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<?php
session_start();
require('../connect.php');
$db=db_connect();
if(isset($_GET['user'])){
$formNo=$_GET['formNo'];
$usern=$_GET['user'];
$sql="select * from entrancetable where transID='$usern' and formNo='$formNo'";
$result=$db->query($sql);
$result_fetch=$result->fetch();
$num =$result->rowCount();
if ($num==1 ) {
$_SESSION['transID'] =$transID= $result_fetch['transID'];
$_SESSION['surname']=$surname = strtoupper($result_fetch['surname']);
$_SESSION['otherNames'] =$otherNames= $result_fetch['othernames'];
$_SESSION['dept'] =$dept= strtoupper($result_fetch['dept']);
$_SESSION['formType']=$formType = $result_fetch['formType'];
$_SESSION['email']=$email = $result_fetch['email'];
$_SESSION['gsm'] = $gsm=$result_fetch['gsm'];
$_SESSION['formNo'] =$formNo= $result_fetch['formNo'];
}
}else {
$transID = $_SESSION['transID'];
$surname = $_SESSION['surname'];
$otherNames = $_SESSION['otherNames'];
$dept = $_SESSION['dept'];
$gsm = $_SESSION['gsm'];
$email = $_SESSION['email'];
$formType = $_SESSION['formType'];
$formNo = $_SESSION['formNo'];
}
//echo $transID.'_'.$formType;
$s="select * from remitaorderform where (regNo='$transID' or regNo='$formNo') and paymenttype='$formType' and transApproved='True'";
$r=$db->query($s);
$n=$r->rowCount();
/*echo $n;
echo $transID;
echo $formType;
echo $formNo;
*/
//die();
if ($n<1){
//if ($formType=='ND Screening'){
// die("Sorry, the UTME Screening Form Has Closed");
// }
header('location:'.'remitaFormPayment.php');
}
if ($n>0) {
$sql_form = $db->query("select * from entrancetable where transID='$transID' and formNo=''");
$sql_form_count = $sql_form->rowCount();
if ($sql_form_count == 1) {
header('location:'.'paymentHistoryForm.php');// echo '<div style="font-size: "25""><a href="paymentHistoryForm.php"> Click to Generate Your Form Number, <br>Kindly click on Re-Query for Approved Transaction</a></div>';
}
}
if ($formType=='preForm'){
$formType='PRE ND';
}elseif ($formType=='hndForm') {
$formType = 'Higher Diploma FT';
}elseif ($formType=='utmeForm') {
$formType = 'ND Screening';
}elseif ($formType=='dptForm') {
$formType = 'Daily Part Time';
}elseif ($formType=='ptForm') {
$formType = 'ND PART TIME';
}
?>
<!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"><!-- InstanceBegin template="../Templates/mainTemp.dwt" codeOutsideHTMLIsLocked="false" -->
<head>
<!-- Bootstrap Core CSS -->
<link href="../bower_components/bootstrap/dist/css/bootstrap.min.css" rel="stylesheet">
<!-- MetisMenu CSS -->
<link href="../bower_components/metisMenu/dist/metisMenu.min.css" rel="stylesheet">
<!-- Custom CSS -->
<link href="../dist/css/sb-admin-2.css" rel="stylesheet">
<!-- Custom Fonts -->
<link href="../bower_components/font-awesome/css/font-awesome.min.css" rel="stylesheet" type="text/css">
<!-- HTML5 Shim and Respond.js IE8 support of HTML5 elements and media queries -->
<!-- WARNING: Respond.js doesn't work if you view the page via file:// -->
<!--[if lt IE 9]>
<script src="https://oss.maxcdn.com/libs/html5shiv/3.7.0/html5shiv.js"></script>
<script src="https://oss.maxcdn.com/libs/respond.js/1.4.2/respond.min.js"></script>
<![endif]-->
<script src="../../chat/js/libs/jquery-1.7.2.min.js"></script>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<!-- InstanceBeginEditable name="doctitle" -->
<title>Federal Poly Ede | Admission Form</title>
<!-- InstanceEndEditable -->
<!-- InstanceBeginEditable name="head" -->
<script src="../SpryAssets/SpryTabbedPanels.js" type="text/javascript"></script>
