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Viewing / Editing File: candidate_declaration1.php

<?php 
include('header.php');$oid=base64_decode($_REQUEST['oid']); $place=base64_decode($_REQUEST['place']); $date=base64_decode($_REQUEST['date']);

$stmt =$show->readwithdata('orders','order_id',$oid);

while ($row = $stmt->fetch(PDO::FETCH_ASSOC)){
     $name=$row['name']; 
      $uid=$row['user_id']; 
     $package_id=$row['package_id']; 
   
}  
?>
<style>.header-bottom{ display: none; } .header-top{ display: none; }  .testimonials{ display: none; }    #footer{ display: none; }  </style>

<div class="CDF-banner">
                    
                    
                    <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 27/01/2026</li>
                        </ul>
                    </div>
                    
                    
                    <form method="post" class="form-cdf" enctype="multipart/form-data">
                        
                        
                        <div class="CDF-01 personal-details">
                            <p style="width: 100%;text-align: center;"><b>Authorization / Declaration and Undertaking</b></p>
                            <p style="width: 100%;">If employed by <Verifacts Services Pvt Ltd>, I agree to provide copies of all relevant certificates. I understand that employment with <Verifacts Services Pvt Ltd> is governed by their employment policies as applicable, including satisfactory information from background checks.</p>
                            <p style="width: 100%;">I hereby certify that all information provided herein, is true and complete to the best of my knowledge and belief. I authorize <Verifacts Services Pvt Ltd> and its representative to authenticate information I have provided in my resume and this Candidate Declaration Form (CDF). To conduct enquiries as may be necessary at the company’s discretion, I authorize all who may have information relevant to this enquiry to disclose it to <Verifacts Services Pvt Ltd> and/or its representative. I release all concerned from any liability on account of such disclosures.</p>
                            <p style="">I also declare that the information provided by me in my resume and application for employment to  and its representative is authentic and I am liable for all inaccuracies and omissions.<br><i>
                            I promise to extend total co-operation and provide relevant documents required.</i>
                            </p>
                            <input type="file" placeholder="" name="file" id="file" required="" style="margin: 0; height: 90px;">
                            
                            <div class="personal-details-input" id="">
                                <label>Full Name of the Candidate  :</label>
                                <input type="text" placeholder="Full Name" value="<?=$name?>" name="name" id="name" readonly="">
                            </div>
                            <div class="personal-details-input" id="">
                                <label>Place :</label>
                                <input type="text" placeholder="Place Name" value="<?=$place?>"   id="father" >
                            </div>                            
                            <div class="personal-details-input" id="">
                                <label>Date  :</label>
                                <input type="date" placeholder="(DD/MM/YY)" value="<?=$date?>" id="dob" >
                            </div>
                            
                            
                            <h5>✅  Checklist for Candidates</h5>
                            <h3><b>Note :  </b> This checklist is to assist you. Please go through all the columns.</h3>
                            <h6>Personal Details </h6>
                            
