<link href="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/js/bootstrap.min.js"></script> <script src="//cdnjs.cloudflare.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script> <!------ Include the above in your HEAD tag ----------> <section> <div class="container"> <br /> <div class="row justify-content-center"> <h4 class="text-center"><b>APPLICATION FORM FOR AFFILATION</b></h4> </div> <form action=""> <div class="col-md-12"> <h5><b>Institute Location :</b></h5> <h6>Study Centre Applied For</h6> <div class="form-group row"> <label for="sel1" class="col-md-2 col-form-label text-md-left">Select State:</label> <div class="col-md-4"> <select name="state" id="state" class="form-control"> <option value="">Select State</option> <option value="3">Andaman and Nicobar Islands</option> <option value="4">Andhra Pradesh</option> <option value="5">Arunachal Pradesh</option> <option value="6">Assam</option> <option value="7">Bihar</option> <option value="8">Chandigarh</option> <option value="9">Chhattisgarh</option> <option value="10">Dadra and Nagar Haveli</option> <option value="11">Daman and Diu</option> <option value="12">Delhi</option> <option value="13">Goa</option> <option value="14">Gujrat</option> <option value="15">Haryana</option> <option value="16">Himachal Pradesh</option> <option value="17">Jammu and Kashmir</option> <option value="18">Jharkhand</option> <option value="19">Karnataka</option> <option value="20">Kerala</option> <option value="21">Lakshadweep</option> <option value="22">Madhya Pradesh</option> <option value="23">Maharashtra</option> <option value="24">Manipur</option> <option value="25">Meghalaya</option> <option value="26">Mizoram</option> <option value="27">Nagaland</option> <option value="28">Odisha</option> <option value="29">Puducherry</option> <option value="30">Punjab</option> <option value="31">Rajasthan</option> <option value="32">Sikkim</option> <option value="33">Tamil Nadu</option> <option value="34">Telangana</option> <option value="2">Tripura</option> <option value="35">Uttar Pradesh</option> <option value="36">Uttarakhand</option> <option value="1">West Bengal</option> </select> </div> </div> <div class="form-group row"> <label for="sel1" class="col-md-2 col-form-label text-md-left">Select District:</label> <div class="col-md-4"> <select class="form-control" id="sel1"> <option>1</option> <option>2</option> <option>3</option> <option>4</option> </select> </div> </div> <div class="form-group row"> <label for="sel1" class="col-md-2 col-form-label text-md-left">City / Town / Village :</label> <div class="col-md-4"> <input type="text" class="form-control" id="usr"> </div> </div> </div> <br /> <div class="col-md-12"> <h5><b>Institute Information :</b></h5> <div class="form-row"> <div class="col-md-4"> <label for="sel1">Name of the Institute:</label> <input type="text" class="form-control" id="usr"> </div> <div class="col-md-4"> <label for="sel1">Year of Establishment:</label> <select name="ins_yr_establish" id="ins_yr_establish" required class="form-control"> <option value="">Select Year of Establishment</option> <option value="1920">1920</option> <option value="1921">1921</option> <option value="1922">1922</option> <option value="1923">1923</option> <option value="1924">1924</option> <option value="1925">1925</option> <option value="1926">1926</option> <option value="1927">1927</option> <option value="1928">1928</option> <option value="1929">1929</option> <option value="1930">1930</option> <option value="1931">1931</option> <option value="1932">1932</option> <option value="1933">1933</option> <option value="1934">1934</option> <option value="1935">1935</option> <option value="1936">1936</option> <option value="1937">1937</option> <option value="1938">1938</option> <option value="1939">1939</option> <option value="1940">1940</option> <option value="1941">1941</option> <option value="1942">1942</option> <option value="1943">1943</option> <option value="1944">1944</option> <option value="1945">1945</option> <option value="1946">1946</option> <option value="1947">1947</option> <option value="1948">1948</option> <option value="1949">1949</option> <option value="1950">1950</option> <option value="1951">1951</option> <option value="1952">1952</option> <option value="1953">1953</option> <option value="1954">1954</option> <option value="1955">1955</option> <option value="1956">1956</option> <option value="1957">1957</option> <option value="1958">1958</option> <option