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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>