ikan Uploader :
Directory : /var/www/html/shardahospital.org/shardalms/student-panel/views_old/user/
Upload File : |
| Current File : /var/www/html/shardahospital.org/shardalms/student-panel/views_old/user/application.html |
<div class="container-fluid">
<div class="row">
<div class="col-md-12">
<div class="application all-form">
<div class="text-center pdB20" ng-if="CR.appDtl.step_completed==3">
<a href="{{CR.appDtl.receiptDownloadUrl}}" target="_self">
<button type="button" class="button green">Download Receipt <i class="fa fa-download" aria-hidden="true"></i></button>
</a>
<a href="{{CR.appDtl.progBrochureDwnUrl}}" target="_self" ng-if="CR.appDtl.progBrochureDwnUrl">
<button type="button" class="button">Download Brochure <i class="fa fa-file-pdf-o" aria-hidden="true"></i></button>
</a>
</div>
<div class="heading heading2 text-center"><strong>Application for</strong> {{CR.appDtl.program}} Admission 2019-20
<p><span>{{CR.appDtl.plan}}</span></p>
</div>
<div class="personal-details">
<form id="appForm" autocomplete="off" spellcheck="false">
<input type="hidden" name="plan_id" value="{{CR.appDtl.plan_id}}">
<div class="background1">
<div class="heading heading-new">
<div class="step-all-form dashboard-bg1">1</div>
Basic Details<br>
</div>
<div class="form-group width29">
<span class="input input--yoshiko">
<label>Name</label>
<input type="text" class="input__field input__field--yoshiko graybg" disabled ng-model="CR.dtl.name" placeholder="Enter Your Name">
</span>
</div>
<div class="form-group width29">
<span class="input input--yoshiko">
<label>Email ID</label>
<input type="text" class="input__field input__field--yoshiko" disabled ng-model="CR.dtl.email" placeholder="Enter Your Email ID">
</span>
</div>
<div class="form-group width29">
<span class="input input--yoshiko">
<label>Academic Career</label>
<select class="input__field input__field--yoshiko arrow" name="ac_id" ng-model="CR.appDtl.ac_id" ng-change="CR.getPrograms(CR.appDtl.ac_id)" disabled>
<option value="">Select Academic Career</option>
<option value="{{r.id}}" ng-repeat="r in CR.academicCareers">{{r.title}}</option>
</select>
</span>
</div>
<div class="form-group width29">
<span class="input input--yoshiko">
<label>Programme</label>
<select class="input__field input__field--yoshiko arrow" name="program_id" ng-model="CR.appDtl.program_id" ng-change="CR.getPlans(CR.appDtl.program_id)" ng-disabled="CR.appDtl.step_completed==3 || CR.appDtl.id=='0'">
<option value="">Select Programme</option>
<option value="{{r.id}}" ng-repeat="r in CR.programs">{{r.title}}</option>
</select>
</span>
</div>
<div class="form-group width29">
<span class="input input--yoshiko">
<label>Specialization</label>
<select class="input__field input__field--yoshiko arrow" ng-model="CR.appDtl.plan_id" ng-change="CR.updateApplicationDtl(CR.appDtl.plan_id, CR.appDtl.program_id, CR.appDtl.ac_id, CR.appDtl.id)" ng-disabled="CR.appDtl.step_completed==3 || CR.appDtl.id=='0'">
<option value="">Select Specialization</option>
<option value="{{r.id}}" ng-repeat="r in CR.plans">{{r.title}}</option>
</select>
</span>
</div>
<div class="form-group width29">
<span class="input input--yoshiko">
<label>Mobile</label>
<input type="text" class="input__field input__field--yoshiko" disabled ng-model="CR.dtl.mob" placeholder="Enter Your Mobile No.">
</span>
</div>
<!-- Medical Feilds -->
<div ng-if="CR.dtl.is_medical">
<div>
<div class="form-group width29">
<span class="input input--yoshiko">
<label>NEET Roll No.</label>
<input type="text" class="input__field input__field--yoshiko" placeholder="NEET Roll No." name="neet_roll_no" ng-model="CR.dtl.neet_roll_no" ng-disabled="CR.appDtl.step_completed==3">