<link href="../SpryAssets/SpryTabbedPanels.css" rel="stylesheet" type="text/css" />
<!-- InstanceEndEditable -->
<style type="text/css">
body {
background-color: #CFD1DE;
background-image: url(../images/logo2fade.png);
}
</style>
</head>
<body>
<table width="90%" align="center" cellpadding="3" cellspacing="5" background="../images/ba.png" style="background-repeat: no-repeat">
<tr>
<td>
<table width="100%" cellspacing="5" cellpadding="3">
<tr>
<td><table width="100%" cellspacing="5" cellpadding="3">
<tr align="center">
<td><!-- InstanceBeginEditable name="EditRegion3" -->
<script type="text/javascript" language="javascript" src="../js/jquery-1.7.1.js"></script>
<script type="text/javascript" language="javascript" src="../js/scriptFile.js"></script>
<script type="text/javascript" language="javascript" src="../js/scriptLga.js"></script>
<script type="text/javascript" language="javascript" src="../js/scripJamb.js"></script>
<!-- <script type="text/javascript" language="javascript" src="../js/scriptPicture.js"></script>-->
<div class="container">
<div class="row">
<div class="col-md-10 col-md-offset-1">
<div class="login-panel panel panel-default">
<div class="panel-heading">
<h3 class="panel-title">Registration Form</h3> <div align="right"><?php echo $surname .' ' .$otherNames.'('.$formNo.')' ;?><a href="logout.php"> Logout</a></div>
</div>
<div class="panel-body">
<form role="form" action="apply_process.php" method="post" enctype="multipart/form-data" name="form1">
<fieldset>
<div class="form-group"></div>
<div id="TabbedPanels1" class="TabbedPanels">
<ul class="TabbedPanelsTabGroup">
<li class="TabbedPanelsTab" tabindex="0">Personal Data</li>
<li class="TabbedPanelsTab" tabindex="1">Next of Kin/Sponsor's Data</li>
<li class="TabbedPanelsTab" tabindex="2">Secondary School Data</li>
<li class="TabbedPanelsTab" tabindex="3">O'Level Result</li>
</ul>
<div class="TabbedPanelsContentGroup">
<div class="TabbedPanelsContent">
<table width="90%" align="center" cellpadding="3" cellspacing="5">
<tr>
<?php
if (isset($_GET['id'])){
if ($_GET['id']=='o_level'){
echo '<td colspan="6" class="alert alert-danger" align="center" ><button type="button" class="close" data-dismiss="alert" aria-hidden="true">×</button>Only Five (5) O\'Level Credits Required';
}
if ($_GET['id']=='mainData'){
echo '<td colspan="6" class="alert alert-danger" align="center" ><button type="button" class="close" data-dismiss="alert" aria-hidden="true">×</button>Fill AllRequired Fields';
}
if ($_GET['id']=='passport'){
echo '<td colspan="6" class="alert alert-danger" align="center" ><button type="button" class="close" data-dismiss="alert" aria-hidden="true">×</button>Passport Required';
}
if ($_GET['id']=='O_Level'){
echo '<td colspan="6" class="alert alert-danger" align="center" ><button type="button" class="close" data-dismiss="alert" aria-hidden="true">×</button>O\'level Scanned Copy2 is Required';
}
if ($_GET['id']=='O_Level1'){
echo '<td colspan="6" class="alert alert-danger" align="center" ><button type="button" class="close" data-dismiss="alert" aria-hidden="true">×</button>O\'evel Scanned Copy1 is Required';
}
}
?>
</td></tr>
<tr><td>
<table width="100%" cellspacing="5" cellpadding="3">
<tr><td>Programme</td>
<td> </td><td><b><?php echo $formType;?>
<input type="hidden" name="level" id="level" value="<?php echo $formType;?>" /></b></td>
<td rowspan="3" id="load"><p> </p><p><label for="fileField"></label> </p>
</td>
</tr>
<tr>
<td>School</td>
<td> </td>