                            <div class="personal-details-input radio-input-form2" id="">
                                <label>Fathers’ Name :</label>
                                <span class="radio-botton radio-botton-form2 ">
                                    <input type="radio" id="fathersname" name="fathers_name" value="YES" required>
                                    <label for="fathersname1">YES</label>
                                </span>
                                <span class="radio-botton radio-botton-form2 ">
                                    <input type="radio" id="fathersname2" name="fathers_name" value="NO" required>
                                    <label for="fathersname2">NO</label>
                                </span>	
                            </div>
                            <div class="personal-details-input radio-input-form2" id="">
                                <label>Your Date of Birth :</label>
                                <span class="radio-botton radio-botton-form2 ">
                                    <input type="radio" id="dateofBirth1" name="dob_checklist" value="YES" required>
                                    <label for="dateofBirth1">YES</label>
                                </span>
                                <span class="radio-botton radio-botton-form2 ">
                                    <input type="radio" id="dateofBirth2" name="dob_checklist" value="NO" required>
                                    <label for="dateofBirth2">NO</label>
                                </span>	
                            </div>                            
                            <div class="personal-details-input radio-input-form2" id="">
                                <label>Your Passport Details :</label>
                                <span class="radio-botton radio-botton-form2 ">
                                    <input type="radio" id="Passport1" name="passport_checklist" value="YES" required>
                                    <label for="Passport1">YES</label>
                                </span>
                                <span class="radio-botton radio-botton-form2 ">
                                    <input type="radio" id="Passport2" name="passport_checklist" value="NO" required>
                                    <label for="Passport2">NO</label>
                                </span>	
                            </div>                            
                            <div class="personal-details-input radio-input-form2" id="">
                                <label>Mobile number :</label>
                                <span class="radio-botton radio-botton-form2 radio-botton3-form">
                                    <input type="radio" id="Mobilenumber1" name="phone_checklist" value="YES" required>
                                    <label for="Mobilenumber1">YES</label>
                                </span>
                                <span class="radio-botton radio-botton-form2 radio-botton3-form">
                                    <input type="radio" id="Mobilenumber2" name="phone_checklist" value="NO" required>
                                    <label for="Mobilenumber2">NO</label>
                                </span>	
                                <span class="radio-botton radio-botton-form2 radio-botton3-form">
                                    <input type="radio" id="Mobilenumber3" name="phone_checklist" value="NA" required>
                                    <label for="Mobilenumber3">NA</label>
                                </span>
                            </div>                             
                            <div class="personal-details-input radio-input-form2" id="">
                                <label>SSN/Other Country Nos. :</label>
                                <span class="radio-botton radio-botton-form2 radio-botton3-form">
                                    <input type="radio" id="CountryNo1" name="country_checklist" value="YES" required>
                                    <label for="CountryNo1">YES</label>
                                </span>
                                <span class="radio-botton radio-botton-form2 radio-botton3-form">
                                    <input type="radio" id="CountryNo2" name="country_checklist" value="NO" required>
                                    <label for="CountryNo2">NO</label>
                                </span>	
                                <span class="radio-botton radio-botton-form2 radio-botton3-form">
                                    <input type="radio" id="CountryNo3" name="country_checklist" value="NA" required>
                                    <label for="CountryNo3">NA</label>
                                </span>
                            </div>                             
                            <div class="personal-details-input radio-input-form2" id="">
                                <label>Personal Contact No :</label>
                                <span class="radio-botton radio-botton-form2 radio-botton3-form">
                                    <input type="radio" id="PersonalContact1" name="p_contact_checklist" value="YES" required>
                                    <label for="PersonalContact1">YES</label>
                                </span>
                                <span class="radio-botton radio-botton-form2 radio-botton3-form">
                                    <input type="radio" id="PersonalContact2" name="p_contact_checklist" value="NO" required>
                                    <label for="PersonalContact2">NO</label>
                                </span>	
                                <span class="radio-botton radio-botton-form2 radio-botton3-form">
                                    <input type="radio" id="PersonalContact3" name="p_contact_checklist" value="NA" required>
                                    <label for="PersonalContact3">NA</label>
                                </span>
                            </div> 
                            <div class="personal-details-input radio-input-form2" id="">
                                <label>Date of Name Change :</label>
                                <span class="radio-botton radio-botton-form2 radio-botton3-form">
                                    <input type="radio" id="NameChange1" name="namechange_checklist" value="YES" required>
                                    <label for="NameChange1">YES</label>
                                </span>
                                <span class="radio-botton radio-botton-form2 radio-botton3-form">
                                    <input type="radio" id="NameChange2" name="namechange_checklist" value="NO" required>
                                    <label for="NameChange2">NO</label>
                                </span>
                                <span class="radio-botton radio-botton-form2 radio-botton3-form">
                                    <input type="radio" id="NameChange3" name="namechange_checklist" value="NA" required>
                                    <label for="NameChange3">NA</label>
                                </span>                                
                            </div>
                            
