forked from mriyaspp/packapeer
-
Notifications
You must be signed in to change notification settings - Fork 0
/
apl-form.html
130 lines (116 loc) · 5.1 KB
/
apl-form.html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
<!DOCTYPE html>
<html lang="en">
<head>
<head>
<meta charset="UTF-8">
<title>Packapeer</title>
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="shortcut icon" href="image/packapeer-favicon.ico">
<link rel="stylesheet" type="text/css" href="vendor/bootstrap/css/bootstrap.min.css">
<link rel="stylesheet" type="text/css" href="fonts/font-awesome-4.7.0/css/font-awesome.min.css">
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/4.3.1/css/bootstrap.min.css">
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.3.1/jquery.min.js"></script>
<script src="https://cdnjs.cloudflare.com/ajax/libs/popper.js/1.14.7/umd/popper.min.js"></script>
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/4.3.1/js/bootstrap.min.js"></script>
<link rel="stylesheet" type="text/css" href="css/cssBenifits.css">
<link rel="stylesheet" type="text/css" href="css/styleLoader.css">
<link rel="stylesheet" type="text/css" href="vendor/animate/animate.css">
<link rel="stylesheet" type="text/css" href="css/util.css">
<link rel="stylesheet" type="text/css" href="css/cuprt-form.css">
<script src="vendor/wow/wow.min.js"></script>
<style>
.ml-140 {
margin-left: 150px;
}
</style>
</head>
</head>
<body>
<div class="sticky-top navgray">
<nav class="navbar navbar-expand-md navbar-dark">
<div class="container-fluid">
<a class="navbar-brand w-75" href="index.html"><img class="logo float-left wow zoomIn" src="image/whitelogo.png"></a>
<button class="navbar-toggler" type="button" data-toggle="collapse" data-target="#navbarResponsive">
<span class="navbar-toggler-icon"></span>
</button>
<div class="collapse navbar-collapse" id="navbarResponsive">
<ul class="navbar-nav ml-auto wow zoomIn">
<li class="nav-item">
<a href="index.html" class="nav-link">Why are you here?</a>
</li>
<li class="nav-item">
<a href="course.html" class="nav-link">Course Plan</a>
</li>
<li class="nav-item">
<a href="benifits.html" class="nav-link">Benefits of our program</a>
</li>
<li class="nav-item">
<a href="apply-now.html" class="nav-link active">Apply Now</a>
</li>
<li class="nav-item">
<a href="fee.html" class="nav-link">Fee Structure</a>
</li>
<li class="nav-item">
<a href="admission.html" class="nav-link">Admission Procedure</a>
</li>
<li class="nav-item">
<a href="skillsets.html" class="nav-link">Skill Set</a>
</li>
<li class="nav-item">
<a href="terms.html" class="nav-link">Terms and Conditions</a>
</li>
<li class="nav-item">
<a href="whoweare.html" class="nav-link">Who We Are</a>
</li>
<li class="nav-item">
<a href="contact-us.html" class="nav-link">Contact Us</a>
</li>
</ul>
</div>
</div>
</nav>
</div>
<form action="https://docs.google.com/forms/d/e/1FAIpQLSdNIWDz4FZlTSxUY4sBXMU6xqPEmjgy1o3k4sos0lfOQM4nYg/formResponse" target="_self" method="POST">
<h1>Apply Now</h1>
<div class="row">
<input type="text" name="entry.1126519740" id="name" />
<label for="name">Name</label>
</div>
<div class="row">
<input type="email" name="entry.1986290070" id="email" />
<label for="email">Email Id</label>
</div>
<div class="row">
<input type="text" name="entry.964076082" id="phone" />
<label for="phone">Mobile Number</label>
</div>
<div class="row">
<input type="text" name="entry.1269315475" id="age" />
<label for="age">Age</label>
</div>
<div class="row">
<label for="gender">Gender</label><br><input type="radio" name="entry.325345729" id="fancy-radio-1" value="Female"
checked="checked" />
<label for="fancy-radio-1" class="ml-140"> Female</label> Female
<input type="radio" name="entry.325345729" id="fancy-radio-2" value="Male" />
<label for="fancy-radio-2"> Male</label>
<div class="mr-auto"> Male</div>
</div>
<div class="row">
<input type="text" name="entry.96795552" id="place" />
<label for="place">Place</label>
</div>
<div class="row">
<input type="text" name="entry.1602536132" id="qualification" />
<label for="qualification">Qualification</label>
</div>
<div class="row">
<textarea name="entry.1559526565" id="remarks"></textarea>
<label for="remarks">Remarks</label>
</div>
<div class="row">
<button type="submit">Submit</button>
</div>
</form>
</body>
</html>