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="create_student_form">
<input type="hidden" name="id" id="id" value="-1">
<input type="hidden" name="family_id" id="family_id" value="">
<fieldset>
<h2 class="form-heading">Create Student</h2>
<hr class="colorgraph">
<div class="row form-group" title="Family Information Section | Goto Student list and click create student to get family information auto filled">
<div class="col-lg-3 col-md-3 col-sm-12">
<label>Father CNIC</label>
<input value="<?php if(isset($_GET['father_cnic']) && !empty($_GET['father_cnic'])){echo $_GET['father_cnic'];}?>" type="text" name="father_cnic" id="father_cnic" class="form-control input-lg" readonly>
</div>
<div class="col-lg-3 col-md-3 col-sm-12">
<label>Father Name</label>
<input type="text" name="father_name" id="father_name" class="form-control input-lg" disabled>
</div>
<div class="col-lg-2 col-md-2 col-sm-12">
<label>Mother Name</label>
<input type="text" name="mother_name" id="mother_name" class="form-control input-lg" disabled>
</div>
<div class="col-lg-2 col-md-2 col-sm-12">
<label>Total Siblings</label>
<input type="text" name="children_count" id="children_count" class="form-control input-lg" disabled>
</div>
<div class="col-lg-2 col-md-2 col-sm-12">
<label>Zakat</label>
<input type="text" name="zakat" id="zakat" class="form-control input-lg" disabled>
</div>
</div>
<hr>
<div class="row form-group" title="Student Information Section">
<div class="col-lg-4 col-md-4 col-sm-12">
<label>Automated GR #</label>
<input value="" type="text" name="auto_gr_num" id="auto_gr_num" class="form-control input-lg" disabled placeholder="Enter Automated GR #">
</div>
<div class="col-lg-4 col-md-4 col-sm-12">
<label>GR #</label>
<input value="<?php if(isset($_GET['gr_num']) && !empty($_GET['gr_num'])){echo $_GET['gr_num'];}?>" type="text" name="gr_num" id="gr_num" class="form-control input-lg" placeholder="Enter GR #">
</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="KG-1">KG-1</option>
<option value="KG-2">KG-2</option>
<option value="1">1</option>
<option value="2A">2A</option>
<option value="2B">2B</option>
<option value="3A">3A</option>
<option value="3B">3B</option>
<option value="4">4</option>
<option value="4S">4S</option>
<option value="5">5</option>
</select>
</div>
</div>
<div class="row form-group" title="Student Information Section">
<div class="col-lg-3 col-md-3 col-sm-12">
<label>Stu. Name</label>
<input type="text" name="stu_full_name" id="stu_full_name" class="form-control input-lg" placeholder="Enter Student Full Name">
</div>
<div class="col-lg-4 col-md-4 col-sm-12">
<label>Form-B No.</label>
<input type="text" name="stu_form_b" id="stu_form_b" class="form-control input-lg" placeholder="Enter Student Form-B No.">
</div>
<div class="col-lg-3 col-md-3 col-sm-12">
<label>Stu. DOB</label>
<input type="date" name="stu_dob" id="stu_dob" class="form-control input-lg">
</div>
<div class="col-lg-2 col-md-2 col-sm-12">
<label>Gender</label>
<select class="form-control input-lg" id="stu_gender" name="stu_gender">
<option value="">Select</option>
<option value="Female">Female</option>
<option value="Male">Male</option>
<option value="Other">Other</option>
</select>
</div>
</div>
<hr>
<div class="row form-group" title="Donor Information Section">
<div class="col-lg-4 col-md-4 col-sm-12">
<label>Donor Name</label>
<select name="donor_id" class="form-control input-lg" id="donor_id">
<option value="-1">Select Donor Name</option>
</select>
</div>
<div class="col-lg-4 col-md-4 col-sm-12">
<label>Donation Date</label>
<input type="date" name="donation_date" id="donation_date" class="form-control input-lg">
</div>
<div class="col-lg-4 col-md-4 col-sm-12">
<label>Donation Expiry Date</label>
<input type="date" name="donation_expiry" id="donation_expiry" class="form-control input-lg">
</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="stu_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('studentGridRedirect')?>">Student List</a>
</div>
</div>
</fieldset>
</form>
</div>
</div>
<?php require_once('footer.php');?>