PK

ADDRLIN : /home/questend/public_html/subdomain/trufflenation.questend.com_down/form/
FLL :
Current File : /home/questend/public_html/subdomain/trufflenation.questend.com_down/form/existsstudent.php

<?php
   ob_start();
   //error_reporting(E_ALL ^ E_NOTICE);
   @session_start();
   ini_set('allow_url_include',1);    
   date_default_timezone_set("Asia/Kolkata");
   set_time_limit(600);
   ini_set('max_execution_time',600);
   //include '../admin/includes/settings/constant.php';
   require_once '../admin/includes/settings/PDODB.php';
   include '../admin/includes/modules/functions.php';
   $function = new FUNCTIONS();

   $coursedata = $function->getCourse($id=NULL,$isActive=1,$orderBy='ASC');
   $stateListdata = $function->getStateList($id=NULL,$isActive=1);

   if(empty($_SESSION['uid'])){
    header("Location: index.php");
    exit();
   }

    if(isset($_POST['visitformbtn']) && !empty($_POST)){
      //print_r($_POST); //exit;
      $mobileno = !empty($_POST['mobileno'])?trim($_POST['mobileno']):"";
      $uemail = !empty($_POST['uemail'])?trim($_POST['uemail']):"";
      $pdodb = PDODB::getInstance();
     
      //print_r($_POST); exit;
      $username = !empty($_POST['username'])?trim($_POST['username']):"";
      $mobileno = !empty($_POST['mobileno'])?trim($_POST['mobileno']):"";
      $uemail = !empty($_POST['uemail'])?trim($_POST['uemail']):"";
      $dob = !empty($_POST['dob'])?trim($_POST['dob']):"";
      $studentAddress = !empty($_POST['studentAddress'])?trim($_POST['studentAddress']):"";
      $state = !empty($_POST['state'])?trim($_POST['state']):"";
      //$courseName = !empty($_POST['courseName'])?trim($_POST['courseName']):"";
      $healthIssue = !empty($_POST['healthIssue'])?trim($_POST['healthIssue']):"";
      $emergencyPhoneNo = !empty($_POST['emergencyPhoneNo'])?trim($_POST['emergencyPhoneNo']):"";
      $relationWith = !empty($_POST['relationWith'])?trim($_POST['relationWith']):"";

      $currentPastStudent = !empty($_POST['currentPastStudent'])?trim($_POST['currentPastStudent']):"";
      

      $gstNo = !empty($_POST['gstNo'])?trim($_POST['gstNo']):"";
      $companyName = !empty($_POST['companyName'])?trim($_POST['companyName']):"";
      $companyAddress = !empty($_POST['companyAddress'])?trim($_POST['companyAddress']):"";
      $companyState = !empty($_POST['companyState'])?trim($_POST['companyState']):"";
      $leavesOption = !empty($_POST['leavesOption'])?trim($_POST['leavesOption']):"";
      $internship = !empty($_POST['internship'])?trim($_POST['internship']):"";
      $error_msg = "";

      //passport image save
      /*$file = $_FILES['passportPhoto'];      
      $newfilename = uniqid('passportPhoto-',false);
      if (!file_exists('../uploads/passportPhoto')) {
          mkdir('../uploads/passportPhoto', 0777, true);
      }
      $foldername = "../uploads/passportPhoto/";
      $passportPhoto = $function->uploadFile($newfilename, $foldername, 'passportPhoto');

      //address Proof image save
      $file = $_FILES['addressProof'];      
      $newfilenames = uniqid('addressProof-',false);        
      if (!file_exists('../uploads/addressProof')) {
          mkdir('../uploads/addressProof', 0777, true);
      }
      $foldernameS = "../uploads/addressProof/";
      $addressProof = $function->uploadFile($newfilenames, $foldernameS, 'addressProof');*/

      $courseName = $_POST["courseName"];
      $courseNameString = implode(",", $courseName);
      
      $pdodb = PDODB::getInstance();
      $sql = "INSERT INTO `tn_studentvisit` SET pastUid='".$_SESSION['uid']."', username='".$username."', mobileno='".$mobileno."', uemail='".strtolower($uemail)."', dob='".$dob."', studentAddress='".$studentAddress."', state='".$state."', courseName='".$courseNameString."', healthIssue='".$healthIssue."', emergencyPhoneNo='".$emergencyPhoneNo."', relationWith='".$relationWith."', gstNo='".$gstNo."', companyName='".$companyName."', companyAddress='".$companyAddress."', companyState='".$companyState."', leavesOption='".$leavesOption."', internship='".$internship."', currentPastStudent ='Yes'";
      //exit;
      $result = $pdodb->query($sql);

