student Admission From

Standard Contact.m

<div class="row">
    <div class="col-lg-12">
        <div class="row form">
            <div class="col-lg-12 form-head">
                <h3>PERSONAL &amp; CONTACT INFORMATION</h3>
            </div>
            <div class="col-lg-12 col-sm-12">
                [text* student_name class:form-control placeholder "Student Name*"]
            </div>
            <div class="col-lg-6 col-sm-6">
                [text* father_name class:form-control placeholder "Father’s Name*"]
            </div>
            <div class="col-lg-6 col-sm-6">
                [text* mother_name class:form-control placeholder "Mother’s Name*"]
            </div>
            <div class="col-lg-12 col-sm-12">
                [text* present_address class:form-control placeholder "Present Address*"]
            </div>
            <div class="col-lg-12">
                [text* permanent_address class:form-control placeholder "Permanent Address*"]
            </div>
            <div class="col-lg-6">
                [text office_address class:form-control placeholder "Office Address (If Applicable)"]
            </div>
            <div class="col-lg-6 col-sm-6">
                [text nid class:form-control placeholder "National ID (If Applicable)"]
            </div>
            <div class="col-lg-6 col-sm-6">
                [text* occupation class:form-control placeholder "Occupation*"]
            </div>
            <div class="col-lg-6 col-sm-6">
                <input type="date" name="dob" value="" placeholder="Date of Birth*" class="form-control ">
            </div>
            <div class="col-lg-6 col-sm-6">
                [select* country class:form-control "Nationality" "Bangladeshi" "Other Country"]
            </div>
            <div class="col-lg-6">
                <div class="row">
                    <div class="col-lg-5 col-sm-4">
                        [select* blood_group class:form-control "Blood Group*" "A+" "A-" "B+" "B-" "AB+" "AB-" "O+" "O-"]
                    </div>
                    <div class="col-lg-7 col-sm-8 ru-main text-right">
                    [select* genger class:form-control "Gender*" "Male" "Female"]
                    </div>
                </div>
            </div>
            <div class="col-lg-6 col-sm-6">
                [text* phone class:form-control placeholder "phone*"]
            </div>
            <div class="col-lg-6 col-sm-6">
                [email* email class:form-control placeholder "email*"]
            </div>
            <div class="col-lg-6 col-sm-6">
                [text* guardian_number class:form-control placeholder "Guardian’s Phone*"]
            </div>
            <div class="col-lg-6 col-sm-6">
                [text* relationship class:form-control placeholder "Relationship with the Guardian*"]
            </div>
        </div>
    </div>
    <div class="col-lg-12" id="getintouch-part">
        <div class="form-head">
            <h3>Educational Background</h3>
        </div>
        <table class="text-center tbl1" width="100%" height="50">
            <tbody><tr>
                <th>Degree</th>
                <th>School/College/University</th>
                <th>Board</th>
                <th>Year of Passing</th>
                <th>Division / GPA</th>
            </tr>
        </tbody></table>
        <table class="text-center tbl2" width="100%">
            <tbody><tr>
                <td>S.S.C / O Level</td>
                <td>[text s_university]</td>
                <td>[text s_board]</td>
                <td>[text s_year]</td>
                <td>[text s_gpa]</td>
            </tr>
        </tbody></table>
        <table class="text-center tbl2" width="100%">
            <tbody><tr>
                <td>H.S.C / Diploma</td>
                <td>[text h_university]</td>
                <td>[text h_board]</td>
                <td>[text h_year]</td>
                <td>[text h_gpa]</td>
            </tr>
        </tbody></table>
        <table class="text-center tbl2" width="100%">
            <tbody><tr>
                <td>Graduation</td>
                <td>[text g_university]</td>
                <td>[text g_board]</td>
                <td>[text g_year]</td>
                <td>[text g_gpa]</td>
            </tr>
        </tbody></table>
        <table class="text-center tbl2" width="100%">
            <tbody><tr>
                <td>Post Graduation</td>
                <td>[text pg_university]</td>
                <td>[text pg_board]</td>
                <td>[text pg_year]</td>
                <td>[text pg_gpa]</td>
            </tr>
        </tbody></table>
    </div>
    <div class="col-lg-12">
        <div class="row form">
            <div class="col-lg-12 form-head">
                <h3>Reference Details</h3>
            </div>
            <div class="col-lg-12 col-sm-12">
                [text* reference_name class:form-control placeholder "Name*"]
            </div>
            <div class="col-lg-6 col-sm-6">
                [text* reference_phone_no class:form-control placeholder "Mobile Number*"]
            </div>
            <div class="col-lg-6 col-sm-6">
                [text* batch_name class:form-control placeholder "Batch*"]
            </div>
            <div class="col-lg-6 col-sm-6">
                [text* batch_id class:form-control placeholder "ID*"]
            </div>
            <div class="col-lg-6 col-sm-6">
                [text* relation class:form-control placeholder "Relation with Student*"]
            </div>
        </div>
    </div>
    <div class="col-lg-12">
        [acceptance accept-this-1]   I consent for a mortgage Specialist to contact me for follow up action  [/acceptance]
    </div>
    <div class="col-lg-12 text-center">
        <div class="submit">
            [submit class:thm-btn "Submit"]
        </div>
    </div>
</div>