WordPress

Coming Soon

revealability
<?php $__env->startSection('title','Application Form'); ?> <?php $__env->startSection('main_container'); ?> <!-- partial --> <div class="main-panel"> <div class="content-wrapper"> <div class="page-header"> <h3 class="page-title"> Application Form </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">Document</li> </ol> </nav> </div> <div class="row"> <div class="col-12 grid-margin"> <div class="card"> <div class="card-body"> <h4 class="card-title"></h4> <div class="wizard2"> <div class="step"> <ul role="tablist"> <li role="tab"><a href="#" type="button" class="btn btn-primary btn-fw" id = "tabs1" >Organization</a></li> <li role="tab"><a href="#" type="button" class="btn btn-primary btn-fw" id = "tabs2" >Establishment</a></li> <li role="tab"><a href="#" type="button" class="btn btn-primary btn-fw" id = "tabs3" >Financial</a></li> <li role="tab"><a href="#" type="button" class="btn btn-primary btn-fw" id = "tabs4" >Statutory</a></li> <li role="tab"><a href="#" type="button" class="btn btn-primary btn-fw" id = "tabs5" >Other Resource</a></li> <li role="tab"><a href="#" type="button" class="btn btn-primary btn-fw" id = "tabs6" >Staff</a></li> </ul> </div><br> <?php $a = uniqid(); ?> <div id="tabs-1" class="formabc"> <h4>Organization Information</h4><br> <form id="organization"> <div class="form-group"> <label for="name_of_applicant">Name of Applicant <span style="color:red;">*</span></p></label> <input type="text" class="form-control" aria-describedby="emailHelp" id="name_of_applicant" name="name_of_applicant" value="<?php echo e(old('name_of_applicant')); ?>"> <span class="text-danger" id="name_of_applicantErrorMsg"></span> </div> <div class="form-group"> <label for="contact">Contact Number <span style="color:red;">*</span></p></label> <input type="tel" class="form-control" aria-describedby="emailHelp" id="contact" name="contact" value="<?php echo e(old('contact')); ?>"> <span class="text-danger" id="contactErrorMsg"></span> </div> <div class="form-group"> <label for="email">Email Address <span style="color:red;">*</span></p></label> <input type="email" class="form-control" aria-describedby="emailHelp" id="email" name="email" value="<?php echo e(old('email')); ?>"> <span class="text-danger" id="emailErrorMsg"></span> </div> <div class="form-group"> <label for="communicate_mode">Your preferred mode of communication <span style="color:red;">*</span></p></label> <input type="text" class="form-control" aria-describedby="emailHelp" id="communicate_mode" name="communicate_mode" value="<?php echo e(old('communicate_mode')); ?>"> <span class="text-danger" id="communicate_modeErrorMsg"></span> </div> <div class="form-group"> <label for="organisation_name">Organisation name <span style="color:red;">*</span></p></label> <input type="text" class="form-control" aria-describedby="emailHelp" id="organisation_name" name="organisation_name" value="<?php echo e(old('organisation_name')); ?>"> <span class="text-danger" id="organisation_nameErrorMsg"></span> </div> <div class="form-group"> <label for="name_director">Name of Director / Chairman of the Organization <span style="color:red">*</span></p></label> <input type="text" class="form-control" aria-describedby="emailHelp" id="name_director" name="name_director" value="<?php echo e(old('name_director')); ?>" > <span class="text-danger" id="name_directorErrorMsg"></span> </div> <div class="form-group"> <label for="nature_organization">Nature of Organization (Pvt Ltd./Public Ltd/ Partnership Firm) <span style="color:red">*</span></p></label> <input type="text" class="form-control" name="nature_organization" id="nature_organization" value="<?php echo e(old('nature_organization')); ?>" > <span class="text-danger" id="nature_organizationErrorMsg"></span> </div> <div class="form-group"> <label for="website_address">Website Address <span style="color:red">*</span></p></label> <input type="text" class="form-control" name="website_address" id="website_address" value="<?php echo e(old('website_address')); ?>" > <span class="text-danger" id="website_addressErrorMsg"></span> </div> <div class="form-group"> <label for="establishment_date">Date of Establishment of Organization <span style="color:red">*</span></p></label> <input type="date" max="<?php echo date("Y-m-d"); ?>" class="form-control" name="establishment_date" id="establishment_date" value="<?php echo e(old('establishment_date')); ?>" > <span class="text-danger" id="establishment_dateErrorMsg"></span> </div> <div class="form-group"> <label for="total_employees">Total no. of Employees as on Date of Application <span style="color:red">*</span></p></label> <input type="text" class="form-control" name="total_employees" id="total_employees" value="<?php echo e(old('total_employees')); ?