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<!doctype html>
<html lang="en">
<head>
<!-- Required meta tags -->
<meta http-equiv="content-type" content="text/html;charset=UTF-8" />
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">
<title><?php echo $secondStep->step_title; ?> :: <?php echo $this->session->userdata("branchData")["branch_short_name"]; ?> | Recruitment Portal</title>
<link rel="stylesheet" href="<?php echo base_url("assets/user/css/style-liberty.css"); ?>">
<link rel="image icon" href="<?php echo base_url("/assets/images/logo.png"); ?>">
<link href="<?php echo base_url("assets/css/jquery-ui.css"); ?>" rel="stylesheet">
<link href="https://fonts.googleapis.com/css?family=Nunito:300,400,600,700,800,900&display=swap" rel="stylesheet">
<script src="<?php echo base_url("assets/user/js/jquery-1.10.2.min.js"); ?>"></script>
<script src="<?php echo base_url("assets/user/js/bootstrap.min.js"); ?>"></script>
<script src="<?php echo base_url("assets/js/jquery-ui.js") ?>"></script>
</head>
<body class="sidebar-menu-collapsed">
<?php
$this->load->view("user/navAndHeader");
?>
<!-- main content start -->
<div class="main-content">
<!-- content -->
<div class="container-fluid content-top-gap">
<nav aria-label="breadcrumb">
<ol class="breadcrumb my-breadcrumb">
<li class="breadcrumb-item"><a href="<?php echo site_url("user/Dashboard") ?>">Home</a></li>
<li class="breadcrumb-item active" aria-current="page"><a href="<?php echo site_url("user") . "$secondStep->step_slug"; ?>"><?php echo $secondStep->step_title; ?></a></li>
</ol>
</nav>
<section class="forms">
<?php echo form_open_multipart(site_url("user/Application/savePersonalDetails"), ['name' => 'personalDetailFrm', 'id' => 'personalDetailFrm']); ?>
<div class="card card_border">
<div class="cards__heading">
<h3><i class="fa fa-check"></i><?php echo $secondStep->step_title; ?></h3>
</div>
<div class="card-body">
<?php if (validation_errors() != false) { ?>
<div class="alert alert-danger"> <strong><?php echo validation_errors(); ?></strong> </div>
<?php } ?>
<?php if ($this->session->flashdata('successMessage')) { ?>
<div class="alert alert-success"> <strong><?php echo $this->session->flashdata('successMessage'); ?> </strong> </div>
<?php } ?>
<?php if ($this->session->flashdata('errorMessage')) { ?>
<div class="alert alert-danger"> <strong><?php echo $this->session->flashdata('errorMessage'); ?></strong> </div>
<?php } ?>
<fieldset>
<div class="col-lg-12">
<div class="form-row ">
<div class="col-sm-3">
<label for="fullName" class="input__label required">Full Name</label>
<input <?php if($app_details->step6 =="T") echo "disabled='true'";?> type="text" class="form-control login_text_field_bg input-style" value="<?php echo ($app_details->cper == null || $app_details->cper == "") ? "" : $app_details->um_name; ?>" name="fullName" id="fullName" aria-describedby="fullName" placeholder="Enter Full Name">
</div>
<div class="col-sm-3">
<label for="gender" class="input__label required">Gender</label>
<div class="form-row p-2">
<div class="form-check form-check-inline">
<input <?php if($app_details->step6 =="T") echo "disabled='true'";?> class="form-check-input" <?php echo ($app_details->gender == 'M') ? "checked='true'" : ""; ?> type="radio" id="gender" name="gender" id="inlineRadio1" value="M">
<label class="form-check-label" for="inlineRadio1">Male</label>
</div>
<div class="form-check form-check-inline">
<input <?php if($app_details->step6 =="T") echo "disabled='true'";?> class="form-check-input" <?php echo ($app_details->gender == 'F') ? "checked='true'" : ""; ?> type="radio" id="gender" name="gender" id="inlineRadio1" value="F">
<label class="form-check-label" for="inlineRadio1">Female</label>
</div>
<div class="form-check form-check-inline">
<input <?php if($app_details->step6 =="T") echo "disabled='true'";?> class="form-check-input" <?php echo ($app_details->gender == 'T') ? "checked='true'" : ""; ?> type="radio" id="gender" name="gender" id="inlineRadio1" value="T">
<label class="form-check-label" for="inlineRadio1">Transgender</label>
</div>
</div>
</div>
<div class="col-sm-3">
<label for="dob" class="input__label required">D.O.B.</label>
<input <?php if($app_details->step6 =="T") echo "disabled='true'";?> type="text" readonly="readonly" value="<?php echo ($app_details->um_dob == null || $app_details->um_dob == "") ? "" : date("d/m/Y", strtotime($app_details->um_dob)); ?>"name="dob" id="dob" class="form-control login_text_field_bg input-style readonly"
