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Viewing / Editing File: candidate_declaration.php
<?php include('header.php');$oid=base64_decode($_REQUEST['oid']); //echo $oid; $place=base64_decode($_REQUEST['place']); $date=base64_decode($_REQUEST['date']); ?> <style>.header-bottom{ display: none; } .header-top{ display: none; } .testimonials{ display: none; } #footer{ display: none; } </style> <!--Candidate Declaration Forms --> <div class="CDF-page"> <div class="container"> <div class="CDF-banner"> <!--FORM HEAD--> <div class="CDF-head"> <a href="index.php"><img src="images/logo.png" alt="logo"></a> <h4>Candidate Declaration Forms</h4> <ul> <li style="text-align: left;">HR/CDF</li> <li style="border-right: 1px solid #eadddd; border-left: 1px solid #eadddd;">CDF No.1</li> <li style="text-align: right;">W.E.F 20/01/2026</li> </ul> </div> <!--FORM--> <form method="post" class="form-cdf" enctype="multipart/form-data"> <!--FORM CDF-01--> <div class="CDF-01 personal-details"> <p><b>Instructions:</b> Please provide all the information requested in this form. Incomplete Candidate Declaration Forms (CDFs) will be returned. All supporting documents must accompany this form. Photocopies must be legible. We have included a checklist to assist you to complete your application comprehensively.</p> <input type="file" placeholder="" name="image" id="file" ""> <h5>✅ Personal Details :</h5> <div class="personal-details-input personal-details-input-hulf" id=""> <label>Full Name (First/Middle/Last) :</label> <input type="text" placeholder="Full Name" name="name" id="name" > </div> <div class="personal-details-input personal-details-input-hulf" id=""> <label>Fathers Name/Husband’s Name :</label> <input type="text" placeholder="Guardian Name" name="father" id="father" > </div> <div class="personal-details-input" id=""> <label>Date of birth :</label> <input type="date" placeholder="(DD/MM/YY)" name="dob" id="dob" > </div> <div class="personal-details-input" id=""> <label> Contact Number :</label> <input type="text" placeholder="Phone No" maxlength="10" id="phone" onblur="return check2()" pattern="[0-9]+" name="phone" > </div> <div class="personal-details-input" id=""> <label>Nationality :</label> <input type="text" placeholder="Nationality" name="nationality" id="Nationality" > </div> <div class="personal-details-input" id=""> <label>Passport Number :</label> <input type="text" placeholder="Passport Number" name="passport" id="Passport" > </div> <div class="personal-details-input" id=""> <label>Date of issue :</label> <input type="date" placeholder="(DD/MM/YY)" name="doi" id="doi"> </div> <div class="personal-details-input" id=""> <label>Date of expiry :</label> <input type="date" placeholder="(DD/MM/YY)" name="doe" id="doe" > </div> <div class="personal-details-input" id=""> <label>PAN Number :</label> <input type="text" placeholder="PAN Number" name="pan" id="pan" > </div> <div class="personal-details-input" id=""> <label>Aadhar No :</label> <input type="text" placeholder="Aadhar No" name="aadhar" id="no" > </div> <div class="personal-details-input" id=""> <label>Blood Group :</label> <input type="text" placeholder="Blood Group" name="blood" id="Blood" > </div> <h6>Change of Name if Applicable</h6> <div class="personal-details-input personal-details-input-hulf" id=""> <label>Former Name/Maiden Name :</label> <input type="text" placeholder="Former Name/Maiden Name " name="name_change" id="Name" > </div> <div class="personal-details-input personal-details-input-hulf" id=""> <label>Date of Name Change :</label> <input type="text" placeholder="Former Name/Maiden Name " name="date_of_namechange" id="Name"> </div> <h5>✅ Current Address</h5> <div class="personal-details-input" id=""> <label>Door No/Street :</label> <input type="text" placeholder="Door No/Street " name="current_street" id="current_street" > </div> <div class="personal-details-input" id=""> <label>City :</label> <input type="text" placeholder="Kolkata" name="city" id="city" > </div> <div class="personal-details-input" id=""> <label>State :</label> <input type="text" placeholder="West bengal" name="state" id="state" > </div> <div class="personal-details-input" id=""> <label>Pin :</label> <input type="text" placeholder=" Pincode" name="pincode" id="pincode" > </div> <div class="personal-details-input" id=""> <label>Landmark :</label> <input type="text" placeholder=" Landmark" name="landmark" id="landmark" > </div> <div class="personal-details-input" id=""> <label>Period of stay :</label> <input type="text" placeholder="Period of stay" name="period_of_stay" id="period_of_stay" > </div> <div class="personal-details-input" id=""> <label>Landline/Mobile No :</label> <input type="text" placeholder="Landline/Mobile No " name="current_mobile" id="current_mobile" > </div> <div class="personal-details-input personal-details-input-hulf" id=""> <label>Is your residence own or a rented place? :</label> <span class="radio-botton"> <input type="radio" id="c_stay_type" name="c_stay_type" value="Own Residence"> <label for="Own Residence">Own Residence</label> </span> <span class="radio-botton"> <input type="radio" id="c_stay_type" name="c_stay_type" value="Rented"> <label for="Rented">Rented</label> </span> </div> <h6>If rented, please provide details of the Landlord</h6> <div class="personal-details-input" id=""> <label>Landlord Name :</label> <input type="text" placeholder=" Landlord Name" name="" id="" > </div> <div class="personal-details-input" id=""> <label>Address :</label> <input type="text" placeholder=" Landlord Name" name="" id="" > </div> <div class="personal-details-input" id=""> <label>City :</label> <input type="text" placeholder="Kolkata" name="" id="City" > </div> <div class="personal-details-input" id=""> <label>State :</label> <input type="text" placeholder="West bengal" name="" id="State" > </div> <div class="personal-details-input" id=""> <label>Pin :</label> <input type="text" placeholder=" Pincode" name="" id="Pin" > </div> <div class="personal-details-input" id=""> <label>Landline/Mobile No :</label> <input type="text" placeholder="Landline/Mobile No " name="" id="" > </div> <h5>✅ Permanent Address</h5> <div class="personal-details-input personal-details-input-hulf" id="" style="width: 100%;"> <label><input type="checkbox" id="Street" > Check if same as current address.