<td><label for="mStatus"></label>
<select name="txtschools" id="schoolNo" class="form-control">
<?php
$query="SELECT * FROM dept where sn='$dept'";
$rs=$db->query($query);
$record_fetch=$rs->fetch(PDO::FETCH_BOTH);
for($i=0;$i<$rs->rowCount();$i++){
// $row=mysql_fetch_row($rs);
echo '<option>'.$record_fetch['dSchool'].'</option>';
}
?>
</select>
</td>
</tr>
<tr>
<td>Department</td>
<td> </td>
<td id="dept">
<select name="dept" id="dept"
class="form-control">
<option><?php echo $record_fetch['dOption'] ;?></option>
</select></td>
</tr>
<tr>
<td>Surname</td>
<td> </td>
<td><label for="surname"></label>
<input type="hidden" name="surname" value="<?php echo $surname;?>" />
<input type="text" class="form-control" name="surname" id="surname" required="required" disabled="disabled" value="<?php echo $surname;?>" /></td>
<td id="load"><label for="fileField">
<input type="hidden" name="MAX_FILE_SIZE" value="1000000" />
<input type="hidden" name="username1" id="username1" />
<input name="user_file1" type="file" id="user_file1" />
<br />
*Passport must be JPEG format and not more than 50KB. </label></td>
</tr>
<tr>
<td>Other Names</td>
<td> </td>
<input type="hidden" name="otherName" value="<?php echo $otherNames;?>" />
<td colspan="2"><input type="text" class="form-control" name="otherName" disabled="disabled" id="otherName" required="required" value="<?php echo $otherNames;?>" /></td>
</tr>
<tr><td colspan="4">
<?php
if ($formType =='ND Screening'){
?>
<tr><td width="20%" >Jamb Reg No</td>
<td width="2%"> </td>
<td width="78%" >
<input type="text" name="jambNo" class="form-control" id="jambNo" maxlength="10" /></td>
</tr>
<tr>
<td>Jamb Score</td>
<td> </td>
<td >
<input type="text" name="jambScore" id="jambScore" class="form-control" maxlength="3" disabled="disabled"/>
</td> </tr>
<?php
}
?>
<?php
if ($formType=='Higher Diploma FT'){
?>
<tr><td width="20%" >Jamb Reg No</td>
<td width="2%"> </td>
<td width="78%" >
<input type="text" name="jambNo" class="form-control" id="jambNoHND" maxlength="10" /></td>
</tr>
<tr>
<td >ND Matric Number</td>
<td > </td>
<td colspan="2">
<input type="text" class="form-control" name="ndMatNo" /></td>
</tr>
<tr>
<td>Institution's Name</td>
<td> </td>
<td colspan="2">
<input type="text" class="form-control" name="ndinst" /></td>
</tr>
<tr>
<td>Course Offered</td>
<td> </td>
<td colspan="2">
<input type="text" class="form-control" name="nddept" /></td>
</tr>
<tr>
<td>ND Grade</td>
<td> </td>
<td colspan="2">
<select name="ndResult" id="ndResult" class="form-control">
<option>Distinction</option>
<option>Upper Credit</option>
<option>Lower Credit</option>
<option>Pass</option>
</select></td>
</tr>
<tr>
<td>Year of Graduated</td>
<td> </td>
<td colspan="2">
<input type="date" class="form-control" name="ndDate" /></td>
</tr>
<tr>
<td>IT Placement Name</td>
<td> </td>
<td colspan="2">
<input type="text" class="form-control" name="ndit" id="inst" /></td>
</tr>
<tr>
<td>Address</td>
<td> </td>
<td colspan="2">
<input type="text" class="form-control" name="nditaddr" id="inst" /></td>
</tr>
<tr>
<td>From</td>
<td> </td>
<td colspan="2">
<input type="date" class="form-control" name="nditF" id="inst" /></td>
</tr>
<tr>
<td>To</td>
<td> </td>
<td colspan="2">
<input type="date" class="form-control" name="nditT" id="inst" /></td>
</tr>
<?php
}
?>
</td>
</tr>
<tr>
<td>Sex</td>
<td> </td>
<td colspan="2"><label for="sex"></label>
<select name="sex" id="sex" class="form-control">
<option>Male</option>
<option>Female</option>