                            <h6>Addresses</h6>
                            <div class="left-tabil-form2">
                                <h2>Current Add.</h2>
                                <div class="personal-details-input radio-input-form2" id="">
                                    <label>Pin Code :</label>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="PinCode1" name="pincode_checklist" value="YES" required>
                                        <label for="PinCode1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="PinCode2" name="pincode_checklist" value="NO" required>
                                        <label for="PinCode2">NO</label>
                                    </span>	
                                </div> 
                                <div class="personal-details-input radio-input-form2" id="">
                                    <label>Landmark  :</label>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="Landmark1" name="landmark_checklist" value="YES" required>
                                        <label for="Landmark1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="Landmark2" name="landmark_checklist" value="NO" required>
                                        <label for="Landmark2">NO</label>
                                    </span>	
                                </div>                            
                                <div class="personal-details-input radio-input-form2" id="">
                                    <label>Landline No  :</label>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="Landline1" name="landline_checklist" value="YES">
                                        <label for="Landline1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="Landline2" name="landline_checklist" value="NO" required>
                                        <label for="Landline2">NO</label>
                                    </span>	
                                </div>                             
                                <div class="personal-details-input radio-input-form2" id="">
                                    <label>Landlords Name  :</label>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="Landlords1" name="landlord_checklist" value="YES" required>
                                        <label for="Landlords1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="Landlords2" name="landlord_checklist" value="NO" required>
                                        <label for="Landlords2">NO</label>
                                    </span>	
                                </div>                            
                                <div class="personal-details-input radio-input-form2" id="">
                                    <label>Landlords No  :</label>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="Landlordsno1" name="landlords_phone" value="YES" required>
                                        <label for="Landlordsno1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="Landlordsno2" name="landlords_phone" value="NO" required>
                                        <label for="Landlordsno2">NO</label>
                                    </span>	
                                </div>                             
                                <div class="personal-details-input radio-input-form2" id="">
                                    <label>Last Electricity Bill  :</label>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="ElectricityBill1" name="electric_bill" value="YES" required>
                                        <label for="ElectricityBill1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="ElectricityBill2" name="electric_bill" value="NO" required>
                                        <label for="ElectricityBill2">NO</label>
                                    </span>	
                                </div>                            
                                <div class="personal-details-input radio-input-form2" id="">
                                    <label>Last Phone bill :</label>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="PhoneBill1" name="phone_bill" value="YES" required>
                                        <label for="PhoneBill1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="PhoneBill2" name="phone_bill" value="NO" required>
                                        <label for="PhoneBill2">NO</label>
                                    </span>	
                                </div>                                
                            </div>
                            <div class="left-tabil-form2">
                                <h2>Permanent Add.</h2>
                                <div class="personal-details-input radio-input-form2" id="">
                                    <label>Pin Code :</label>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="PermanentPinCode1" name="permanent_pin" value="YES" required>
                                        <label for="PermanentPinCode1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="PermanentPinCode2" name="permanent_pin" value="NO" required>
                                        <label for="PermanentPinCode2">NO</label>
                                    </span>	
                                </div> 
                                <div class="personal-details-input radio-input-form2" id="">
                                    <label>Landmark  :</label>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="PermanentLandmark1" name="permanent_landmark" value="YES" required>
                                        <label for="PermanentLandmark1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="PermanentLandmark2" name="permanent_landmark" value="NO" required>
                                        <label for="PermanentLandmark2">NO</label>
                                    </span>	
                                </div>                            
                                <div class="personal-details-input radio-input-form2" id="">
                                    <label>Landline No  :</label>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="PermanentLandline1" name="permanent_landline" value="YES" required>
                                        <label for="PermanentLandline1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="PermanentLandline2" name="permanent_landline" value="NO" required>
                                        <label for="PermanentLandline2">NO</label>
                                    </span>	
                                </div>                             
                                <div class="personal-details-input radio-input-form2" id="">
                                    <label>Neighbours Name  :</label>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="PermanentLandlords1" name="neighbour" value="YES" required>
                                        <label for="PermanentLandlords1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="PermanentLandlords2" name="neighbour" value="NO" required>
                                        <label for="PermanentLandlords2">NO</label>
                                    </span>	
                                </div>                            
                                <div class="personal-details-input radio-input-form2" id="">
                                    <label>Neighbours No  :</label>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="PermanentLandlordsno1" name="neighbour_phn" value="YES" required>
                                        <label for="PermanentLandlordsno1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="PermanentLandlordsno2" name="neighbour_phn" value="NO" required>
                                        <label for="PermanentLandlordsno2">NO</label>
                                    </span>	
                                </div>                             
                                <div class="personal-details-input radio-input-form2" id="">
                                    <label>Last Electricity Bill  :</label>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="PermanentElectricityBill1" name="permanent_electric_bill" value="YES" required>
                                        <label for="PermanentElectricityBill1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="PermanentElectricityBill2" name="permanent_electric_bill" value="NO" required>
                                        <label for="PermanentElectricityBill2">NO</label>
                                    </span>	
                                </div>                            
                                <div class="personal-details-input radio-input-form2" id="">
                                    <label>Last Phone bill :</label>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="PermanentPhoneBill1" name="permanent_phn_bill" value="YES" required>
                                        <label for="PermanentPhoneBill1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 ">
                                        <input type="radio" id="PermanentPhoneBill2" name="permanent_phn_bill" value="NO" required>
                                        <label for="PermanentPhoneBill2">NO</label>
                                    </span>	
                                </div> 
                            </div>
                            
                            <h5>✅  Education</h5>
                            
                            <div class="left-tabil-form2">
                                <h2>High School</h2>
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Student Id/Enrolment No. :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Student1" name="student_id1" value="YES" required>
                                        <label for="Student1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Student2" name="student_id1" value="NO" required>
                                        <label for="Student2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Student3" name="student_id1" value="na" required>
                                        <label for="Student3">NA</label>
                                    </span>                                    
                                </div>
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>School/College Name :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="School1" name="school_college1" value="YES" required>
                                        <label for="School1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="School2" name="school_college1" value="NO" required>
                                        <label for="School2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="School3" name="school_college1" value="NA" required>
                                        <label for="School3">NA</label>
                                    </span>                                    
                                </div>                                
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Location :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Location1" name="location1" value="YES" required>
                                        <label for="Location1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Location2" name="location1" value="NO" required>
                                        <label for="Location2">NO</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Location3" name="location1" value="NA" required>
                                        <label for="Location3">NA</label>
                                    </span> 
                                </div>                                
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>University/ Institution Name :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Institution3" name="institution_university_name1" value="YES" required>
                                        <label for="Institution3">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Institution2" name="institution_university_name1" value="NO" required>
                                        <label for="Institution2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Institution1" name="institution_university_name1" value="NA" required>
                                        <label for="Institution1">NA</label>
                                    </span>                                    
                                </div>                                 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Mark sheets :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Mark3" name="mark1" value="YES" required>
                                        <label for="Mark3">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Mark2" name="mark1" value="NO" required>
                                        <label for="Mark2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Mark1" name="mark1" value="NA" required>
                                        <label for="Mark1">NA</label>
                                    </span>
                                </div> 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Provisional Certificates :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Provisional1" name="provisional_certificate1" value="YES" required>
                                        <label for="Provisional1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Provisional2" name="provisional_certificate1" value="NO" required>
                                        <label for="Provisional2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Provisional3" name="provisional_certificate1" value="NA" required>
                                        <label for="Provisional3">NA</label>
                                    </span>                                    
                                </div>                                 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Degree Certificates :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Degree1" name="degree_certificate1" value="YES" required>
                                        <label for="Degree1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Degree2" name="degree_certificate1" value="NO" required>
                                        <label for="Degree2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Degree3" name="degree_certificate1" value="NA" required>
                                        <label for="Degree3">NA</label>
                                    </span>	                                    
                                </div>                                
                            </div>
                            
