@if (!isset($data['row']))
@else
@include('includes.form_fields_validation_message', ['name' => 'programme'])
@endif {!! Form::label('reg_date', 'Date', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::hidden('reg_date', null, ["id"=>"reg_date","data-date-format" => "dd-mm-YYYY", "class" => "form-control border-form input-mask-date"]) !!} {!! Form::text('show_reg_date', null, ["id"=>"reg_date","class" => "reg_date form-control border-form", "readonly"]) !!} @include('includes.form_fields_validation_message', ['name' => 'reg_date'])
{!! Form::label('name', 'Name', ['class' => 'col-sm-2 control-label',]) !!}
{!! Form::text('name', null, ["class" => "form-control border-form upper","required"]) !!} @include('includes.form_fields_validation_message', ['name' => 'name'])
{!! Form::label('sex', 'Sex', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::select('sex', __('common.gender'), null, ['class'=>'form-control border-form',"required"]); !!} @include('includes.form_fields_validation_message', ['name' => 'sex'])
{!! Form::label('date_of_birth', 'Date of Birth', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::text('date_of_birth', null, ["data-date-format" => "dd-mm-yyyy", "class" => "form-control border-form date-picker input-mask-date","required"]) !!} @include('includes.form_fields_validation_message', ['name' => 'date_of_birth'])
{!! Form::label('blood_group', __('form_fields.student.fields.blood_group'), ['class' => 'col-sm-2 control-label']) !!}
{!! Form::text('blood_group', null, ["class" => "form-control border-form upper"]) !!} @include('includes.form_fields_validation_message', ['name' => 'blood_group'])
{!! Form::label('religion', __('form_fields.student.fields.religion'), ['class' => 'col-sm-2 control-label']) !!}
{!! Form::text('religion', null, ["placeholder" => "", "class" => "form-control border-form upper"]) !!} @include('includes.form_fields_validation_message', ['name' => 'religion'])
{!! Form::label('caste', __('form_fields.student.fields.caste'), ['class' => 'col-sm-2 control-label']) !!}
{!! Form::text('caste', null, ["class" => "form-control border-form upper"]) !!} @include('includes.form_fields_validation_message', ['name' => 'caste'])
{!! Form::label('nationality', __('form_fields.student.fields.nationality'), ['class' => 'col-sm-2 control-label']) !!}
{!! Form::text('nationality', null, ["placeholder" => "", "class" => "form-control border-form upper","required"]) !!} @include('includes.form_fields_validation_message', ['name' => 'nationality'])
{!! Form::label('mother_tongue', __('form_fields.student.fields.mother_tongue'), ['class' => 'col-sm-2 control-label']) !!}
{!! Form::text('mother_tongue', null, ["class" => "form-control border-form upper"]) !!} @include('includes.form_fields_validation_message', ['name' => 'mother_tongue'])
{!! Form::label('state', 'State of Permanent Residence', ['class' => 'col-sm-4 control-label']) !!}
{!! Form::text('state', null, ["class" => "form-control border-form"]) !!} @include('includes.form_fields_validation_message', ['name' => 'state'])
@if(isset($data['reg_setting']->medical_info_status) && $data['reg_setting']->medical_info_status==1)
{!! Form::label('medicine_info', 'Allergic to any Medicine. If yes, Detail', ['class' => 'col-sm-5 control-label']) !!}
{!! Form::textarea('medicine_info', null, ["class" => "form-control border-form", "rows"=>"1"]) !!} @include('includes.form_fields_validation_message', ['name' => 'medicine_info'])
{!! Form::label('disease_info', 'Affected by any recurring disease. If yes, Detail', ['class' => 'col-sm-5 control-label']) !!}
{!! Form::textarea('disease_info', null, ["class" => "form-control border-form", "rows"=>"1"]) !!} @include('includes.form_fields_validation_message', ['name' => 'disease_info'])
@endif @if(isset($data['reg_setting']->guardian_detail_status) && $data['reg_setting']->guardian_detail_status==1)
Guardian Detail
{!! Form::label('guardian_name', 'Name of Father/Guardian', ['class' => 'col-sm-3 control-label']) !!}
{!! Form::text('guardian_name', null, [ "class" => "form-control border-form upper","required"]) !!} @include('includes.form_fields_validation_message', ['name' => 'guardian_name'])
{!! Form::label('guardian_relation', 'Guardian Relation', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::text('guardian_relation', null, ["class" => "form-control border-form upper","required"]) !!} @include('includes.form_fields_validation_message', ['name' => 'guardian_relation'])
{!! Form::label('guardian_occupation', 'Occupation', ['class' => 'col-sm-3 control-label']) !!}
{!! Form::text('guardian_occupation', null, [ "class" => "form-control border-form upper"]) !!} @include('includes.form_fields_validation_message', ['name' => 'guardian_occupation'])
{!! Form::label('guardian_annual_income', 'Annual Income', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::text('guardian_annual_income', null, ["class" => "form-control border-form upper"]) !!} @include('includes.form_fields_validation_message', ['name' => 'guardian_annual_income'])
