Current File : /home/inlingua/public_html/sensoriumpsychologists.com/franchise/examination.php
<!DOCTYPE html>
<html>
  <head>
    <title>Shristi</title>
    <?php require("common/head_links.php");?>
    
  </head>
  <body class="hold-transition skin-blue sidebar-mini">
    <div class="wrapper">

      <?php require("common/header.php");?>
      
      <?php require("common/left_side_bar.php");?>

      <!-- Content Wrapper. Contains page content -->
      <div class="content-wrapper">
        <!-- Content Header (Page header) -->
        
        
        <section class="content-header">
          <h1> Examination</h1>
          
          
        </section>
    
    <!-- Main content -->
    <section class="content">
    <form role="form" method="post" enctype="multipart/form-data" onSubmit="return validate_form()">
      <div class="row"> 
        <!-- left column -->
        <div class="col-md-12"> 
          <!-- general form elements -->
          <div class="box box-primary">
            <div class="box-header with-border">
              <h3 class="box-title">Login Details</h3>
            </div>
            <!-- /.box-header --> 
            <!-- form start -->
            <div class="box-body">
              <div class="form-group">
              	<div class="col-md-4">
                	<label for="username">Registration Number</label>
                </div>
                <div class="col-md-4">
                	<input type="text" class="form-control" value="" >
                </div>
                <div class="col-md-4">
                	<button type="submit" class="btn btn-success">Submit</button>
                </div>
              </div>
              
            </div>
            <!-- /.box-body --> 
          </div>
          <!-- /.box -->
          
          <div class="box box-primary">
            <div class="box-header with-border">
              <h3 class="box-title">Details</h3>
            </div>
            <!-- /.box-header --> 
            <!-- form start -->
            <div class="box-body">
              <div class="form-group">
                <div class="col-md-4">
                	<label for="">Name of Student </label>
                	<input type="text" class="form-control" id="" name="" value="">
                </div>
                <div class="col-md-4">
                	<label for="">Date of Birth</label>
                	<input type="text" class="form-control" id="" name=""  value="">
                </div>
                <div class="col-md-4">
                	<label for="">Date of Joining</label>
                	<input type="text" class="form-control" id="" name="" value="" >
                </div>
                
              </div>
              
              <div class="form-group">
                <div class="col-md-4">
                	<label for="">Assignments (clear or not) </label>
                	<input type="text" class="form-control" id=""  name="" value="" >
                </div>
                <div class="col-md-4">
                	<label for="">Practical (clear or not) </label>
                	<input type="text" class="form-control" id="" name="" value="">
                </div>
                <div class="col-md-4">
                	<label for="name">Examination Term </label>
                	<input type="text" class="form-control" id="" name="" value="">
                </div>
                
              </div>
              
            </div>
            <!-- /.box-body --> 
          </div>
          <!-- /.box --> 
          
          
          
        </div>
        
      </div>
      
      
      <!-- /.row -->
      
      <div class="row">
        <div class="col-md-12">
          <button type="button" onClick="window.location.href='index.php'" class="btn btn-danger" style="margin-right:10px;margin-top:10px;">Back</button>
          <button type="submit" class="btn btn-success" style="margin-top:10px;">Start Examination</button>
        </div>
      </div>
      </form>
      </section>
      <!-- /.content -->
    
 
      </div><!-- /.content-wrapper -->
      <?php require("common/footer.php");?>

      

    </div><!-- ./wrapper -->
<?php require("common/footer_links.php");?>



  </body>
</html>