
                        </tr>
                          <tr>
                            <td colspan="1" style="padding-left: 50px;">g) Permanent native Place Address</td>
                            <td colspan="3" style="border-bottom: 1px dotted #000;text-decoration: none;"></td>
                        </tr>
                        </tr>
                          <tr>
                            <td colspan="2" style="padding-left: 50px;">(for Long Journey Railway or Air Lines or S.T. Concession during)</td>
                            <td colspan="2"></td>
                        </tr>
                    </tbody>
                </table>
        </section>
    <htmlpagefooter name="page-footer" >
    </htmlpagefooter>

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