</label> </div> <div class="personal-details-input" id=""> <label>Door No/Street :</label> <input type="text" placeholder="Door No/Street " name="pstreet" id="pstreet" > </div> <div class="personal-details-input" id=""> <label>City :</label> <input type="text" placeholder="Kolkata" name="pcity" id="pcity" > </div> <div class="personal-details-input" id=""> <label>State :</label> <input type="text" placeholder="West bengal" name="pstate" id="pstate" > </div> <div class="personal-details-input" id=""> <label>Pin :</label> <input type="text" placeholder=" Pincode" name="p_pincode" id="p_pincode" > </div> <div class="personal-details-input" id=""> <label>Landmark :</label> <input type="text" placeholder=" Landmark" name="plandmark" id="plandmark" > </div> <div class="personal-details-input" id=""> <label>Period of stay :</label> <input type="text" placeholder="Period of stay " name="p_period_of_stay" id="p_period_of_stay" > </div> <div class="personal-details-input" id=""> <label>Landline/Mobile No :</label> <input type="text" placeholder="Landline/Mobile No " name="p_mobile" id="p_mobile" > </div> <div class="personal-details-input personal-details-input-hulf" id=""> <label>Is your residence own or a rented place? :</label> <span class="radio-botton"> <input type="radio" id="p_stay_type" name="p_stay_type" value="Own Residence"> <label for="Own Residence">Own Residence</label> </span> <span class="radio-botton"> <input type="radio" id="p_stay_type" name="p_stay_type" value="Rented"> <label for="Rented">Rented</label> </span> </div> <h6>If rented, please provide details of the Landlord</h6> <div class="personal-details-input" id=""> <label>Landlord Name :</label> <input type="text" placeholder=" Landlord Name" name="plandlord" id="plandlord" > </div> <div class="personal-details-input" id=""> <label>Address :</label> <input type="text" placeholder=" Landlord Address" name="p_landlord_address" id="p_l_address" > </div> <div class="personal-details-input" id=""> <label>City :</label> <input type="text" placeholder="Kolkata" name="" id="City" > </div> <div class="personal-details-input" id=""> <label>State :</label> <input type="text" placeholder="West bengal" name="" id="State" > </div> <div class="personal-details-input" id=""> <label>Pin :</label> <input type="text" placeholder=" Pin" name="" id="Pin" > </div> <div class="personal-details-input" id=""> <label>Landline/Mobile No :</label> <input type="text" placeholder="Landline/Mobile No " name="" id="" > </div> <h3><b>Proof of Address: </b> (Photocopy of Passport / Last Paid Land Line/Mobile Phone Bill/ Bank Account Statement/ Rent Agreement Copy/Driving License/ National Identity Cards) </h3> <h5>✅ For Internal Use Only</h5> <div class="personal-details-input personal-details-input-hulf" id="" style="width: 100%;"> <label>VFG ID : </label> <input type="text" placeholder="(To be entered by Verifacts personnel only) " name="vfg_id" > </div> <h5>✅ EDUCATION DETAILS</h5> <h6><b>A:</b> High School </h6> <div class="personal-details-input" id=""> <label>Name of the Course :</label> <input type="text" placeholder="Course name " name="school_course" id="Course" > </div> <div class="personal-details-input" id=""> <label>Student ID No: / Enrolment No :</label> <input type="text" placeholder="ID No " name="school_id" id="IDNo" > </div> <div class="personal-details-input" id=""> <label> Year of Completion :</label> <input type="text" placeholder="Year of Completion" name="year_completion" id="" > </div> <div class="personal-details-input" id=""> <label> Subjects :</label> <input type="text" placeholder="( Arts / Science) " name="school_subj" id="" > </div> <div class="personal-details-input" id=""> <label>Division / Class :</label> <input type="text" placeholder=" Class" name="school_division" id="" > </div> <div class="personal-details-input" id=""> <label>Examining Board :</label> <input type="text" placeholder=" Name of Examining Board" name="school_board" id="" > </div> <div class="personal-details-input" id=""> <label> School Name :</label> <input type="text" placeholder="School Name " name="school_name" id="" > </div> <div class="personal-details-input" id=""> <label> School Address :</label> <input type="text" placeholder="Full Address ( School )" name="school_address" id="" > </div> <div class="personal-details-input" id=""> <label> City :</label> <input type="text" placeholder="City Name ( School )" name="school_city" id="" > </div> <div class="personal-details-input" id=""> <label> State :</label> <input type="text" placeholder="State Name( School ) " name="school_state" id="" > </div> <div class="personal-details-input" id=""> <label> Pin :</label> <input type="text" placeholder="Pin no ( School )" name="school_pincode" id="" > </div> <div class="personal-details-input" id=""> <label> Landline :</label> <input type="text" placeholder="Landline No ( School )" name="school_landline" id="" > </div> <h6><b>B: </b> Higher Secondary (10+2)</h6> <div class="personal-details-input" id=""> <label>Name of the Course :</label> <input type="text" placeholder="Course name " name="hs_course" id="Course" > </div> <div class="personal-details-input" id=""> <label>Student ID No: / Enrolment No :</label> <input type="text" placeholder="ID No " name="IDNo" id="hs_id" > </div> <div class="personal-details-input" id=""> <label> Duration of Study :</label> <input type="text" placeholder="Duration of Study " name="hs_duration" id="" > </div> <div class="personal-details-input" id=""> <label>Division / Class :</label> <input type="text" placeholder=" Class" name="hs_division" id="" > </div> <div class="personal-details-input" id=""> <label>Degree Obtained :</label> <input type="text" placeholder="Degree Obtained" name="hs_degree" id="" > </div> <div class="personal-details-input" id=""> <label>Subject Major :</label> <input type="text" placeholder="Subject Major " name="hs_subj" id="" > </div> <div class="personal-details-input" id=""> <label> Course Type :</label> <input type="text" placeholder=" (Regular/Distance)" name="hs_course_type" id="" > </div> <div class="personal-details-input" id=""> <label>Examining Board :</label> <input type="text" placeholder=" Name of Examining Board" name="hs_board" id="" > </div> <div class="personal-details-input" id=""> <label> School Name :</label> <input type="text" placeholder="School Name " name="hs_school" id="" > </div> <div class="personal-details-input" id=""> <label> School Address :</label> <input type="text" placeholder="Full Address ( School )" name="hs_address" id="" > </div> <div class="personal-details-input" id=""> <label> City :</label> <input type="text" placeholder="City Name ( School )" name="hs_city" id="" > </div> <div class="personal-details-input" id=""> <label> State :</label> <input type="text" placeholder="State Name( School ) " name="hs_state" id="" > </div> <div class="personal-details-input" id=""> <label> Pin :</label> <input type="text" placeholder="Pin no ( School )" name="hs_pincode" id="" > </div> <div class="personal-details-input" id=""> <label> Landline :</label> <input type="text" placeholder="Landline No ( School )" name="hs_landline" id="" > </div> <div class="personal-details-input" id=""> <label> Email :</label> <input type="email" placeholder="Email ID ( School )" name="hs_email" id="" > </div> <h6><b>C: </b> Graduation</h6> <div class="personal-details-input" id=""> <label>Name of the Course :</label> <input type="text" placeholder="Course name " name="course_name[]" id="grad_course" > </div> <div class="personal-details-input" id=""> <label>Student ID No: / Enrolment No :</label> <input type="text" placeholder="ID No " name="grad_id[]" id="grad_idno" > </div> <div class="personal-details-input" id=""> <label> Duration of Study :</label> <input type="text" placeholder="Duration of Study " name="grad_duration[]" id="" > </div> <div class="personal-details-input" id=""> <label>Division / Class :</label> <input type="text" placeholder=" Class" name="grad_division[]" id="grad_division" > </div> <div class="personal-details-input" id=""> <label>Degree Obtained :</label> <input type="text" placeholder="Degree Obtained" name="grad_degree[]" id="grad_degree" > </div> <div class="personal-details-input" id=""> <label>Subject Major :</label> <input type="text" placeholder="Subject Major " name="grad_major[]" id="grad_major" > </div> <div class="personal-details-input" id=""> <label> Course Type :</label> <input type="text" placeholder=" (Regular/Distance)" name="grad_course_type[]" id="grad_course_type" > </div> <div class="personal-details-input" id=""> <label> University Name :</label> <input type="text" placeholder=" Name of University" name="university[]" id="university" > </div> <div class="personal-details-input" id=""> <label> Name of College :</label> <input type="text" placeholder="Name of College/Study Centre " name="clg_name[]" id="clg_name" > </div> <div class="personal-details-input" id=""> <label> University Address :</label> <input type="text" placeholder="Address of University " name="university_address[]" id="university_address" > </div> <div class="personal-details-input" id=""> <label> City :</label> <input type="text" placeholder="City Name ( College )" name="clg_city[]" id="clg_city" > </div> <div class="personal-details-input" id=""> <label> State :</label> <input type="text" placeholder="State Name( College ) " name="clg_state[]" id="clg_state" > </div> <div class="personal-details-input" id=""> <label> Pincode :</label> <input type="text" placeholder="Pincode( College )" name="clg_pincode[]" id="clg_pincode" > </div> <div class="personal-details-input" id=""> <label> Landline :</label> <input type="text" placeholder="Landline No ( College )" name="clg_landline[]" id="clg_landline" > </div> <div class="personal-details-input" id=""> <label> Email :</label> <input type="email" placeholder="Email ID ( College )" name="clg_email[]" id="" > </div> <h6><b>D: </b> Post Graduation</h6> <div class="personal-details-input" id=""> <label>Name of the Course :</label> <input type="text" placeholder="Course name " name="course_name[]" id="grad_course" > </div> <div class="personal-details-input" id=""> <label>Student ID No: / Enrolment No :</label> <input type="text" placeholder="ID No " name="grad_id[]" id="grad_idno" > </div> <div class="personal-details-input" id=""> <label> Duration of Study :</label> <input type="text" placeholder="Duration of Study " name="grad_duration[]" id="" > </div> <div class="personal-details-input" id=""> <label>Division / Class :</label> <input type="text" placeholder=" Class" name="grad_division[]" id="grad_division" > </div> <div class="personal-details-input" id=""> <label>Degree Obtained :</label> <input type="text" placeholder="Degree Obtained" name="grad_degree[]" id="grad_degree" > </div> <div class="personal-details-input" id=""> <label>Subject Major :</label> <input type="text" placeholder="Subject Major " name="grad_major[]" id="grad_major" > </div> <div class="personal-details-input" id=""> <label> Course Type :</label> <input type="text" placeholder=" (Regular/Distance)" name="grad_course_type[]" id="grad_course_type" > </div> <div class="personal-details-input" id=""> <label> University Name :</label> <input type="text" placeholder=" Name of University" name="university[]" id="university" > </div> <div class="personal-details-input" id=""> <label> Name of College :</label> <input type="text" placeholder="Name of College/Study Centre " name="clg_name[]" id="clg_name" > </div> <div class="personal-details-input" id=""> <label> University Address :</label> <input type="text" placeholder="Address of University " name="university_address[]" id="university_address" > </div> <div class="personal-details-input" id=""> <label> City :</label> <input type="text" placeholder="City Name ( University )" name="clg_city[]" id="clg_city" > </div> <div class="personal-details-input" id=""> <label> State :</label> <input type="text" placeholder="State Name( University ) " name="clg_state[]" id="clg_state" > </div> <div class="personal-details-input" id=""> <label> Pincode :</label> <input type="text" placeholder="Pincode( University )" name="clg_pincode[]" id="clg_pincode" > </div> <div class="personal-details-input" id=""> <label> Landline :</label> <input type="text" placeholder="Landline No ( University )" name="clg_landline[]" id="clg_landline" > </div> <div class="personal-details-input" id=""> <label> Email :</label> <input type="email" placeholder="Email ID ( University )" name="clg_email[]" id="" > </div> <h6><b>E: </b> Any other Technical/ Management Course</h6> <div class="personal-details-input" id=""> <label>Name of the Course :</label> <input type="text" placeholder="Course name " name="course_name[]" id="grad_course" > </div> <div class="personal-details-input" id=""> <label>Student ID No: / Enrolment No :</label> <input type="text" placeholder="ID No " name="grad_id[]" id="grad_idno" > </div> <div class="personal-details-input" id=""> <label> Duration of Study :</label> <input type="text" placeholder="Duration of Study " name="grad_duration[]" id="" > </div> <div class="personal-details-input" id=""> <label>Division / Class :</label> <input type="text" placeholder=" Class" name="grad_division[]" id="grad_division" > </div> <div class="personal-details-input" id=""> <label>Degree Obtained :</label> <input type="text" placeholder="Degree Obtained" name="grad_degree[]" id="grad_degree" > </div> <div class="personal-details-input" id=""> <label>Subject Major :</label> <input type="text" placeholder="Subject Major " name="grad_major[]" id="grad_major" > </div> <div class="personal-details-input" id=""> <label> Course Type :</label> <input type="text" placeholder=" (Regular/Distance)" name="grad_course_type[]" id="grad_course_type" > </div> <div class="personal-details-input" id=""> <label> University Name :</label> <input type="text" placeholder=" Name of University" name="university[]" id="university" > </div> <div class="personal-details-input" id=""> <label> Name of College :</label> <input type="text" placeholder="Name of College/Study Centre " name="clg_name[]" id="clg_name" > </div> <div class="personal-details-input" id=""> <label> Institution Address :</label> <input type="text" placeholder="Address of Institution " name="university_address[]" id="university_address" > </div> <div class="personal-details-input" id=""> <label> City :</label> <input type="text" placeholder="City Name ( Institution )" name="clg_city[]" id="clg_city" > </div> <div class="personal-details-input" id=""> <label> State :</label> <input type="text" placeholder="State Name( Institution ) " name="clg_state[]" id="clg_state" > </div> <div class="personal-details-input" id=""> <label> Pincode :</label> <input type="text" placeholder="Pincode( Institution )" name="clg_pincode[]" id="clg_pincode" > </div> <div class="personal-details-input" id=""> <label> Landline :</label> <input type="text" placeholder="Landline No ( Institution )" name="clg_landline[]" id="clg_landline" > </div> <div class="personal-details-input" id=""> <label> Email :</label> <input type="email" placeholder="Email ID ( Institution )" name="clg_email[]" id="" > </div> <h6>Upload Photocopies </h6> <h3><b>Note : </b> Please attach legible photocopies of the following documents relevant to the entries above</h3> <div class="personal-details-input" id=""> <label> Mark sheets of all Years </label> <input type="file" placeholder="" name="marksheet" id=""> </div> <div class="personal-details-input" id=""> <label> Mark sheets of all Semesters:</label> <input type="file" placeholder="" name="sem_semester" id=""> </div> <div class="personal-details-input" id=""> <label> Degree Certificates, FRONT:</label> <input type="file" placeholder="Front site" name="degree_certicate_front" id="" > </div> <div class="personal-details-input" id=""> <label>Degree Certificates, BACK</label> <input type="file" placeholder="Back site" name="degree_certicate_back" id="" > </div> <div class="personal-details-input" id=""> <label> Provisional Certificate :</label> <input type="file" placeholder="Provisional Certificate" name="p_certificate" id="" > </div> <div class="personal-details-input" id=""> <label>School Leaving Certificate :</label> <input type="file" placeholder="Leaving Certificate" name="leaving_certificate" id="" > </div> <h5>✅ EMPLOYMENT</h5> <h3><b>NOTE : </b> There are two categories in each form. Please provide information under the relevant Employment Category.</h3> <!--(EMP-1) Previous Employment--> <h6>(EMP-1) Current Employment</h6> <h2>~ PERMANENT EMPLOYMENT ~</h2> <div class="personal-details-input personal-details-input-hulf" id=""> <label>Name of Company :</label> <input type="text" placeholder="Name of Company" name="company_name[]" id="name" > </div> <div class="personal-details-input personal-details-input-hulf" id=""> <label>Where were you employed? :</label> <span class="radio-botton"> <input type="radio" id="corporate-Office" name="where_employed[]" value="Registered Corporate Office"> <label for="Registered Corporate Office">Registered Corporate Office</label> </span> <span class="radio-botton"> <input type="radio" id="Branch-Office" name="where_employed[]" value="Branch Office"> <label for="Branch Office">Branch Office</label> </span> </div> <div class="personal-details-input" id=""> <label>Company Address :</label> <input type="text" placeholder=" ( Where you were employed )" name="company_address[]" id="company_address" > </div> <div class="personal-details-input" id=""> <label>Door No/Street :</label> <input type="text" placeholder="Door No/Street" name="company_street[]" id="company_street" > </div> <div class="personal-details-input" id=""> <label> City Name:</label> <input type="text" placeholder="City " name="company_city[]" id="company_city" > </div> <div class="personal-details-input" id=""> <label> State Name:</label> <input type="text" placeholder="State Name" name="company_state[]" id="company_state" > </div> <div class="personal-details-input" id=""> <label> Pincode:</label> <input type="text" placeholder="Pin no " name="company_pincode[]" id="company_pincode" > </div> <div class="personal-details-input" id=""> <label> Landline No:</label> <input type="text" placeholder="Landline No " name="company_landline[]" id="" > </div> <div class="personal-details-input" id=""> <label> Period of employment :</label> <input type="text" placeholder="Period of employment " name="period_of_emp[]" id="" > </div> <div class="personal-details-input" id=""> <label> Employee Code :</label> <input type="text" placeholder="Employee Code " name="emp_code[]" id="" > </div> <div class="personal-details-input" id=""> <label> Designation :</label> <input type="text" placeholder="Designation " name="designation[]" id="" > </div> <div class="personal-details-input" id=""> <label> Remuneration :</label> <input type="text" placeholder="Remuneration " name="remuneration[]" id="" > </div> <div class="personal-details-input" id=""> <label> Department :</label> <input type="text" placeholder="Department " name="department[]" id="" > </div> <div class="personal-details-input" id=""> <label> Reported to :</label> <input type="text" placeholder="Reported to " name="reported_to[]" id="" > </div> <div class="personal-details-input" id=""> <label> Supervisor’s Designation :</label> <input type="text" placeholder="Supervisor’s Designation " name="super_designation[]" id="" > </div> <div class="personal-details-input" id=""> <label> Email Id :</label> <input type="email" placeholder="Email ID " name="company_email[]" id="" > </div> <div class="personal-details-input" id=""> <label> Reason for Leaving :</label> <input type="text" placeholder="Reason for Leaving " name="leaving_reason[]" id="" > </div> <h2>~ CONTRACTUAL EMPLOYMENT ~</h2> <div class="personal-details-input" id=""> <label>Company Name :</label> <input type="text" placeholder="Company Name " name="contract_company_name[]" id="" > </div> <div class="personal-details-input personal-details-input-hulf" id=""> <label>Company Address :</label> <input type="text" placeholder="Company Full Address " name="contract_company_address[]" id="" > </div> <div class="personal-details-input" id=""> <label>Door No/Street :</label> <input type="text" placeholder="No. " name="contract_company_street[]" id="" > </div> <div class="personal-details-input" id=""> <label>City :</label> <input type="text" placeholder="City Name " name="contract_company_city[]" id="" > </div> <div class="personal-details-input" id=""> <label>State :</label> <input type="text" placeholder="State Name " name="contract_company_state[]" id="" > </div> <div class="personal-details-input" id=""> <label>Contact Person :</label> <input type="text" placeholder="Company Contact Person " name="contract_company_person_person[]" id="" > </div> <div class="personal-details-input" id=""> <label>Email ID :</label> <input type="email" placeholder="Email ID" name="contract_company_email[]" id="" > </div> <div class="personal-details-input" id=""> <label>Designation :</label> <input type="text" placeholder="Designation" name="contract_company_designation[]" id="" > </div> <div class="personal-details-input" id=""> <label>Landline :</label> <input type="text" placeholder="Company Landline" name="contract_company_landline[]" id=""> </div> <div class="personal-details-input personal-details-input-hulf" id=""> <label>State you reason for leaving :</label> <input type="text" placeholder="Reason for leaving" name="contract_leaving_reason[]" id=""> </div> <h3><b>Note: </b> Please attach legible Photo copies of the following documents relevant to the entries above Appointment Letter, Salary slips and Release Letter / Service certificate</h3> <!