value="1959">1959</option> <option value="1960">1960</option> <option value="1961">1961</option> <option value="1962">1962</option> <option value="1963">1963</option> <option value="1964">1964</option> <option value="1965">1965</option> <option value="1966">1966</option> <option value="1967">1967</option> <option value="1968">1968</option> <option value="1969">1969</option> <option value="1970">1970</option> <option value="1971">1971</option> <option value="1972">1972</option> <option value="1973">1973</option> <option value="1974">1974</option> <option value="1975">1975</option> <option value="1976">1976</option> <option value="1977">1977</option> <option value="1978">1978</option> <option value="1979">1979</option> <option value="1980">1980</option> <option value="1981">1981</option> <option value="1982">1982</option> <option value="1983">1983</option> <option value="1984">1984</option> <option value="1985">1985</option> <option value="1986">1986</option> <option value="1987">1987</option> <option value="1988">1988</option> <option value="1989">1989</option> <option value="1990">1990</option> <option value="1991">1991</option> <option value="1992">1992</option> <option value="1993">1993</option> <option value="1994">1994</option> <option value="1995">1995</option> <option value="1996">1996</option> <option value="1997">1997</option> <option value="1998">1998</option> <option value="1999">1999</option> <option value="2000">2000</option> <option value="2001">2001</option> <option value="2002">2002</option> <option value="2003">2003</option> <option value="2004">2004</option> <option value="2005">2005</option> <option value="2006">2006</option> <option value="2007">2007</option> <option value="2008">2008</option> <option value="2009">2009</option> <option value="2010">2010</option> <option value="2011">2011</option> <option value="2012">2012</option> <option value="2013">2013</option> <option value="2014">2014</option> <option value="2015">2015</option> <option value="2016">2016</option> <option value="2017">2017</option> <option value="2018">2018</option> <option value="2019">2019</option> <option value="2020">2020</option> </select> </div> <div class="col-md-4"> <label for="sel1">Status of The Institution:</label> <select name="ins_status" id="ins_status" class="form-control" required> <option value="Trust">Trust</option> <option value="Regd. Society">Regd. Society</option> <option value="Partnership Firm">Partnership Firm</option> <option value="Proprietorship Firm">Proprietorship Firm</option> <option value="Pvt. Ltd.">Pvt. Ltd.</option> <option value="Others">Others</option> </select> </div> </div> <br /> <div class="form-row"> <div class="col-md-4"> <label for="sel1">P.O.</label> <input type="text" class="form-control" id="usr"> </div> <div class="col-md-4"> <label for="sel1">P.S</label> <input type="text" class="form-control" id="usr"> </div> <div class="col-md-4"> <label for="sel1">Pin</label> <input type="text" class="form-control" id="usr"> </div> </div> <br /> <div class="form-row"> <div class="col-md-4"> <label for="sel1">Postal Address of the Institute </label> <textarea class="form-control" name="" id="" cols="15" rows="2"></textarea> </div> </div> <br /> <h6><b>Institute Contact No.</b></h6> <div class="form-row"> <div class="col-md-4"> <label for="sel1">Business Phone No:</label> <input type="text" class="form-control" id="usr"> </div> <div class="col-md-4"> <label for="sel1">Whatsapp No</label> <input type="text" class="form-control" id="usr"> </div> <div class="col-md-4"> <label for="sel1">Email Address</label> <input type="email" class="form-control" id="usr"> </div> </div> <br /> <!--------------> <h5><b>Information About Centre Head :</b></h5> <div class="form-row"> <div class="col-md-4"> <label for="sel1">Name of the Centre Head :</label> <input type="text" class="form-control" id="usr"> </div> <div class="col-md-4"> <label for="sel1">Designing / Position Hold of the Centre </label> <input type="text" class="form-control" id="usr"> </div> <div class="col-md-4"> <label for="sel1">State</label> <select name="state" id="state" class="form-control"> <option value="">Select State</option> <option value="3">Andaman and Nicobar Islands</option> <option value="4">Andhra Pradesh</option> <option value="5">Arunachal Pradesh</option> <option value="6">Assam</option> <option value="7">Bihar</option> <option value="8">Chandigarh</option> <option value="9">Chhattisgarh</option> <option value="10">Dadra and Nagar