</span>
</div>
<div class="form-group width29">
<span class="input input--yoshiko">
<label>NEET Marks</label>
<input type="text" class="input__field input__field--yoshiko" placeholder="NEET Marks" name="neet_marks" ng-model="CR.dtl.neet_marks" ng-disabled="CR.appDtl.step_completed==3">
</span>
</div>
<div class="form-group width29">
<span class="input input--yoshiko">
<label>NEET All India Rank</label>
<input type="text" class="input__field input__field--yoshiko" placeholder="NEET All India Rank" name="neet_all_india_rank" ng-model="CR.dtl.neet_all_india_rank" ng-disabled="CR.appDtl.step_completed==3">
</span>
</div>
</div>
<div class="form-group">
<label>Upload your NEET Scorecard</label>
<input type="file" name="neet_scorecard_file" id="neet_scorecard_file" ng-disabled="CR.appDtl.step_completed==3">
<div class="note-text">gif|jpg|png|pdf|doc|xls|ppt|docx|xlsx|pptx | Max Size: 2MB</div>
<div class="pdT5" ng-if="CR.dtl.neet_scorecard_file_url">
<a href="{{CR.dtl.neet_scorecard_file_url}}" target="_blank" class="text-danger">View Uploaded Scorecard</a>
</div>
</div>
</div>
<!-- / -->
<div class="clearfix"></div>
</div>
<div class="clearfix"></div>
<div class="heading_mrg"></div>
<div class="background1 step2bx">
<div class="heading heading-new">
<div class="step-all-form dashboard-bg3">2</div>
Personal / Academic Details <br>
</div>
<div class="form-group width29">
<span class="input input--yoshiko">
<label>Father’s Name</label>
<input type="text" class="input__field input__field--yoshiko" name="father_name" ng-model="CR.dtl.father_name" placeholder="Father’s Name">
</span>
</div>
<div class="form-group width29">
<span class="input input--yoshiko">
<label>Applicant's DOB</label>
<input type="text" class="input__field input__field--yoshiko cal hasCal" name="dob" ng-model="CR.dtl.dob" placeholder="Date of Birth" readonly>
</span>
</div>
<div class="form-group width29">
<span class="input input--yoshiko">
<label>Gender</label>
<select class="input__field input__field--yoshiko arrow" name="gender" ng-model="CR.dtl.gender" ng-change="CR.check_applied_offer()">
<option value="">Select Gender</option>
<option value="Male">Male</option>
<option value="Female">Female</option>
<option value="Other">Other</option>
</select>
</span>
</div>
<div class="clearfix"></div>
<div class="form-group width29">
<span class="input input--yoshiko">
<label>State</label>
<select class="input__field input__field--yoshiko arrow" name="state_id" ng-model="CR.dtl.state_id" ng-change="CR.getCities(CR.dtl.state_id)">
<option value="">Select State</option>
<option value="{{r.id}}" ng-repeat="r in CR.states">{{r.title}}</option>
</select>
</span>
</div>
<div class="form-group width29">
<span class="input input--yoshiko">
<label>City</label>
<select class="input__field input__field--yoshiko arrow" id="citydd" name="city_id" ng-model="CR.dtl.city_id" ng-change="CR.cityChangeEvent(CR.dtl.city_id)">
<option value="">Select City</option>
<option value="{{r.id}}" ng-repeat="r in CR.cities" pincode="{{r.pincode}}">{{r.title}}</option>
<option value="-1">Other</option>
</select>
</span>
</div>
<div class="form-group width29">
<span class="input input--yoshiko">
<label>Other City</label>
<input type="text" class="input__field input__field--yoshiko" name="city" ng-model="CR.dtl.city" ng-disabled="CR.dtl.city_id!='-1'" placeholder="City">
</span>
</div>
<div class="clearfix"></div>
<div class="form-group width29">
<span class="input input--yoshiko">
<label>Address</label>
<input type="text" class="input__field input__field--yoshiko" name="address" ng-model="CR.dtl.address" placeholder="Permanent Address">
</span>
