<div class="modal bs-modal-lg in modal-scroll" id="leadFormModal" data-backdrop="static">
<div class="modal-dialog modal-lg" style="width: 1120px;">
<div class="modal-content">
<div class="modal-header">
<button type="button" class="close" data-dismiss="modal" aria-hidden="true" ng-click="cr.close_lead_form()"></button>
<h4 class="modal-title" ng-if="!cr.app.id">Add New Lead</h4>
<h4 class="modal-title" ng-if="cr.app.id">Update Lead - System ID: <span class="bold">{{cr.app.application_no}}</span> - Step Completed: <span class="bold">{{cr.app.step_completed}}</span></h4>
</div>
<div class="modal-body err-abs form-lbl-grey" style="padding-top: 10px; padding-bottom: 0;">
<div class="pt5 pb10" ng-if="ldtl.superbot_disposition" style="font-size:16px; color:purple">Superbot Disp: <strong>{{ldtl.superbot_disposition}}</strong></div>
<div class="tabbable-custom nomrgn ldtltabs">
<ul class="nav nav-tabs">
<li class="active">
<a href="#ftab_1" data-toggle="tab" aria-expanded="true" onclick="event.preventDefault(); show_lmodal_actions(1)">
Step 1
<span class="font-green font-xs" ng-if="cr.app.step_completed>=1">Completed</span>
</a>
</li>
<li>
<a href="#ftab_2" data-toggle="tab" aria-expanded="true" onclick="event.preventDefault(); show_lmodal_actions(2)">
Step 2
<span class="font-green font-xs" ng-if="cr.app.step_completed>=2">Completed</span>
</a>
</li>
<li>
<a href="#ftab_3" data-toggle="tab" aria-expanded="true" onclick="event.preventDefault(); show_lmodal_actions(3)">
Step 3
<span class="font-green font-xs" ng-if="cr.app.step_completed>=3">Completed</span>
</a>
</li>
</ul>
<div class="tab-content">
<!-- Step 1 -->
<div class="tab-pane active" id="ftab_1">
<form id="frm1" autocomplete="off" spellcheck="false">
<input type="hidden" name="application_id" value="{{cr.app.id}}" />
<div class="form-group d-flex align-items-center justify-content-between">
<div>
<label class="req">Campus</label>
<select class="form-control" name="campus_id" ng-model="cr.app.campus_id" ng-change="cr.campusChange()">
<!-- <option value="">Select</option> -->
<option value="{{r.id}}" ng-repeat="r in cr.campuses">{{r.title}}</option>
</select>
</div>
<div>
<label class="req">Offline Campus Visited?</label>
<select class="form-control" name="is_campus_offline" ng-model="cr.usr.is_campus_offline">
<option value="N">No</option>
<option value="Y">Yes</option>
</select>
</div>
<div>
<label class="req">Verified By</label>
<div class="form-control">{{cr.usr.verified_by?cr.usr.verified_by:'OFFLINE'}}</div>
</div>
</div>
<!-- <fieldset class="mb15">
<legend>Source Details</legend>
<div class="pd10">
<div class="row mingap form-group">
<div class="col-md-3">
<label class="req">Verified By</label>
<div class="form-control">{{cr.usr.verified_by?cr.usr.verified_by:'OFFLINE'}}</div>
</div>
<div class="col-md-3">
<label class="req1">Lead Processed By</label>
<select class="form-control" name="process_by" ng-model="cr.usr.process_by" ng-change="cr.usr.lead_source_state_id=''; cr.usr.lead_source_id='';">
<option value="">Select</option>
<option>Campus</option>
<option>RO</option>
</select>
</div>
<div class="col-md-3">
<label class="req1">State</label>
<select class="form-control" name="lead_source_state_id" ng-model="cr.usr.lead_source_state_id" ng-change="cr.usr.lead_source_id='';">
<option value="">Select</option>
<option value="{{r.id}}" ng-repeat="r in cr.lead_source_states">{{r.title}}</option>
</select>
</div>
<div class="col-md-3">
<label class="req1">Source</label>
<select class="form-control" name="lead_source_id" ng-model="cr.usr.lead_source_id">
<option value="">Select</option>
<option value="{{r.id}}" ng-repeat="r in cr.lead_sources" ng-if="r.type==cr.usr.process_by && r.state_id==cr.usr.lead_source_state_id">{{r.name}}</option>
