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<?php
$title = "Anti-Ragging";
?>
<!DOCTYPE html>
<html lang="en">
<head>
<?php
include('../home_include/header_link.php');
?>
</head>
<body>
<div class="page-wrapper" id="page-wrapper">
<?php
include('../home_include/header.php');
?>
<!-- page content start -->
<section class="inner-banner mb-5">
<h1 class="font-weight-bold text-center">ANTI RAGGING</h1>
</section>
<div class="container mb-5">
<div class="row">
<div class="col-sm-12 text-center">
<embed src="../assets/docs/AICTE_Anti_Ragging_Notification.pdf" class="p-5"
type="application/pdf"
frameBorder="0"
scrolling="auto"
height="500px;"
width="100%" /></embed>
</div>
</div>
<div class="row">
<div class="col-sm-12">
<form action="anti_code.php" method="post">
<input name="__RequestVerificationToken" type="hidden" value="HOQSJ1l66Osk7DUhtiaHVO5zawfCMIji9pBfYO107WZqDJXZXl_bPt59VTiiinp0rfDbN9o60DU-BQzHX0jDu-pS_upf2pv8wmzvCJXwtdE1" />
<h1 style="text-align:center;">Anti-Ragging Form.</h1>
<div class="container content-align-center">
<div class="mb-3 row">
<label class="col-sm-4 col-form-label">Student's Name.</label>
<div class="col-sm-6">
<input type="text" id="name" name="std_name" class="form-control" required="">
</div>
</div>
<div class="mb-3 row">
<label class="col-sm-4 col-form-label">Student's Enrollment No.</label>
<div class="col-sm-6">
<input type="text" id="enroll" name="std_enroll" class="form-control" required="">
</div>
</div>
<div class="mb-3-form-check row">
<label class="col-sm-4 col-form-label">Select Gender</label>
<div class="col-sm-2">
<input class="form-check-input ml-2" type="radio" name="gen" id="male" value="male" required="">
<label class="form-check-label ml-4" for="flexRadioDefault1">
Male
</label>
</div>
<div class="col-sm-2">
<input class="form-check-input" type="radio" name="gen" id="female" value="female" required="">
<label class="form-check-label" for="flexRadioDefault2">
Female
</label>
</div>
</div>
<div class="mb-3 row">
<label class="col-sm-4 col-form-label">Guardian's Name.</label>
<div class="col-sm-6">
<input type="text" class="form-control" id="gname" name="gname" required="">
</div>
</div>
<div class="mb-3 row">
<label class="col-sm-4 col-form-label">Student's Mobile Number.</label>
<div class="col-sm-6">
<input type="text" class="form-control" maxlength="10" minlength="10" id="std_mobile" name="std_mobile" required="">
</div>
</div>
<div class="mb-3 row">
<label class="col-sm-4 col-form-label">Guardian's Mobile Number.</label>
<div class="col-sm-6">
<input type="text" class="form-control" maxlength="10" minlength="10" id="gmobile" name="gmobile" required="">
</div>
</div>
<div class="mb-3 row">
<label class="col-sm-4 col-form-label">Student's Email Id.</label>
<div class="col-sm-6">
<input type="text" class="form-control" id="std_email" name="std_email" required="">
</div>
</div>
<div class="mb-3 row">
<label class="col-sm-4 col-form-label">Course Name.</label>
<div class="col-sm-6">
<input type="text" class="form-control" id="course" name="course" required="">
</div>
</div>
<div class="mb-3 row">
<label class="col-sm-4 col-form-label">Year.</label>
<div class="col-sm-6">
<select name="year" required="" class="form-control">
<option selected disabled value="">Select Your Year</option>
<option value="1">1st Year</option>
<option value="2">2nd Year</option>
<option value="3">3rd Year</option>
</select>
</div>
</div>
<div class="mb-3 row">
<label class="col-sm-4 col-form-label">Address.</label>
<div class="col-sm-6">
<textarea class="form-control" id="address" name="address" rows="3" required=""></textarea>
</div>
</div>
<div class="mb-3 row">
<label class="col-sm-4 col-form-label"> Your Complaint.</label>
<div class="col-sm-6">
<textarea class="form-control" id="cpmplaint" name="complaint" rows="3" required=""></textarea>
</div>
</div>
<div class="col-12">
<div class="form-check">
<input class="form-check-input" type="checkbox" value="" id="invalidCheck" required>
<label class="form-check-label" for="invalidCheck">
Agree to terms and conditions
</label>
<div class="invalid-feedback">
You must agree before submitting.
</div>
</div>
</div>
<div class="col-12 mt-3">
<button class="btn btn-primary btn-block" type="submit">Submit form</button>
</div>
</div>
</form>
</div>
</div>
</div>
<?php
if(isset($_REQUEST['msg'])){
if($_REQUEST['msg']==1){
echo "<script>window.alert('Message sent successfully')</script>";
}else{
echo "<script>window.alert('Sorry, something went wrong!')</script>";
}
}
?>
<!-- page content end -->
<?php
include('../home_include/footer.php');
?>
</div>
<?php
include('../home_include/footer_link.php');
?>
</body>
</html>