                            
                            <div class="left-tabil-form2">
                                <h2>Higher Secondary</h2>
                              <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Student Id/Enrolment No. :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Student1" name="student_id2" value="YES" required>
                                        <label for="Student1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Student2" name="student_id2" value="NO" required>
                                        <label for="Student2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Student3" name="student_id2" value="NA" required>
                                        <label for="Student3">NA</label>
                                    </span>                                    
                                </div>
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>School/College Name :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="School1" name="school_college2" value="YES" required>
                                        <label for="School1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="School2" name="school_college2" value="NO" required>
                                        <label for="School2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="School3" name="school_college2" value="NA" required>
                                        <label for="School3">NA</label>
                                    </span>                                    
                                </div>                                    
                               <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Location :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Location1" name="location2" value="YES" required required>
                                        <label for="Location1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Location2" name="location2" value="NO" required required>
                                        <label for="Location2">NO</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Location3" name="location2" value="NA" required required>
                                        <label for="Location3">NA</label>
                                    </span> 
                                </div>                                
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>University/ Institution Name :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Institution3" name="institution_university_name2" value="YES" required>
                                        <label for="Institution3">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Institution2" name="institution_university_name2" value="NO" required>
                                        <label for="Institution2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Institution1" name="institution_university_name2" value="NA" required>
                                        <label for="Institution1">NA</label>
                                    </span>                                    
                                </div>                                 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Mark sheets :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Mark3" name="mark2" value="YES" required>
                                        <label for="Mark3">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Mark2" name="mark2" value="NO" required>
                                        <label for="Mark2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Mark1" name="mark2" value="NA" required>
                                        <label for="Mark1">NA</label>
                                    </span>
                                </div> 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Provisional Certificates :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Provisional1" name="provisional_certificate2" value="YES" required>
                                        <label for="Provisional1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Provisional2" name="provisional_certificate2" value="NO" required>
                                        <label for="Provisional2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Provisional3" name="provisional_certificate2" value="NA" required>
                                        <label for="Provisional3">NA</label>
                                    </span>                                    
                                </div>                                 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Degree Certificates :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Degree1" name="degree_certificate2" value="YES" required>
                                        <label for="Degree1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Degree2" name="degree_certificate2" value="NO" required>
                                        <label for="Degree2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Degree3" name="degree_certificate2" value="NA" required>
                                        <label for="Degree3">NA</label>
                                    </span>	                                    
                                </div>              
                            </div> 
                            
                            
                            <div class="left-tabil-form2">
                                <h2>Graduation</h2>
    <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Student Id/Enrolment No. :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Student1" name="student_id3" value="YES" required>
                                        <label for="Student1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Student2" name="student_id3" value="NO" required>
                                        <label for="Student2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Student3" name="student_id3" value="NA" required>
                                        <label for="Student3">NA</label>
                                    </span>                                    
                                </div>
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>School/College Name :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="School1" name="school_college3" value="YES" required>
                                        <label for="School1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="School2" name="school_college3" value="NO" required>
                                        <label for="School2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="School3" name="school_college3" value="NA" required>
                                        <label for="School3">NA</label>
                                    </span>                                    
                                </div>                                    
                               <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Location :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Location1" name="location3" value="YES" required>
                                        <label for="Location1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Location2" name="location3" value="NO" required>
                                        <label for="Location2">NO</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Location3" name="location3" value="NA" required>
                                        <label for="Location3">NA</label>
                                    </span> 
                                </div>                                
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>University/ Institution Name :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Institution3" name="institution_university_name3" value="YES" required>
                                        <label for="Institution3">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Institution2" name="institution_university_name3" value="NO" required>
                                        <label for="Institution2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Institution1" name="institution_university_name3" value="NA" required>
                                        <label for="Institution1">NA</label>
                                    </span>                                    
                                </div>                                 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Mark sheets :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Mark3" name="mark3" value="YES" required>
                                        <label for="Mark3">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Mark2" name="mark3" value="NO" required>
                                        <label for="Mark2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Mark1" name="mark3" value="NA" required>
                                        <label for="Mark1">NA</label>
                                    </span>
                                </div> 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Provisional Certificates :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Provisional1" name="provisional_certificate3" value="YES" required>
                                        <label for="Provisional1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Provisional2" name="provisional_certificate3" value="NO" required>
                                        <label for="Provisional2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Provisional3" name="provisional_certificate3" value="NA" required>
                                        <label for="Provisional3">NA</label>
                                    </span>                                    
                                </div>                                 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Degree Certificates :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Degree1" name="degree_certificate3" value="YES" required>
                                        <label for="Degree1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Degree2" name="degree_certificate3" value="NO" required>
                                        <label for="Degree2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Degree3" name="degree_certificate3" value="NA" required>
                                        <label for="Degree3">NA</label>
                                    </span>	                                    
                                </div>           
                                