      $courselist = $function->getCourse($id=NULL,$isActive=1,$orderBy='ASC');
       $courseNames = array(); // Initialize an array to store course names
       for ($k = 0; $k < count($courselist); $k++) {
           $courseid = $courselist[$k]['id'];
           if (in_array($courseid, $array)) {
               $courseNames[] = $courselist[$k]['courseName']; // Add course name to the array
           }
       }
       $coursename = implode(', ', $courseNames); // Convert array to comma-separated string
       //echo $courseName;
      PDODB::closeInstance();
      if(!empty($result)) {
        $error_msg = 'Successfully Submitted.';
        // mail send
        $to = $uemail;
        $subject = "Submission of Form";
        $messagebody = "<!DOCTYPE html PUBLIC '-//W3C//DTD XHTML 1.0 Transitional//EN' 'http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd'>
          <html xmlns='http://www.w3.org/1999/xhtml'>
            <head>
               <meta name='viewport' content='width=device-width, initial-scale=1.0' />
               <meta name='x-apple-disable-message-reformatting' />
               <meta http-equiv='Content-Type' content='text/html; charset=UTF-8' />
               <meta name='color-scheme' content='light dark' />
               <meta name='supported-color-schemes' content='light dark' />
               <title></title>
               <style type='text/css' rel='stylesheet' media='all'>
                  @import url('https://fonts.googleapis.com/css?family=Nunito+Sans:400,700&display=swap');
                  body {
                  width: 100% !important;
                  height: 100%;
                  margin: 0;
                  -webkit-text-size-adjust: none;
                  }
                  a {
                  color: #3869D4;
                  }
                  a img {
                  border: none;
                  }
                  td {
                  word-break: break-word;
                  }
                  .preheader {
                  display: none !important;
                  visibility: hidden;
                  mso-hide: all;
                  font-size: 1px;
                  line-height: 1px;
                  max-height: 0;
                  max-width: 0;
                  opacity: 0;
                  overflow: hidden;
                  }
                  body,
                  td,
                  th {
                  font-family: 'Nunito Sans', Helvetica, Arial, sans-serif;
                  }
                  h1 {
                  margin-top: 0;
                  color: #333333;
                  font-size: 22px;
                  font-weight: bold;
                  text-align: left;
                  }
                  h2 {
                  margin-top: 0;
                  color: #333333;
                  font-size: 16px;
                  font-weight: bold;
                  text-align: left;
                  }
                  h3 {
                  margin-top: 0;
                  color: #333333;
                  font-size: 14px;
                  font-weight: bold;
                  text-align: left;
                  }
                  td,
                  th {
                  font-size: 16px;
                  }
                  p,
                  ul,
                  ol,
                  blockquote {
                  margin: .4em 0 1.1875em;
                  font-size: 16px;
                  line-height: 1.625;
                  }
                  p.sub {
                  font-size: 13px;
                  }
                  .align-right {
                  text-align: right;
                  }
                  .align-left {
                  text-align: left;
                  }
                  .align-center {
                  text-align: center;
                  }
                  .u-margin-bottom-none {
                  margin-bottom: 0;
                  }
                  .button {
                  background-color: #3869D4;
                  border-top: 10px solid #3869D4;
                  border-right: 18px solid #3869D4;
                  border-bottom: 10px solid #3869D4;
                  border-left: 18px solid #3869D4;
                  display: inline-block;
                  color: #FFF;
                  text-decoration: none;
                  border-radius: 3px;
                  box-shadow: 0 2px 3px rgba(0, 0, 0, 0.16);
                  -webkit-text-size-adjust: none;
                  box-sizing: border-box;
                  }
                  .button--green {
                  background-color: #22BC66;
                  border-top: 10px solid #22BC66;
                  border-right: 18px solid #22BC66;
                  border-bottom: 10px solid #22BC66;
                  border-left: 18px solid #22BC66;
                  }
                  .button--red {
                  background-color: #FF6136;
                  border-top: 10px solid #FF6136;
                  border-right: 18px solid #FF6136;
                  border-bottom: 10px solid #FF6136;
                  border-left: 18px solid #FF6136;
                  }
                  @media only screen and (max-width: 500px) {
                  .button {
                  width: 100% !important;
                  text-align: center !important;
                  }
                  }
                  .attributes {
                  margin: 0 0 21px;
                  }
                  .attributes_content {
                  background-color: #F4F4F7;
                  padding: 16px;
                  }
                  .attributes_item {
                  padding: 0;
                  }
                  .related {
                  width: 100%;
                  margin: 0;
                  padding: 25px 0 0 0;
                  -premailer-width: 100%;
                  -premailer-cellpadding: 0;
                  -premailer-cellspacing: 0;
                  }
                  .related_item {
                  padding: 10px 0;
                  color: #CBCCCF;
                  font-size: 15px;
                  line-height: 18px;
                  }
                  .related_item-title {
                  display: block;
                  margin: .5em 0 0;
                  }
                  .related_item-thumb {
                  display: block;
                  padding-bottom: 10px;
                  }
                  .related_heading {
                  border-top: 1px solid #CBCCCF;
                  text-align: center;
                  padding: 25px 0 10px;
                  }
                  .discount {
                  width: 100%;
                  margin: 0;
                  padding: 24px;
                  -premailer-width: 100%;
                  -premailer-cellpadding: 0;
                  -premailer-cellspacing: 0;
                  background-color: #F4F4F7;
                  border: 2px dashed #CBCCCF;
                  }
                  .discount_heading {
                  text-align: center;
                  }
                  .discount_body {
                  text-align: center;
                  font-size: 15px;
                  }
                  .social {
                  width: auto;
                  }
                  .social td {
                  padding: 0;
                  width: auto;
                  }
                  .social_icon {
                  height: 20px;
                  margin: 0 8px 10px 8px;
                  padding: 0;
                  }
                  .purchase {
                  width: 100%;
                  margin: 0;
                  padding: 35px 0;
                  -premailer-width: 100%;
                  -premailer-cellpadding: 0;
                  -premailer-cellspacing: 0;
                  }
                  .purchase_content {
                  width: 100%;
                  margin: 0;
                  padding: 25px 0 0 0;
                  -premailer-width: 100%;
                  -premailer-cellpadding: 0;
                  -premailer-cellspacing: 0;
                  }
                  .purchase_item {
                  padding: 10px 0;
                  color: #51545E;
                  font-size: 15px;
                  line-height: 18px;
