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student_form.html
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student_form.html
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<!DOCTYPE html>
<html>
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>GCE Salem</title>
<link
href="https://cdn.jsdelivr.net/npm/bootstrap@5.0.0-beta3/dist/css/bootstrap.min.css"
rel="stylesheet"
integrity="sha384-eOJMYsd53ii+scO/bJGFsiCZc+5NDVN2yr8+0RDqr0Ql0h+rP48ckxlpbzKgwra6"
crossorigin="anonymous"
/>
<link rel="stylesheet" href="index.css">
</head>
<body>
<script src="/__/firebase/8.3.0/firebase-app.js"></script>
<script src="/__/firebase/8.3.0/firebase-auth.js"></script>
<script src="/__/firebase/8.3.0/firebase-firestore.js"></script>
<script src="/__/firebase/init.js"></script>
<script src="pushtols.js"></script>
<div id="top" class="fixed-top">
<div>
<img id="logo" src="gceLogo.jpeg"/>
</div>
<div id="nameDesk">Government College of Engineering, Salem</div>
</div>
<br><br><br><br><br>
<div class="container bg-light rounded" style="padding:2vw" id="stdreg">
<h2 class="text-center">Student Registration</h2>
<form action="student_confirm.html" onsubmit="pushData()">
<table class="container" id="table">
<tr><td><h6>Father's Name:</h6></td><td><input id="fatherName" class="form-control" type="text" required></td></tr>
<tr><td><h6>Mother's Name:</h6></td><td><input id="motherName" class="form-control" type="text" required></td></tr>
<tr><td><h6>Date of birth:</h6></td><td><input id="dob" type="date" class="form-control" required></td></tr>
<tr><td><h6>Age:</h6></td><td><input id="age" class="form-control" type="number" required></td></tr>
<tr>
<td><h6>Gender:</h6></td>
<td>
<select class="form-control" id="gender">
<option value="Male">Male</option>
<option value="Female">Female</option>
<option value="Other">Prefer not to say</option>
</select>
</td>
</tr>
<tr>
<td><h6>Religion:</h6></td>
<td>
<select class="form-control" id="religion">
<option value="Hindu">Hindu</option>
<option value="Muslim">Muslim</option>
<option value="Christian">Christian</option>
</select>
</td>
</tr>
<tr>
<td><h6>Catgory:</h6></td>
<td>
<select class="form-control" id="category">
<option value="General">General</option>
<option value="BC">BC</option>
<option value="BCM">BCM</option>
<option value="MBC">MBC</option>
<option value="SC/ST">SC/ST</option>
</select>
</td>
</tr>
<tr><td><h6>Mobile Number:</h6></td><td><input id="mobNo" type="tel" class="form-control" pattern="[0-9]{10}" required></td></tr>
<tr><td><h6>Address:</h6></td><td><input id="address" class="form-control" type="text" required></td></tr>
<tr><td><h6>District:</h6></td><td><input id="district" class="form-control" type="text" required></td></tr>
<tr><td><h6>State:</h6></td><td><input id="state" class="form-control" type="text" required></td></tr>
<tr><td><h6>Pin Code:</h6></td><td><input id="pinCode" class="form-control" type="tel" pattern="[0-9]{6}" required></td></tr>
</table>
<br>
<input class="form-control" style="background-color:lawngreen;" type="submit" value="Submit">
</form>
</div>
</body>
</html>