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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<meta name="description" content="">
<meta name="author" content="">
<title>2022/2023 Application Form | Federal Polytechnic Ede</title>
<!-- 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 -->
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<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>
$(document).ready(function() {
var loginStatus=document.getElementById("loginStatus").value;
//alert("Enter Correct Detailaas");
if(loginStatus==1){
alert("Invalid Login Details");
}
$("#ooo").click(function(){
alert("Enter Correct Details"+loginStatus);
})
});
</script>
<script type="text/javascript" language="javascript" src="../js/jquery-1.7.1.js"></script>
<script type="text/javascript" language="javascript" src="../js/scriptDept.js"></script>
</head>
<body background="../images/logo2fade.png" style="overflow: scroll; background-attachment: fixed ">
<div id="wrapper" >
<!-- Navigation -->
<nav class="navbar navbar-default navbar-static-top " role="navigation" style="margin-bottom: 0">
<div class="navbar-header col-lg-8 col-lg-offset-1">
<button type="button" class="navbar-toggle" data-toggle="collapse" data-target=".navbar-collapse">
<span class="sr-only " >Toggle navigation</span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
</button>
<a class="navbar-brand col-lg-10 col-lg-offset-1" href="../index.php" style="background-attachment: fixed"><img src="../images/logo3.png" ></a>
</div>
</nav>
</div>
<div class="container">
<div class="row">
<div class="col-lg-6" style="background-color: #000066">
<div class="login-panel panel panel-default">
<div class="panel-heading">
<h1 class="panel-title"><h2>Application Form for 2022/2023</h2></h1> <div align="right"><a href="login.php"> Existing User</a></div>
</div>
<?php
// a=0 if the whole form is closing
$a=1;
if ($a==1){
?>
<div class="panel-body">
<form role="form" action="createAccount_process.php"
method="post">
<fieldset>
<div class="form-group">
<table width="100%">
<tr>
<td>
<?php
if (isset($_GET['id'])) {
if ($_GET['id'] == 1) {
echo '<td colspan="3" class="alert alert-danger" align="center" ><button type="button" class="close" data-dismiss="alert" aria-hidden="true">×</button>Password MisMatch';
}
if ($_GET['id'] == 2) {
echo '<td colspan="3" class="alert alert-success" align="center" ><button type="button" class="close" data-dismiss="alert" aria-hidden="true">×</button>Record Created Successfully, <a href="login.php"> Click Here to LogIn</a>';
}
if ($_GET['id'] == 3) {
echo '<td colspan="3" class="alert alert-danger" align="center" ><button type="button" class="close" data-dismiss="alert" aria-hidden="true">×</button>Enter Valid Phone Number</a>';
}
if ($_GET['id'] == 4) {
echo '<td colspan="3" class="alert alert-danger" align="center" ><button type="button" class="close" data-dismiss="alert" aria-hidden="true">×</button>Select Course of Study</a>';
}
if ($_GET['id'] == 5) {
echo '<td colspan="3" class="alert alert-danger" align="center" ><button type="button" class="close" data-dismiss="alert" aria-hidden="true">×</button>Record Already Created</a>';
}
}
?>
</td>
</tr>
</table>
</div>
<?php
// echo "<h2 style='color: red'>Admission Forms have Closed</h2>";
?>
<div class="form-group">
<input class="form-control"
placeholder="Surname" name="surName"
type="text" autofocus required>
</div>
<input name="" type="hidden" value="7" id="num">
<div class="form-group">
<input class="form-control"
placeholder="Other Names"
name="otherNames" type="text" value=""
required>
</div>
<div class="form-group">
<input class="form-control"
placeholder="Password" name="pass1"
type="password" value="" required>
</div>
<div class="form-group">
<input class="form-control"
placeholder="Confirm Password"
name="pass2" type="password" value=""
required>
</div>
<div class="form-group">
<input class="form-control" maxlength="11"
placeholder="Phone Number"
name="phoneNumber" type="tel" value=""
required>
</div>
<div class="form-group">