                  }
                  .purchase_heading {
                  padding-bottom: 8px;
                  border-bottom: 1px solid #EAEAEC;
                  }
                  .purchase_heading p {
                  margin: 0;
                  color: #85878E;
                  font-size: 12px;
                  }
                  .purchase_footer {
                  padding-top: 15px;
                  border-top: 1px solid #EAEAEC;
                  }
                  .purchase_total {
                  margin: 0;
                  text-align: right;
                  font-weight: bold;
                  color: #333333;
                  }
                  .purchase_total--label {
                  padding: 0 15px 0 0;
                  }
                  body {
                  background-color: #F2F4F6;
                  color: #51545E;
                  }
                  p {
                  color: #51545E;
                  }
                  .email-wrapper {
                  width: 100%;
                  margin: 0;
                  padding: 0;
                  -premailer-width: 100%;
                  -premailer-cellpadding: 0;
                  -premailer-cellspacing: 0;
                  background-color: #F2F4F6;
                  }
                  .email-content {
                  width: 100%;
                  margin: 0;
                  padding: 0;
                  -premailer-width: 100%;
                  -premailer-cellpadding: 0;
                  -premailer-cellspacing: 0;
                  }
                  .email-masthead {
                  padding: 25px 0;
                  text-align: center;
                  }
                  .email-masthead_logo {
                  width: 94px;
                  }
                  .email-masthead_name {
                  font-size: 16px;
                  font-weight: bold;
                  color: #A8AAAF;
                  text-decoration: none;
                  text-shadow: 0 1px 0 white;
                  }
                  .email-body {
                  width: 100%;
                  margin: 0;
                  padding: 0;
                  -premailer-width: 100%;
                  -premailer-cellpadding: 0;
                  -premailer-cellspacing: 0;
                  }
                  .email-body_inner {
                  width: 570px;
                  margin: 20px auto;
                  padding: 0;
                  -premailer-width: 570px;
                  -premailer-cellpadding: 0;
                  -premailer-cellspacing: 0;
                  background-color: #FFFFFF;
                  }
                  .email-footer {
                  width: 570px;
                  margin: 0 auto;
                  padding: 0;
                  -premailer-width: 570px;
                  -premailer-cellpadding: 0;
                  -premailer-cellspacing: 0;
                  text-align: center;
                  }
                  .email-footer p {
                  color: #A8AAAF;
                  }
                  .body-action {
                  width: 100%;
                  margin: 30px auto;
                  padding: 0;
                  -premailer-width: 100%;
                  -premailer-cellpadding: 0;
                  -premailer-cellspacing: 0;
                  text-align: center;
                  }
                  .body-sub {
                  margin-top: 25px;
                  padding-top: 25px;
                  border-top: 1px solid #EAEAEC;
                  }
                  .content-cell {
                  padding: 45px;
                  }
                  @media only screen and (max-width: 600px) {
                  .email-body_inner,
                  .email-footer {
                  width: 100% !important;
                  }
                  }
                  @media (prefers-color-scheme: dark) {
                  body,
                  .email-body,
                  .email-body_inner,
                  .email-content,
                  .email-wrapper,
                  .email-masthead,
                  .email-footer {
                  background-color: #333333 !important;
                  color: #FFF !important;
                  }
                  p,
                  ul,
                  ol,
                  blockquote,
                  h1,
                  h2,
                  h3,
                  span,
                  .purchase_item {
                  color: #FFF !important;
                  }
                  .attributes_content,
                  .discount {
                  background-color: #222 !important;
                  }
                  .email-masthead_name {
                  text-shadow: none !important;
                  }
                  }
                  :root {
                  color-scheme: light dark;
                  supported-color-schemes: light dark;
                  }
               </style>
            </head>
            <body>
               <table class='email-wrapper' width='100%' cellpadding='0' cellspacing='0' role='presentation'>
                  <tr>
                     <td align='center'>
                        <table class='email-content' width='100%' cellpadding='0' cellspacing='0' role='presentation'>
                           <tr>
                              <td class='email-body' width='570' cellpadding='0' cellspacing='0'>
                                 <table class='email-body_inner' align='center' width='570' cellpadding='0' cellspacing='0' role='presentation'>
                                    <tr>
                                       <td>
                                          <div style='width: 570px; margin: 0px auto; padding: 20px 30px;'>
                                              <div style='float: left;'>
                                                 <img src='https://www.trufflenation.questend.com/images/truffle-nation-logo-1.png' width='120px;'>
                                              </div>
                                              <div style='float: right;'>
                                                 <img src='https://www.trufflenation.questend.com/images/bake-better-logo.png' width='100px;'>
                                              </div>
                                           </div>
                                       </td>
                                    </tr>
                                    <tr>
                                       <td class='content-cell'>
                                          <div class='f-fallback'>
                                             <h1>Dear $username!,</h1>
                                             <p>
                                                Thank you for your interest in the program <b> $coursename </b> of the premier baking school of India - Bake Better ! <br>
                                                With a 100% hands on approach and an optimal trainer to student ratio we strive to turn your passion for baking into a career.
                                             </p>                                         
                                             <table class='body-sub' role='presentation'>
                                                <tr>
                                                   <td>
                                                      <p class='f-fallback'>
                                                         Kindly contact our administrator for the registration process.<br>
                                                         Best Wishes,
                                                      </p>
                                                      <p class='f-fallback'>Team Bake Better</p>
                                                   </td>
                                                </tr>
                                             </table>
                                          </div>
                                       </td>
                                    </tr>
                                 </table>
                              </td>
                           </tr>
                           