</div>
<div class="form-group width29">
<span class="input input--yoshiko">
<label>Pincode</label>
<input type="text" class="input__field input__field--yoshiko" name="pincode" ng-model="CR.dtl.pincode" maxlength="6" placeholder="Pincode">
</span>
</div>
<div class="form-group width29">
<span class="input input--yoshiko">
<label>Category</label>
<select class="input__field input__field--yoshiko arrow" name="cat_id" ng-model="CR.dtl.cat_id">
<option value="">Select Category</option>
<option value="{{r.id}}" ng-repeat="r in CR.applicantCats">{{r.title}}</option>
</select>
</span>
</div>
<div class="clearfix"></div>
<div class="form-group width29">
<span class="input input--yoshiko">
<label>Religion</label>
<select class="input__field input__field--yoshiko arrow" name="religion_id" ng-model="CR.dtl.religion_id">
<option value="">Select Religion</option>
<option value="{{r.id}}" ng-repeat="r in CR.religions">{{r.title}}</option>
</select>
</span>
</div>
<div class="clearfix"></div>
<div class="heading_mrg"></div>
<div class="heading">Academic Details/Education <br></div>
<!-- 10th -->
<div class="" ng-show="CR.acDtl.req_10th">
<div class="eduHead">
<h5>
10th Exam Details
( <label><input type="radio" name="status_10th" value="0" ng-checked1="CR.eduDtl.status_10th=='0'" disabled> Appearing</label>
<label> <input type="radio" name="status_10th" value="1" ng-checked1="CR.eduDtl.status_10th=='1' || !CR.eduDtl.status_10th" checked> Passed</label> )
</h5>
</div>
<div class="form-group width25">
<span class="input input--yoshiko">
<label>Board</label>
<select class="input__field input__field--yoshiko arrow" name="board_id_10th" ng-model="CR.eduDtl.board_id_10th" ng-change="CR.eduDtl.board_10th=''" onchange="reinitAccordian()">
<!--<option value="">Select Board</option>
<option value="{{r.id}}" ng-repeat="r in CR.boards">{{r.title}}</option>
<option value="-1">Other</option>-->
</select>
<input type="text" class="input__field input__field--yoshiko" name="board_10th" ng-model="CR.eduDtl.board_10th" ng-show="CR.eduDtl.board_id_10th=='-1'">
</span>
</div>
<div class="form-group width25">
<span class="input input--yoshiko">
<label>Marking Scheme</label>
<select class="input__field input__field--yoshiko arrow" ng-change="CR.changeMarkingScheme(CR.eduDtl.marking_scheme_id_10th,'10th')" name="marking_scheme_id_10th" ng-model="CR.eduDtl.marking_scheme_id_10th">
<option value="">Select Marking Scheme</option>
<option value="{{r.id}}" ng-repeat="r in CR.markingSchemes">{{r.title}}</option>
</select>
</span>
</div>
<div class="form-group width25">
<span class="input input--yoshiko">
<label>Aggregate %/CGPA/Points</label>
<select class="input__field input__field--yoshiko arrow" name="marks_10th" ng-model="CR.eduDtl.marks_10th">
<option value="">Select Aggregate %/...</option>
<option value="{{r}}" ng-repeat="r in CR.eduDtl.marks_10th_vals">{{r}}</option>
</select>
<!-- <input type="text" class="input__field input__field--yoshiko" name="marks_10th" ng-model="CR.eduDtl.marks_10th" maxlength="50"> -->
</span>
</div>
<div class="form-group width25">
<span class="input input--yoshiko">
<label>Passing Year</label>
<select class="input__field input__field--yoshiko arrow" name="passing_year_10th" ng-model="CR.eduDtl.passing_year_10th">
<option value="">Select Passing Year</option>
<option value="{{y}}" ng-repeat="y in CR.pyears">{{y}}</option>
</select>
</span>
</div>
</div>
<div class="clearfix"></div>
<!-- / -->
<!-- 12th -->
<div class="" ng-show="CR.acDtl.req_12th">
<div class="row">
<div class="col-md-5">
<div class="eduHead">
<h5>
12th Exam Details
( <label><input type="radio" name="status_12th_dip" value="12th0" ng-checked="CR.eduDtl.status_12th=='0'"> Appearing</label>