Haveli</option> <option value="11">Daman and Diu</option> <option value="12">Delhi</option> <option value="13">Goa</option> <option value="14">Gujrat</option> <option value="15">Haryana</option> <option value="16">Himachal Pradesh</option> <option value="17">Jammu and Kashmir</option> <option value="18">Jharkhand</option> <option value="19">Karnataka</option> <option value="20">Kerala</option> <option value="21">Lakshadweep</option> <option value="22">Madhya Pradesh</option> <option value="23">Maharashtra</option> <option value="24">Manipur</option> <option value="25">Meghalaya</option> <option value="26">Mizoram</option> <option value="27">Nagaland</option> <option value="28">Odisha</option> <option value="29">Puducherry</option> <option value="30">Punjab</option> <option value="31">Rajasthan</option> <option value="32">Sikkim</option> <option value="33">Tamil Nadu</option> <option value="34">Telangana</option> <option value="2">Tripura</option> <option value="35">Uttar Pradesh</option> <option value="36">Uttarakhand</option> <option value="1">West Bengal</option> </select> </div> </div> <br /> <div class="form-row"> <div class="col-md-4"> <label for="sel1">District:</label> <input type="text" class="form-control" id="usr"> </div> <div class="col-md-4"> <label for="sel1">P.O.</label> <input type="text" class="form-control" id="usr"> </div> <div class="col-md-4"> <label for="sel1">P.S.</label> <input type="text" class="form-control" id="usr"> </div> </div> <br /> <div class="form-row"> <div class="col-md-4"> <label for="sel1">Postal Address of the Centre Head :</label> <textarea class="form-control" name="" id="" cols="20" rows="1"></textarea> </div> <div class="col-md-4"> <label for="sel1">Pin</label> <input type="text" class="form-control" id="usr"> </div> <div class="col-md-4"> <label for="sel1">Nearest Railway Statio</label> <input type="text" class="form-control" id="usr"> </div> </div> <br /> <div class="form-row"> <div class="col-md-4"> <label for="sel1">Mobile:</label> <input type="text" class="form-control" id="usr"> </div> <div class="col-md-4"> <label for="sel1">Email Address of the Centre Head</label> <input type="email" class="form-control" id="usr"> </div> <div class="col-md-4"> <label for="sel1">Date of Birth of the Centre Head </label> <input type="text" class="form-control" id="usr"> </div> </div> <br /> <div class="form-row"> <div class="col-md-4"> <label for="sel1">Nationality:</label> <select class="form-control" id="sel1"> <option value="">Choose Option</option> <option>Indian</option> </select> </div> <div class="col-md-4"> <label for="sel1">Religion</label> <select class="form-control" id="sel1"> <option value="">Choose Option</option> <option value="Hinduism">Hinduism</option> <option value="Islam">Islam</option> <option value="Christianism">Christianism</option> <option value="Others">Others</option> </select> </div> <div class="col-md-4"> <label for="sel1">Sex </label> <select class="form-control" id="sel1"> <option value="">Choose Option</option> <option value="Male">Male</option> <option value="Female">Female</option> <option value="Others">Others</option> </select> </div> </div> <br /> <div class="form-row"> <div class="col-md-4"> <label for="sel1">Marital Status :</label> <select class="form-control" id="sel1"> <option value="">Choose Option</option> <option value="Married">Married</option> <option value="Unmarried">Unmarried</option> </select> </div> <div class="col-md-4"> <label for="sel1">Educational Qualification of the Centre Head </label> <select class="form-control" id="sel1"> <option value="">Choose Option</option> <option value="Class VIII">Class VIII</option> <option value="Madhyamik">Madhyamik</option> <option value="H.S.">H.S.</option> <option value="Graduate">Graduate</option> <option value="Post Graduate">Post Graduate</option> <option value="Others">Others</option> </select> </div> <div class="col-md-4"> <label for="sel1">Professional Experience of the Centre Head </label> <select class="form-control" id="sel1"> <option value="0">0</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> </select> </div> </div> <br /> <div class="form-row"> <div class="col-md-4"> <label for="sel1">Centre Director OR Centre's Pan No:</label> <input type="text" class="form-control" id="usr"> </div> <div class="col-md-4"> <label for="sel1">Centre Director Aadhar No</label> <input type="text" class="form-control" id="usr"> </div> <div class="col-md-4"> <label for="sel1">GSTIN No.