</select></td>
</tr>
<tr>
<td>Nationality</td>
<td> </td>
<td colspan="2"><input type="text" name="nationality" class="form-control" id="nationality" required="required" /></td>
</tr>
<tr>
<td>State of Origin</td>
<td> </td>
<td colspan="2"><select class="form-control" name="txtstate" id="state">
<?php
//require('../connect.php');
$query="SELECT distinct state FROM states";
$rs=$db->query($query);
echo '<option>'.'Select Option...'.'</option>';
//for($i=0;$i<mysql_num_rows($rs);$i++){
while ($row = $rs->fetch (PDO::FETCH_NUM)){
// $row=mysql_fetch_row($rs);
echo '<option>'.$row[0].'</option>';
}
?>
</select></td>
</tr>
<tr>
<td>Local Govt. Area</td>
<td> </td>
<td colspan="2" id="lga"><select name="lga" class="form-control" id="lga">
<option>Select Option...</option>
</select></td>
</tr>
<tr>
<td>Home Town</td>
<td> </td>
<td colspan="2"><input type="text" name="town" id="town" required="required" class="form-control" /></td>
</tr>
<tr>
<td>Marital Status</td>
<td> </td>
<td colspan="2"><label for="mStatus"></label>
<select name="mStatus" id="mStatus" class="form-control">
<option>Single</option>
<option>Married</option>
<option>Divorce</option>
<option>Separate</option>
<option>Widow</option>
</select></td>
</tr>
<tr>
<td>Religion</td>
<td> </td>
<td colspan="2"><label for="religion"></label>
<select name="religion" id="religion" class="form-control">
<option>Christianity</option>
<option>Islam</option>
<option>Traditional</option>
<option>Others</option>
</select></td>
</tr>
<tr>
<td>Contact Address</td>
<td> </td>
<td colspan="2"><label for="address"></label>
<textarea name="address" id="address" cols="25" rows="3" class="form-control"></textarea></td>
</tr>
<tr>
<td>E-mail</td>
<td> </td>
<td colspan="2">
<label for="email"></label>
<input type="hidden" name="email" value="<?php echo $email;?>" />
<input type="text" name="email" class="form-control" id="email" value="<?php echo $email;?>" disabled="disabled" />
</tr>
<tr>
<td>Phone Number</td>
<td> </td>
<td colspan="2">
<label for="phoneNo"></label>
<input type="hidden" name="phoneNo" value="<?php echo $gsm;?>" />
<input type="text" class="form-control" name="phoneNo" id="phoneNo" value="<?php echo $gsm;?>" maxlength="11"/>
</td>
</tr>
<tr>
<td>Date of Birth</td>
<td> </td>
<td colspan="2">
<input type="date" class="form-control" name="dob" id="dob" />
</td>
</tr>
<tr>
<td> </td>
<td> </td>
<!--<td colspan="2" align="right"><input type="button" name="button3" id="button3" value="Next>>>" class="btn-primary btn-lg" /></td>-->
</tr>
</table>
</table>
</div>
<div class="TabbedPanelsContent">
<table width="90%" align="center" cellpadding="3" cellspacing="5">
<tr>
<td>
<table width="100%" cellspacing="5" cellpadding="3">
<tr>
<td>Parent/Guardian's Name</td>
<td> </td>
<td><input type="text" class="form-control" name="gName" id="name1" required="required" /></td>
</tr>
<tr>
<td>Parent/Guardian's Address</td>
<td> </td>
<td><label for="address1"></label>
<textarea name="gAddress" class="form-control" id="gAddress" cols="25" rows="3"></textarea></td>
</tr>
<tr>
<td>Parent/Guardians' Phone Number</td>
<td> </td>
<td>
<label for="gsm1"></label>
<input type="tel" name="gGsm" id="gsm1" class="form-control " maxlength="11"/>
</td>
</tr>
<tr>
<td>Relationship</td>
<td> </td>
<td>
<select name="gRel" id="ndResult" class="form-control">
<option>Parent</option>
<option>Aunty</option>
<option>Spouse</option>
<option>Brother</option>
<option>Sister</option>
</select>
</td>
</tr>
<tr>
<td>Next of Kin's Name</td>