                                </div> 
                            
                            
                            <div class="left-tabil-form2">
                                <h2>Post Graduation</h2>
                                 <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Student Id/Enrolment No. :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Student1" name="student_id4" value="YES" required>
                                        <label for="Student1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Student2" name="student_id4" value="NO" required>
                                        <label for="Student2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Student3" name="student_id4" value="NA" required>
                                        <label for="Student3">NA</label>
                                    </span>                                    
                                </div>
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>School/College Name :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="School1" name="school_college4" value="YES" required>
                                        <label for="School1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="School2" name="school_college4" value="NO" required>
                                        <label for="School2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="School3" name="school_college4" value="NA" required>
                                        <label for="School3">NA</label>
                                    </span>                                    
                                </div>                                    
                               <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Location :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Location1" name="location4" value="YES" required>
                                        <label for="Location1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Location2" name="location4" value="NO" required>
                                        <label for="Location2">NO</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Location3" name="location4" value="NA" required>
                                        <label for="Location3">NA</label>
                                    </span> 
                                </div>                                
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>University/ Institution Name :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Institution3" name="institution_university_name4" value="YES" required>
                                        <label for="Institution3">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Institution2" name="institution_university_name4" value="NO" required>
                                        <label for="Institution2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Institution1" name="institution_university_name4" value="NA" required>
                                        <label for="Institution1">NA</label>
                                    </span>                                    
                                </div>                                 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Mark sheets :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Mark3" name="mark4" value="YES" required>
                                        <label for="Mark3">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Mark2" name="mark4" value="NO" required>
                                        <label for="Mark2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Mark1" name="mark4" value="NA" required>
                                        <label for="Mark1">NA</label>
                                    </span>
                                </div> 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Provisional Certificates :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Provisional1" name="provisional_certificate4" value="YES" required>
                                        <label for="Provisional1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Provisional2" name="provisional_certificate4" value="NO" required>
                                        <label for="Provisional2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Provisional3" name="provisional_certificate4" value="NA"  required>
                                        <label for="Provisional3">NA</label>
                                    </span>                                    
                                </div>                                 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Degree Certificates :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Degree1" name="degree_certificate4" value="YES" required>
                                        <label for="Degree1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Degree2" name="degree_certificate4" value="NO" required>
                                        <label for="Degree2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Degree3" name="degree_certificate4" value="NA" required>
                                        <label for="Degree3">NA</label>
                                    </span>	                                    
                                </div>           
                                
                                </div>  
                            
                            <h5>Employment</h5>
                            
                            <div class="left-tabil-form2">
                                <h2>Employ 01</h2>
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Name of Company :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Company1" name="company1" value="YES" required>
                                        <label for="Company1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Company2" name="company1" value="NO" required>
                                        <label for="Company2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Company3" name="company1" value="NA" required>
                                        <label for="Company3">NA</label>
                                    </span>                                    
                                </div>
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Location :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyLocation1" name="location1" value="YES" required>
                                        <label for="CompanyLocation1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyLocation2" name="location1" value="NO" required>
                                        <label for="CompanyLocation2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyLocation3" name="location1" value="NA" required>
                                        <label for="CompanyLocation3">NA</label>
                                    </span>                                    
                                </div>                                
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Company Contact No :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyContact01" name="company_contact1" value="YES" required>
                                        <label for="CompanyContact01">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyContact02" name="company_contact1" value="NO" required>
                                        <label for="CompanyContact02">NO</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyContact03" name="company_contact1" value="NA" required>
                                        <label for="CompanyContact03">NA</label>
                                    </span> 
                                </div>                                
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Employee Code :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="EmployeeCode3" name="employeeCode1" value="YES" required>
                                        <label for="EmployeeCode3">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="EmployeeCode2" name="employeeCode1" value="NO" required>
                                        <label for="EmployeeCode2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="EmployeeCode1" name="employeeCode1" value="NA" required>
                                        <label for="EmployeeCode1">NA</label>
                                    </span>                                    
                                </div>                                 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Period of Employment :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="PeriodofEmployment3" name="periodofEmployment1" value="YES" required>
                                        <label for="PeriodofEmployment3">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="PeriodofEmployment2" name="periodofEmployment1" value="NO" required>
                                        <label for="PeriodofEmployment2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="PeriodofEmployment1" name="periodofEmployment1" value="NA" required>
                                        <label for="PeriodofEmployment1">NA</label>
                                    </span>
                                </div> 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Appointment Letter :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AppointmentLetter1" name="appointmentLetter1" value="YES" required>
                                        <label for="AppointmentLetter1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AppointmentLetter2" name="appointmentLetter1" value="NO" required>
                                        <label for="AppointmentLetter2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AppointmentLetter3" name="appointmentLetter1" value="NA" required>
                                        <label for="AppointmentLetter3">NA</label>
                                    </span>                                    
                                </div>                                 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Relieving Letter :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="RelievingLetter1" name="relievingLetter1" value="YES" required>
                                        <label for="RelievingLetter1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="RelievingLetter2" name="relievingLetter1" value="NO" required>
                                        <label for="RelievingLetter2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="RelievingLetter3" name="relievingLetter1" value="NA" required>
                                        <label for="RelievingLetter3">NA</label>
                                    </span>	                                    
                                </div>  
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Accurate Remuneration :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AccurateRemuneration1" name="accurateRemuneration1" value="YES" required>
                                        <label for="AccurateRemuneration1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AccurateRemuneration2" name="accurateRemuneration1" value="NO" required>
                                        <label for="AccurateRemuneration2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AccurateRemuneration3" name="accurateRemuneration1" value="NA" required>
                                        <label for="AccurateRemuneration3">NA</label>
                                    </span>	                                    
                                </div>                                 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Person Reporting to Name :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingname1" name="reporting_name1" value="YES" required>
                                        <label for="Reportingname1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingname2" name="reporting_name1" value="NO" required>
                                        <label for="Reportingname2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingname3" name="reporting_name1" value="NA" required>
                                        <label for="Reportingname3">NA</label>
                                    </span>	                                    
                                </div>                                  
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Person Reporting to Phone :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingnumber1" name="reporting_phone1" value="YES" required>
                                        <label for="Reportingnumber1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingnumber2" name="reporting_phone1" value="NO" required>
                                        <label for="Reportingnumber2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingnumber3" name="reporting_phone1" value="NA" required>
                                        <label for="Reportingnumber3">NA</label>
                                    </span>	                                    
                                </div>                                
                            </div>                            
                            