</label> <input type="text" class="form-control" id="usr"> </div> </div> </div> <br /> <div class="col-md-12"> <h6><b>Available Infrastructure Facility of the Centre :</b></h6> <div class="form-group row"> <label for="sel1" class="col-md-2 col-form-label text-md-left">Office Room:</label> <div class="col-md-4"> <select class="form-control" id="sel1"> <option value="">Select No Of Room</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> </select> </div> </div> <div class="form-group row"> <label for="sel1" class="col-md-2 col-form-label text-md-left">Theory Room:</label> <div class="col-md-4"> <select class="form-control" id="sel1"> <option value="">Select No Of Room</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> </select> </div> </div> <div class="form-group row"> <label for="sel1" class="col-md-2 col-form-label text-md-left">Practical Room:</label> <div class="col-md-4"> <select class="form-control" id="sel1"> <option value="">Select No Of Room</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> </select> </div> </div> <div class="form-group row"> <label for="sel1" class="col-md-2 col-form-label text-md-left">Staff Room:</label> <div class="col-md-4"> <select class="form-control" id="sel1"> <option value="">Select No Of Room</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> </select> </div> </div> <div class="form-group row"> <label for="sel1" class="col-md-2 col-form-label text-md-left">Library:</label> <div class="col-md-4"> <select class="form-control" id="sel1"> <option value="">Select No Of Room</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> </select> </div> </div> <div class="form-group row"> <label for="sel1" class="col-md-2 col-form-label text-md-left">Reception:</label> <div class="col-md-4"> <select class="form-control" id="sel1"> <option value="">Select No Of Room</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> </select> </div> </div> <div class="form-group row"> <label for="sel1" class="col-md-2 col-form-label text-md-left">Toilet:</label> <div class="col-md-4"> <select class="form-control" id="sel1"> <option value="">Select No Of Room</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> </select> </div> </div> <div class="form-group row"> <label for="sel1" class="col-md-2 col-form-label text-md-left">Waiting Room:</label> <div class="col-md-4"> <select class="form-control" id="sel1"> <option value="">Select No Of Room</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> </select> </div> </div> <div class="form-group row"> <label for="sel1" class="col-md-2 col-form-label text-md-left">Any Other:</label> <div class="col-md-4"> <select class="form-control" id="sel1"> <option value="">Select No Of Room</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> </select> </div> </div> </div> <br /> <div class="col-md-12"> <h5><b>Faculty Information of the Centre :</b></h5> <p>(As on date of proposal)</p> <div class="form-row"> <div class="col-md-3"> <label for="sel1">Name</label> </div> <div class="col-md-3"> <label for="sel1">Qualification</label> </div> <div class="col-md-3"> <label for="sel1">Teaching Experience</label> </div> <div class="col-md-3"> <label for="sel1">Status Full time / Part time </label> </div> </div> <div class="form-row"> <div class="col-md-3"> <input type="text" class="form-control" id="usr"> </div> <div class="col-md-3"> <select class="form-control" id="sel1"> <option value="">Qualification</option> <option value="Class VIII">Class VIII</option> <option value="Madhyamik">Madhyamik</option> <option value="H.S.">H.S.</option> <option value="Graduate">Graduate</option> <option value="Post Graduate">Post Graduate</option> <option value="Others">Others</option> </select> </div> <div class="col-md-3"> <select class="form-control" id="sel1"> <option value="">Select Teaching Experience</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> </select> </div> <div class="col-md-3"> <select class="form-control" id="sel1"> <option value="">Select Status</option> <option>Full Time</option> <option>Part Time</option> </select> </div> </div> <br /> <div class="form-row"> <div class="col-md-3"> <input type="text" class="form-control" id="usr"> </div> <div class="col-md-3"> <select class="form-control" id="sel1"> <option value="">Qualification</option> <option value="Class VIII">Class VIII</option> <option value="Madhyamik">Madhyamik</option> <option value="H.S.">H.S.