aria-describedby="dob" placeholder="Choose D.O.B.">
</div>
<div class="col-sm-3">
<label for="maritalStatus" class="input__label required">Marital Status</label>
<select <?php if($app_details->step6 =="T") echo "disabled='true'";?> name="maritalStatus" id="maritalStatus" class="form-control login_text_field_bg input-style"
aria-describedby="maritalStatus">
<option value="">-Marital Status-</option>
<option <?php echo ($app_details->m_status == 'M') ? "Selected" : ""; ?> value="M">Married</option>
<option <?php echo ($app_details->m_status == 'U') ? "Selected" : ""; ?> value="U">Unmarried</option>
</select>
</div>
</div>
<div class="form-row mt-3">
<div class="col-sm-3">
<label for="fatherName" class="input__label required">Father's Name</label>
<input <?php if($app_details->step6 =="T") echo "disabled='true'";?> type="text" class="form-control login_text_field_bg input-style" value="<?php echo ($app_details->fanm == null || $app_details->fanm == "") ? "" : $app_details->fanm; ?>" name="fatherName" id="fatherName" aria-describedby="fatherName" placeholder="Enter Father Name">
</div>
<div class="col-sm-3">
<label for="mobile" class="input__label required">Mobile</label>
<input <?php if($app_details->step6 =="T") echo "disabled='true'";?> onkeypress="return event.charCode >= 48 && event.charCode <= 57" type="text" maxlength="10" class="form-control login_text_field_bg input-style" value="<?php echo ($app_details->pno == null || $app_details->pno == "") ? "" : $app_details->pno; ?>" name="mobile" id="mobile" aria-describedby="mobile" placeholder="Enter Mobile">
</div>
<div class="col-sm-3">
<label for="pan" class="input__label ">P.A.N.</label>
<input <?php if($app_details->step6 =="T") echo "disabled='true'";?> type="text" maxlength="10" class="form-control login_text_field_bg input-style" value="<?php echo ($app_details->pan == null || $app_details->pan == "") ? "" : $app_details->pan; ?>" name="pan" id="pan" aria-describedby="pan" placeholder="Enter P.A.N.">
</div>
<div class="col-sm-3">
<label for="aadhar" class="input__label ">Aadhar</label>
<input <?php if($app_details->step6 =="T") echo "disabled='true'";?> onkeypress="return event.charCode >= 48 && event.charCode <= 57" type="text" maxlength="12" class="form-control login_text_field_bg input-style" value="<?php echo ($app_details->adh == null || $app_details->adh == "") ? "" : $app_details->adh; ?>" name="aadhar" id="aadhar" aria-describedby="aadhar" placeholder="Enter Aadhar Card Details.">
</div>
</div>
<div class="form-row mt-3">
<div class="col-sm-4">
<label for="email" class="input__label required">Email</label>
<input <?php if($app_details->step6 =="T") echo "disabled='true'";?> type="text" class="form-control login_text_field_bg input-style readonly" value="<?php echo ($app_details->um_email == null || $app_details->um_email == "") ? "" : $app_details->um_email; ?>" name="email" id="email" aria-describedby="email" placeholder="Enter Email">
</div>
<div class="col-sm-4">
<label for="photo" class="input__label required">Photgraph</label>
<input <?php if($app_details->step6 =="T") echo "disabled='true'";?> type="file" value="<?php echo set_value("photo"); ?>" name="photo" id="photo" class="form-control login_text_field_bg input-style"
aria-describedby="photo" placeholder="Choose An Image" >
<input type="hidden" name="oldPhoto" value="<?php echo ($app_details->photo == null || $app_details->photo == "") ? "" : $app_details->photo; ?>">
<small id="officeInfoInstruction" class="form-text text-muted">Allowed Extensions:*.png,*.jpg,*.jpeg,*.webp. Max. File Size: 1MB.</small>
</div>
<div class="col-sm-4">
<label for="sign" class="input__label required">Signature</label>
<input <?php if($app_details->step6 =="T") echo "disabled='true'";?> type="file" value="<?php echo set_value("sign"); ?>" name="sign" id="sign" class="form-control login_text_field_bg input-style"
aria-describedby="sign" placeholder="Choose A Signature" >
<input type="hidden" name="oldSign" value="<?php echo ($app_details->sig == null || $app_details->sig == "") ? "" : $app_details->sig; ?>">
<small id="officeInfoInstruction" class="form-text text-muted">Allowed Extensions:*.png,*.jpg,*.jpeg,*.webp. Max. File Size: 1MB.</small>