<input class="form-control" placeholder="e-Mail"
name="eMail" type="email" value=""
required>
</div>
<div class="form-group" id="formTypea">
<select class="form-control" name="formTypea"
id="formType" required="required">
<option value="Null" selected="selected">Select Form Type</option>
<!-- <option value="utmeForm" style="display: ">National Diploma (FT) Screening Form</option>-->
<!-- <option value="dptForm" style="">National Diploma (Daily Part Time) Form</option>-->
<!-- <option value="ptForm" style="">National Diploma (Regular Part Time) Form</option>-->
<!-- <option value="preForm">Pre National Diploma Form </option>-->
<!-- <option value="hndForm" style="">Higher National Diploma (Full Time) Form </option>-->
<!--<!-- <option value="certForm" style="display: none">Certificate Course (Diploma) Form </option>-->-->
<!--<!-- <option value="remForm" style="display: none">Months Intense Preparation (Remedial)</option>-->-->
<!--<!-- <option value="remForm">Remedial Programme</option>-->-->
<!-- </select>-->
<!-- <select class="form-control" name="formTypea"-->
<!-- id="formType" required="required">-->
<!-- --><?php
require_once('../connect.php');
$db=db_connect();
$qtyInst="select * from form_tb where status=1";
$qtyInst=$db->query($qtyInst);
// echo '<option value="ptForm" style="">National Diploma (Regular Part Time) Form</option>';
while ($row=$qtyInst->fetch(PDO::FETCH_NUM)){
// echo '<option>'.$row[2].'</option>';
echo '<option value="'.$row[1].'" style="">'.$row[2].'</option>';
// echo '<option value="ptForm" style="">National Diploma (Regular Part Time) Form</option>';
}
?>
</select>
</div>
<div id="dept"></div>
<div id="inst_name"></div>
<!-- Change this to a button or input when using this as a form -->
<!-- <a href="index.html" class="btn btn-lg btn-success btn-block">Login</a>-->
<br>
<div class=""><input type="submit"
class="btn btn-primary btn-block btn-lg "
value="Create Account">
</div>
<input type="hidden" name="hiddenField"
id="loginStatus" value="<?php
if (isset($_GET['id'])) {
echo $_GET['id'];
} else {
echo '0';
}
?>">
</fieldset>
</form>
</div>
</div>
<?php
}
?>
</div>
<p></p>
<div class="col-md-6 " style="background-color: #000066">
<div class="login-panel panel panel-default">
<div class="panel-heading">
<h1 class="panel-title" style="color: red; font-size: 20px">Notice! Notice!! Notice!!!</h1>
<div class="panel-body">
<h3>Kindly be advised that Candidates who applied for Daily Part-Time (DPT) and Regular Part-Time (RPT) are expected to register on CAPS (JAMB Site) for Part Time 2022/2023 in order to acquire JAMB Registration Number, which will be required to Process the Admission.</h3>
</div>
<div class="panel-body">
<h3 style="color: blue">Information</h3>
<h4 style="background-color: blanchedalmond"><ul>
<li> Filling of appropriate information should be done by candidate him/herself to ensure proper arrangements of names, address, Examination grade, Industrial training (I.T) date, JAMB Registration number and other relevant information.</li>
<li>Applicants are advised to provide correct and functional E-mail and Telephone number while filling the forms online.</li>
<li>Applicants for HND must possess National Diploma (ND) In the same discipline with a minimum of a Lower Credit obtained from NBTE Accredited Programmes/Institutions plus a minimum of ONE YEAR POST National Diploma Industrial Attachment/Work Experience in the field of specialization. However, in exceptional cases, candidate with ordinary Pass Grade in the National Diploma with minimum of two (2) Years Post National Diploma Industrial Attachment/Work Experience may be considered.</li>
<li>Federal Polytechnic Ede will not be liable for any wrong information submitted by the applicants.</li>
<li>There will not be room for change of course after the payment of acceptance fee.</li>
<li>Dates of Qualifying Examinations will be announced later.</li>
</ul>
</h4>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<!-- 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>
</body>
</html>