<label> <input type="radio" name="status_12th_dip" value="12th1" ng-checked="CR.eduDtl.status_12th=='1' || !CR.eduDtl.status_12th"> Passed</label> )
</h5>
</div>
</div>
<div class="col-md-1"><h5>OR</h5></div>
<div class="col-md-6">
<div class="eduHead">
<h5>
Diploma Exam Details
( <label><input type="radio" name="status_12th_dip" value="dip0" ng-checked="CR.eduDtl.status_dip=='0'"> Appearing</label>
<label> <input type="radio" name="status_12th_dip" value="dip1" ng-checked="CR.eduDtl.status_dip=='1'"> Passed</label> )
</h5>
</div>
</div>
</div>
<div class="form-group width25">
<span class="input input--yoshiko">
<label>Board</label>
<select class="input__field input__field--yoshiko arrow" name="board_id_12th" ng-model="CR.eduDtl.board_id_12th" ng-change="CR.eduDtl.board_12th=''" onchange="reinitAccordian()">
</select>
<input type="text" class="input__field input__field--yoshiko" name="board_12th" ng-model="CR.eduDtl.board_12th" ng-show="CR.eduDtl.board_id_12th=='-1'">
</span>
</div>
<div class="form-group width25">
<span class="input input--yoshiko">
<label>Marking Scheme</label>
<select class="input__field input__field--yoshiko arrow" ng-change="CR.changeMarkingScheme(CR.eduDtl.marking_scheme_id_12th,'12th')" name="marking_scheme_id_12th" ng-model="CR.eduDtl.marking_scheme_id_12th">
<option value="">Select Marking Scheme</option>
<option value="{{r.id}}" ng-repeat="r in CR.markingSchemes">{{r.title}}</option>
</select>
</span>
</div>
<div class="form-group width25">
<span class="input input--yoshiko">
<label>Aggregate %/CGPA/Points</label>
<select class="input__field input__field--yoshiko arrow" name="marks_12th" ng-model="CR.eduDtl.marks_12th">
<option value="">Select Aggregate %/...</option>
<option value="{{r}}" ng-repeat="r in CR.eduDtl.marks_12th_vals">{{r}}</option>
</select>
</span>
</div>
<div class="form-group width25">
<span class="input input--yoshiko">
<label>Passing Year</label>
<select class="input__field input__field--yoshiko arrow" name="passing_year_12th" ng-model="CR.eduDtl.passing_year_12th">
<option value="">Select Passing Year</option>
<option value="{{y}}" ng-repeat="y in CR.pyears">{{y}}</option>
</select>
</span>
</div>
</div>
<div class="clearfix"></div>
<!-- / -->
<!-- Graduation -->
<div class="" ng-show="CR.acDtl.req_ug">
<div class="eduHead">
<h5>
Graduation Details
( <label><input type="radio" name="status_ug" value="0" ng-checked="CR.eduDtl.status_ug=='0'"> Appearing</label>
<label> <input type="radio" name="status_ug" value="1" ng-checked="CR.eduDtl.status_ug=='1' || !CR.eduDtl.status_ug"> Passed</label> )
</h5>
</div>
<div class="form-group width25">
<span class="input input--yoshiko">
<select class="input__field input__field--yoshiko arrow" name="university_id_ug" ng-model="CR.eduDtl.university_id_ug" ng-change="CR.eduDtl.university_ug=''" onchange="reinitAccordian()">
<!-- <option value=""></option>
<option value="{{r.id}}" ng-repeat="r in CR.universities">{{r.title}}</option>
<option value="-1">Other</option> -->
</select>
<label class="input__label input__label--yoshiko">
<span class="input__label-content input__label-content--yoshiko" data-content="University">University</span>
</label>
<input type="text" class="input__field input__field--yoshiko" name="university_ug" ng-model="CR.eduDtl.university_ug" ng-show="CR.eduDtl.university_id_ug=='-1'">
</span>
</div>
<div class="form-group width25">
<span class="input input--yoshiko">
<select class="input__field input__field--yoshiko arrow" ng-change="CR.changeMarkingScheme(CR.eduDtl.marking_scheme_id_ug,'ug')" name="marking_scheme_id_ug" ng-model="CR.eduDtl.marking_scheme_id_ug">