                            
                            <div class="left-tabil-form2">
                                <h2>Employ 02</h2>
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Name of Company :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Company1" name="company2" value="YES" required>
                                        <label for="Company1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Company2" name="company2" value="NO" required>
                                        <label for="Company2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Company3" name="company2" value="NA" required>
                                        <label for="Company3">NA</label>
                                    </span>                                    
                                </div>
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Location :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyLocation1" name="location2" value="YES" required>
                                        <label for="CompanyLocation1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyLocation2" name="location2" value="NO" required>
                                        <label for="CompanyLocation2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyLocation3" name="location2" value="NA" required>
                                        <label for="CompanyLocation3">NA</label>
                                    </span>                                    
                                </div>                                
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Company Contact No :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyContact01" name="company_contact2" value="YES" required>
                                        <label for="CompanyContact01">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyContact02" name="company_contact2" value="NO" required>
                                        <label for="CompanyContact02">NO</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyContact03" name="company_contact2" value="NA" required required>
                                        <label for="CompanyContact03">NA</label>
                                    </span> 
                                </div>                                
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Employee Code :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="EmployeeCode3" name="employeeCode2" value="YES" required required>
                                        <label for="EmployeeCode3">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="EmployeeCode2" name="employeeCode2" value="NO" required required>
                                        <label for="EmployeeCode2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="EmployeeCode1" name="employeeCode2" value="NA" required required>
                                        <label for="EmployeeCode1">NA</label>
                                    </span>                                    
                                </div>                                 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Period of Employment :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="PeriodofEmployment3" name="periodofEmployment2" value="YES" required required>
                                        <label for="PeriodofEmployment3">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="PeriodofEmployment2" name="periodofEmployment2" value="NO" required>
                                        <label for="PeriodofEmployment2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="PeriodofEmployment1" name="periodofEmployment2" value="NA" required>
                                        <label for="PeriodofEmployment1">NA</label>
                                    </span>
                                </div> 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Appointment Letter :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AppointmentLetter1" name="appointmentLetter2" value="YES" required>
                                        <label for="AppointmentLetter1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AppointmentLetter2" name="appointmentLetter2" value="NO" required>
                                        <label for="AppointmentLetter2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AppointmentLetter3" name="appointmentLetter2" value="NA" required>
                                        <label for="AppointmentLetter3">NA</label>
                                    </span>                                    
                                </div>                                 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Relieving Letter :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="RelievingLetter1" name="relievingLetter2" value="YES" required>
                                        <label for="RelievingLetter1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="RelievingLetter2" name="relievingLetter2" value="NO" required>
                                        <label for="RelievingLetter2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="RelievingLetter3" name="relievingLetter2" value="NA" required>
                                        <label for="RelievingLetter3">NA</label>
                                    </span>	                                    
                                </div>  
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Accurate Remuneration :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AccurateRemuneration1" name="accurateRemuneration2" value="YES" required>
                                        <label for="AccurateRemuneration1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AccurateRemuneration2" name="accurateRemuneration2" value="NO" required>
                                        <label for="AccurateRemuneration2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AccurateRemuneration3" name="accurateRemuneration2" value="NA" required>
                                        <label for="AccurateRemuneration3">NA</label>
                                    </span>	                                    
                                </div>                                 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Person Reporting to Name :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingname1" name="reporting_name2" value="YES" required>
                                        <label for="Reportingname1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingname2" name="reporting_name2" value="NO" required>
                                        <label for="Reportingname2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingname3" name="reporting_name2" value="NA required">
                                        <label for="Reportingname3">NA</label>
                                    </span>	                                    
                                </div>                                  
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Person Reporting to Phone :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingnumber1" name="reporting_phone2" value="YES" required>
                                        <label for="Reportingnumber1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingnumber2" name="reporting_phone2" value="NO" required>
                                        <label for="Reportingnumber2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingnumber3" name="reporting_phone2" value="NA" required>
                                        <label for="Reportingnumber3">NA</label>
                                    </span>	                                    
                                </div>                                
                            </div>  
                            