@endif @if(isset($data['reg_setting']->permanent_address_status) && $data['reg_setting']->permanent_address_status==1)
Permanent Address
{!! Form::label('address', 'Address', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::text('address', null, ["class" => "form-control border-form"]) !!} @include('includes.form_fields_validation_message', ['name' => 'address'])
{!! Form::label('tel', 'Telephone', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::text('tel', null, ["class" => "form-control border-form input-mask-phone"]) !!} @include('includes.form_fields_validation_message', ['name' => 'tel'])
{!! Form::label('cell_1', 'Mobile', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::text('cell_1', null, ["class" => "form-control border-form input-mask-cell","required"]) !!} @include('includes.form_fields_validation_message', ['name' => 'cell_1'])
{!! Form::label('cell_2', 'Alternative Contact', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::text('cell_2', null, ["class" => "form-control border-form input-mask-cell"]) !!} @include('includes.form_fields_validation_message', ['name' => 'cell_2'])
{!! Form::label('email', __('form_fields.student.fields.email'), ['class' => 'col-sm-2 control-label']) !!}
{!! Form::text('email', null, ["class" => "form-control border-form"]) !!} @include('includes.form_fields_validation_message', ['name' => 'email'])
@endif @if(isset($data['reg_setting']->mailing_address_status) && $data['reg_setting']->mailing_address_status==1)
Mailing Address
{!! Form::label('mailing_address', 'Address', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::text('mailing_address', null, ["class" => "form-control border-form"]) !!} @include('includes.form_fields_validation_message', ['name' => 'mailing_address'])
{!! Form::label('mailing_tel', 'Telephone', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::text('mailing_tel', null, ["class" => "form-control border-form input-mask-phone"]) !!} @include('includes.form_fields_validation_message', ['name' => 'mailing_tel'])
{!! Form::label('mailing_cell_1', 'Mobile', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::text('mailing_cell_1', null, ["class" => "form-control border-form input-mask-cell"]) !!} @include('includes.form_fields_validation_message', ['name' => 'mailing_cell_1'])
{!! Form::label('mailing_cell_2', 'Alternative Contact', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::text('mailing_cell_2', null, ["class" => "form-control border-form input-mask-cell"]) !!} @include('includes.form_fields_validation_message', ['name' => 'mailing_cell_2'])
{!! Form::label('mailing_email', 'E-mail', ['class' => 'col-sm-2 control-label']) !!}
{!! Form::text('mailing_email', null, ["class" => "form-control border-form"]) !!} @include('includes.form_fields_validation_message', ['name' => 'mailing_email'])
@endif @if(isset($data['reg_setting']->photo_status) && $data['reg_setting']->photo_status==1)
Photo & Signature
@if(isset($data['reg_setting']->applicant_photo_status) && $data['reg_setting']->applicant_photo_status==1)
{!! Form::label('student_main_image', 'Student Profile Picture', ['class' => 'col-sm-3 control-label']) !!}
{!! Form::file('student_main_image', ["class" => "form-control border-form"]) !!} @include('includes.form_fields_validation_message', ['name' => 'student_main_image'])
! Recomended Image Size 300px X 300px @if (isset($data['row'])) @if ($data['row']->student_image) @endif @endif
@endif @if(isset($data['reg_setting']->applicant_signature_status) && $data['reg_setting']->applicant_signature_status==1)
{!! Form::label('student_signature_main_image', 'Student Signature', ['class' => 'col-sm-3 control-label']) !!}
{!! Form::file('student_signature_main_image', ["class" => "form-control border-form"]) !!} @include('includes.form_fields_validation_message', ['name' => 'student_signature_main_image'])
@if (isset($data['row'])) @if ($data['row']->student_signature) @endif @endif
@endif @if(isset($data['reg_setting']->guardian_photo_status) && $data['reg_setting']->guardian_photo_status==1)
{!! Form::label('guardian_signature_main_image', 'Guardian Signature', ['class' => 'col-sm-3 control-label']) !!}
{!! Form::file('guardian_signature_main_image', ["class" => "form-control border-form"]) !!} @include('includes.form_fields_validation_message', ['name' => 'guardian_signature_main_image'])
@if (isset($data['row'])) @if ($data['row']->guardian_signature) @endif @endif
@endif @endif @if(isset($data['reg_setting']->qualification) && $data['reg_setting']->qualification==1) @include($view_path.'.includes.academicinfo') @endif @if(isset($data['reg_setting']->experience) && $data['reg_setting']->experience==1) @include($view_path.'.includes.work_experience') @endif @if(isset($data['reg_setting']->rules_status) && $data['reg_setting']->rules_status==1) @include($view_path.'.includes.rule_regulation') @endif @if(isset($data['reg_setting']->agreement_status) && $data['reg_setting']->agreement_status==1) @include($view_path.'.includes.agreement_declaration') @endif