Current File : /home/inlingua/www/sensoriumpsychologists.com/backup/panel/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>