>"> <span class="text-danger" id="employeesErrorMsg"></span> </div> <div class="form-group"> <label for="current_business_detail">Details of Current Business Activities of The Organization <span style="color:red">*</span></p></label> <textarea class="form-control" name="current_business_detail" id="current_business_detail"><?php echo e(old('current_business_detail')); ?></textarea> <span class="text-danger" id="current_business_detailErrorMsg"></span> </div> <div class="form-group"> <label for="legal_registration_detail">Legal Registration Details of Organization <span style="color:red">*</span></p></label> <textarea class="form-control" name="legal_registration_detail" id="legal_registration_detail" ><?php echo e(old('legal_registration_detail')); ?></textarea> <span class="text-danger" id="legal_registration_detailErrorMsg"></span> </div> <div class="form-group"> <label for="address">Organisation address <span style="color:red">*</span></p></label> <textarea class="form-control" name="address" id="address" ><?php echo e(old('address')); ?></textarea> <span class="text-danger" id="addressErrorMsg"></span> </div> <div class="form-group"> <label for="quali_interest">IIMT Studies Qualifications you are interested to deliver <span style="color:red">*</span></p></label> <textarea class="form-control" name="quali_interest" id="quali_interest" ><?php echo e(old('quali_interest')); ?></textarea> <span class="text-danger" id="quali_interestErrorMsg"></span> </div> <div class="form-group"> <label for="delivery_date">Approximate date to start the delivery <span style="color:red">*</span></p></label> <input type="date" min="<?php echo date("Y-m-d"); ?>" class="form-control" name="delivery_date" id="delivery_date" value="<?php echo e(old('delivery_date')); ?>" > <span class="text-danger" id="delivery_dateErrorMsg"></span> </div> <div class="form-group"> <label for="form_id"></label> <input type="hidden" name="form_id" id="form_id" value="<?php echo $a; ?>"/> </div> <button type="submit" class="btn btn-primary btn-fw float-right" >Next</button> </form><br> </div> <div id="tabs-2" class="formabc" style="display: none"> <h4>Establishment Information</h4><br> <form id="establishment"> <div class="form-group"> <label for="office_address">Head Office / Admin. address <span style="color:red">*</span></label> <textarea class="form-control" name="office_address" id="office_address"><?php echo e(old('office_address')); ?></textarea> <span class="text-danger" id="office_addressErrorMsg"></span> </div> <div class="form-group"> <label for="other_branch_location">Details of other branch locations <span style="color:red">*</span></label> <textarea class="form-control" name="other_branch_location" id="other_branch_location"><?php echo e(old('other_branch_location')); ?></textarea> <span class="text-danger" id="other_branch_locationErrorMsg"></span> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-3 "> <div class="form-group"> <label for="types_of_service">Type of Service Provided <span style="color:red">*</span></label> <input type="text" class="form-control" name="types_of_service" id="types_of_service" value="<?php echo e(old('types_of_service')); ?>" > <span class="text-danger" id="types_of_serviceErrorMsg"></span> </div> <div class="form-group"> <label for="types_of_service_2"></label> <input type="text" class="form-control" name="types_of_service_2" id="types_of_service_2" value="<?php echo e(old('types_of_service_2')); ?>" > </div> <div class="form-group"> <label for="types_of_service_3"></label> <input type="text" class="form-control" name="types_of_service_3" id="types_of_service_3" value="<?php echo e(old('types_of_service_3')); ?>" > </div> </div> <div class="col-3 "> <div class="form-group"> <label for="service_details">Service Details <span style="color:red">*</span></label> <input type="text" class="form-control" name="service_details" id="service_details" value="<?php echo e(old('service_details')); ?>" > <span class="text-danger" id="service_detailsErrorMsg"></span> </div> <div class="form-group"> <label for="service_details_2"></label> <input type="text" class="form-control" name="service_details_2" id="service_details_2" value="<?php echo e(old('service_details_2')); ?>" > </div> <div class="form-group"> <label for="service_details_3"> </label> <input type="text" class="form-control" name="service_details_3" id="service_details_3" value="<?php echo e(old('service_details_3')); ?>" > </div> </div> <div class="col-3 "> <div class="form-group"> <label for="product_details">Product Details <span style="color:red">*</span></label> <input type="text" class="form-control" name="product_details" id="product_details" value="<?php echo e(old('product_details')); ?>" > <span class="text-danger" id="product_detailsErrorMsg"></span> </div> <div class="form-group"> <label for="product_details_2"></label> <input type="text" class="form-control" name="product_details_2" id="product_details_2" value="<?php echo e(old('product_details_2')); ?