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<!-- ======= Header include ========= -->
<?php echo $__env->make('front.includes.header', \Illuminate\Support\Arr::except(get_defined_vars(), ['__data', '__path']))->render(); ?>
<!-- ======= Header include ========= -->
<body class="home page-template-default page page-id-2039 gdlr-core-body woocommerce-no-js tribe-no-js kingster-body kingster-body-front kingster-full kingster-with-sticky-navigation kingster-blockquote-style-1 gdlr-core-link-to-lightbox">
<div class="kingster-body-outer-wrapper ">
<div class="kingster-body-wrapper clearfix kingster-with-frame">
<div class="kingster-page-title-wrap kingster-style-medium kingster-center-align">
<div class="kingster-header-transparent-substitute"></div>
<div class="kingster-page-title-overlay"></div>
<div class="kingster-page-title-container kingster-container">
<div class="kingster-page-title-content kingster-item-pdlr">
<h1 class="kingster-page-title">Application form for Admission</h1>
</div>
</div>
</div>
<!-- MultiStep Form -->
<div class="container-fluid" id="grad1">
<div class="row justify-content-center mt-0">
<div class="col-sm-9 col-md-12 text-center p-0 mt-3 mb-2">
<div class="card px-0 pt-4 pb-0 mt-3 mb-3">
<!--<h2><strong>Sign Up Your User Account</strong></h2>-->
<!--<p>Fill all form field to go to next step</p>-->
<div class="row">
<div class="col-md-12 mx-0">
<form id="msform" action="<?php echo e(url('save-details')); ?>" method="post" enctype="multipart/form-data">
<?php echo csrf_field(); ?>
<!-- progressbar -->
<ul id="progressbar">
<li class="active" id="account"><strong>Student's Details</strong></li>
<li id="personal"><strong>Parent's Details</strong></li>
<li id="payment"><strong>Other Details</strong></li>
<li id="confirm"><strong>Finish</strong></li>
</ul> <!-- fieldsets -->
<!------------- Student Information --------- -->
<fieldset>
<div class="form-card">
<h4 class="fs-title">Student Information</h4>
<div class="row mt-5">
<div class="col-md-3">
<div class="form-group">
<label>Student Name<sup>*</sup></label>
<input class="form-control" type="text" name="student_name" required placeholder="Student Name">
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<label>Date Of Birth<sup>*</sup></label>
<input class="form-control" type="date" required name="dob">
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<label>Gender</label>
<div class="form-row justify-content-around mb-4">
<div class="form-check">
<input class="form-check-input" type="radio" name="gender" required id="flexRadioDefault1" value="option1" checked />
<label class="form-check-label" for="flexRadioDefault1">
Male
</label>
</div>
<div class="form-check">
<input class="form-check-input" type="radio" name="gender" required id="flexRadioDefault2" value="option2" />
<label class="form-check-label" for="flexRadioDefault2">
Female
</label>
</div>
</div>
</div>
</div>
<div class="col-md-3 col-xs-12 col-sm-12">
<div class="form-group">
<label>Select Class</label>
<select class="form-control" required name="class">
<option value="" disabled selected>Select Class</option>
<option value="Nursery">Nursery</option>
<option value="LKG">LKG</option>
<option value="UKG">UKG</option>
<option value="1st">Ist Class</option>
<option value="2nd">2nd Class</option>
<option value="3rd">3rd Class</option>
<option value="4th">4th Class</option>
<option value="5th">5th Class</option>
<option value="6th">6th Class</option>
<option value="7th">7th Class</option>
<option value="8th">8th Class</option>
<option value="9th">9th Class</option>
<option value="10th">10th Class</option>
<option value="11th">11th Class</option>
<option value="12th">12th Class</option>
</select>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4">
<div class="form-group">
<label>Adhaar Number<sup>*</sup></label>
<input class="form-control" type="text" required name="aadhar_number">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label>Email<sup>*</sup></label>
<input class="form-control" type="email" name="email" required placeholder="exmaple@gmail.com">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label>Phone Number<sup>*</sup></label>
<input class="form-control" type="tel" name="phone" required placeholder="+91-000-000-0000">
</div>
</div>
</div>
<div class="row">
<div class="col-md-8">
<div class="form-group">
<label>Address<sup>*</sup></label>
<input class="form-control" type="text" required name="address">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label>Upload Passport Size Image<sup>*</sup></label>
<input class="form-control" required type="file" name="image">
</div>
</div>
</div>
</div>
<button type="button" name="next" class="btn btn-success btn-lg next">Next Step</button>
</fieldset>
<!------------- Student Information --------- -->
<!------------ Parents Information ------------>
<fieldset>
<div class="form-card">
<h4 class="fs-title">Father Details</h4>
<div class="row mt-5">
<div class="col-md-4">
<div class="form-group">
<label>Name<sup>*</sup></label>
<input class="form-control" type="text" required name="father_name" placeholder="Name">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label>Education<sup>*</sup></label>
<input class="form-control" type="text" required name="father_education" placeholder="B.A, B.Com">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label>Profession<sup>*</sup></label>
<input class="form-control" type="text" required name="father_profession" placeholder="e.g Accountant">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label>Mobile Number<sup>*</sup></label>
<input class="form-control" type="text" required name="father_mobile" placeholder="+91-000-000-0000">
