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<?php $__env->startSection('title','Learner Registration'); ?> <?php $__env->startSection('main_container'); ?> <!-- partial --> <div class="main-panel"> <div class="content-wrapper"> <div class="page-header"> <h3 class="page-title"> Learner Registration </h3> <nav aria-label="breadcrumb"> <ol class="breadcrumb"> <li class="breadcrumb-item"><a href="#">Home</a></li> <li class="breadcrumb-item active" aria-current="page">Learner Registration</li> </ol> </nav> </div> <div class="row"> <div class="col-md-8 grid-margin stretch-card"> <div class="card"> <div class="card-body"> <h4 class="card-title"> Register Learner's of your Center</h4> <form class="forms-sample" action="<?php echo e(url('/store_learner_register')); ?>" method="post" enctype="multipart/form-data"> <?php echo csrf_field(); ?> <div class="form-group"> <label for="exampleInputUsername1">Director Of Center<span style="color:red">*</span></label> <select name="Director" value="<?php echo e(old('Director')); ?>" class="form-control"> <option value="">Select </option> <?php foreach($organization_id_arr as $data) { ?> <option style="margin-right:200px;" value="<?php echo $data->form_id;?>"> <?php echo $data->name_director ?></option> <?php } ?> </select> <?php if($errors->has('Director')): ?> <span class="text-danger" ><?php echo e(($errors->first('Director'))); ?></span> <?php endif; ?> </div> <div class="form-group"> <label for="exampleInputUsername1">Learner's Name <span style="color:red">*</span></label> <input type="text" class="form-control" id="exampleInputUsername1" name="learner_name" value="<?php echo e(old('learner_name')); ?>"> <?php if($errors->has('learner_name')): ?> <span class="text-danger" ><?php echo e(($errors->first('learner_name'))); ?></span> <?php endif; ?> </div> <div class="form-group"> <label for="exampleInputUsername1">Learner's Email<span style="color:red">*</span></label> <input type="email" class="form-control" id="exampleInputUsername1" name="learner_email" value="<?php echo e(old('learner_email')); ?>"> <?php if($errors->has('learner_email')): ?> <span class="text-danger" ><?php echo e(($errors->first('learner_email'))); ?></span> <?php endif; ?> </div> <div class="form-group"> <label for="exampleInputUsername1">Learner's Phone <span style="color:red">*</span></label> <input type="tel" class="form-control" id="exampleInputUsername1" name="learner_phone" value="<?php echo e(old('learner_phone')); ?>"> <?php if($errors->has('learner_phone')): ?> <span class="text-danger" ><?php echo e(($errors->first('learner_phone'))); ?></span> <?php endif; ?> </div> <div class="form-group"> <label for="exampleInputUsername1">Enrollment No <span style="color:red">*</span></label> <input type="text" class="form-control" id="exampleInputUsername1" name="learner_enrollment_no" value="<?php echo e(old('learner_enrollment_no')); ?>"> <?php if($errors->has('learner_enrollment_no')): ?> <span class="text-danger" ><?php echo e(($errors->first('learner_enrollment_no'))); ?></span> <?php endif; ?> </div> <div class="form-group"> <label for="exampleInputUsername1">Enrollment Date <span style="color:red">*</span></label> <input type="date" class="form-control" id="exampleInputUsername1" name="learner_enrollment_date" value="<?php echo e(old('learner_enrollment_date')); ?>"> <?php if($errors->has('learner_enrollment_date')): ?> <span class="text-danger" ><?php echo e(($errors->first('learner_enrollment_date'))); ?></span> <?php endif; ?> </div> <div class="form-group"> <label for="exampleInputUsername1">Course Name <span style="color:red">*</span></label> <input type="text" class="form-control" id="exampleInputUsername1" name="learner_course" value="<?php echo e(old('learner_course')); ?>"> <?php if($errors->has('learner_course')): ?> <span class="text-danger" ><?php echo e(($errors->first('learner_course'))); ?></span> <?php endif; ?> </div> <div class="form-group"> <label for="exampleInputUsername1">Duration Of Course <span style="color:red">*</span></label> <input type="text" class="form-control" id="exampleInputUsername1" name="course_duration" value="<?php echo e(old('course_duration')); ?>"> <?php if($errors->has('course_duration')): ?> <span class="text-danger" ><?php echo e(($errors->first('course_duration'))); ?></span> <?php endif; ?> </div> <button type="submit" class="btn btn-primary mr-2" name="submit" value="Send">Submit</button> </form> </div> </div> </div> </div> </div> <!-- content-wrapper ends --> <?php $__env->stopSection(); ?> <?php echo $__env->make('User.Layout.main_layout', \Illuminate\Support\Arr::except(get_defined_vars(), ['__data', '__path']))->render(); ?><?php /**PATH /home/karnava/public_html/center.karnavati.in/resources/views/User/add_learner_registration.blade.php ENDPATH**/ ?>