                        </table>
                     </td>
                  </tr>
               </table>
            </body>
          </html>";
        $sendmail = $function->sendMail2($to=$to,$subject=$subject,$messagebody=$messagebody);

        if ($sendmail == true) { 
            //$error_msg = 'Successfully Submitted.';
            header("Location: index.php");            
         } else {
            echo 'Email not send. Try again!';      
         } 
      }
    }

    $pdodb = PDODB::getInstance();
    $sql = "SELECT * FROM `tn_student` WHERE `id`='".$_SESSION['uid']."'"; 
    $result = $pdodb->query($sql);
    //print_r($result); //exit;
?>
<!DOCTYPE html>
<html lang="en">
  <head>
    <!-- Required meta tags -->
    <meta charset="utf-8">
    <meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">

    <link rel="stylesheet" href="https://stackpath.bootstrapcdn.com/bootstrap/4.1.1/css/bootstrap.min.css">
    <link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/bootstrap-select/1.13.1/css/bootstrap-select.css" />
    <script src="https://ajax.googleapis.com/ajax/libs/jquery/2.1.1/jquery.min.js"></script>
    <script src="https://stackpath.bootstrapcdn.com/bootstrap/4.1.1/js/bootstrap.bundle.min.js"></script>
    <script src="https://cdnjs.cloudflare.com/ajax/libs/bootstrap-select/1.13.1/js/bootstrap-select.min.js"></script>
    
