| Server IP : 50.63.8.194 / Your IP : 216.73.216.202 Web Server : Microsoft-IIS/10.0 System : Windows NT P3NWVPWEB026 10.0 build 17763 (Windows Server 2016) AMD64 User : IWPD_7824(SpiPanel) ( 0) PHP Version : 7.3.33 Disable Function : NONE MySQL : OFF | cURL : ON | WGET : OFF | Perl : OFF | Python : OFF | Sudo : OFF | Pkexec : OFF Directory : G:/PleskVhosts/polyprep.in/mmitshamli.ac.in/home/ |
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<?php
$title = "Alumni Register";
?>
<!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">
<h1 class="font-weight-bold text-center">Register alumnus</h1>
</section>
<section class="Alumnus mt-4">
<div class="container">
<div class="sec-title text-center mb-3" data-aos="fade-up" data-aos-duration="1000">
<span class="title">Register Your Self</span>
<h2>You are our distinguished Alumnus</h2>
<div class="divider">
<span class="fa fa-mortar-board"></span>
</div>
</div>
<!--form-->
<form action="regalumni_code.php" method="post" enctype="multipart/form-data">
<div class="container mt-5 mb-5">
<input name="__RequestVerificationToken" type="hidden" value="DH-6JvSgvf4kEgYPJWb8FbEQ3wSMpbPfUOUe3ko-pjCYpEzkkH9quk03hB4NRXsnI-AJfYnAwt0tQ8rvTtOeAXC1gKgGId9rQAUuALUmZzo1" />
<div class="row mb-3 ">
<div class="col-sm-3"></div>
<div class="col-sm-2 font-weight-bold">Name</div>
<div class="col-sm-4"><input type="text" class="form-control" name="name" required></div>
<div class="col-sm-3"></div>
</div>
<div class="row mb-3 ">
<div class="col-sm-3"></div>
<div class="col-sm-2 font-weight-bold">Enrollment No.</div>
<div class="col-sm-4"><input type="text" class="form-control" name="enroll" required></div>
<div class="col-sm-3"></div>
</div>
<div class="row mb-3 ">
<div class="col-sm-3"></div>
<div class="col-sm-2 font-weight-bold">Father's' Name</div>
<div class="col-sm-4"><input type="text" class="form-control" name="fname" required></div>
<div class="col-sm-3"></div>
</div>
<div class="row mb-3 ">
<div class="col-sm-3"></div>
<div class="col-sm-2 font-weight-bold">Branch</div>
<div class="col-sm-4"><input type="text" class="form-control" name="branch" required></div>
<div class="col-sm-3"></div>
</div>
<div class="row mb-3 ">
<div class="col-sm-3"></div>
<div class="col-sm-2 font-weight-bold">Passing Year</div>
<div class="col-sm-4"><input type="number" class="form-control" name="py" required></div>
<div class="col-sm-3"></div>
</div>
<div class="row mb-3 ">
<div class="col-sm-3"></div>
<div class="col-sm-2 font-weight-bold">Mobile No</div>
<div class="col-sm-4"><input type="text" class="form-control" name="mob" required></div>
<div class="col-sm-3"></div>
</div>
<div class="row mb-3 ">
<div class="col-sm-3"></div>
<div class="col-sm-2 font-weight-bold">Email</div>
<div class="col-sm-4"><input type="email" class="form-control" name="email" required></div>
<div class="col-sm-3"></div>
</div>
<div class="row mb-3 ">
<div class="col-sm-3"></div>
<div class="col-sm-2 font-weight-bold">Marks %</div>
<div class="col-sm-4"><input type="number" class="form-control" name="marks" required></div>
<div class="col-sm-3"></div>
</div>
<div class="row mb-3 ">
<div class="col-sm-3"></div>
<div class="col-sm-2 font-weight-bold">Currently Working at </div>
<div class="col-sm-4"><input type="text" class="form-control" name="wp" required></div>
<div class="col-sm-3"></div>
</div>
<div class="row mb-3 ">
<div class="col-sm-3"></div>
<div class="col-sm-2 font-weight-bold">Designation</div>
<div class="col-sm-4"><input type="text" class="form-control" name="dg" required></div>
<div class="col-sm-3"></div>
</div>
<div class="row mb-3 ">
<div class="col-sm-3"></div>
<div class="col-sm-2 font-weight-bold">Feedback</div>
<div class="col-sm-4"><textarea class="form-control" name="fb" required></textarea></div>
<div class="col-sm-3"></div>
</div>
<div class="row mb-3 ">
<div class="col-sm-3"></div>
<div class="col-sm-2 font-weight-bold">About You</div>
<div class="col-sm-4"><textarea class="form-control" name="au" required></textarea></div>
<div class="col-sm-3"></div>
</div>
<div class="row mb-3 ">
<div class="col-sm-3"></div>
<div class="col-sm-2 font-weight-bold">Upload Your Pic</div>
<div class="col-sm-4"><input type="file" class="form-control" name="pic" required></div>
<div class="col-sm-3"></div>
</div>
<div class="row mb-3 ">
<div class="col-sm-3"></div>
<div class="col-sm-2 font-weight-bold">Upload Your Resume/CV</div>
<div class="col-sm-4"><input type="file" class="form-control" name="cv" required></div>
<div class="col-sm-3"></div>
</div>
<div class="row mb-3 ">
<div class="col-sm-3"></div>
<div class="col-sm-6"><input type="submit" class="btn btn-block btn-primary" /></div>
<div class="col-sm-3"></div>
</div>
<!--End form-->
</div>
</form>
</section>
<?php
if(isset($_REQUEST['msg'])){
?>
<script>
window.alert('<?php echo $_REQUEST['msg']; ?>')
</script>
<?php
}
?>
<!-- page content end -->
<?php
include('../home_include/footer.php');
?>
</div>
<?php
include('../home_include/footer_link.php');
?>
</body>
</html>