</select>
</div>
</div>
<div class="row mingap">
<div class="col-md-6">
<label class="">Remarks</label>
<input type="text" class="form-control" name="lead_source_remarks" ng-model="cr.usr.lead_source_remarks" maxlength="200">
</div>
</div>
</div>
</fieldset> -->
<fieldset class="mb15">
<legend>Applicant Details</legend>
<div class="pd10">
<div class="row mingap form-group">
<div class="col-md-4">
<label class="req">Name</label>
<input type="text" class="form-control" name="name" ng-model="cr.usr.name" maxlength="100">
</div>
<div class="col-md-4">
<label class="req">Email</label>
<input type="text" class="form-control" name="email" ng-model="cr.usr.email" maxlength="100">
</div>
<div class="col-md-2">
<label class="req">Mobile No.</label>
<input type="text" class="form-control" name="mob" ng-model="cr.usr.mob" maxlength="10">
</div>
<div class="col-md-2">
<label class="req">Gender</label>
<select class="form-control" name="gender" ng-model="cr.usr.gender">
<option value="">Select</option>
<option value="Male">Male</option>
<option value="Female">Female</option>
<option value="Other">Other</option>
</select>
</div>
</div>
<div class="row mingap">
<div class="col-md-4">
<label class="req">State</label>
<select class="form-control" name="state_id" ng-model="cr.usr.state_id" ng-change="cr.getCities(cr.usr.state_id)">
<option value="">Select</option>
<option value="{{r.id}}" ng-repeat="r in cr.states">{{r.title}}</option>
</select>
</div>
<div class="col-md-4">
<label class="req">City</label>
<select class="form-control" id="citydd" name="city_id" ng-model="cr.usr.city_id" ng-change="cr.cityChangeEvent(cr.usr.city_id)">
<option value="">Select</option>
<option value="{{r.id}}" ng-repeat="r in cr.cities" pincode="{{r.pincode}}">{{r.title}}</option>
<option value="-1">Other</option>
</select>
</div>
<div class="col-md-4" ng-if="cr.usr.city_id=='-1'">
<label class="req">Other City Name</label>
<input type="text" class="form-control" name="city" ng-model="cr.usr.city" maxlength="100" placeholder="Other city name">
</div>
</div>
</div>
</fieldset>
<fieldset class="mb15">
<legend>Application Details</legend>
<div class="pd10">
<div class="row mingap">
<div class="col-md-4">
<label class="req">Academic Career</label>
<select class="form-control" name="ac_id" ng-model="cr.app.ac_id" ng-change="cr.getPrograms(cr.app.ac_id)" ng-disabled1="cr.app.step_completed==3">
<option value="">Select</option>
<option value="{{r.id}}" ng-repeat="r in cr.academicCareers">{{r.title}}</option>
</select>
</div>
<div class="col-md-4">
<label class="req">Program</label>
<div class="note-text">{{cr.app.api_program}}</div>
<select class="form-control" name="program_id" ng-model="cr.app.program_id" ng-change="cr.getPlans(cr.app.program_id)" ng-disabled1="cr.app.step_completed==3">
<option value="">Select</option>
<option value="{{r.id}}" ng-repeat="r in cr.programs | filter:{status: '1'}">{{r.title}}</option>
</select>
</div>
<div class="col-md-4">
<label class="req">Plan/Specialization</label>
<div class="note-text">{{cr.app.api_plan}}</div>
<select class="form-control" name="plan_id" ng-model="cr.app.plan_id" ng-disabled1="cr.app.step_completed==3">
<option value="">Select</option>
<option value="{{r.id}}" ng-repeat="r in cr.plans | filter:{status: '1'}">{{r.title}}</option>
</select>
</div>
</div>
</div>
</fieldset>
<fieldset class="" ng-if="cr.usr.is_medical">
<legend>NEET Details (Medical's Applicants)</legend>
<div class="pd10">
<div class="row mingap">
<div class="col-md-3">
<label>NEET Roll No.</label>
<input type="text" class="form-control" name="neet_roll_no" ng-model="cr.usr.neet_roll_no" maxlength="20">
</div>
<div class="col-md-3">
<label>NEET Marks</label>
<input type="text" class="form-control" name="neet_marks" ng-model="cr.usr.neet_marks" maxlength="20">
