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index.php
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<!doctype html>
<html>
<head>
<title>Registration Page</title>
<!--Import Google Icon Font-->
<link href="http://fonts.googleapis.com/icon?family=Material+Icons" rel="stylesheet">
<!-- Compiled and minified CSS -->
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/materialize/0.97.8/css/materialize.min.css">
<script type="text/javascript" src="https://code.jquery.com/jquery-2.1.1.min.js"></script>
<link href="style.css" type="text/css" rel="stylesheet" />
<!-- Compiled and minified JavaScript -->
<script src="https://cdnjs.cloudflare.com/ajax/libs/materialize/0.97.8/js/materialize.min.js"></script>
<!--<script src="form-validation.js"></script> -->
</head>
<body>
<div style="margin-left:10%;margin-right: 10%;padding: 0;" class="row center">
<div class="row">
<div class="col m1 s2"><img src="AKGEC.png" class="responsive-img" height="75%" width="75%"></div>
<div class="col m10 s8">
<h4 class="black-text">AJAY KUMAR GARG INSTITUTE OF MANAGEMENT</h4>
</div>
<div class="col m1 s2"></div>
</div>
<div class="col s12 m6 offset-m3">
<h5 style="text-decoration: underline;">MBA REGISTRATION FORM</h5>
</div>
<div class="col s12 m12 grey-text text-darken-1">
<p>For admission to the MBA degree programmes in AKGIM, recognised by A.I.C.T.E. and affiliated to Dr. A.P.J. Abdul Kalam Technical University, Lucknow (U.P.)</p>
</div>
<div class="progress">
<div class="determinate blue" style="width: 100%"></div>
</div>
<div class="col m12 s12 blue-text">
<h5>MBA Entrance Test</h5>
</div>
<div class="col s12 m12 red-text left-align">
Field marked with an asterisk (*) are required.
</div>
<form method="POST" action="registration.php" name="registration" onsubmit="return confirm('Do you really want to submit the form?');">
<div class="row">
<div class="col s1 m1"></div>
<div class="col s2 m2">
<br>
<h5>SEE AKTU- 2016</h5>
</div>
<div class="col s8 m8 row">
<div class="col m4">
<div class="input-field">
<input type="text" id="rollno" name="rollno" data-validation="required custom" data-validation-regexp='^$|^[0-9]+$'>
<label for="rollno">Roll No.<span class="error"> *</span></label>
</div>
</div>
<div class="col m4">
<div class="input-field">
<input type="text" id="genrank" name="genrank" data-validation="required custom" data-validation-regexp='^$|^[0-9]+$'>
<label for="genrank" class="center">General Rank<span class="error"> *</span></label>
</div>
</div>
<div class="col m4">
<div class="input-field">
<input type="text" id="catrank" name="catrank" data-validation="custom" data-validation-regexp='^$|^[0-9]+$'>
<label for="catrank">Category Rank</label>
</div>
</div>
</div>
</div>
<div class="row valign-wrapper center-align">
<div class="col s3 m3"></div>
<h5>Select Exam<span class="error">*</span> CAT/MAT/CMAT</h5>
<div class="col s2 m2 valign" style="padding-top:1.2333%;">
<select class="browser-default" name="cat_mat_cmat">
<!-- <option value="">CAT/MAT/CMAT</option> -->
<option value="CAT">CAT</option>
<option value="MAT">MAT</option>
<option value="CMAT">CMAT</option>
</select>
</div>
<div class="col s3 m3 valign"><br>
<div class="input-field">
<input type="text" id="percentile" name="percentile" data-validation="required custom" data-validation-regexp='^$|^[0-9]*\.?[0-9]*$'>
<label for="percentile">Percentile</label>
</div>
</div>
<div class="col s4 m4"></div>
</div>
<div class="row">
<div class="col s1 m1"></div>
<div class="col s2 m2">
<br>
<h5>Any Other Exam</h5>
</div>
<div class="col s4 m4">
<div class="input-field">
<input type="text" id="examname" name="examname">
<label for="examname">Exam Name</label>
</div>
</div>
<div class="col s4 m4">
<div class="input-field">
<input type="text" id="rank" name="rank">
<label for="rank">Rank/Percentile</label>
</div>
</div>
</div>
<div class="progress">
<div class="determinate blue" style="width: 100%"></div>
</div>
<div class="row">
<div class="col s1 m1"></div>
<div class="col s2 m2">
<br>
<h5>Name<span class="error"> *</span></h5>
</div>
<div class="col s2 m2">
<div class="input-field">
<input type="text" id="name" name="name" data-validation="required custom" data-validation-regexp="^([a-zA-Z ]*)$">
<label for="name">Full Name</label>
</div>
</div>
<div class="col s2 m2">
<br>
<h5>Email<span class="error"> *</span></h5>
</div>
<div class="col s2 m2">
<div class="input-field">
<input type="email" id="email" name="email" data-validation="required email">
