| Current File : /home/inlingua/www/sensoriumpsychologists.com/eptp-registration.php |
<?php
session_start();
include('include/header.php');
include_once('classes/config.php');
if(isset($_POST['submit'])){
$not=array('submit');
$Data=MakeDataArray($_POST, $not);
$originalDate=$_POST['dob'];
$dob = date("Y-m-d", strtotime($originalDate));
$Data['dob']=$dob;
$Data['created_at']=date('Y-m-d');
$insert=$query->qry_insert('shristi_eptp_reg',$Data);
if($insert){
$message->success_enquirie();
//$safe_mail=$mail->contact_mail($_POST['name'],$_POST['email'],$_POST['name'],$_POST['msg']);
thanku_mail_etpt($_POST['email'],$fullname,$reg_no,$_POST['payment_mode']);
echo "<meta http-equiv=\"refresh\" content=\"2;URL=thanku.php\">";
}else{
$error->error();
}
}
function MakeDataArray($post, $not)
{
$data=array();
foreach ($post as $key=>$value):
if(!in_array($key, $not)):
$data[$key]=$value;
endif;
endforeach;
return $data;
}
?>
<div class="site-breadcrumb">
<div class="container">
<a href="index.php"><i class="fa fa-home"></i> Home</a> <i class="fa fa-angle-right"></i>
<span>Registration</span><i class="fa fa-angle-right"></i>
<span>Early Psychology Training Program</span>
</div>
</div>
<section class="event-section">
<div class="container">
<div class="section-title text-center">
<h3>Register for EPTP </h3>
<p>To Identify high achieving students interested to pursue psychology/ psychology related courses. Selected students will be provided with mentorship and training to become successful and dynamic individuals, who can contribute nationally and internationally to fulfil the deficit of professional manpower for managing mental health in various fields.</p>
</div>
</div>
</section>
<section class="contact-page spad pt-0">
<div class="container">
<div class="text-center">
<h3><?php echo $Caperror; ?></h3>
<p></p>
</div>
<div class="sc_contact_form sc_contact_form_contact contact-form" style="border:1px solid #c3c3cc; padding:25px;">
<form name="txnSubmitFrm" class="comment-form" method="post" onsubmit="return validateForm()" enctype="multipart/form-data" action="eptp-payment.php">
<div class="columnsWrap row">
<?php
$today = date("ymd");
$rand = strtoupper(substr(uniqid(sha1(time())),0,4));
$unique1 = $today . $rand;?>
<input type="hidden" name="reg_no" value="<?php echo "EPTP".$unique1;?>" >
<div class="col-md-6">
<label class="required" for="first_name">First Name</label>
<input id="first_name" required type="text" name="first_name">
</div>
<div class="col-md-6">
<label class="required" for="last_name">Last Name</label>
<input id="last_name" required type="text" name="last_name">
</div>
<div class="col-md-6">
<label class="required" for="father_name">Father's Name</label>
<input id="father_name" required type="text" name="father_name">
</div>
<div class="col-md-6">
<label class="required" for="mother_name">Mother's Name</label>
<input id="mother_name" required type="text" name="mother_name">
</div>
<div class="col-md-6">
<label class="required" for="dob">Date of birth</label>
<input id="dob" required type="text" name="dob" placeholder="10-05-2021" autocomplete="off">
</div>
<div class="col-md-6">
<label class="required" for="gender">Gender</label>
<select name="gender" id="gender" required>
<option value="">---Select Gender---</option>
<option value="Male">Male</option>
<option value="Female">Female</option>
</select>
</div>
<div class="col-md-6">
<label class="required" for="">Standard</label>
<select name="standard" id="standard" required>
<option value="">---Select Standard---</option>
<option value="9">9th</option>
<option value="11">11th</option>
<option value="12">12th</option>
</select>
</div>
<div class="col-md-6">
<label class="required" for="stream">Stream</label>
<select name="stream" id="stream" required >
<option value="">---Select Stream---</option>
<option value="Commerce">Commerce</option>
<option value="Humanities">Humanities</option>
<option value="Science">Science</option>
</select>
</div>
<div class="col-md-6">
<label class="required" for="subject">Subject</label>
<input id="subject" required type="text" name="subject" value="Psychology">
</div>
<div class="col-md-6">
<label class="required" for="school_name">School Name</label>