</div>
</div>
<?php if (($app_details->sig != null || $app_details->sig != "") || ($app_details->photo != null || $app_details->photo != "")) {
?>
<div class="form-row mt-3" >
<div class="col-sm-4"></div>
<div class="col-sm-4">
<div class="text-center">
<img src="<?php echo base_url($app_details->photo);?>" class="img-thumbnail" width="30%">
</div>
</div>
<div class="col-sm-4">
<div class="text-center">
<img src="<?php echo base_url($app_details->sig);?>" class="img-thumbnail" width="40%">
</div>
</div>
</div>
<?php }
?>
</div>
</fieldset>
</div>
</div>
<div class="card card_border">
<div class="cards__heading">
<h3><i class="fa fa-address-book"></i> Present Address</h3>
</div>
<div class="card-body">
<div class="col-lg-12">
<div class="form-row">
<div class="col-md-4">
<label for="p_address" class="input__label required">Street / Apartment No. </label>
<input <?php if($app_details->step6 =="T") echo "disabled='true'";?> type="text" value="<?php echo ($app_details->mailadd == null || $app_details->mailadd == "") ? "" : $app_details->mailadd; ?>" name="p_address" id="p_address" class="form-control login_text_field_bg input-style"
aria-describedby="p_address" placeholder="Enter Present Address Line">
</div>
<div class="col-md-3">
<label for="p_state" class="input__label required">Permanent Address State</label>
<select <?php if($app_details->step6 =="T") echo "disabled='true'";?> id="p_state" name="p_state" class="form-control input-style">
<option value="">Select State</option>
<?php
foreach ($states as $state) {
$selected = ($state->state_id == $app_details->mailing_state_id) ? "selected" : "";
?>
<option <?php echo $selected; ?> value="<?php echo $state->state_id; ?>"><?php echo $state->state_name; ?></option>
<?php }
?>
</select>
</div>
<div class="col-md-3">
<label for="p_city" class="input__label required">Permanent Address City</label>
<select <?php if($app_details->step6 =="T") echo "disabled='true'";?> id="p_city" name="p_city" class="form-control input-style">
<option value="">Select City</option>
</select>
</div>
<div class="col-md-2">
<label for="p_pincode" class="input__label required">Permanent Pincode</label>
<input <?php if($app_details->step6 =="T") echo "disabled='true'";?> type="text" value="<?php echo ($app_details->cpin == null || $app_details->cpin == "") ? "" : $app_details->cpin; ?>" name="p_pincode" id="p_pincode" class="form-control login_text_field_bg input-style"
aria-describedby="p_pincode" placeholder="Enter Present Pincode." maxlength="6">
</div>
</div>
<div class="form-row mt-4">
<div class="form-group col-md-12">
<input <?php if($app_details->step6 =="T") echo "disabled='true'";?> type="checkbox" name="permanentAsPresent" id="permanentAsPresent" value="T" <?php echo set_radio("permanentAsPresent", "T"); ?>> <label for="permanentAsPresent"><strong>Permanent Address Same As Present Address</strong></label>
</div>
</div>
</div>
</div>
</div>
<div class="card card_border ">
<div class="cards__heading">
<h3><i class="fa fa-address-book"></i> Permanent Address</h3>
</div>
<div class="card-body mb-5">
<div class="col-lg-12">
<div class="form-row">
<div class="col-md-4">
<label for="per_address" class="input__label required">Street / Apartment No. </label>
<input <?php if($app_details->step6 =="T") echo "disabled='true'";?> type="text" value="<?php echo ($app_details->peradd == null || $app_details->peradd == "") ? "" : $app_details->peradd; ?>" name="per_address" id="per_address" class="form-control login_text_field_bg input-style"
aria-describedby="per_address" placeholder="Enter Permanent Address Line ">
</div>
<div class="col-md-3">
<label for="per_state" class="input__label required">Permanent Address State</label>
<select <?php if($app_details->step6 =="T") echo "disabled='true'";?> id="per_state" name="per_state" class="form-control input-style">
<option value="">Select State</option>
<?php
foreach ($states as $state) {
$selected = ($state->state_id == $app_details->per_state_id) ? "selected" : "";
?>
<option <?php echo $selected; ?> value="<?php echo $state->state_id; ?>"><?php echo $state->state_name; ?></option>
<?php }
?>
</select>
</div>
<div class="col-md-3">
<label for="per_city" class="input__label required">Permanent Address City</label>
<select <?php if($app_details->step6 =="T") echo "disabled='true'";?> id="per_city" name="per_city" class="form-control input-style">