--(EMP-2) Previous Employment--> <h6>(EMP-2) Previous Employment</h6> <h2>~ PERMANENT EMPLOYMENT ~</h2> <div class="personal-details-input personal-details-input-hulf" id=""> <label>Name of Company :</label> <input type="text" placeholder="Name of Company" name="company_name[]" id="name" > </div> <div class="personal-details-input personal-details-input-hulf" id=""> <label>Where were you employed? :</label> <span class="radio-botton"> <input type="radio" id="corporate-Office" name="where_employed[]" value="Registered Corporate Office"> <label for="Registered Corporate Office">Registered Corporate Office</label> </span> <span class="radio-botton"> <input type="radio" id="Branch-Office" name="where_employed2" value="Branch Office"> <label for="Branch Office">Branch Office</label> </span> </div> <div class="personal-details-input" id=""> <label>Company Address :</label> <input type="text" placeholder=" ( Where you were employed )" name="company_address[]" id="name" > </div> <div class="personal-details-input" id=""> <label>Door No/Street :</label> <input type="text" placeholder=" No." name="company_street[]" id="name" > </div> <div class="personal-details-input" id=""> <label> City Name:</label> <input type="text" placeholder="City " name="company_city[]" id="" > </div> <div class="personal-details-input" id=""> <label> State Name:</label> <input type="text" placeholder="State Name" name="company_state[]" id="" > </div> <div class="personal-details-input" id=""> <label> Pin No:</label> <input type="text" placeholder="Pin no " name="company_pincode[]" id="" > </div> <div class="personal-details-input" id=""> <label> Landline No:</label> <input type="text" placeholder="Landline No " name="company_landline[]" id="" > </div> <div class="personal-details-input" id=""> <label> Period of employment :</label> <input type="text" placeholder="Period of employment " name="period_of_emp[]" id="" > </div> <div class="personal-details-input" id=""> <label> Employee Code :</label> <input type="text" placeholder="Employee Code " name="emp_code[]" id="" > </div> <div class="personal-details-input" id=""> <label> Designation :</label> <input type="text" placeholder="Designation " name="designation[]" id="" > </div> <div class="personal-details-input" id=""> <label> Remuneration :</label> <input type="text" placeholder="Remuneration " name="remuneration[]" id="" > </div> <div class="personal-details-input" id=""> <label> Department :</label> <input type="text" placeholder="Department " name="department[]" id="" > </div> <div class="personal-details-input" id=""> <label> Reported to :</label> <input type="text" placeholder="Reported to " name="reported_to[]" id="" > </div> <div class="personal-details-input" id=""> <label> Supervisor’s Designation :</label> <input type="text" placeholder="Supervisor’s Designation " name="super_designation[]" id="" > </div> <div class="personal-details-input" id=""> <label> Email Id :</label> <input type="email" placeholder="Email ID " name="company_email[]" id="" > </div> <div class="personal-details-input" id=""> <label> Reason for Leaving :</label> <input type="text" placeholder="Reason for Leaving " name="leaving_reason[]" id="" > </div> <h2>~ CONTRACTUAL EMPLOYMENT ~</h2> <div class="personal-details-input" id=""> <label>Company Name :</label> <input type="text" placeholder="Company Name " name="contract_company_name[]" id="" > </div> <div class="personal-details-input personal-details-input-hulf" id=""> <label>Company Address :</label> <input type="text" placeholder="Company Full Address " name="contract_company_address[]" id="" > </div> <div class="personal-details-input" id=""> <label>Door No/Street :</label> <input type="text" placeholder="No. " name="contract_company_street[]" id="" > </div> <div class="personal-details-input" id=""> <label>City :</label> <input type="text" placeholder="City Name " name="contract_company_city[]" id="" > </div> <div class="personal-details-input" id=""> <label>State :</label> <input type="text" placeholder="State Name " name="contract_company_state[]" id="" > </div> <div class="personal-details-input" id=""> <label>Contact Person :</label> <input type="text" placeholder="Company Contact Person " name="contract_company_person_person[]" id="" > </div> <div class="personal-details-input" id=""> <label>Email ID :</label> <input type="email" placeholder="Email ID" name="contract_company_email[]" id="" > </div> <div class="personal-details-input" id=""> <label>Designation :</label> <input type="text" placeholder="Designation" name="contract_company_designation[]" id="" > </div> <div class="personal-details-input" id=""> <label>Landline :</label> <input type="text" placeholder="Company Landline" name="contract_company_landline[]" id=""> </div> <div class="personal-details-input personal-details-input-hulf" id=""> <label>State you reason for leaving :</label> <input type="text" placeholder="Reason for leaving" name="contract_leaving_reason[]" id=""> </div> <h3><b>Note : </b> Please attach legible Photo copies of the following documents relevant to the entries above Appointment Letter, Salary slips and Release Letter / Service certificate</h3> <!--(EMP-3) Previous Employment--> <h6>(EMP-3) Previous Employment</h6> <h2>~ PERMANENT EMPLOYMENT ~</h2> <div class="personal-details-input personal-details-input-hulf" id=""> <label>Name of Company :</label> <input type="text" placeholder="Name of Company" name="company_name[]" id="name" > </div> <div class="personal-details-input personal-details-input-hulf" id=""> <label>Where were you employed? :</label> <span class="radio-botton"> <input type="radio" id="corporate-Office" name="where_employed[]" value="Registered Corporate Office"> <label for="Registered Corporate Office">Registered Corporate Office</label> </span> <span class="radio-botton"> <input type="radio" id="Branch-Office" name="where_employed[]" value="Branch Office"> <label for="Branch Office">Branch Office</label> </span> </div> <div class="personal-details-input" id=""> <label>Company Address :</label> <input type="text" placeholder=" ( Where you were employed )" name="company_address[]" id="name"> </div> <div class="personal-details-input" id=""> <label>Door No/Street :</label> <input type="text" placeholder=" Door No/Street " name="company_street[]" id="name"> </div> <div class="personal-details-input" id=""> <label> City Name:</label> <input type="text" placeholder="City " name="company_city[]" id="" > </div> <div class="personal-details-input" id=""> <label> State Name:</label> <input type="text" placeholder="State Name" name="company_state[]" id="" > </div> <div class="personal-details-input" id=""> <label> Pincode:</label> <input type="text" placeholder="Pincode" name="company_pincode[]" id=""> </div> <div