    <title>Site Visit Form</title>
    <style type="text/css">
      .hide {
        display: none;
      }
      .col-form-label span { color: red; }
      @font-face {
        font-family: 'GothamMedium';
        src: url('fonts/Gotham-Medium.woff') format('woff'), url('fonts/Gotham-Medium.ttf')  format('truetype');
        font-weight: normal;
        font-style: normal;
      }
      body{ font-family: 'GothamMedium';  font-size: 20px; }
      /*#grad {
        background-image: linear-gradient(#eec5eb, #bde7fb, #e4e9ce);
      }*/
      .borders {
        position: relative;
        border: 4px solid #000;
      }
      .borders:before {
        content: " ";
        position: absolute;
        z-index: 0;
        top: 3px;
        left: 3px;
        right: 3px;
        bottom: 3px;
        border: 1px solid #000;
        
      }
      .btnsubmit{        
        padding: 10px 40px;
        border-radius: 30px !important;
        color: #ffffff;
        background-color: #ed1c24;
        font-size: 18px;
        font-weight: 400;
        margin-top: 15px;
      }
      .error{color: red;}
      .subtext {
        display: block;
        font-size: 60%;
        color: #6c757d;
      }
      .main-box {
        padding: 0px;
        margin-top: 50px;
        margin-bottom: 50px;
      }
      .form-box {
        padding: 2rem 4rem!important;
        margin: 1rem!important;
      }
      @media only screen and (max-width: 480px) { 
          .main-box {
            padding: 0px;
            margin-top: 0px;
            margin-bottom: 0px;
          }
          .form-box {
            padding: 1rem!important;
            margin: 1rem!important;
          }
      }
      @media only screen and (max-width: 780px) {
          .form-box {
            padding: 2rem!important;
            margin: 1rem!important;
          }
      }
      @media only screen and (max-width: 992px) { 
          .form-box {
            padding: 3rem!important;
            margin: 1rem!important;
          }
      }
    </style>
  </head>
  <body id="grad">
    <div class="container">
      <div class="row justify-content-md-center">
        <div class="col col-lg-10 borders bg-white main-box">
          <div class='row' style="padding: 5% 5% 0% 5%;">
            <div class='col-lg-6'>
              <img src='../images/truffle-nation-logo-1.png' width='100px;'>
              <h3 style='font-size: 22px; font-style: italic; color: #000;'>Bake Better Network LLP.</h3>
              <p style='font-size: 18px; color: #000;'>(Truffle Nation)</p>
            </div>
            <div class='col-lg-6' style='text-align: right;'>
              <img src='../images/bake-better-logo.png' width='100px;'>
              <p class='marginright'>
                133-A, First Floor, Lane No. 1,<br>
                Western Marg, Saidulajab,<br>
                Back side Saket Metro Station,<br>
                New Delhi - 110030 <br>
                Tel.: 08700939817
              </p>
            </div>
          </div>
          <div class="row justify-content-md-center form-box">                        
            <div class="col-sm-12">
              <h3 style="text-align:center;"> <u>Student Registration Form </u></h3>
              <div>
                <form class="font-weight-bold" method="POST" action="" id="salesLead" enctype="multipart/form-data">
                  <?php if (!empty($error_msg)) { ?>
                    <div class="alert alert-success" role="alert" id="msgdiv">
                      <button type="button" class="close" data-dismiss="alert">x</button>
                      <?=$error_msg;?>
                    </div>
                    <?php } if (!empty($error)) { ?>
                    <div class="alert alert-danger" role="alert" id="msgdiv">
                      <button type="button" class="close" data-dismiss="alert">x</button>
                      <?=$error;?>
                    </div>
                  <?php } ?>
                  <div class="form-group row">
                    <div class="col-sm-9"></div>
                    <div class="col-sm-3">
                      <div class="img-preview img-preview-sm text-right">
                        <img alt="Image Display Here" id="test" src="../uploads/passportPhoto/<?=!empty($result[0]['passportPhoto'])?$result[0]['passportPhoto']:'';?>" style="min-width: 0px !important; min-height: 0px !important; max-width: none !important; max-height: none !important; width: 150px;">
                      </div>
                      <!-- <input type="file" id="passportPhoto" class="form-control border-0" onchange="readURL(this);" name="passportPhoto"> -->
                      <!-- <span style="font-size: 14px;">Image Dimensions 3.5 x 4.5 CM</span> -->
                    </div>
                  </div>
                  <div class="form-group row">
                    <label for="username" class="col-sm-4 col-form-label">Name <span>*</span> </label>
                    <div class="col-sm-8">
                      <input type="text" class="form-control" id="username" name="username" value="<?=!empty($result[0]['username'])?$result[0]['username']:'';?>">
