Viewing file:  clientregistration.php (5.45 KB) -rw-r--r--
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<?php
include('session.php');
?>
<?php
include('laserno.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=utf-8" />
<title>Student Admission Form</title>
</head>
<center>
<body>
<form action="addt_registration.php" method="post" enctype="multipart/form-data" name="form1" id="form1">
<table width="100%" border="0" cellspacing="0" cellpadding="0" bgcolor="#CCCCCC">
<tr>
<td width="823" colspan="4" align="center"><?php include('header.php'); ?></td>
</tr>
<tr>
<td colspan="4" bgcolor="#FFFF00"><?php include('menubar.php'); ?></td>
</tr>
<tr>
<td width="210" bgcolor="#6699CC">Welcome: Mr.<?php echo $user ?></td>
<td width="335" bgcolor="#6699CC"><a href="logout.php">Logout</a></td>
<td width="454" bgcolor="#6699CC"><?php echo "Today is " . date("d/m/y") . "<br>";?></td>
</tr>
<tr>
<td colspan="4" bgcolor="#FFFF00"></td>
</tr>
<tr>
<td colspan="4" align="left" valign="top">
<table width="100%" border="0" cellspacing="2" cellpadding="2">
<tr>
<td width="144" bgcolor="#33FF33">Lesar No</td>
<td width="306"><input type="text" name="lesorno" id="lesorno" readonly="readonly" required value="<?php echo $laserno ?>"/></td>
<td width="135" bgcolor="#33FF33">Roll No</td>
<td width="335"><label for="roll_no"></label>
<input type="text" name="roll_no" id="roll_no" /></td>
</tr>
<tr>
<td bgcolor="#33FF33">Subject </td>
<td>
<?php
// Create connection
$con=mysqli_connect("localhost","mitm_user","mitmpass838","mitm_ailwssor_database");
// Check connection
if (mysqli_connect_errno())
// Check connection
if (mysqli_connect_errno())
{
echo "Failed to connect to MySQL: " . mysqli_connect_error();
} else {
echo "We are connected.";
}
$result = mysqli_query($con,"SELECT ID, course FROM allcourses ");
?>
<select name="subject1" id="subject1" >
<?
while($row = mysqli_fetch_array($result))
{
echo "<option value='" . $row['course'] . "'>" . $row['course'] . "</option>";
}
?>
</select>
</td>
<td bgcolor="#33FF33">Admission Date</td>
<td><input type="text" name="date" id="date" value=<?php echo date("d/m/Y") ?> /></td>
</tr>
<tr>
<td bgcolor="#33FF33">Date of Birth</td>
<td><input type="date" name="dob" id="dob" /></td>
<td bgcolor="#33FF33">BATCH</td>
<td><input name="year" type="text" id="year" size="40" maxlength="50" required/></td>
</tr>
<tr>
<td bgcolor="#33FF33">Student Name</td>
<td><input name="studentname" type="text" id="studentname" size="40" maxlength="50" required/></td>
<td bgcolor="#33FF33">Father's Name</td>
<td><input name="fathername" type="text" id="fathername" size="40" maxlength="50" required /></td>
</tr>
<tr>
<td bgcolor="#33FF33">Mother's Name</td>
<td><input name="mothername" type="text" id="mothername" accesskey="10" size="40" maxlength="50" required/></td>
<td bgcolor="#33FF33">Branch Name</td>
<td><input type="text" name="branchname" id="branchname" value=<?php echo $user ?> readonly/></td>
</tr>
<tr>
<td bgcolor="#33FF33">Session/Year</td>
<td><input type="text" name="year" id="year" value=<?php echo date("Y") ?> /></td>
<td bgcolor="#33FF33">Mobile No</td>
<td><input type="text" name="mobileno" id="mobileno" required="required" /></td>
</tr>
<tr>
<td bgcolor="#33FF33">Account No</td>
<td><input name="accountno" type="text" id="accountno" /></td>
<td bgcolor="#33FF33"> </td>
<td> </td>
</tr>
<tr>
<td bgcolor="#33FF33">Address</td>
<td bgcolor="#CCCCCC"><textarea name="Address" cols="40" id="Address" required ></textarea></td>
<td bgcolor="#33FF33">Gender</td>
<td><select name="gender" id="gender" >
<option>MALE</option>
<option>FEMALE</option>
</select></td>
</tr>
<tr>
<td bgcolor="#33FF33">Course Fees</td>
<td><input type="text" name="totalfees" id="totalfees" required="required"/></td>
<td bgcolor="#33FF33">Deposit Fees</td>
<td><input type="text" name="depositfees" id="depositfees" required="required" value='0' /></td>
</tr>
<tr>
<td colspan="4"><table width="935" border="0" cellspacing="2" cellpadding="2">
<tr>
<td width="144" bgcolor="#33FF33">Photo Upload</td>
<td width="765"><input type="file" name="upload" id="upload" accept="image/jpeg" />
<input type="hidden" name="MAX_FILE_SIZE" value="999999999" />
</td>
</tr>
</table></td>
</tr>
<tr>
<td> </td>
<td><input type="submit" name="addrecod" id="addrecod" value="Submit" accesskey="52" /></td>
<td> </td>
<td> </td>
</tr>
</table>
<p> </p></td>
</tr>
<tr>
<td colspan="4"><?php include('footer.php'); ?></td>
</tr>
</table></form>
</body></center>
</html>
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