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Bootstrap 4.1.1 Snippet by manoharmohanta

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<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 ----------> <html> <head> <title>VHEG Overses Educational Fair Registration</title> <meta charset="utf-8"> <meta name="viewport" content="width=device-width, initial-scale=1"> <link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.4.0/css/bootstrap.min.css"> <script src="https://ajax.googleapis.com/ajax/libs/jquery/3.4.0/jquery.min.js"></script> <script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.4.0/js/bootstrap.min.js"></script> <script> $(document).ready(function(){ var date_input=$('input[name="date"]'); //our date input has the name "date" var container=$('.bootstrap-iso form').length>0 ? $('.bootstrap-iso form').parent() : "body"; date_input.datepicker({ format: 'mm/dd/yyyy', container: container, todayHighlight: true, autoclose: true, }) }) </script> <!-- Include jQuery --> <script type="text/javascript" src="https://code.jquery.com/jquery-1.11.3.min.js"></script> <!-- Include Date Range Picker --> <script type="text/javascript" src="https://cdnjs.cloudflare.com/ajax/libs/bootstrap-datepicker/1.4.1/js/bootstrap-datepicker.min.js"></script> <link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/bootstrap-datepicker/1.4.1/css/bootstrap-datepicker3.css"/> <style> body{ background-image: url(https://bit.ly/2KhEw1d); background-position-x: center; background-position-y: center; background-size: cover; background-repeat-x: no-repeat; background-repeat-y: no-repeat; background-attachment: fixed; background-origin: initial; background-clip: initial; background-color: initial; } .top-buffer-1 { margin-top:20px; } .top-buffer { margin-top:2px; } fieldset.scheduler-border { border: 1px groove #ddd !important; padding: 0 1.4em 1.4em 1.4em !important; margin: 0 0 1.5em 0 !important; -webkit-box-shadow: 0px 0px 0px 0px #000; box-shadow: 0px 0px 0px 0px #000; } legend.scheduler-border { font-size: 1.2em !important; font-weight: bold !important; text-align: left !important; width:auto; padding:0 1px; border-bottom:none; } .login-wrapper { width: 100%; height: 100%; position: absolute; display: table; z-index: 2; } .note { text-align: center; height: 80px; background: -webkit-linear-gradient(left, #0072ff, #8811c5); color: #fff; font-weight: bold; line-height: 80px; } .note p{ font-size:30px; } .form-content { padding: 5%; border: 1px solid #ced4da; margin-bottom: 2%; } .form-control{ border-radius:1.5rem; } .bk{ background-color: white; } @media print { body * { visibility: visible; } #section-to-print, #section-to-print * { visibility: hidden; } #section-to-print { position: absolute; left: 0; top: 0; } .col-sm-1, .col-sm-2, .col-sm-3, .col-sm-4, .col-sm-5, .col-sm-6, .col-sm-7, .col-sm-8, .col-sm-9, .col-sm-10, .col-sm-11, .col-sm-12 { float: left; } .col-sm-12 { width: 100%; } .col-sm-11 { width: 91.66666667%; } .col-sm-10 { width: 83.33333333%; } .col-sm-9 { width: 75%; } .col-sm-8 { width: 66.66666667%; } .col-sm-7 { width: 58.33333333%; } .col-sm-6 { width: 50%; } .col-sm-5 { width: 41.66666667%; } .col-sm-4 { width: 33.33333333%; } .col-sm-3 { width: 25%; } .col-sm-2 { width: 16.66666667%; } .col-sm-1 { width: 8.33333333%; } } </style> </head> <body> <div class="container register-form top-buffer-1"> <div class="form"> <div class="note"> <p>VHEG Fair Registration AUG'19</p> </div> <div class="form-content bk"> <form action="#" method="POST"> <fieldset class="scheduler-border"> <legend class="scheduler-border">Personal Information</legend> <div class="row"> <div class="col-SM-2"> <label for="title">Title</label> <input type="name" class="form-control" id="title" placeholder="Mr/Mrs/Miss" name="title"> </div> <div class="col-SM-5"> <label for="fname">First Name</label> <input type="name" class="form-control" id="fmane" placeholder="Manohar" name="fname"> </div> <div class="col-sm-5"> <label for="lname">Last Name</label> <input type="name" class="form-control" id="fmane" placeholder="Manohar" name="lname"> </div> </div> <div class="section-to-print" id="section-to-print"> <div class="row top-buffer"> <div class="col-sm-3"> <label for="email">Email ID</label> <input type="email" class="form-control" id="email" placeholder="xyz@xyz.com" name="email"> </div> <div class="col-sm-3"> <label for="dob">Date of Birth</label> <input name="date" class="form-control" id="dob" type="dob" /> </div> <div class="col-sm-2"> <label for="phone">Phone Number</label> <input name="phone" class="form-control" id="phone" type="phone" /> </div> <div class="col-sm-4"> <label for="phone">Gender / Sex</label></br> <div class="radio-inline"><label><input type="radio" name="sex" value="male" checked>Male</label></div> <div class="radio-inline"><label><input type="radio" name="sex" value="female">Female</label></div> <div class="radio-inline"><label><input type="radio" name="sex" value="transgender">Transgender</label></div> </div> </div> <div class="row top-buffer"> <!-- Address --> <div class="form-group col-sm-3"> <label for="inputAddress">Address</label> <input type="text" class="form-control" id="inputAddress" name="add1" placeholder="1234 Main St"> </div> <div class="form-group col-sm-3"> <label for="inputAddress2">Address 2</label> <input type="text" class="form-control" id="inputAddress2" name="add2" placeholder="Apartment, studio, or floor"> </div> <div class="form-row"> <div class="form-group col-sm-2"> <label for="inputCity">City</label> <input type="text" class="form-control" name="city" id="inputCity"> </div> <div class="form-group col-sm-2"> <label for="inputState">State</label> <select id="inputState" class="form-control"> <option selected>Choose...