                    </div>
                  </div>
                  <div class="form-group row">
                    <label for="mobileno" class="col-sm-4 col-form-label">Mobile Number <span>*</span></label>
                    <div class="col-sm-8">
                      <input type="text" class="form-control" id="mobileno" name="mobileno" value="<?=!empty($result[0]['mobileno'])?$result[0]['mobileno']:'';?>">
                    </div>
                  </div>
                  <div class="form-group row">
                    <label for="uemail" class="col-sm-4 col-form-label">E-mail ID <span>*</span></label>
                    <div class="col-sm-8">
                      <input type="text" class="form-control" id="uemail" name="uemail" value="<?=!empty($result[0]['uemail'])?$result[0]['uemail']:'';?>">
                    </div>
                  </div>
                  <div class="form-group row">
                    <label for="dob" class="col-sm-4 col-form-label">Date of Birth <span>*</span></label>
                    <div class="col-sm-8">
                      <input class="form-control" id="dob" name="dob" type="date" value="<?=!empty($result[0]['dob'])?$result[0]['dob']:'';?>">
                    </div>
                  </div>                
                  <div class="form-group row">
                    <label for="studentAddress" class="col-sm-4 col-form-label">Student Address <span>*</span></label>
                    <div class="col-sm-8">
                      <textarea name="studentAddress" id="studentAddress" class="form-control" rows="3"><?=!empty($result[0]['studentAddress'])?$result[0]['studentAddress']:'';?></textarea>
                    </div>
                  </div>
                  <div class="form-group row">
                    <label for="state" class="col-sm-4 col-form-label">Select States <span>*</span></label>
                    <div class="col-sm-8">
                      <select name="state" id="state" class="form-control">
                        <option value="">Choose...</option>
                        <?php for($i=0;$i<count($stateListdata);$i++){ ?>
                          <option value="<?=$stateListdata[$i]['id'];?>" <?=($result[0]['state']==$stateListdata[$i]['id'])?'selected':'';?>>
                              <?=$stateListdata[$i]['state'];?>
                          </option>
                        <?php } ?>
                      </select>
                    </div>
                  </div>
                  <div class="form-group row">
                      <label for="courseName" class="col-sm-4 col-form-label">Select Course <span>*</span></label>
                      <div class="col-sm-8">
                          <select id="courseName" name="courseName[]" class="selectpicker form-control" multiple data-live-search="true">
                              <option value="">Choose...</option>
                              <?php foreach ($coursedata as $key => $value) { ?>
                                  <option value="<?=$value['id'];?>" data-cprice="<?=$value['coursePrice'];?>"><?=$value['courseName'];?></option>
                              <?php } ?>
                          </select>
                      </div>
                  </div>
                  <div class="form-group row">
                    <label for="coursePrice" class="col-sm-4 col-form-label">Course Fees (Excl. GST)</label>
                    <div class="col-sm-8">
                      <input type="text" class="form-control" id="coursePrice" name="coursePrice" disabled>
                    </div>
                  </div>
                  <div class="form-group row">
                    <label class="col-sm-4 col-form-label">Do you need GST invoice?</label>
                    <div class="col-sm-8">
                      <div class="form-check form-check-inline">
                        <input class="form-check-input" type="radio" checked name="gstinvoice" value="no" onclick="gst1();">
                        <label class="form-check-label">No</label>
                      </div>
                      <div class="form-check form-check-inline">
                        <input class="form-check-input" type="radio" name="gstinvoice" value="yes" onclick="gst2();">
                        <label class="form-check-label">Yes</label>
                      </div>
                    </div>
                  </div>
                  <div class="hide" id="gstdiv">
                    <div class="form-group row">
                      <label for="gstNo" class="col-sm-4 col-form-label">GST Number<span>*</span></label>
                      <div class="col-sm-8">
                        <input type="text" class="form-control" id="gstNo" name="gstNo">
                      </div>
                    </div>
                    <div class="form-group row">
                      <label for="companyName" class="col-sm-4 col-form-label">Company Name<span>*</span></label>
                      <div class="col-sm-8">