</div>
<div class="col-md-3">
<label>NEET All India Rank</label>
<input type="text" class="form-control" name="neet_all_india_rank" ng-model="cr.usr.neet_all_india_rank" maxlength="20">
</div>
<div class="col-md-3">
<label>NEET Scorecard</label>
<div class="form-control">
<a href="{{cr.usr.neet_scorecard_file_url}}" target="_blank" ng-if="cr.usr.neet_scorecard_file_url">View File</a>
<div ng-if="!cr.usr.neet_scorecard_file_url">Not Uploaded</div>
</div>
</div>
</div>
</div>
</fieldset>
</form>
</div>
<!-- Step 2 -->
<div class="tab-pane" id="ftab_2">
<form id="frm2" autocomplete="off" spellcheck="false" ng-show="cr.app.step_completed>=1">
<input type="hidden" name="application_id" value="{{cr.app.id}}" />
<fieldset class="mb15">
<legend>Additional Details</legend>
<div class="pd10">
<div class="row mingap form-group">
<div class="col-md-2">
<label class="">Alternate Mobile No.</label>
<input type="text" class="form-control" name="mob2" ng-model="cr.usr.mob2" maxlength="10">
</div>
<div class="col-md-2">
<label class="req">Date of Birth</label>
<input type="text" class="form-control cal hasCal" name="dob" ng-model="cr.usr.dob">
</div>
<div class="col-md-3">
<label class="req">Father's Name</label>
<input type="text" class="form-control" name="father_name" ng-model="cr.usr.father_name" maxlength="100">
</div>
<div class="col-md-5">
<label class="req">Address</label>
<input type="text" class="form-control" name="address" ng-model="cr.usr.address">
</div>
</div>
<div class="row mingap form-group">
<div class="col-md-2">
<label class="req">Pincode</label>
<input type="text" class="form-control" name="pincode" ng-model="cr.usr.pincode" maxlength="6">
</div>
<div class="col-md-2">
<label class="req">Religion</label>
<select class="form-control" name="religion_id" ng-model="cr.usr.religion_id">
<option value="">Select</option>
<option value="{{r.id}}" ng-repeat="r in cr.religions">{{r.title}}</option>
</select>
</div>
<div class="col-md-3">
<label class="req">Category</label>
<select class="form-control" name="cat_id" ng-model="cr.usr.cat_id">
<option value="">Select</option>
<option value="{{r.id}}" ng-repeat="r in cr.applicantCats">{{r.title}}</option>
</select>
</div>
<div class="col-md-3">
<label class="">Identity Proof</label>
<select class="form-control" name="identity_proof" ng-model="cr.usr.identity_proof">
<option value="">Select</option>
<option value="PAN Card">PAN Card</option>
<option value="Aadhar">Aadhar Card</option>
<option value="Voter ID Card">Voter ID Card</option>
<option value="Driving Licence">Driving Licence</option>
<option value="Passport">Passport</option>
</select>
</div>
<div class="col-md-2">
<label class="">Identity Proof Number</label>
<input type="text" class="form-control" name="identity_proof_no" ng-model="cr.usr.identity_proof_no" maxlength="20">
</div>
</div>
<div class="row mingap">
<div class="col-md-2">
<label class="">ABC ID</label>
<input type="text" class="form-control" name="abc_id" ng-model="cr.usr.abc_id" maxlength="12">
</div>
</div>
</div>
</fieldset>
<fieldset class="mb15" ng-repeat="e in cr.edu_keys" ng-if="cr.acDtl['req_'+e.k]">
<legend class1="">{{e.lbl}}</legend>
<div class="pd10">
<div class="table-responsive">
<table class="table table-bordered table-advance tablesm nomrgn">
<thead>
<tr class="uc">
<th class="w150">Result Awaited</th>
<th>Board/University</th>
<th class="w150">Passing Year</th>
<th class="w150">Marking Scheme</th>
<th class="w150">Marks</th>
</tr>
</thead>
<tbody>
<tr class="{{cr.edu['status_'+e.k]?'bg-success':'bg-default'}}">
<td>
<select class="form-control input-sm" name="status_{{e.k}}" ng-model="cr.edu['status_'+e.k]">
<option value="">Select</option>
<option value="1">NO</option>