</option> <option value="Graduate">Graduate</option> <option value="Post Graduate">Post Graduate</option> <option value="Others">Others</option> </select> </div> <div class="col-md-3"> <select class="form-control" id="sel1"> <option value="">Select Teaching Experience</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> </select> </div> <div class="col-md-3"> <select class="form-control" id="sel1"> <option value="">Select Status</option> <option>Full Time</option> <option>Part Time</option> </select> </div> </div> <br /> <div class="form-row"> <div class="col-md-3"> <input type="text" class="form-control" id="usr"> </div> <div class="col-md-3"> <select class="form-control" id="sel1"> <option value="">Qualification</option> <option value="Class VIII">Class VIII</option> <option value="Madhyamik">Madhyamik</option> <option value="H.S.">H.S.</option> <option value="Graduate">Graduate</option> <option value="Post Graduate">Post Graduate</option> <option value="Others">Others</option> </select> </div> <div class="col-md-3"> <select class="form-control" id="sel1"> <option value="">Select Teaching Experience</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> </select> </div> <div class="col-md-3"> <select class="form-control" id="sel1"> <option value="">Select Status</option> <option>Full Time</option> <option>Part Time</option> </select> </div> </div> <br /> <div class="form-row"> <div class="col-md-3"> <input type="text" class="form-control" id="usr"> </div> <div class="col-md-3"> <select class="form-control" id="sel1"> <option value="">Qualification</option> <option value="Class VIII">Class VIII</option> <option value="Madhyamik">Madhyamik</option> <option value="H.S.">H.S.</option> <option value="Graduate">Graduate</option> <option value="Post Graduate">Post Graduate</option> <option value="Others">Others</option> </select> </div> <div class="col-md-3"> <select class="form-control" id="sel1"> <option value="">Select Teaching Experience</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> </select> </div> <div class="col-md-3"> <select class="form-control" id="sel1"> <option value="">Select Status</option> <option>Full Time</option> <option>Part Time</option> </select> </div> </div> <br /> <div class="form-row"> <div class="col-md-3"> <input type="text" class="form-control" id="usr"> </div> <div class="col-md-3"> <select class="form-control" id="sel1"> <option value="">Qualification</option> <option value="Class VIII">Class VIII</option> <option value="Madhyamik">Madhyamik</option> <option value="H.S.">H.S.</option> <option value="Graduate">Graduate</option> <option value="Post Graduate">Post Graduate</option> <option value="Others">Others</option> </select> </div> <div class="col-md-3"> <select class="form-control" id="sel1"> <option value="">Select Teaching Experience</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> </select> </div> <div class="col-md-3"> <select class="form-control" id="sel1"> <option value="">Select Status</option> <option>Full Time</option> <option>Part Time</option> </select> </div> </div> <br /> <div class="form-row"> <div class="col-md-3"> <input type="text" class="form-control" id="usr"> </div> <div class="col-md-3"> <select class="form-control" id="sel1"> <option value="">Qualification</option> <option value="Class VIII">Class VIII</option> <option value="Madhyamik">Madhyamik</option> <option value="H.S.">H.S.</option> <option value="Graduate">Graduate</option> <option value="Post Graduate">Post Graduate</option> <option value="Others">Others</option> </select> </div> <div class="col-md-3"> <select class="form-control" id="sel1"> <option value="">Select Teaching Experience</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> </select> </div> <div class="col-md-3"> <select class="form-control" id="sel1"> <option value="">Select Status</option> <option>Full Time</option> <option>Part Time</option> </select> </div> </div> <br /> <div class="form-row"> <div class="col-md-3"> <input type="text" class="form-control" id="usr"> </div> <div class="col-md-3"> <select class="form-control" id="sel1"> <option value="">Qualification</option> <option value="Class VIII">Class VIII</option> <option value="Madhyamik">Madhyamik</option> <option value="H.S.">H.S.