<td> </td>
<td><input type="text" class="form-control" name="nName" id="name2" required="required" /></td>
</tr>
<tr>
<td>Next of Kin's Address</td>
<td> </td>
<td><textarea name="nAddress" class="form-control" id="address2" cols="25" rows="3"></textarea></td>
</tr>
<tr>
<td>Next of Kin's Phone Number</td>
<td> </td>
<td>
<input type="text" class="form-control" name="nGsm" id="gsm2" maxlength="11" />
</td>
</tr>
<tr>
<td>Relationship</td>
<td> </td>
<td>
<select name="nRel" id="ndResult" class="form-control">
<option>Parent</option>
<option>Aunty</option>
<option>Spouse</option>
<option>Brother</option>
<option>Sister</option>
</select>
</td>
</tr>
<tr>
<td> </td>
<td> </td>
<!-- <td colspan="2" align="right"><input type="submit" class="btn-lg btn-primary" name="button" id="button" value="Next>>>" /></td>-->
</tr>
</table>
</td>
</tr>
</table>
</div>
<div class="TabbedPanelsContent">
<table width="90%" align="center" cellpadding="3" cellspacing="5">
<tr>
<td><table width="100%" cellspacing="5" cellpadding="3">
<tr>
<td>Secondary School Name</td>
<td> </td>
<td><input class="form-control" type="text" name="sname" id="sname" required="required" /></td>
</tr>
<tr>
<td>Year Started</td>
<td> </td>
<td><label for="select41"></label>
<select class="form-control" name="sfrom" id="sfrom">
<?php
for ($i=2000;$i<=2016;++$i){ echo '<option>'.$i.'</option>';}?>
</select></td>
</tr>
<tr>
<td>Year of Graduation</td>
<td> </td>
<td><label for="select42"></label>
<select name="sto" id="sto" class="form-control">
<?php
for ($i=2000;$i<=2016;++$i){ echo '<option>'.$i.'</option>';}?>
</select></td>
</tr>
<tr>
<td> </td>
<!-- <td colspan="2" align="right"><input type="submit" class="btn-lg btn-primary" name="button" id="button" value="Next>>>" /></td>-->
</tr>
</table></td>
</tr>
</table>
</div>
<div class="TabbedPanelsContent" id="tab3">
<table width="100%" cellspacing="5" cellpadding="3">
<tr><td style="color: #FF0000" colspan="6"><strong>Note: You are required to enter ONLY required five subjects</strong></td></tr><tr>
<td>Exam Type</td>
<td><select name="eType1" id="select37" class="form-control">
<option>WAEC</option>
<option>NECO</option>
<option>NABTEB</option>
<option selected="selected">Select Type</option>
</select></td>
<td><label for="select37"></label></td>
<td>Exam Type</td>
<td><select name="eType2" class="form-control" id="select38">
<option>WAEC</option>
<option>NECO</option>
<option>NABTEB</option>
<option selected="selected">Select Type</option>
</select></td>
</tr>
<tr>
<td>Exam Date</td>
<td><input type="date" class="form-control" name="eYear1" required="required"></td>
<td> </td>
<td>Exam Date</td>
<td><input type="date" class="form-control" name="eYear2"></td>
</tr>
<tr>
<td>Exam Number</td>
<td><label for="textfield"></label>
<input type="text" name="examNo1" class="form-control" id="textfield" required="required" /></td>
<td> </td>
<td>Exam Number</td>
<td><input type="text" name="examNo2" id="textfield2" class="form-control" /></td>
</tr>
<tr>
<td colspan="2" valign="top">
<table width="100%" cellspacing="5" cellpadding="3">
<?php
for($aspoa=1;$aspoa<=9;++$aspoa){
echo '<td>'.$aspoa.'</td>';
?>
<td><label for="select19"></label>
<select class="form-control"name="<?php echo 'sub1['.$aspoa.']'; ?>" id="select19">
<option selected="selected" value="0">Select Subject</option>
<?php
// require_once('../connect.php');
$sql="select * from olevelcourses";
$result_c=$db->query($sql);
echo $num=$result_c->rowCount();
//$i=0;