class="personal-details-input" id=""> <label> Landline No:</label> <input type="text" placeholder="Landline No " name="company_landline[]" id="" > </div> <div class="personal-details-input" id=""> <label> Period of employment :</label> <input type="text" placeholder="Period of employment " name="period_of_emp[]" id=""> </div> <div class="personal-details-input" id=""> <label> Employee Code :</label> <input type="text" placeholder="Employee Code " name="emp_code[]" id=""> </div> <div class="personal-details-input" id=""> <label> Designation :</label> <input type="text" placeholder="Designation " name="designation[]" id="designation3" > </div> <div class="personal-details-input" id=""> <label> Remuneration :</label> <input type="text" placeholder="Remuneration " name="remuneration[]" id="" > </div> <div class="personal-details-input" id=""> <label> Department :</label> <input type="text" placeholder="Department " name="department[]" id="department3" > </div> <div class="personal-details-input" id=""> <label> Reported to :</label> <input type="text" placeholder="Reported to " name="reported_to[]" id="" > </div> <div class="personal-details-input" id=""> <label> Supervisor’s Designation :</label> <input type="text" placeholder="Supervisor’s Designation " name="super_designation[]" id="" > </div> <div class="personal-details-input" id=""> <label> Email Id :</label> <input type="email" placeholder="Email ID " name="company_email[]" id="" > </div> <div class="personal-details-input" id=""> <label> Reason for Leaving :</label> <input type="text" placeholder="Reason for Leaving " name="leaving_reason[]" id="" > </div> <h2>~ CONTRACTUAL EMPLOYMENT ~</h2> <div class="personal-details-input" id=""> <label>Company Name :</label> <input type="text" placeholder="Company Name " name="contract_company_name[]" id="" > </div> <div class="personal-details-input personal-details-input-hulf" id=""> <label>Company Address :</label> <input type="text" placeholder="Company Full Address " name="contract_company_address[]" id="" > </div> <div class="personal-details-input" id=""> <label>Door No/Street :</label> <input type="text" placeholder="Door No/Street " name="contract_company_street[]" id="" > </div> <div class="personal-details-input" id=""> <label>City :</label> <input type="text" placeholder="City Name " name="contract_company_city[]" id="" > </div> <div class="personal-details-input" id=""> <label>State :</label> <input type="text" placeholder="State Name " name="contract_company_state[]" id="" > </div> <div class="personal-details-input" id=""> <label>Contact Person :</label> <input type="text" placeholder="Company Contact Person " name="contract_company_person_person[]" id="" > </div> <div class="personal-details-input" id=""> <label>Email ID :</label> <input type="email" placeholder="Email ID" name="contract_company_email[]" id="" > </div> <div class="personal-details-input" id=""> <label>Designation :</label> <input type="text" placeholder="Designation" name="contract_company_designation[]" id="" > </div> <div class="personal-details-input" id=""> <label>Landline :</label> <input type="text" placeholder="Company Landline" name="contract_company_landline[]" id=""> </div> <div class="personal-details-input personal-details-input-hulf" id=""> <label>State you reason for leaving :</label> <input type="text" placeholder="Reason for leaving" name="contract_leaving_reason[]" id=""> </div> <h3><b>Note : </b> Please attach legible Photo copies of the following documents relevant to the entries above Appointment Letter, Salary slips and Release Letter / Service certificate</h3> <h5>✅ References</h5> <h6>Academic References</h6> <h2>Ref 01</h2> <div class="personal-details-input" id=""> <label> Name & Address Of Institution :</label> <input type="text" placeholder="Name & Address Of Institution " name="ref_academic1" id="" > </div> <div class="personal-details-input" id=""> <label> Name of Referee :</label> <input type="text" placeholder="Name of Referee" name="refree_1" id="" > </div> <div class="personal-details-input" id=""> <label> Designation :</label> <input type="text" placeholder="Designation" name="ref_designation1" id="" > </div> <div class="personal-details-input" id=""> <label> Landline :</label> <input type="text" placeholder="Landline No" name="ref_landline1" id=""> </div> <div class="personal-details-input" id=""> <label> Mobile :</label> <input type="text" placeholder="Mobile No" name="ref_mobile1" id="" > </div> <div class="personal-details-input" id=""> <label> Email Id :</label> <input type="email" placeholder="Enter Email Id" name="ref_email1" id="" > </div> <h2>Ref 02</h2> <div class="personal-details-input" id=""> <label> Name & Address Of Institution :</label> <input type="text" placeholder="Name & Address Of Institution " name="ref_academic2" id="" > </div> <div class="personal-details-input" id=""> <label> Name of Referee :</label> <input type="text" placeholder="Name of Referee" name="refree_2" id="" > </div> <div class="personal-details-input" id=""> <label> Designation :</label> <input type="text" placeholder="Designation" name="ref_designation2" id="" > </div> <div class="personal-details-input" id=""> <label> Landline :</label> <input type="text" placeholder="Landline No" name="ref_landline2" id=""> </div> <div class="personal-details-input" id=""> <label> Mobile :</label> <input type="text" placeholder="Mobile No" name="ref_mobile2" id="" > </div> <div class="personal-details-input" id=""> <label> Email Id :</label> <input type="email" placeholder="Enter Email Id" name="ref_email2" id="" > </div> <h6>Professional References : </h6> <h2>Ref 1</h2> <div class="personal-details-input" id=""> <label> Name :</label> <input type="text" placeholder="Enter name" name="reference[]" id="" > </div> <div class="personal-details-input personal-details-input-hulf" id=""> <label> Company/Designation :</label> <input type="text" placeholder="Company/Designation " name="reference_company[]" id="" > </div> <div class="personal-details-input" id=""> <label> Landline :</label> <input type="text" placeholder="Landline No" name="company_landline[]" id="" > </div> <div class="personal-details-input" id=""> <label> Mobile :</label> <input type="text" placeholder="Mobile No" name="reference_mobile[]" id="" > </div> <div class="personal-details-input" id=""> <label> Email Id :</label> <input type="email" placeholder="Enter Email Id" name="reference_email[]" id="" > </div> <h2>Ref 2</h2> <div class="personal-details-input" id=""> <label> Name :</label> <input type="text" placeholder="Enter name" name="reference[]" id="" > </div> <div class="personal-details-input personal-details-input-hulf" id=""> <label> Company/Designation :</label> <input type="text" placeholder="Company/Designation " name="reference_company[]" id="" > </div> <div class="personal-details-input" id=""> <label> Landline :</label> <input type="text" placeholder="Landline