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admissions.html
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admissions.html
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<!DOCTYPE html>
<html lang="en">
<head>
<title>Learn Center | Apply</title>
<?php include('inc/formdb.inc.php'); ?>
<?php include('inc/header.inc.php'); ?>
<?php include('inc/application-status.inc.php'); ?>
<link rel="stylesheet" type="text/css" href="../css/courses.css">
<div class="body2">
<div class="main">
<!-- content -->
<form style="border:1px solid #ccc" method ='POST' >
<div class="container">
<h2 class="pad_bot1">Apply</h2>
<p>Please fill in this form to apply for the entrance examination.</p>
<hr>
<label for="fname"><b>First Name</b></label><br>
<input type="text" placeholder="Enter First Name" name="fname" required><br>
<label for="lname"><b>Last Name</b></label><br>
<input type="text" placeholder="Enter Last Name" name="lname" required><br>
<label for="gender"><b>Gender</b></label><br><br>
Male <input type="radio" name="gender" value="Male" checked> <br>
Female<input type="radio" name="gender" value="Female"> <br><br>
<label for="dob"><b>Date of Birth</b></label><br><br>
<input type="date" placeholder="Enter Date of Birth" name="dob" min="1985-01-01" max="2005-12-31" required><br><br>
<label for="nic"><b>NIC number</b></label><br>
<input type="text" placeholder="Enter NIC number" name="nic" required><br>
<label for="address"><b>Address</b></label><br>
<input type="text" placeholder="Enter Address" name="address" required><br>
<label for="telephone"><b>Phone Number</b></label><br>
<input type="number" placeholder="Enter Phone Number" name="telephone" required><br>
<label for="email"><b>Email</b></label><br>
<input type="email" placeholder="Enter Email" name="email" required><br>
<div class="clearfix">
<button type="submit" class="signupbtn" name="apply" >Submit Application</button>
</div>
</div>
</form>
<!-- content -->
<?php include('inc/footer.inc.php'); ?>
</div>
</div>
<script type="text/javascript">Cufon.now();</script>
</body>
</html>