while ($row = $result_c->fetch(PDO::FETCH_BOTH)){
//while($i<$num){
?>
<option>
<?php echo $row['subject'];?>
</option>
<?php
//$i++;
}
?>
</select></td>
<td><label for="select"></label>
<select name="<?php echo 'res1['.$aspoa.']'; ?>" id="select" class="form-control">
<option value="A1">A1</option>
<option value="B2">B2</option>
<option value="B3">B3</option>
<option value="C4">C4</option>
<option value="C5">C5</option>
<option value="C6">C6</option>
<option value="D7">D7</option>
<option value="E8">E8</option>
<option value="F9">F9</option>
<option value="AR">AR</option>
<option value="0" selected="selected"> select </option>
</select></td>
</tr>
<?php
}
if ($formType =='ND Screening'){
echo '<tr><td colspan="3">
<input type="hidden" name="MAX_FILE_SIZEPix" value="1000000" />
<input type="hidden" name="olevelPix" id="username1Pix" />
<input name="olevelPix1" type="file" id="user_file1Pix" />
<br />
<div class="alert-danger"> *O\'level must be JPEG format and not more than 150KB. </div></label></td>
</td></tr>';
}
?>
</table></td>
<td bgcolor="#FFFFFF"> </td>
<td colspan="2" valign="top">
<table width="100%" cellspacing="5" cellpadding="3">
<tr>
<td colspan="2" valign="top"><table width="100%" cellspacing="5" cellpadding="3">
<?php
for($aspoa=1;$aspoa<=9;++$aspoa){
echo '<td>'.$aspoa.'</td>';
?>
<td><label for="select19"></label>
<select class="form-control"name="<?php echo 'sub2['.$aspoa.']'; ?>" id="select19">
<option selected="selected" value="0">Select Subject</option>
<?php
$sql="select * from olevelcourses";
$result_c=$db->query($sql);
echo $num=$result_c->rowCount();
//$i=0;
while ($row = $result_c->fetch(PDO::FETCH_BOTH)){
//while($i<$num){
?>
<option>
<?php echo $row['subject'];?>
</option>
<?php
//$i++;
}
?>
</select></td>
<td><label for="select"></label>
<select name="<?php echo 'res2['.$aspoa.']'; ?>" id="select" class="form-control">
<option value="A1">A1</option>
<option value="B2">B2</option>
<option value="B3">B3</option>
<option value="C4">C4</option>
<option value="C5">C5</option>
<option value="C6">C6</option>
<option value="D7">D7</option>
<option value="E8">E8</option>
<option value="F9">F9</option>
<option value="AR">AR</option>
<option value="0" selected="selected"> select </option>
</select></td>
</tr>
<?php
}
if ($formType =='ND Screening'){
echo '<tr><td colspan="3">
<input type="hidden" name="MAX_FILE_SIZEPix2" value="1000000" />
<input type="hidden" name="olevelPix2" id="username2Pix" />
<input name="olevelPix2" type="file" id="user_file1Pix2" />
<br />
<div class="alert-danger"> *O\'level must be JPEG format and not more than 150KB.</div> </label></td>
</td></tr>';
}
?>
<tr>
<td> </td>
<td> </td>
<td><input type="submit" name="button2" id="button2" class="btn-primary btn-lg" value="Submit" /></td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</div></div>
</fieldset>
</form>
</div>
</div>
</div>
</div>
</div>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
<script type="text/javascript">
var TabbedPanels1 = new Spry.Widget.TabbedPanels("TabbedPanels1");
</script>
<!-- InstanceEndEditable -->
</body>
<!-- jQuery -->
<script src="../bower_components/jquery/dist/jquery.min.js"></script>
<!-- Bootstrap Core JavaScript -->
<script src="../bower_components/bootstrap/dist/js/bootstrap.min.js"></script>
<!-- Metis Menu Plugin JavaScript -->
<script src="../bower_components/metisMenu/dist/metisMenu.min.js"></script>
<!-- Custom Theme JavaScript -->
<script src="../dist/js/sb-admin-2.js"></script>
<!-- InstanceEnd --></html>