No" name="company_landline[]" id="" > </div> <div class="personal-details-input" id=""> <label> Mobile :</label> <input type="text" placeholder="Mobile No" name="reference_mobile[]" id="" > </div> <div class="personal-details-input" id=""> <label> Email Id :</label> <input type="email" placeholder="Enter Email Id" name="reference_email[]" id="" > </div> <h2>Ref 3</h2> <div class="personal-details-input" id=""> <label> Name :</label> <input type="text" placeholder="Enter name" name="reference[]" id="" > </div> <div class="personal-details-input personal-details-input-hulf" id=""> <label> Company/Designation :</label> <input type="text" placeholder="Company/Designation " name="reference_company[]" id="" > </div> <div class="personal-details-input" id=""> <label> Landline :</label> <input type="text" placeholder="Landline No" name="company_landline[]" id="" > </div> <div class="personal-details-input" id=""> <label> Mobile :</label> <input type="text" placeholder="Mobile No" name="reference_mobile[]" id="" > </div> <div class="personal-details-input" id=""> <label> Email Id :</label> <input type="email" placeholder="Enter Email Id" name="reference_email[]" id="" > </div> <h2>Ref 4</h2> <div class="personal-details-input" id=""> <label> Name :</label> <input type="text" placeholder="Enter name" name="reference[]" id="" > </div> <div class="personal-details-input personal-details-input-hulf" id=""> <label> Company/Designation :</label> <input type="text" placeholder="Company/Designation " name="reference_company[]" id="" > </div> <div class="personal-details-input" id=""> <label> Landline :</label> <input type="text" placeholder="Landline No" name="company_landline[]" id="" > </div> <div class="personal-details-input" id=""> <label> Mobile :</label> <input type="text" placeholder="Mobile No" name="reference_mobile[]" id="" > </div> <div class="personal-details-input" id=""> <label> Email Id :</label> <input type="email" placeholder="Enter Email Id" name="reference_email[]" id="" > </div> <h5>✅ Other Details</h5> <div class="personal-details-input personal-details-input-hulf" id="" style="width:100%"> <label>Are you currently under service agreement / bond with your existing employer? </label> <span class="radio-botton" style=""> <input type="radio" id="existing-employer" name="agreement-employer" value="YES"> <label for="Yes">YES</label> </span> <span class="radio-botton" style=""> <input type="radio" id="existing-employer" name="agreement-employer" value="NO"> <label for="no">NO</label> </span> </div> <div class="personal-details-input personal-details-input-hulf" id="" style="width:100%"> <label>Have you ever been charged or convicted for any criminal offense in India or abroad? </label> <span class="radio-botton" style=""> <input type="radio" id="existing-criminal-offense" name="criminaloffense" value="YES"> <label for="Yes">YES</label> </span> <span class="radio-botton" style=""> <input type="radio" id="existing-criminal-offense" name="criminaloffense" value="NO"> <label for="no">NO</label> </span> </div> </div> <div class="submit-input"> <input type="submit" class="" name="sub" id="sub" value="Submit"> </div> </form> <?php if(isset($_POST['sub'])){ //echo $_POST['agreement-employer'];echo $_POST['criminaloffense']; $stmt =$show->readwithdata('online_enquiry','order_id',$oid); while ($row = $stmt->fetch(PDO::FETCH_ASSOC)){ $name=$row['name']; $loa=$row['loa']; $uid=$row['user_id']; $package_id=$row['package_id']; } //echo $uid; //echo $package_id; if(isset($_FILES['image']['name'])){ $img=$show->imageEdit($_FILES['image']['name']); move_uploaded_file($_FILES['image']['tmp_name'],"product_img/".$img); } if(isset($_FILES['marksheet']['name'])){ $marksheet=$show->imageEdit($_FILES['marksheet']['name']); move_uploaded_file($_FILES['marksheet']['tmp_name'],"product_img/".$marksheet); } if(isset($_FILES['sem_semester']['name'])){ $sem_semester=$show->imageEdit($_FILES['sem_semester']['name']); move_uploaded_file($_FILES['sem_semester']['tmp_name'],"product_img/".$sem_semester); } if(isset($_FILES['degree_certicate_front']['name'])){ $degree_certicate_front=$show->imageEdit($_FILES['degree_certicate_front']['name']); move_uploaded_file($_FILES['degree_certicate_front']['tmp_name'],"product_img/".$degree_certicate_front); } if(isset($_FILES['degree_certicate_back']['name'])){ $degree_certicate_back=$show->imageEdit($_FILES['degree_certicate_back']['name']); move_uploaded_file($_FILES['degree_certicate_back']['tmp_name'],"product_img/".$degree_certicate_back); } if(isset($_FILES['p_certificate']['name'])){ $p_certificate=$show->imageEdit($_FILES['p_certificate']['name']); move_uploaded_file($_FILES['p_certificate']['tmp_name'],"product_img/".$p_certificate); } if(isset($_FILES['leaving_certificate']['name'])){ $leaving_certificate=$show->imageEdit($_FILES['leaving_certificate']['name']); move_uploaded_file($_FILES['leaving_certificate']['tmp_name'],"product_img/".$leaving_certificate); } $data = array( 'order_id' => $oid, 'user_id' => $uid, 'package_id' => $package_id, 'name' => htmlspecialchars($_POST['name']), 'phone' => htmlspecialchars($_POST['phone']), 'dob' => date('Y-m-d',strtotime($_POST['dob'])), 'father' => htmlspecialchars($_POST['father']), 'nationality' => htmlspecialchars($_POST['nationality']), 'passport' => htmlspecialchars($_POST['passport']), 'doi' => date('Y-m-d',strtotime($_POST['doi'])), 'doe' => date('Y-m-d',strtotime($_POST['doe'])), 'pan' => htmlspecialchars($_POST['pan']), 'aadhar' => htmlspecialchars($_POST['aadhar']), 'blood' => htmlspecialchars($_POST['blood']), 'name_change' => htmlspecialchars($_POST['name_change']), 'date_of_namechange' =>date('Y-m-d',strtotime($_POST['date_of_namechange'])), 'current_street' => htmlspecialchars($_POST['current_street']), 'city' => htmlspecialchars($_POST['city']), 'pincode' => htmlspecialchars($_POST['pincode']), 'landmark' => htmlspecialchars($_POST['landmark']), 'state' => htmlspecialchars($_POST['state']), 'period_of_stay' => htmlspecialchars($_POST['period_of_stay']), 'current_mobile' => htmlspecialchars($_POST['current_mobile']), 'c_stay_type' => htmlspecialchars($_POST['c_stay_type']), 'pstreet' => htmlspecialchars($_POST['pstreet']), 'pcity' => htmlspecialchars($_POST['pcity']), 'pstate' => htmlspecialchars($_POST['pstate']), 'p_pincode' => htmlspecialchars($_POST['p_pincode']), 'plandmark' => htmlspecialchars($_POST['plandmark']), 'p_period_of_stay' => htmlspecialchars($_POST['p_period_of_stay']), 'p_mobile' => htmlspecialchars($_POST['p_mobile']), 'p_stay_type' => htmlspecialchars($_POST['p_stay_type']), 'image' =>$img, 'school_course' => htmlspecialchars($_POST['school_course']), 'school_id' => htmlspecialchars($_POST['school_id']), 'year_completion' => htmlspecialchars($_POST['year_completion']), 'school_subj' => htmlspecialchars($_POST['school_subj']), 'school_division' => htmlspecialchars($_POST['school_division']), 'school_board' => htmlspecialchars($_POST['school_board']), 