<label for="email">Email</label>
</div>
</div>
</div>
<div class="row">
<div class="col s1 m1"></div>
<div class="col s2 m2">
<br>
<h5>Father's Name<span class="error"> *</span></h5>
</div>
<div class="col s2 m2">
<div class="input-field">
<input type="text" id="fname" name="fname" data-validation="required custom" data-validation-regexp="^([a-zA-Z ]*)$">
<label for="fname">Father's Name</label>
</div>
</div>
<div class="col s2 m2">
<br>
<h5>Date of Birth<span class="error"> *</span></h5>
</div>
<div class="col s4 m4">
<div class="input-field">
<input type="text" id="dob" name="dob" placeholder="Date of Birth" class="datepicker" data-validation="required">
</div>
</div>
</div>
<div class="row">
<div class="col s1 m1"></div>
<div class="col s2 m2">
<br>
<h5>Nationality<span class="error"> *</span></h5>
</div>
<div class="col s2 m2">
<div class="input-field">
<input type="text" id="nation" name="nation" data-validation="required custom" data-validation-regexp="^([a-zA-Z ]*)$">
<label for="nation">Nationality</label>
</div>
</div>
<div class="col s2 m2">
<br>
<h5>Category<span class="error"> *</span></h5>
</div>
<div class="col s4 m4">
<div class="input-field">
<select class="browser-default" name="cat" data-validation="required">
<!--<option value="">Select</option>-->
<option value="general">General</option>
<option value="SC">SC</option>
<option value="ST">ST</option>
<option value="OBC">OBC</option>
</select>
</div>
</div>
</div>
<div class="row">
<div class="col s1 m1"></div>
<div class="col s2 m2">
<br>
<h5>Gender<span class="error"> *</span></h5>
</div>
<div class="col s2 m2">
<div class="input-field">
<select class="browser-default" name="gender" data-validation="required">
<!--<option value="">Gender</option> -->
<option value="male">Male</option>
<option value="female">Female</option>
</select>
</div>
</div>
<div class="col s2 m2">
<br>
<h5>State of Domicile<span class="error"> *</span></h5>
</div>
<div class="col s4 m4">
<div class="input-field">
<input type="text" id="state" name="state" data-validation="required custom" data-validation-regexp="^([a-zA-Z ]*)$">
<label for="state">State of Domicile</label>
</div>
</div>
</div>
<div class="progress">
<div class="determinate blue" style="width: 100%"></div>
</div>
<div class="border">
<table class="centered" style="border: 0px;">
<thead>
<th>PERMANENT ADDRESS<span class="error"> *</span></th>
<th>CORRESPONDENCE ADDRESS<span class="error"> *</span></th>
<th>LOCAL GUARDIAN ADDRESS</th>
</thead>
<tbody>
<tr>
<td>
<div class="input-field">
<input type="text" id="permanentadd" name="permanentadd" placeholder="Permanent Address" data-validation="required">
</div>
</td>
<td>
<div class="input-field">
<input type="text" name="correspondenceadd" placeholder="Correspondence Address" data-validation="required">
</div>
</td>
<td>
<div class="input-field">
<input type="text" name="localadd" placeholder="Local Guardian Address">
</div>
</td>
</tr>
<tr>
<td class="row">
<div class="col s1"></div>
<div class="input-field col s5">
<input type="text" name="pincodeperm" placeholder="PIN Code" data-validation="required custom" data-validation-regexp="^[1-9][0-9]{5}$">
</div>
<div class="input-field col s5">
<input type="text" name="telnoperm" placeholder="Tel. No." data-validation="required custom" data-validation-regexp='^[0-9]+$'>
</div>
</td>
<td class="row">
<div class="col s1"></div>
<div class="input-field col s5">
<input type="text" name="pincodecorr" placeholder="PIN Code" data-validation="required custom" data-validation-regexp="^[1-9][0-9]{5}$">
</div>
<div class="input-field col s5">
<input type="text" name="telnocorr" placeholder="Tel No." data-validation="required custom" data-validation-regexp='^[0-9]+$'>
</div>
</td>
<td class="row">
<div class="col s1"></div>
<div class="input-field col s5">
<input type="text" name="pincodeloc" placeholder="PIN Code" data-validation="custom" data-validation-regexp="^$|^[1-9][0-9]{5}$">
</div>
<div class="input-field col s5">
<input type="text" name="telnoloc" placeholder="Tel No." data-validation="custom" data-validation-regexp='^$|^[0-9]+$'>
</div>
</td>
</tr>
</tbody>
</table>
</div>
<div class="progress">
<div class="determinate blue" style="width: 100%"></div>
</div>
<div class="s12 m12 center">
<br><h5 style="text-decoration:underline;">ACADEMIC QUALIFICATION<span class="error"> *</span></h5>
</div>
<div class="border">
<table class="striped centered">
<thead>
<th>EXAMINATION PASSED</th>