<option value=""></option>
<option value="{{r.id}}" ng-repeat="r in CR.markingSchemes">{{r.title}}</option>
</select>
<label class="input__label input__label--yoshiko">
<span class="input__label-content input__label-content--yoshiko" data-content="Marking Scheme">Marking Scheme</span>
</label>
</span>
</div>
<div class="form-group width25">
<span class="input input--yoshiko">
<select class="input__field input__field--yoshiko arrow" name="marks_ug" ng-model="CR.eduDtl.marks_ug">
<option value=""></option>
<option value="{{r}}" ng-repeat="r in CR.eduDtl.marks_ug_vals">{{r}}</option>
</select>
<!-- <input type="text" class="input__field input__field--yoshiko" title="Aggregate %/CGPA/Points" name="marks_ug" ng-model="CR.eduDtl.marks_ug" maxlength="50"> -->
<label class="input__label input__label--yoshiko">
<span class="input__label-content input__label-content--yoshiko" data-content="Aggregate %/CGPA/Points">Aggregate %/CGPA/Points</span>
</label>
</span>
</div>
<div class="form-group width25">
<span class="input input--yoshiko">
<select class="input__field input__field--yoshiko arrow" name="passing_year_ug" ng-model="CR.eduDtl.passing_year_ug">
<option value=""></option>
<option value="{{y}}" ng-repeat="y in CR.pyears">{{y}}</option>
</select>
<label class="input__label input__label--yoshiko">
<span class="input__label-content input__label-content--yoshiko" data-content="Passing Year">Passing Year</span>
</label>
</span>
</div>
</div>
<div class="clearfix"></div>
<!-- / -->
<!-- Post Graduation -->
<div class="" ng-show="CR.acDtl.req_pg">
<div class="eduHead">
<h5>
Post Graduation Details
( <label><input type="radio" name="status_pg" value="0" ng-checked="CR.eduDtl.status_pg=='0'"> Appearing</label>
<label> <input type="radio" name="status_pg" value="1" ng-checked="CR.eduDtl.status_pg=='1' || !CR.eduDtl.status_pg"> Passed</label> )
</h5>
</div>
<div class="form-group width25">
<span class="input input--yoshiko">
<select class="input__field input__field--yoshiko arrow" name="university_id_pg" ng-model="CR.eduDtl.university_id_pg" ng-change="CR.eduDtl.university_pg=''" onchange="reinitAccordian()">
<!-- <option value=""></option>
<option value="{{r.id}}" ng-repeat="r in CR.universities">{{r.title}}</option>
<option value="-1">Other</option> -->
</select>
<label class="input__label input__label--yoshiko">
<span class="input__label-content input__label-content--yoshiko" data-content="University">University</span>
</label>
<input type="text" class="input__field input__field--yoshiko" name="university_pg" ng-model="CR.eduDtl.university_pg" ng-show="CR.eduDtl.university_id_pg=='-1'">
</span>
</div>
<div class="form-group width25">
<span class="input input--yoshiko">
<select class="input__field input__field--yoshiko arrow" ng-change="CR.changeMarkingScheme(CR.eduDtl.marking_scheme_id_pg,'pg')" name="marking_scheme_id_pg" ng-model="CR.eduDtl.marking_scheme_id_pg">
<option value=""></option>
<option value="{{r.id}}" ng-repeat="r in CR.markingSchemes">{{r.title}}</option>
</select>
<label class="input__label input__label--yoshiko">
<span class="input__label-content input__label-content--yoshiko" data-content="Marking Scheme">Marking Scheme</span>
</label>
</span>
</div>
<div class="form-group width25">
<span class="input input--yoshiko">
<select class="input__field input__field--yoshiko arrow" name="marks_pg" ng-model="CR.eduDtl.marks_pg">
<option value=""></option>
<option value="{{r}}" ng-repeat="r in CR.eduDtl.marks_pg_vals">{{r}}</option>
</select>
<!-- <input type="text" class="input__field input__field--yoshiko" name="marks_pg" ng-model="CR.eduDtl.marks_pg" maxlength="50"> -->