<option value="">Select City</option>
</select>
</div>
<div class="col-md-2">
<label for="per_pincode" class="input__label required">Permanent Pincode</label>
<input <?php if($app_details->step6 =="T") echo "disabled='true'";?> type="text" value="<?php echo ($app_details->ppin == null || $app_details->ppin == "") ? "" : $app_details->ppin; ?>" name="per_pincode" id="per_pincode" class="form-control login_text_field_bg input-style"
aria-describedby="per_pincode" placeholder="Enter Permanent Pincode." maxlength="6">
</div>
</div>
<div class="form-row mt-3">
<input type="hidden" name="app_details_id" value="<?php echo $app_details->app_details_id; ?>">
<input type="hidden" name="step2" value="<?php echo $app_details->step2; ?>">
<?php if($app_details->step6 =="F") {?>
<div class="col-lg-12 d-flex align-items-center flex-wrap justify-content-center">
<button type="submit" class="btn btn-primary btn-block btn-style mt-2"> SAVE</button>
</div>
<?php }?>
</div>
</div>
</div>
</div>
<?php echo form_close(); ?>
</section>
</div>
</div>
<!-- main content end-->
<?php
$this->load->view("user/footer");
?>
<script>
$("#p_state").on("change", function () {
//alert($(this).val());
$(".se-pre-con").fadeIn("slow");
if (csrfHash === '') {
csrfHash = '<?php echo $this->security->get_csrf_hash(); ?>';
}
if ($(this).val().trim() != "") {
$.ajax({
url: '<?php echo site_url('user/Location/getCitiesByState/') ?>',
data: {state: $(this).val(), csrf_token: csrfHash},
type: 'POST',
async: false,
success: function (result) {
var cityInfo = JSON.parse(result);
$(".se-pre-con").fadeOut("slow");
$("#p_city").html(cityInfo.city_list);
csrfHash = cityInfo.csrfHash;
personalDetailFrm.csrf_token.value = csrfHash;
}
});
} else {
$("#p_city").html("<option>Select City</option>");
$(".se-pre-con").fadeOut("slow");
}
});
$("#permanentAsPresent").on("click", function () {
if ($(this).is(":checked")) {
$("#per_state").val($("#p_state").val());
$("#per_state").trigger("change");
$("#per_city").val($("#p_city").val());
$("#per_pincode").val($("#p_pincode").val());
$("#per_address").val($("#p_address").val());
} else {
$("#per_state").val("");
$("#per_city").val("");
$("#per_address").val("");
$("#per_pincode").val("");
}
});
$("#per_state").on("change", function () {
//alert($(this).val());
$(".se-pre-con").fadeIn("slow");
if (csrfHash === '') {
csrfHash = '<?php echo $this->security->get_csrf_hash(); ?>';
}
if ($(this).val().trim() != "") {
$.ajax({
url: '<?php echo site_url('user/Location/getCitiesByState/') ?>',
data: {state: $(this).val(), csrf_token: csrfHash},
type: 'POST',
async: false,
success: function (result) {
var cityInfo = JSON.parse(result);
$(".se-pre-con").fadeOut("slow");
$("#per_city").html(cityInfo.city_list);
csrfHash = cityInfo.csrfHash;
personalDetailFrm.csrf_token.value = csrfHash;
}
});
} else {
$("#per_city").html("<option>Select City</option>");
$(".se-pre-con").fadeOut("slow");
}
});
if ($("#p_state").val() != "") {
$(".se-pre-con").fadeIn("slow");
if (csrfHash === '') {
csrfHash = '<?php echo $this->security->get_csrf_hash(); ?>';
}
$.ajax({
url: '<?php echo site_url('user/Location/getActiveCitiesByStateSelected/') ?>',
data: {state: '<?php echo $app_details->mailing_state_id; ?>', city: '<?php echo $app_details->mailing_city_id; ?>', csrf_token: csrfHash},
type: 'POST',
success: function (result) {
// alert();
var cityInfo = JSON.parse(result);
$(".se-pre-con").fadeOut("slow");
$("#p_city").html(cityInfo.city_list);
csrfHash = cityInfo.csrfHash;
personalDetailFrm.csrf_token.value = csrfHash;
}
});
}
if ($("#per_state").val() != "") {
$(".se-pre-con").fadeIn("slow");
if (csrfHash === '') {
csrfHash = '<?php echo $this->security->get_csrf_hash(); ?>';
}
$.ajax({
url: '<?php echo site_url('user/Location/getActiveCitiesByStateSelected/') ?>',
data: {state: '<?php echo $app_details->mailing_state_id; ?>', city: '<?php echo $app_details->mailing_city_id; ?>', csrf_token: csrfHash},
type: 'POST',
success: function (result) {
var cityInfo = JSON.parse(result);
$(".se-pre-con").fadeOut("slow");
$("#per_city").html(cityInfo.city_list);
csrfHash = cityInfo.csrfHash;
personalDetailFrm.csrf_token.value = csrfHash;
}
});
}
document.getElementById("dashboard").classList.remove("active");
document.getElementById("apply").classList.add("active");
</script>