<option value="0">YES</option>
</select>
</td>
<td>
<div ng-if="e.ins=='B'">
<select class="form-control input-sm" name="board_id_{{e.k}}" ng-model="cr.edu['board_id_'+e.k]" ng-change="cr.edu['board_'+e.k]=''">
<option value="">Select</option>
<option value="{{r.id}}" ng-repeat="r in cr.boards">{{r.title}}</option>
<option value="-1">Other</option>
</select>
<div class="pdT3" ng-if="cr.edu['board_id_'+e.k]=='-1'">
<input type="text" class="form-control input-sm" name="board_{{e.k}}" ng-model="cr.edu['board_'+e.k]">
</div>
</div>
<div ng-if="e.ins=='U'">
<select class="form-control input-sm" name="university_id_{{e.k}}" ng-model="cr.edu['university_id_'+e.k]" ng-change="cr.edu['university_'+e.k]=''">
<option value="">Select</option>
<option value="{{r.id}}" ng-repeat="r in cr.universities">{{r.title}}</option>
<option value="-1">Other</option>
</select>
<div class="pdT3" ng-if="cr.edu['university_id_'+e.k]=='-1'">
<input type="text" class="form-control input-sm" name="university_{{e.k}}" ng-model="cr.edu['university_'+e.k]">
</div>
</div>
</td>
<td>
<select class="form-control input-sm" name="passing_year_{{e.k}}" ng-model="cr.edu['passing_year_'+e.k]">
<option value="">Select</option>
<option ng-repeat="v in cr.pyears">{{v}}</option>
</select>
</td>
<td>
<select class="form-control input-sm" name="marking_scheme_id_{{e.k}}" ng-model="cr.edu['marking_scheme_id_'+e.k]" ng-change="cr.edu['marks_'+e.k]=''">
<option value="">Select</option>
<option value="{{r.id}}" ng-repeat="r in cr.markingSchemes">{{r.title}}</option>
</select>
</td>
<td>
<select class="form-control input-sm" name="marks_{{e.k}}" ng-model="cr.edu['marks_'+e.k]">
<option value="">Select</option>
<option ng-repeat="v in cr.markingSchemesValues[cr.edu['marking_scheme_id_'+e.k]]">{{v}}</option>
</select>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</fieldset>
</form>
<div class="text-default pd10 text-center" ng-if="!cr.app.step_completed">Step 1 is not completed!</div>
</div>
<!-- Step 3 -->
<div class="tab-pane" id="ftab_3">
<div ng-if="cr.app.step_completed>=2">
<div class="form-group text-center">
<div>
<div ng-if="!cr.app.payment_status && modules['record_cash']">
<button type="button" class="btn btn-primary w250" ng-click="cr.openReceiveCash(cr.app.id)">Receive Cash</button>
</div>
<button type="button" printurl="{{ldtl.receiptPrintUrl?ldtl.receiptPrintUrl:cr.app.receiptPrintUrl}}" onclick="print_iframe(this)" class="btn purple" ng-if="cr.app.payment_status">
<i class="fa fa-print"></i> Print Receipt
</button>
</div>
<hr>
<div ng-if="!cr.app.payment_status">
<button type="button" class="btn btn-primary w250" ng-click="cr.sendPaymentLink(cr.app.id)">Send Payment Link</button>
<div class="pdT3" ng-if="cr.app.pay_link_sent">
<i class="fa fa-check-circle text-success"></i> Payment link sent
</div>
<hr>
</div>
<div class="mb10" ng-if="!cr.app.payment_status">
<a href="{{cr.app.payment_link_adm}}" class="btn purple w250" target="_blank">Make Payment On Your Behalf</a>
</div>
</div>
</div>
<div class="text-default pd10 text-center" ng-if="cr.app.step_completed<2 || !cr.app.step_completed">Step 2 is not completed!</div>
</div>
</div>
</div>
</div>
<div class="modal-footer">
<div class="pull-left">
<button type="button" class="btn dark" ng-click="cr.send_to_ps(cr.app.id)" ng-hide="cr.app.step_completed!=3">Send to PeopleSoft</button>
</div>
<button type="button" class="btn dark btn-outline" data-dismiss="modal" ng-click="cr.close_lead_form()">Close</button>
<button type="button" class="btn green action t1" ng-click="cr.saveStep1()">{{cr.app.id?'Save':'Add'}}</button>
<button type="button" class="btn green action t2" ng-click="cr.saveStep2()" ng-disabled="!cr.app.step_completed">Save</button>
</div>
</div>
</div>
</div>