</div>
</div>
<div class="col-md-8">
<div class="form-group">
<label>Office Address<sup>*</sup></label>
<input class="form-control" type="text" required name="father_office_address" placeholder="">
</div>
</div>
</div>
</div>
<div class="form-card">
<h4 class="fs-title">Mother Details</h4>
<div class="row mt-5">
<div class="col-md-4">
<div class="form-group">
<label>Name<sup>*</sup></label>
<input class="form-control" type="text" required name="mother_name" placeholder="Name">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label>Education<sup>*</sup></label>
<input class="form-control" type="text" required name="mother_education" placeholder="B.A, B.Com">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label>Profession<sup>*</sup></label>
<input class="form-control" type="text" required name="mother_profession" placeholder="e.g Accountant">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label>Mobile Number<sup>*</sup></label>
<input class="form-control" type="text" required name="mother_mobile" placeholder="+91-000-000-0000">
</div>
</div>
<div class="col-md-8">
<div class="form-group">
<label>Office Address<sup>*</sup></label>
<input class="form-control" type="text" required name="mother_office_address" placeholder="">
</div>
</div>
</div>
</div>
<div class="form-card">
<h4 class="fs-title">Guardian Details</h4>
<div class="row mt-5">
<div class="col-md-4">
<div class="form-group">
<label>Name<sup>*</sup></label>
<input class="form-control" type="text" required name="guardian_name" placeholder="Name">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label>Mobile Number<sup>*</sup></label>
<input class="form-control" type="text" required name="guardian_mobile" placeholder="+91-000-000-0000">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label>Relation With Child<sup>*</sup></label>
<input class="form-control" type="text" required name="guardian_relation" placeholder="">
</div>
</div>
<div class="col-md-8">
<div class="form-group">
<label>Address<sup>*</sup></label>
<input class="form-control" type="text" required name="guardian_address" placeholder="">
</div>
</div>
</div>
</div>
<button type="button" name="previous" class="btn btn-default btn-lg previous" />Previous</button>
<button type="button" name="next" class="btn btn-success btn-lg next" />Next Step</button>
</fieldset>
<!------------ Parents Information ------------>
<!--------------- Other Information ------------->
<fieldset>
<div class="form-card">
<h4 class="fs-title">Other Information</h4>
<div class="row mt-4">
<div class="col-md-4">
<div class="form-group">
<label>Does the Student required School Transport<sup>*</sup></label>
<select class="form-control" required name="school_transport">
<option value="" disabled selected>Select Yes/No</option>
<option value="yes">Yes</option>
<option value="no">No</option>
</select>
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label>If Yes, from where the student to be picked<sup>*</sup></label>
<input class="form-control" type="text" required name="pickup_location" value="" placeholder="Place">
</div>
</div>
</div>
</div>
<button type="button" name="previous" class="btn btn-default btn-lg previous">Previous</button>
<button type="submit" name="make_payment" class="btn btn-success btn-lg next">Confirm</button>
</fieldset>
<!--------- Success Box ------------>
<fieldset>
<div class="row justify-content-center">
<div class="col-md-6 col-xs-12 col-sm-12">
<div class="form-card">
<h2 class="fs-title text-center">Success !</h2>
<br>
<div class="row justify-content-center">
<div class="col-3">
<img src="https://img.icons8.com/color/96/000000/ok--v2.png" class="fit-image">
</div>
</div>
<br>
<div class="row justify-content-center">
<div class="col-7 text-center">
<h5>You Have Successfully Signed Up</h5>
</div>
</div>
</div>
</div>
</div>
</fieldset>
</form>
</div>
</div>
</div>
</div>
</div>
</div>
<!-- ======= Footer include ========= -->
<?php echo $__env->make('front.includes.footer', \Illuminate\Support\Arr::except(get_defined_vars(), ['__data', '__path']))->render(); ?>
<!-- ======= Footer include ========= -->
</div>
</div>
<script>
$(document).ready(function(){
var current_fs, next_fs, previous_fs; //fieldsets
var opacity;
$(".next").on("click", function() {
$("body").scrollTop(0);
});
$(".next").click(function(){
current_fs = $(this).parent();
next_fs = $(this).parent().next();
//Add Class Active
$("#progressbar li").eq($("fieldset").index(next_fs)).addClass("active");
//show the next fieldset
next_fs.show();
//hide the current fieldset with style
current_fs.animate({opacity: 0}, {
step: function(now) {
// for making fielset appear animation
opacity = 1 - now;
current_fs.css({
'display': 'none',
'position': 'relative'
});
next_fs.css({'opacity': opacity});
},
duration: 600
});
});
$(".previous").click(function(){
current_fs = $(this).parent();
previous_fs = $(this).parent().prev();
//Remove class active
$("#progressbar li").eq($("fieldset").index(current_fs)).removeClass("active");
//show the previous fieldset
previous_fs.show();
//hide the current fieldset with style
current_fs.animate({opacity: 0}, {
step: function(now) {
// for making fielset appear animation
opacity = 1 - now;
current_fs.css({
'display': 'none',
'position': 'relative'
});
previous_fs.css({'opacity': opacity});
},
duration: 600
});
});
$('.radio-group .radio').click(function(){
$(this).parent().find('.radio').removeClass('selected');
$(this).addClass('selected');
});
$(".submit").click(function(){
return false;
})
});
</script><?php /**PATH /home/ikarnal/public_html/resources/views/front/application_form.blade.php ENDPATH**/ ?>