                        <input type="text" class="form-control" id="companyName" name="companyName">
                      </div>
                    </div>
                    <div class="form-group row">
                      <label for="companyAddress" class="col-sm-4 col-form-label">Company Address<span>*</span></label>
                      <div class="col-sm-8">
                        <textarea name="companyAddress" id="companyAddress" class="form-control" rows="3"></textarea>
                      </div>
                    </div>
                    <div class="form-group row">
                    <label for="courseName" class="col-sm-4 col-form-label">Company States <span>*</span></label>
                    <div class="col-sm-8">
                      <select name="companyState" id="companyState" class="form-control">
                        <option value="">Choose...</option>
                        <?php for($i=0;$i<count($stateListdata);$i++){ ?>
                          <option value="<?=$stateListdata[$i]['id'];?>"><?=$stateListdata[$i]['state'];?></option>
                        <?php } ?>
                      </select>
                    </div>
                  </div>
                  </div>                  
                  <div class="form-group row">
                    <label for="healthIssue" class="col-sm-4 col-form-label">Any health issue / Allergies <span>*</span></label>
                    <div class="col-sm-8">
                      <textarea name="healthIssue" id="healthIssue" class="form-control" rows="3"><?=!empty($result[0]['healthIssue'])?$result[0]['healthIssue']:'';?></textarea>
                    </div>
                  </div>
                  <div class="form-group row">
                    <label for="emergencyPhoneNo" class="col-sm-4 col-form-label">Emergency Phone no <span>*</span></label>
                    <div class="col-sm-8">
                      <input type="text" class="form-control" id="emergencyPhoneNo" name="emergencyPhoneNo" value="<?=!empty($result[0]['emergencyPhoneNo'])?$result[0]['emergencyPhoneNo']:'';?>">
                    </div>
                  </div>
                  <div class="form-group row">
                    <label for="relationWith" class="col-sm-4 col-form-label">Relation with above <span>*</span></label>
                    <div class="col-sm-8">
                      <input type="text" class="form-control" id="relationWith" name="relationWith" value="<?=!empty($result[0]['relationWith'])?$result[0]['relationWith']:'';?>">
                    </div>
                  </div>
                  <div class="form-group row hide">
                    <label class="col-sm-4 col-form-label">Leaves option <span>*</span></label>
                    <div class="col-sm-8">
                        <textarea name="leavesOption" id="leavesOption" class="form-control" rows="3"><?=!empty($result[0]['leavesOption'])?$result[0]['leavesOption']:'';?></textarea>                        
                    </div>
                  </div>
                  <div class="form-group row">
                    <label class="col-sm-4 col-form-label">Do you want internship?</label>
                    <div class="col-sm-8">
                      <div class="form-check form-check-inline">
                        <input class="form-check-input" type="radio" checked name="internship" value="no">
                        <label class="form-check-label">No</label>
                      </div>
                      <div class="form-check form-check-inline">
                        <input class="form-check-input" type="radio" name="internship" value="yes">
                        <label class="form-check-label">Yes</label>
                      </div>
                    </div>
                  </div>
                  <div class="form-group row form-check">
                    <div class="col-sm-12" style="font-size: 16px; font-weight: 100">
                      <input type="checkbox" class="form-check-input" name="termscondition" id="termscondition">
                      <label class="form-check-label" for="exampleCheck1">By checking this box I certify that I have read the <a href="terms-&-conditions.php" target="_blank">Terms & Conditions & Rules & Regulations</a> of Truffle Nation Academy and Bake Better LLP with respect to the course I have opted to register for hereinabove and also the indemnity form and affidavits regarding my admission into the aforementioned course and I hereby agree to the Terms & Conditions, Rules & Regulations of  Truffle Nation Academy and  Bake Better LLP and also sign the indemnity form and affidavits related thereto. No separate signatures are required.</label>
                    </div>
                  </div>
                  <center>
                    <div class="col-sm-6">                                      
                      <button type="submit" name="visitformbtn" id="visitformbtn" class="btnsubmit mb-5">SUBMIT</button>
                    </div>
                  </center>
                </form>
              </div>
              