<input id="school_name" required type="text" name="school_name">
</div>
<div class="col-md-6">
<label class="required" for="email">E-mail</label>
<input id="email" type="email" required name="email">
</div>
<div class="col-md-6">
<label class="required" for="mobile">Mobile No.</label>
<input id="mobile" required type="text" name="mobile">
</div>
<div class="col-md-6">
<label class="required" for="payment_mode">Payment Mode</label>
<select name="payment_mode" id="payment_mode" required>
<option value="">Select Program fees</option>
<option value="Offline">Offline </option>
<option value="Online">Online</option>
</select>
</div>
<div class="col-md-6">
<label class="required" for="fee_amount">Fees Amount</label>
<select name="fee_amount" id="fee_amount" required>
<option value="">Select Program fees</option>
<option value="27600">Quarterly fee (3 Months)- Rs. 27,600 </option>
<option value="75600">Complete Program (9 months)- Rs.75,600</option>
</select>
</div>
<div class="col-md-6">
<span style="color:red;" class="msg-error"></span>
<div class="form-group">
<div style="transform:scale(0.77);
-webkit-transform:scale(0.99);background-color:transparent;border:0px solid;
transform-origin:0 0;
-webkit-transform-origin:0 0; padding-left:0px;" class="g-recaptcha form-control" data-sitekey="6LeE0zgaAAAAAG8K2e8_jXkgVwdidhP8p5jV_jDZ" data-callback="verifybannerCall"></div>
</div>
</div>
<input id="bannerCall" value="" type="hidden" name="bannerCall">
<div class="col-md-6">
<label for=""></label>
<button class=" site-btn sc_contact_form_submit icon-comment" name="submit">Submit</button>
</div>
<div class="result sc_infobox"></div>
</div>
</form>
</div>
</div>
</section>
<link rel="stylesheet" href="js/datepicker3.css" />
<script src="https://code.jquery.com/jquery-1.11.3.min.js"></script>
<script src="js/bootstrap-datepicker.js"></script>
<script type="text/javascript">
jQuery.noConflict();
jQuery('#dob').datepicker({
changeMonth: true,
changeYear: true,
format: 'dd-mm-yyyy'
});
function validateForm()
{
if(jQuery("#first_name").val()=="")
{
alert("Error : Please enter Student's first name...");
jQuery("#first_name").focus();
return false;
}
if(jQuery("#last_name").val()=="")
{
alert("Error : Please enter Student's Last name...");
jQuery("#last_name").focus();
return false;
}
if(jQuery("#father_name").val()=="")
{
alert("Error : Please enter Student's father name...");
jQuery("#father_name").focus();
return false;
}
if(jQuery("#mother_name").val()=="")
{
alert("Error : Please enter Student's Mother name...");
jQuery("#mother_name").focus();
return false;
}
if(jQuery("#dob").val()=="")
{
alert("Error : Please select Day in D.O.B...");
jQuery("#age").focus();
return false;
}
if(jQuery("#email").val()=="")
{
alert("Error : Please enter Email...");
jQuery("#email").focus();
return false;
}
if(jQuery("#gender").val()=="")
{
alert("Error : Please select gender");
jQuery("#gender").focus();
return false;
}
if(jQuery("#mobile").val()=="")
{
alert("Error : Please enter mobile No.");
jQuery("#dob_day").focus();
return false;
}
if(jQuery("#stream").val()=="")
{
alert("Error : Please select Stream");
jQuery("#stream").focus();
return false;
}
if(jQuery("#standard").val()=="")
{
alert("Error : Please select Standard");
jQuery("#standard").focus();
return false;
}
if(jQuery("#school_name").val()=="")
{
alert("Error : Please enter school name");
jQuery("#school_name").focus();
return false;
}
if(jQuery("#payment_mode").val()=="")
{
alert("Error : Please select payment Mode");
jQuery("#payment_mode").focus();
return false;
}
if(jQuery("#fee_amount").val()=="")
{
alert("Error : Please select fee amount ");
jQuery("#informant").focus();
return false;
}
var response = document.getElementById("bannerCall").value;
if (response.length === 0) {
jQuery( '.msg-error').text( "reCAPTCHA is mandatory" );
return false;
}
var ans=confirm("Are you sure you want to continue?");
if(ans==true)
{
document.txnSubmitFrm.submit();
}
}
var verifybannerCall = function(response) {
document.getElementById("bannerCall").value =response;
}
</script>
<script src="https://www.google.com/recaptcha/api.js" async defer></script>
<?php include('include/footer.php'); ?>
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