<label class="input__label input__label--yoshiko">
<span class="input__label-content input__label-content--yoshiko" data-content="Aggregate %/CGPA/Points">Aggregate %/CGPA/Points</span>
</label>
</span>
</div>
<div class="form-group width25">
<span class="input input--yoshiko">
<select class="input__field input__field--yoshiko arrow" name="passing_year_pg" ng-model="CR.eduDtl.passing_year_pg">
<option value=""></option>
<option value="{{y}}" ng-repeat="y in CR.pyears">{{y}}</option>
</select>
<label class="input__label input__label--yoshiko">
<span class="input__label-content input__label-content--yoshiko" data-content="Passing Year">Passing Year</span>
</label>
</span>
</div>
</div>
<div class="clearfix"></div>
<!-- / -->
</div>
<div class="heading_mrg"></div>
<p class="text-center" ng-if="CR.appDtl.fee*1<=0 && CR.appDtl.step_completed<2">
<button class="button green" ng-click="CR.submitApplication()">Complete Registration</button>
</p>
<div class="background1" ng-if="CR.appDtl.fee*1>0">
<div class="heading heading-new">
<div class="step-all-form dashboard-bg4">3</div>
Payment <br>
</div>
<div class="payment payment2">
<div class="">
<table class="table table-bordered">
<tbody>
<tr>
<td>Application Fee:</td>
<td style="width: 150px; text-align: right"><i class="fa fa-inr orange" aria-hidden="true"></i>{{CR.appDtl.fee | number:2}}</td>
</tr>
<tr ng-if="CR.appDtl.step_completed==3 && CR.appDtl.coupan_amt>0">
<td><i class="fa fa-check check" aria-hidden="true"></i> Offer <strong>{{CR.appDtl.coupan_used}}</strong> Applyed:</td>
<td style="text-align: right"><i class="fa fa-inr orange" aria-hidden="true"></i>{{CR.appDtl.coupan_amt | number:2}}</td>
</tr>
<tr ng-if="CR.selectedCoupan.amt>0">
<td><i class="fa fa-check check" aria-hidden="true"></i> Offer <strong>{{CR.selectedCoupan.title}}</strong> Applyed:</td>
<td style="text-align: right"><i class="fa fa-inr orange" aria-hidden="true"></i>{{CR.selectedCoupan.amt | number:2}}</td>
</tr>
<tr>
<td><strong>Total:</strong></td>
<td style="text-align: right"><strong><i class="fa fa-inr orange" aria-hidden="true"></i>{{CR.appDtl.netAmt | number:2}}</strong></td>
</tr>
</tbody>
</table>
</div>
<div class="clearfix"></div>
<div ng-if="CR.appDtl.step_completed<3">
<div class="offer" ng-show="CR.appDtl.coupans.length">
<h5 class="orange-clr">{{CR.appDtl.coupans.length}} Offer Available</h5>
<p>Choose the suitable offer for you</p>
<div>
<div class="box" ng-repeat="r in CR.appDtl.coupans" ng-if="(r.gender=='' || CR.dtl.gender==r.gender)">
<div class="left">
<strong>{{r.title}}</strong><br>
{{r.description}}
</div>
<button class="button" ng-if="!r.applied" ng-click="CR.applyCoupan(r)">Apply Offer</button>
<div class="applyed" ng-if="r.applied"><i class="fa fa-check" aria-hidden="true"></i></div>
</div>
<div class="clearfix"></div>
</div>
</div>
<p class="text-center">
<button class="button green" ng-click="CR.submitApplication()">Make Payment<i class="fa fa-angle-right" aria-hidden="true"></i></button>
</p>
</div>
<div ng-if="CR.appDtl.step_completed==3">
<h4 class="text-success text-center" style="margin-top:0"><i class="fa fa-check"></i> Payment has been made</h4>
<div class="pdT20 text-center">
<a href="{{CR.appDtl.receiptDownloadUrl}}" target="_self">
<button type="button" class="button green">Download Receipt <i class="fa fa-download" aria-hidden="true"></i></button>
</a>
<a href="{{CR.appDtl.progBrochureDwnUrl}}" target="_self">
<button type="button" class="button">Download Brochure <i class="fa fa-file-pdf-o" aria-hidden="true"></i></button>
</a>
</div>
</div>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
Kontol Shell Bypass