</option> <option value="Graduate">Graduate</option> <option value="Post Graduate">Post Graduate</option> <option value="Others">Others</option> </select> </div> <div class="col-md-3"> <select class="form-control" id="sel1"> <option value="">Select Teaching Experience</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> </select> </div> <div class="col-md-3"> <select class="form-control" id="sel1"> <option value="">Select Status</option> <option>Full Time</option> <option>Part Time</option> </select> </div> </div> <br /> <h5><b>Details of Available Facilities of the Centre :</b></h5> <div class="form-row"> <div class="col-md-4"> <label for="sel1">No. of Computer :</label> <select class="form-control" id="sel1"> <option value="">Choose Option</option> <option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option value="12">12</option><option value="13">13</option><option value="14">14</option><option value="15">15</option><option value="16">16</option><option value="17">17</option><option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option> </select> </div> <div class="col-md-4"> <label for="sel1">No. of Reference Books</label> <select class="form-control" id="sel1"> <option value="">Choose Option</option> <option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option value="12">12</option><option value="13">13</option><option value="14">14</option><option value="15">15</option><option value="16">16</option><option value="17">17</option><option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option> </select> </div> <div class="col-md-4"> <label for="sel1">Licensed Software</label> <select class="form-control" id="sel1"> <option value="">Choose Option</option> <option>Yes </option> <option>NO</option> <option>3</option> <option>4</option> </select> </div> </div> <br /> <div class="form-row"> <div class="col-md-4"> <label for="sel1">No. of Journal</label> <select class="form-control" id="sel1"> <option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option value="12">12</option><option value="13">13</option><option value="14">14</option><option value="15">15</option><option value="16">16</option><option value="17">17</option><option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option> </select> </div> <div class="col-md-4"> <label for="sel1">No. of CD's </label> <select class="form-control" id="sel1"> <option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option value="12">12</option><option value="13">13</option><option value="14">14</option><option value="15">15</option><option value="16">16</option><option value="17">17</option><option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option> </select> </div> <div class="col-md-4"> <label for="sel1">No. of Projector / LED</label> <select class="form-control" id="sel1"> <option value="">Choose Option</option> <option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option value="12">12</option><option value="13">13</option><option value="14">14</option><option value="15">15</option><option value="16">16</option><option value="17">17</option><option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option> </select> </div> </div> <br /> <div class="form-row"> <div class="col-md-4"> <label for="sel1">Internet Facility with Speed </label> <select class="form-control" id="sel1"> <option value="">Select Internet Facility</option> <option>Yes</option> <option>No</option> </select> </div> <div class="col-md-4"> <label for="sel1">Inverter / Generator Facility </label> <select class="form-control" id="sel1"> <option value="">Select Inverter / Generator Facility</option> <option>Yes</option> <option>No</option> </select> </div> <div class="col-md-4"> <label for="sel1">Drinking Water Facility</label> <select class="form-control" id="sel1"> <option value="">Select Drinking Water Facility</option> <option>Yes</option> <option>No</option> </select> </div> </div> <br /> <h5><b>Upload Documents :</b></h5> <h6><b>Colour Passport Size Photograph of The Head of The Institute</b></h6> <input type="file"> <br /> <h6><b>Voter Card of The Institute Head (Both Side in One Page)</b></h6> <input type="file"> <br /> <h6><b>Pan Card of The Institute Head </b></h6> <input type="file"> <br /> <h6><b>Trade License / Registration Certificate of The Institute </b></h6> <input type="file"> <br /> <h6><b>Colour Photograph of Theory Room </b></h6> <input type="file"> <br /> <h6><b>Colour Photograph of Practical Room </b></h6> <input type="file"> <br /> <h6><b>Colour Photograph of Office Room </b></h6> <input type="file"> <br /> <h6><b>Colour Photograph of Front Side of The Institute </b></h6> <input type="file"> <br /> </div> </form> <div class="row justify-content-center"> <button class="btn btn-lg btn-danger">Submit</button> </div> <br /><br /> </div> </section>