<th>SCHOOL/COLLEGE</th>
<th>BOARD/UNIVERSITY</th>
<th>YEAR OF PASSING</th>
<th>AGGREGATE PERCENTAGE (%)<br> / C.G.P.A.</th>
</thead>
<tbody>
<tr>
<td>
<h5>10<sup>th</sup> <span class="error"> *</span></h5>
</td>
<td>
<div class="input-field"><input type="text" name="schoolname10" data-validation="required"></div>
</td>
<td>
<div class="input-field"><input type="text" name="board10" data-validation="required"></div>
</td>
<td>
<div class="input-field"><input type="text" name="passingyear10" data-validation="required custom" data-validation-regexp="^[1-9][0-9]{3}$"></div>
</td>
<td>
<div class="input-field"><input type="text" name="percentage10" data-validation="required custom" data-validation-regexp='^[0-9]*\.?[0-9]*$'></div>
</td>
</tr>
<tr>
<td>
<h5>12<sup>th</sup><span class="error"> *</span></h5>
</td>
<td>
<div class="input-field"><input type="text" name="schoolname12" data-validation="required"></div>
</td>
<td>
<div class="input-field"><input type="text" name="board12" data-validation="required"></div>
</td>
<td>
<div class="input-field"><input type="text" name="passingyear12" data-validation="required custom" data-validation-regexp="^[1-9][0-9]{3}$"></div>
</td>
<td>
<div class="input-field"><input type="text" name="percentage12" data-validation=" required custom" data-validation-regexp='^[0-9]*\.?[0-9]*$'></div>
</td>
</tr>
<tr>
<td>
<h5>Diploma</h5>
<td>
<div class="input-field"><input type="text" name="diplomacollege"></div>
</td>
<td>
<div class="input-field"><input type="text" name="diplomauniversity"></div>
</td>
<td>
<div class="input-field"><input type="text" name="diplomapassingyear" data-validation="custom" data-validation-regexp="^$|^[1-9][0-9]{3}$"></div>
</td>
<td>
<div class="input-field"><input type="text" name="diplomapercentage" data-validation="custom" data-validation-regexp='^$|^[0-9]*\.?[0-9]*$'></div>
</td>
</tr>
<tr>
<td>
<h5>Graduation<span class="error"> *</span></h5>
</td>
<td>
<div class="input-field"><input type="text" name="graduationcollege" data-validation="required"></div>
</td>
<td>
<div class="input-field"><input type="text" name="graduationuniversity" data-validation="required"></div>
</td>
<td>
<div class="input-field"><input type="text" name="graduationpassingyear" data-validation="required custom" data-validation-regexp="^[1-9][0-9]{3}$"></div>
</td>
<td>
<div class="input-field"><input type="text" name="graduationpercentage" data-validation="required custom" data-validation-regexp='^[0-9]*\.?[0-9]*$'></div>
</td>
</tr>
<tr>
<td>
<h5>Any Other</h5>
</td>
<td>
<div class="input-field"><input type="text" name="othercollege"></div>
</td>
<td>
<div class="input-field"><input type="text" name="otheruniversity"></div>
</td>
<td>
<div class="input-field"><input type="text" name="otherpassingyear" data-validation="custom" data-validation-regexp="^$|^[1-9][0-9]{3}$"></div>
</td>
<td>
<div class="input-field"><input type="text" name="otherpercentage" data-validation="custom" data-validation-regexp='^$|^[0-9]*\.?[0-9]*$'></div>
</td>
</tr>
</tbody>
</table>
</div>
<div class="row">
<div class="col s3 m3">
<br>
<h5>Work Experience, if any:</h5>
</div>
<div class="col s4 m4">
<div class="input-field">
<input type="text" id="duration" name="duration">
<label for="duration">Duration</label>
</div>
</div>
<div class="col s4 m4">
<div class="input-field">
<input type="text" id="org" name="org">
<label for="org">Organisation Name</label>
</div>
</div>
<div class="col s1 m1"></div>
</div>
<div class="row">
<div class="col s4 m4 offset-m3">
<h5>Do you require hostel accomodation<span class="error">* </span>:</h5>
</div>
<div class="col s2 m2">
<select class="browser-default" name="hostelreq" id="hostlereq" data-validation="required">
<!-- <option value="" selected disabled>Select</option> -->
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
</div>
</div>
<div class="row">
<input type="submit" class="btn green" name="submit" value="Submit">
</div>
<script src="https://cdn.jsdelivr.net/jquery.validation/1.15.1/jquery.validate.min.js">
</script>
<script>
$(document).ready(function() {
$('select').material_select();
$('.datepicker').pickadate({
selectMonths: true,
selectYears: 31,
max: [2005,7,14],
closeOnSelect:true
});
});
</script>
</form>
<script src="//cdnjs.cloudflare.com/ajax/libs/jquery-form-validator/2.3.26/jquery.form-validator.min.js"></script>
<script>
$.validate({
lang: 'en'
});
$("form").validate({
errorClass: "error-class",
});
</script>
</div>
</body>
</html>