                            
                            <div class="left-tabil-form2">
                                <h2>Employ 03</h2>
                              <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Name of Company :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Company1" name="company3" value="YES" required>
                                        <label for="Company1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Company2" name="company3" value="NO" required>
                                        <label for="Company2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Company3" name="company3" value="NA" required required>
                                        <label for="Company3">NA</label>
                                    </span>                                    
                                </div>
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Location :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyLocation1" name="location3" value="YES" required required>
                                        <label for="CompanyLocation1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyLocation2" name="location3" value="NO" required required>
                                        <label for="CompanyLocation2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyLocation3" name="location3" value="NA" required>
                                        <label for="CompanyLocation3">NA</label>
                                    </span>                                    
                                </div>                                
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Company Contact No :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyContact01" name="company_contact3" value="YES" required>
                                        <label for="CompanyContact01">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyContact02" name="company_contact3" value="NO" required>
                                        <label for="CompanyContact02">NO</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyContact03" name="company_contact3" value="NA" required>
                                        <label for="CompanyContact03">NA</label>
                                    </span> 
                                </div>                                
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Employee Code :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="EmployeeCode3" name="employeeCode3" value="YES" required>
                                        <label for="EmployeeCode3">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="EmployeeCode2" name="employeeCode3" value="NO" required>
                                        <label for="EmployeeCode2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="EmployeeCode1" name="employeeCode3" value="NA" required>
                                        <label for="EmployeeCode1">NA</label>
                                    </span>                                    
                                </div>                                 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Period of Employment :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="PeriodofEmployment3" name="periodofEmployment3" value="YES" required>
                                        <label for="PeriodofEmployment3">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="PeriodofEmployment2" name="periodofEmployment3" value="NO" required>
                                        <label for="PeriodofEmployment2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="PeriodofEmployment1" name="periodofEmployment3" value="NA" required>
                                        <label for="PeriodofEmployment1">NA</label>
                                    </span>
                                </div> 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Appointment Letter :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AppointmentLetter1" name="appointmentLetter3" value="YES" required>
                                        <label for="AppointmentLetter1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AppointmentLetter2" name="appointmentLetter3" value="NO" required>
                                        <label for="AppointmentLetter2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AppointmentLetter3" name="appointmentLetter3" value="NA" required>
                                        <label for="AppointmentLetter3">NA</label>
                                    </span>                                    
                                </div>                                 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Relieving Letter :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="RelievingLetter1" name="relievingLetter3" value="YES" required>
                                        <label for="RelievingLetter1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="RelievingLetter2" name="relievingLetter3" value="NO" required>
                                        <label for="RelievingLetter2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="RelievingLetter3" name="relievingLetter3" value="NA">
                                        <label for="RelievingLetter3">NA</label>
                                    </span>	                                    
                                </div>  
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Accurate Remuneration :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AccurateRemuneration1" name="accurateRemuneration3" value="YES" required>
                                        <label for="AccurateRemuneration1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AccurateRemuneration2" name="accurateRemuneration3" value="NO" required>
                                        <label for="AccurateRemuneration2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AccurateRemuneration3" name="accurateRemuneration3" value="NA" required>
                                        <label for="AccurateRemuneration3">NA</label>
                                    </span>	                                    
                                </div>                                 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Person Reporting to Name :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingname1" name="reporting_name3" value="YES" required>
                                        <label for="Reportingname1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingname2" name="reporting_name3" value="NO" required>
                                        <label for="Reportingname2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingname3" name="reporting_name3" value="NA" required>
                                        <label for="Reportingname3">NA</label>
                                    </span>	                                    
                                </div>                                  
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Person Reporting to Phone :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingnumber1" name="reporting_phone3" value="YES" required>
                                        <label for="Reportingnumber1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingnumber2" name="reporting_phone3" value="NO" required>
                                        <label for="Reportingnumber2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingnumber3" name="reporting_phone3" value="NA" required>
                                        <label for="Reportingnumber3">NA</label>
                                    </span>	                                    
                                </div>                             
                            </div>                            
                            