'school_name' => htmlspecialchars($_POST['school_name']), 'school_address' => htmlspecialchars($_POST['school_address']), 'school_city' => htmlspecialchars($_POST['school_city']), 'school_state' => htmlspecialchars($_POST['school_state']), 'school_pincode' => htmlspecialchars($_POST['school_pincode']), 'school_landline' => htmlspecialchars($_POST['school_landline']), 'hs_course' => htmlspecialchars($_POST['hs_course']), 'hs_id' => htmlspecialchars($_POST['hs_id']), 'hs_duration' => htmlspecialchars($_POST['hs_duration']), 'hs_division' => htmlspecialchars($_POST['hs_division']), 'hs_degree' => htmlspecialchars($_POST['hs_degree']), 'hs_subj' => htmlspecialchars($_POST['hs_subj']), 'hs_course_type' => htmlspecialchars($_POST['hs_course_type']), 'hs_board' => htmlspecialchars($_POST['hs_board']), 'hs_school' => htmlspecialchars($_POST['hs_school']), 'hs_address' => htmlspecialchars($_POST['hs_address']), 'hs_city' => htmlspecialchars($_POST['hs_city']), 'hs_state' => htmlspecialchars($_POST['hs_state']), 'hs_pincode' => htmlspecialchars($_POST['hs_pincode']), 'hs_landline' => htmlspecialchars($_POST['hs_landline']), 'hs_email' => htmlspecialchars($_POST['hs_email']), 'marksheet' => $marksheet, 'sem_semester' =>$sem_semester, 'degree_certicate_front' => $degree_certicate_front, 'degree_certicate_back' => $degree_certicate_back, 'p_certificate' => $p_certificate, 'leaving_certificate' => $leaving_certificate, 'status' => 'ORDER PLACED', 'pay_status' => 'SUCCESS', 'ref_academic1' => htmlspecialchars($_POST['ref_academic1']), 'refree_1' => htmlspecialchars($_POST['refree_1']), 'ref_designation1' => htmlspecialchars($_POST['ref_designation1']), 'ref_landline1' => htmlspecialchars($_POST['ref_landline1']), 'ref_mobile1' => htmlspecialchars($_POST['ref_mobile1']), 'ref_email1' => htmlspecialchars($_POST['ref_email1']), 'ref_academic2' => htmlspecialchars($_POST['ref_academic2']), 'refree_2' => htmlspecialchars($_POST['refree_2']), 'ref_designation2' => htmlspecialchars($_POST['ref_designation2']), 'ref_landline2' => htmlspecialchars($_POST['ref_landline2']), 'ref_mobile2' => htmlspecialchars($_POST['ref_mobile2']), 'ref_email2' => htmlspecialchars($_POST['ref_email2']), 'agreement' => $_POST['agreement-employer'], 'criminaloffense' => $_POST['criminaloffense'], ); print_r($data); foreach($_POST['course_name'] as $key=>$value){ if (!empty(trim($value))) { $data1=array( 'order_id' => $oid, 'course_name' => $value, 'grad_id' => $_POST['grad_id'][$key], 'grad_duration' => $_POST['grad_duration'][$key], 'grad_division' => $_POST['grad_division'][$key], 'grad_degree' => $_POST['grad_degree'][$key], 'grad_major' => $_POST['grad_major'][$key], 'grad_course_type' => $_POST['grad_course_type'][$key], 'university' => $_POST['university'][$key], 'clg_name' => $_POST['clg_name'][$key], 'university_address' => $_POST['university_address'][$key], 'clg_city' => $_POST['clg_city'][$key], 'clg_state' => $_POST['clg_state'][$key], 'clg_pincode' => $_POST['clg_pincode'][$key], 'clg_landline' => $_POST['clg_landline'][$key], 'clg_email' => $_POST['clg_email'][$key], 'user_id' => $uid, ); print_r($data1); $r=$show->insert('candidate_grads',$data1); } } foreach($_POST['company_name'] as $key=>$value){ if (!empty(trim($value))) { $data1=array( 'order_id' => $oid, 'user_id' => $uid, 'company_name' => $value, 'where_employed' => $_POST['where_employed'][$key], 'company_address' => $_POST['company_address'][$key], 'company_street' => $_POST['company_street'][$key], 'company_city' => $_POST['company_city'][$key], 'company_state' => $_POST['company_state'][$key], 'company_pincode' => $_POST['company_pincode'][$key], 'company_landline' => $_POST['company_landline'][$key], 'period_of_emp' => $_POST['period_of_emp'][$key], 'emp_code' => $_POST['emp_code'][$key], 'reported_to' => $_POST['reported_to'][$key], 'designation' => $_POST['designation'][$key], 'remuneration' => $_POST['remuneration'][$key], 'department' => $_POST['department'][$key], 'super_designation' => $_POST['super_designation'][$key], 'company_email' => $_POST['company_email'][$key], 'leaving_reason' => $_POST['leaving_reason'][$key], 'contract_company_name' => $_POST['contract_company_name'][$key], 'contract_company_address' => $_POST['contract_company_address'][$key], 'contract_company_street' => $_POST['contract_company_street'][$key], 'contract_company_city' => $_POST['contract_company_city'][$key], 'contract_company_state' => $_POST['contract_company_state'][$key], 'contract_company_person_person' => $_POST['contract_company_person_person'][$key], 'contract_company_email' => $_POST['contract_company_email'][$key], 'contract_company_designation' => $_POST['contract_company_designation'][$key], 'contract_company_landline' => $_POST['contract_company_landline'][$key], 'contract_leaving_reason' => $_POST['contract_leaving_reason'][$key], ); print_r($data1); $r=$show->insert('candidate_profession',$data1); } } foreach($_POST['reference'] as $key=>$value){ if (!empty(trim($value))) { $data1=array( 'order_id' => $oid, 'user_id' => $uid, 'reference' => $value, 'reference_company' => $_POST['reference_company'][$key], 'company_landline' => $_POST['company_landline'][$key], 'reference_mobile' => $_POST['reference_mobile'][$key], 'reference_email' => $_POST['reference_email'][$key], ); print_r($data1); $r=$show->insert('candidate_reference',$data1); } } if($show->insert('orders',$data)){ echo '<script> setTimeout(function() { swal({ title: "Thank You ", text: "Your data has been inserted please fill up the next page.", type: "success" }, function() { window.location = "candidate_declaration1.php?oid='.base64_encode($oid).'&place='.base64_encode($place).'&date='.base64_encode($date).'"; }); }, 1000); </script>'; } } ?> </div> </div> </div> <?php include('footer.php'); ?>
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Hostname: server05.hostinghome.co.in
Server IP: 192.168.74.40
PHP Version: 7.4.33
Server Software: Apache
System: Linux server05.hostinghome.co.in 3.10.0-962.3.2.lve1.5.81.el7.x86_64 #1 SMP Wed May 31 10:36:47 UTC 2023 x86_64
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disable_functions:
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allow_url_fopen:
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allow_url_include:
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magic_quotes_gpc:
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register_globals:
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open_basedir:
None
cURL:
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ZipArchive:
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MySQLi:
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PDO:
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wget:
Yes
curl (cmd):
Yes
perl:
Yes
python:
Yes
gcc:
Yes
pkexec:
No
git:
Yes
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Username: itsweb
User ID (UID): 1619
Group ID (GID): 1621
Script Owner UID: 1619
Current Dir Owner: 1619