</option> <option>...</option> </select> </div> <div class="form-group col-md-2"> <label for="inputZip">Zip</label> <input type="text" class="form-control" name="zip" id="inputZip"> </div> </div> <!-- Address --> </div> </div> </fieldset> <!-- Educational Qualification --> <fieldset class="scheduler-border"> <legend class="scheduler-border">Educational Qualification</legend> <div class="row"> <div class="col-sm-4"> <label for="cname">Collage Name</label> <input type="name" class="form-control" id="title" placeholder="KITS" name="cname"> </div> <div class="col-sm-4"> <label for="uname">University Name</label> <input type="name" class="form-control" id="fmane" placeholder="JNTUH" name="uname"> </div> <div class="col-sm-4"> <label for="place">Place</label> <input type="name" class="form-control" id="fmane" placeholder="Manohar" name="place"> </div> </div> <div class="row top-buffer"> <div class="col-sm-2"> <label for="percentage">Percentage %</label> <input type="number" class="form-control" id="email" placeholder="xyz@xyz.com" name="percentage"> </div> <div class="col-sm-2"> <label for="backlogs">Backlogs</label> <input name="number" class="form-control" id="dob" type="backlogs" /> </div> <div class="col-sm-2"> <label for="phone">Specialization</label> <select class="form-control" id="sel1"> <option>1</option> <option>2</option> <option>3</option> <option>4</option> </select> </div> <div class="col-sm-2"> <label for="phone">Majors / Subjects</label> <select class="form-control" id="sel1"> <option>1</option> <option>2</option> <option>3</option> <option>4</option> </select> </div> <div class="col-sm-2"> <label for="yop">Year of Passing</label> <input name="number" class="form-control" id="dob" type="yop" /> </div> <div class="col-sm-2"> <label for="phone">Any Work Exp?</label></br> <div class="radio-inline"><label><input type="radio" name="work" value="yes" >Yes</label></div> <div class="radio-inline"><label><input type="radio" name="work" value="no" checked>No</label></div> </div> </div> </fieldset> <!--Educational Qualification --> <!-- Study Abroad Plans --> <fieldset class="scheduler-border"> <legend class="scheduler-border">Study Abroad Plans</legend> <div class="row"> <div class="col-sm-8"> <label for="cname">Country Intrested For</label> <label class="checkbox-inline"><input type="checkbox" name="country[]" value="Australia">Australia</label> <label class="checkbox-inline"><input type="checkbox" name="country[]" value="Canada">Canada</label> <label class="checkbox-inline"><input type="checkbox" name="country[]" value="UK">UK</label> <label class="checkbox-inline"><input type="checkbox" name="country[]" value="USA">USA</label> <label class="checkbox-inline"><input type="checkbox" name="country[]" value="NZ">NZ</label> <label class="checkbox-inline"><input type="checkbox" name="country[]" value="Italy">Italy</label> <label class="checkbox-inline"><input type="checkbox" name="country[]" value="Germany">Germany</label> <input type="checkbox" name="country[]" id="propertytype-8" value="others"> <input id="propertytype_other" name="country[]" type="text" value="" placeholder="other Seperate with coma (,)" class="form-control"> </div> <div class="col-sm-4"> <label for="location">Location</label> <input type="name" class="form-control" id="fmane" placeholder="Sydney" name="location"> </div> </div> </fieldset> <!-- Study Abroad Plans --> <!-- Test Prep --> <fieldset class="scheduler-border"> <legend class="scheduler-border">Test Prep</legend> <div class="row"> <div class="col-sm-2"> <label for="location">Have you taken any Test Prep?</label> <div class="radio-inline"><label><input type="radio" name="testprep" value="yes" >Yes</label></div> <div class="radio-inline"><label><input type="radio" name="testprep" value="no" checked>No</label></div> </div> <div class="col-sm-6"> <label for="cname">Name of Test Prep</label> <label class="checkbox-inline"><input type="checkbox" name="tname[]" value="IELTS">IELTS</label> <label class="checkbox-inline"><input type="checkbox" name="tname[]" value="PTE">PTE</label> <label class="checkbox-inline"><input type="checkbox" name="tname[]" value="UK">GRE</label> <label class="checkbox-inline"><input type="checkbox" name="tname[]" value="USA">GMAT</label> <label class="checkbox-inline"><input type="checkbox" name="tname[]" value="NZ">TOEFL</label> <input type="checkbox" name="tname[]" id="propertytype-8" value="others"> Others <input id="propertytype_other" name="tname[]" type="text" value="" placeholder="other Seperate with coma (,)" class="form-control"> </div> <div class="col-sm-4"> <label for="location">Overall Marks</label> <input type="number" class="form-control" id="fmane" placeholder="Sydney" name="marks"> </div> </div> </fieldset> <!-- Study Abroad Plans --> <button type="submit" class="btn btn-success" value="submit">Submit </button> <button onclick="window.print();return false;" class="btn btn-primary">Print </button> </form> </div> </div> </div> </body> </html>

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