            </div>
          </div>
        </div>        
      </div>
    </div>  

    <!-- Optional JavaScript -->
    <!-- jQuery first, then Popper.js, then Bootstrap JS -->
    <!-- <script src="https://code.jquery.com/jquery-3.4.1.slim.min.js" integrity="sha384-J6qa4849blE2+poT4WnyKhv5vZF5SrPo0iEjwBvKU7imGFAV0wwj1yYfoRSJoZ+n" crossorigin="anonymous"></script>
    <script src="https://cdn.jsdelivr.net/npm/popper.js@1.16.0/dist/umd/popper.min.js" integrity="sha384-Q6E9RHvbIyZFJoft+2mJbHaEWldlvI9IOYy5n3zV9zzTtmI3UksdQRVvoxMfooAo" crossorigin="anonymous"></script>
    <script src="https://stackpath.bootstrapcdn.com/bootstrap/4.4.1/js/bootstrap.min.js" integrity="sha384-wfSDF2E50Y2D1uUdj0O3uMBJnjuUD4Ih7YwaYd1iqfktj0Uod8GCExl3Og8ifwB6" crossorigin="anonymous"></script> -->

    <script src="../admin/js/jquery.form-validator.min.js"></script>
    <script type="text/javascript">
       $("#salesLead").validate({
         rules: {   
             username: {
                 required: true
             },
             mobileno: {
                  required: true,
                  minlength: 10,
                  maxlength: 10,
                  //number: true
                  digits: true
             },
             uemail: {
                 required: true,
                 email: true,
             },             
             dob: {
                 required: true,
             },
             studentAddress: {
                 required: true,
             },
             state: {
                 required: true,
             },
             courseName: {
                 required: true,
             },
             healthIssue: {
                 required: true,
             },
             emergencyPhoneNo: {
                 required: true,
                 minlength: 10,
                 maxlength: 10,
                 digits: true
             },
             relationWith: {
                 required: true,
             },
             whichCourse: {
                 required: true,
             },
             gstNo: {
                 required: true,
                 minlength: 14,
                 maxlength: 15
             },
             companyName: {
                 required: true,
             },
             companyAddress: {
                 required: true,
             },
             companyState: {
                 required: true,
             },
             passportPhoto: {
                 required: true,
             },
             addressProof: {
                 required: true,
             },
             leavesOption: {
                 required: true,
             },
             termscondition: {
                 required: true,
             }
         },
         messages: {                           
             username: {
                 required: "Please enter your name"
             },
             mobileno: {
                 required: "Please enter mobile No",
                 minlength: "Mobile No Must Contain at least 10 digit",
                 maxlength: "Mobile No Must Not Exceed 10 digit",
                 digits: "Please enter only digit"
             },
             uemail: {
                 required: "Please enter email",
                 email: "Please enter valid email"
             },             
             dob: {
                 required: "Please enter Date of Birth"
             },
             studentAddress: {
                 required: "Please enter your Address"
             },
             state: {
                 required: "Please select state name"
             },
             courseName: {
                 required: "Please select Course"
             },
             healthIssue: {
                 required: "Please enter any health issue / Allergies"
             },
             emergencyPhoneNo: {
                 required: "Please enter Emergency Phone",
                 minlength: "Mobile No Must Contain at least 10 digit",
                 maxlength: "Mobile No Must Not Exceed 10 digit",
                 digits: "Please enter only digit"
             },
             relationWith: {
                 required: "Please enter Relation with above"
             },
             whichCourse: {
                 required: "Please select"
             },
             gstNo: {
                 required: "Please enter GST number",
                 minlength: "GST No Must Contain at least 14 digit",
                 maxlength: "GST No Must Not Exceed 15 digit"
             },
             companyName: {
                 required: "Please enter Company Name"
             },
             companyAddress: {
                 required: "Please enter Company Address"
             },
             companyState: {
                 required: "Please select state name"
             },
             passportPhoto: {
                 required: "Please select Passport Photo"
             },
             addressProof: {
                 required: "Please upload Address Proof"
             },
             leavesOption: {
                 required: "Please enter"
             },
             termscondition: {
                 required: "Please check the box to confirm having read and agreeing to abide by the Terms & Conditions and Rules & Regulations"
             }
         },
         submitHandler: function(form) { 
           $(form).find('button[type="submit"]').prop('disabled', true);
           $(form).find('button[type="submit"]').text('Please wait..', true);
           form.submit();
         }   
       });
    </script>
    <script>
        $('#courseName').on('change', function() {
            var totalPrice = 0;
            $('#courseName option:selected').each(function() {
                totalPrice += parseInt($(this).data('cprice'));
            });
            $("#coursePrice").val(totalPrice);
        });
    </script>
    <script type="text/javascript">
      function gst1(){
        document.getElementById("gstdiv").classList.add('hide');
        document.getElementById("gstdiv").classList.remove('show');
        //document.getElementById('gstdiv').style.display ='none';
      }
      function gst2(){
        document.getElementById("gstdiv").classList.add('show');
        document.getElementById("gstdiv").classList.remove('hide');
        //document.getElementById('gstdiv').style.display = 'block';
      }
    </script>
    <script type="text/javascript">
       setTimeout(function () {
          document.getElementById("msgdiv").classList.add('hide');
       }, 9000);
    </script>
    <script type="text/javascript">
       function readURL(input) {
          if (input.files && input.files[0]) {
            var reader = new FileReader();
            reader.onload = function (e) {
              $('#test').attr('src', e.target.result);
            }
            reader.readAsDataURL(input.files[0]);
          }
        };
    </script>
    
    <script>
        $('select').selectpicker();
    </script>
  </body>
</html>


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