                            
                            <div class="left-tabil-form2">
                                <h2>Employ 04</h2>
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Name of Company :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Company1" name="company4" value="YES" required>
                                        <label for="Company1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Company2" name="company4" value="NO" required>
                                        <label for="Company2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Company3" name="company4" value="NA">
                                        <label for="Company3">NA</label>
                                    </span>                                    
                                </div>
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Location :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyLocation1" name="location4" value="YES" required>
                                        <label for="CompanyLocation1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyLocation2" name="location4" value="NO" required>
                                        <label for="CompanyLocation2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyLocation3" name="location4" value="NA" required>
                                        <label for="CompanyLocation3">NA</label>
                                    </span>                                    
                                </div>                                
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Company Contact No :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyContact01" name="company_contact4" value="YES" required>
                                        <label for="CompanyContact01">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyContact02" name="company_contact4" value="NO" required>
                                        <label for="CompanyContact02">NO</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="CompanyContact03" name="company_contact4" value="NA" required>
                                        <label for="CompanyContact03">NA</label>
                                    </span> 
                                </div>                                
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Employee Code :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="EmployeeCode3" name="employeeCode4" value="YES" required>
                                        <label for="EmployeeCode3">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="EmployeeCode2" name="employeeCode4" value="NO" required>
                                        <label for="EmployeeCode2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="EmployeeCode1" name="employeeCode4" value="NA" required>
                                        <label for="EmployeeCode1">NA</label>
                                    </span>                                    
                                </div>                                 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Period of Employment :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="PeriodofEmployment3" name="periodofEmployment4" value="YES" required>
                                        <label for="PeriodofEmployment3">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="PeriodofEmployment2" name="periodofEmployment4" value="NO" required>
                                        <label for="PeriodofEmployment2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="PeriodofEmployment1" name="periodofEmployment4" value="NA" required>
                                        <label for="PeriodofEmployment1">NA</label>
                                    </span>
                                </div> 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Appointment Letter :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AppointmentLetter1" name="appointmentLetter4" value="YES" required>
                                        <label for="AppointmentLetter1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AppointmentLetter2" name="appointmentLetter4" value="NO" required>
                                        <label for="AppointmentLetter2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AppointmentLetter3" name="appointmentLetter4" value="NA" required>
                                        <label for="AppointmentLetter3">NA</label>
                                    </span>                                    
                                </div>                                 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Relieving Letter :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="RelievingLetter1" name="relievingLetter4" value="YES" required>
                                        <label for="RelievingLetter1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="RelievingLetter2" name="relievingLetter4" value="NO" required>
                                        <label for="RelievingLetter2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="RelievingLetter3" name="relievingLetter4" value="NA" required>
                                        <label for="RelievingLetter3">NA</label>
                                    </span>	                                    
                                </div>  
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Accurate Remuneration :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AccurateRemuneration1" name="accurateRemuneration4" value="YES" required>
                                        <label for="AccurateRemuneration1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AccurateRemuneration2" name="accurateRemuneration4" value="NO" required>
                                        <label for="AccurateRemuneration2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="AccurateRemuneration3" name="accurateRemuneration4" value="NA" required>
                                        <label for="AccurateRemuneration3">NA</label>
                                    </span>	                                    
                                </div>                                 
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Person Reporting to Name :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingname1" name="reporting_name4" value="YES" required>
                                        <label for="Reportingname1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingname2" name="reporting_name4" value="NO" required>
                                        <label for="Reportingname2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingname3" name="reporting_name4" value="NA" required>
                                        <label for="Reportingname3">NA</label>
                                    </span>	                                    
                                </div>                                  
                                <div class="personal-details-input radio-input-form2 radio-input-Education" id="">
                                    <label>Person Reporting to Phone :</label>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingnumber1" name="reporting_phone4" value="YES" required>
                                        <label for="Reportingnumber1">YES</label>
                                    </span>
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingnumber2" name="reporting_phone4" value="NO" required>
                                        <label for="Reportingnumber2">NO</label>
                                    </span>	
                                    <span class="radio-botton radio-botton-form2 Education-radio">
                                        <input type="radio" id="Reportingnumber3" name="reporting_phone4" value="NA" required>
                                        <label for="Reportingnumber3">NA</label>
                                    </span>	                                    
                                </div>                           
                            </div>                              
                            
                            <h5 style="margin:40px 0 50px 0;">✅  Authorization</h5>
                            <div class="personal-details-input" id="">
                                <label>Name   :</label>
                                <input type="text" placeholder="Full Name" name="name" id="name" required="">
                            </div>
                            <div class="personal-details-input" id="">
                                <label>Place :</label>
                                <input type="text" placeholder="Place Name" name="father" id="father" >
                            </div>                            
                            <div class="personal-details-input" id="">
                                <label>Date  :</label>
                                <input type="date" placeholder="(DD/MM/YY)" name="dob" id="dob" >
                            </div>
                            
                            
                            
                            <div class="submit-input">
                                <input type="submit" class="" name="sub" id="sub" value="Submit">
                            </div>                            
                            
                            
                        </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']; 
   
}

foreach($_POST['fathers_name'] as $key=>$value){
        if (!empty(trim($value))) {  
    
      $data1=array(
        'order_id' => $oid,            
         'fathers_name' => $value,  
          'dob_checklist' => $_POST['dob_checklist'][$key],  
         'passport_checklist' => $_POST['passport_checklist'][$key],  
         'phone_checklist' => $_POST['phone_checklist'][$key],  
         'country_checklist' => $_POST['country_checklist'][$key],  
         'p_contact_checklist' => $_POST['p_contact_checklist'][$key],  
         'namechange_checklist' => $_POST['namechange_checklist'][$key],  
         'pincode_checklist' => $_POST['pincode_checklist'][$key],  
         'landmark_checklist' => $_POST['landmark_checklist'][$key],  
         'landlord_checklist' => $_POST['landlord_checklist'][$key],  
         'landlords_phone' => $_POST['landlords_phone'][$key],  
         'electric_bill' => $_POST['electric_bill'][$key],  
         'phone_bill' => $_POST['phone_bill'][$key],  
         'permanent_pin' => $_POST['permanent_pin'][$key],  
         'permanent_landmark' => $_POST['permanent_landmark'][$key],  
         'permanent_landline' => $_POST['permanent_landline'][$key],  
         'neighbour' => $_POST['neighbour'][$key],  
         'neighbour_phn' => $_POST['neighbour_phn'][$key],  
         'permanent_electric_bill' => $_POST['permanent_electric_bill'][$key],  
         'permanent_phn_bill' => $_POST['permanent_phn_bill'][$key],  
         'user_id' => $uid,  
        
          );
          print_r($data1);
   $r=$show->insert('candidate_checklist',$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).'";
        });
    }, 1000);
</script>';  
        
    }
  
 */  
    
}
?>                    
                </div>
            </div>
        </div>

<?php
include('footer.php');
?>

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