Your IP : 216.73.216.91
<?php require_once('header.php'); ?>
<div class="container container-margin">
<div class="mx-auto col-12 col-md-12 col-lg-12">
<form method="post" id="spear_student">
<input type="hidden" name="id" id="id" value="<?= (isset($_GET['id']) && !empty($_GET['id'])) ? $_GET['id'] : "-1"; ?>">
<input type="hidden" name="spear_id" id="spear_id" value="">
<fieldset>
<h2 class="form-heading">SPEAR Student</h2>
<hr class="colorgraph">
<div class="row form-group" title="School Information Section">
<div class="col-lg-2 col-md-2 col-sm-12">
<label>SEMIS Code</label>
<input required readonly value="<?php if (isset($_GET['semis_code']) && !empty($_GET['semis_code'])) {echo $_GET['semis_code'];} ?>" type="text" name="semis_code" id="semis_code" class="form-control input-lg" placeholder="Enter SEMIS Code">
</div>
<div class="col-lg-4 col-md-4 col-sm-12">
<label>School Name</label>
<input readonly type="text" name="school_name" id="school_name" class="form-control input-lg" placeholder="Enter School Name">
</div>
<div class="col-lg-2 col-md-2 col-sm-12">
<label>HM Name</label>
<input readonly type="text" name="hm_name" id="hm_name" class="form-control input-lg" placeholder="Enter HM Name">
</div>
<div class="col-lg-2 col-md-3 col-sm-12">
<label>Medium</label>
<input readonly type="text" name="medium" id="medium" class="form-control input-lg" placeholder="Enter Medium">
</div>
<div class="col-lg-2 col-md-3 col-sm-12">
<label>No of Teachers</label>
<input readonly type="text" name="teacher_count" id="teacher_count" class="form-control input-lg" placeholder="No of Teachers">
</div>
</div>
<hr class="colorgraph thin">
<div class=" row form-group" title="School Information Section">
<div class="col-lg-2 col-md-2 col-sm-12">
<label>GR No.</label>
<input type="text" name="gr_num" id="gr_num" class="form-control input-lg" placeholder="GR No">
</div>
<div class="col-lg-4 col-md-4 col-sm-12">
<label>Name of Student</label>
<input type="text" name="student_name" id="student_name" class="form-control input-lg" placeholder="Name of Student">
</div>
<div class="col-lg-3 col-md-3 col-sm-12">
<label>DOB</label>
<input type="date" name="dob" id="dob" class="form-control input-lg">
</div>
<div class="col-lg-3 col-md-3 col-sm-12">
<label>B-Form No.</label>
<input type="text" name="b_form_num" id="b_form_num" class="form-control input-lg" placeholder="Enter B-Form No.">
</div>
</div>
<div class=" row form-group" title="School Information Section">
<div class="col-lg-4 col-md-4 col-sm-12">
<label>Father Name</label>
<input type="text" name="father_name" id="father_name" class="form-control input-lg" placeholder="Enter Father Name">
</div>
<div class="col-lg-4 col-md-4 col-sm-12">
<label>Father CNIC</label>
<input type="text" name="father_cnic" id="father_cnic" class="form-control input-lg" placeholder="Enter Father CNIC">
</div>
<div class="col-lg-4 col-md-4 col-sm-12">
<label>Father Mobile No</label>
<input type="text" name="father_mobile" id="father_mobile" class="form-control input-lg" placeholder="Enter Father Mobile #">
</div>
</div>
<div class=" row form-group" title="School Information Section">
<div class="col-lg-4 col-md-4 col-sm-12">
<label>Mother Name</label>
<input type="text" name="mother_name" id="mother_name" class="form-control input-lg" placeholder="Enter Mother Name">
</div>
<div class="col-lg-4 col-md-4 col-sm-12">
<label>Class</label>
<select class="form-control input-lg" id="class" name="class">
<option value="-1">Select</option>
<option value="Blue">Blue</option>
<option value="Green">Green</option>
<option value="Grey">Grey</option>
<option value="Orange">Orange</option>
<option value="Pink">Pink</option>
<option value="Purple">Purple</option>
<option value="Red">Red</option>
<option value="Yellow">Yellow</option>
<option value="1">1</option>
<option value="1A">1A</option>
<option value="1B">1B</option>
<option value="2">2</option>
<option value="2A">2A</option>
<option value="2B">2B</option>
<option value="3">3</option>
<option value="3A">3A</option>
<option value="3B">3B</option>
<option value="4">4</option>
<option value="4A">4A</option>
<option value="4B">4B</option>
<option value="5">5</option>
<option value="5A">5A</option>
<option value="5B">5B</option>
</select>
</div>
<div class="col-lg-4 col-md-4 col-sm-12">
<label>Religion</label>
<select name="religion" id="religion" class="form-control input-lg select-placeholder">
<option value="">Select Religion</option>
<option value="Islam">Islam</option>
<option value="Christianity">Christianity</option>
<option value="Hinduism">Hinduism</option>
</select>
</div>
</div>
<hr class="colorgraph thin">
<div class="row form-group">
<div class="col-lg-4 col-md-4 col-sm-12">
<input type="submit" id="spear_student_submit" class="btn btn-lg btn-primary btn-block llcf-pri" value="Save">
</div>
<div class="col-lg-4 col-md-4 col-sm-12">
<input type="button" id="reset" class="btn btn-lg btn-danger btn-block" value="Reset">
</div>
<div class="col-lg-4 col-md-4 col-sm-12">
<a class="btn btn-lg btn-secondary btn-block" href="<?= Config::getConfig('spearStudentGridRedirect') ?>">Spear Student List</a>
</div>
</div>
</fieldset>
</form>
</div>
</div>
<?php require_once('footer.php'); ?>