>" > </div> <div class="form-group"> <label for="product_details_3"></label> <input type="text" class="form-control" name="product_details_3" id="product_details_3" value="<?php echo e(old('product_details_3')); ?>" > </div> </div> <div class="col-3 "> <div class="form-group"> <label for="client_data">Client Data <span style="color:red">*</span></label> <input type="text" class="form-control" name="client_data" id="client_data" value="<?php echo e(old('client_data')); ?>" > <span class="text-danger" id="client_dataErrorMsg"></span> </div> <div class="form-group"> <label for="client_data_2"></label> <input type="text" class="form-control" name="client_data_2" id="client_data_2" value="<?php echo e(old('client_data_2')); ?>" > </div> <div class="form-group"> <label for="client_data_3"></label> <input type="text" class="form-control" name="client_data_3" id="client_data_3" value="<?php echo e(old('client_data_3')); ?>" > </div> </div> </div> <input type="hidden" name="form_id" value="<?php echo $a; ?>"/> <button type="submit" class="btn btn-primary btn-fw float-right" >Next</button> </form><br> <button class="btn btn-primary btn-fw float-left" onclick = "showTab(1,6)" >Previous</button> </div> <div id="tabs-3" class="formabc" style="display: none"> <h4>Financial Resource Data of last 3 years (in INR Lac)</h4><br> <form id="financial"> <div class="col-12 row" style="min-width: 600px;"> <div class="col-4" > <div class="form-group" style="padding-top:5px;"> <label for="year_1">Year <span style="color:red">*</span></label> <input type="text" class="form-control" name="year_1" id="year_1" value="<?php echo e(old('year_1')); ?>" > <span class="text-danger" id="year_1ErrorMsg"></span> </div> <div class="form-group" style="padding-top:5px;"> <label for="year_2"></label> <input type="text" class="form-control" name="year_2" id="year_2" value="<?php echo e(old('year_2')); ?>" > <span class="text-danger" id="year_2ErrorMsg"></span> </div> <div class="form-group" style="padding-top:5px;"> <label for="year_3"></label> <input type="text" class="form-control" name="year_3" id="year_3" value="<?php echo e(old('year_3')); ?>" > <span class="text-danger" id="year_3ErrorMsg"></span> </div> </div> <div class="col-2"> <div class="form-group"> <label for="revenue_1">Revenue Earned <span style="color:red">*</span></label> <input type="text" class="form-control" name="revenue_1" id="revenue_1" value="<?php echo e(old('revenue_1')); ?>" > <span class="text-danger" id="revenue_1ErrorMsg"></span> </div> <div class="form-group"> <label for="revenue_2"></label> <input type="text" class="form-control" name="revenue_2" id="revenue_2" value="<?php echo e(old('revenue_2')); ?>" > <span class="text-danger" id="revenue_2ErrorMsg"></span> </div> <div class="form-group"> <label for="revenue_3"></label> <input type="text" class="form-control" name="revenue_3" id="revenue_3" value="<?php echo e(old('revenue_3')); ?>" > <span class="text-danger" id="revenue_3ErrorMsg"></span> </div> </div> <div class="col-2"> <div class="form-group"> <label for="gross_1">Gross Profit <span style="color:red">*</span></label> <input type="text" class="form-control" name="gross_1" id="gross_1" value="<?php echo e(old('gross_1')); ?>" > <span class="text-danger" id="gross_1ErrorMsg"></span> </div> <div class="form-group"> <label for="gross_2"></label> <input type="text" class="form-control" name="gross_2" id="gross_2" value="<?php echo e(old('gross_2')); ?>" > <span class="text-danger" id="gross_2ErrorMsg"></span> </div> <div class="form-group"> <label for="gross_3"></label> <input type="text" class="form-control" name="gross_3" id="gross_3" value="<?php echo e(old('gross_3')); ?>" > <span class="text-danger" id="gross_3ErrorMsg"></span> </div> </div> <div class="col-2"> <div class="form-group"> <label for="net_profit_1">Net Profit / Loss <span style="color:red">*</span></label> <input type="text" class="form-control" name="net_profit_1" id="net_profit_1" value="<?php echo e(old('net_profit_1')); ?>" > <span class="text-danger" id="net_profit_1ErrorMsg"></span> </div> <div class="form-group"> <label for="net_profit_2"></label> <input type="text" class="form-control" name="net_profit_2" id="net_profit_2" value="<?php echo e(old('net_profit_2')); ?>" > <span class="text-danger" id="net_profit_2ErrorMsg"></span> </div> <div class="form-group"> <label for="net_profit_3"></label> <input type="text" class="form-control" name="net_profit_3" id="net_profit_3" value="<?php echo e(old('net_profit_3')); ?>" > <span class="text-danger" id="net_profit_3ErrorMsg"></span> </div> </div> <div class="col-2"> <div class="form-group"> <label for="remarks_1">Remarks if any </label> <input type="text" class="form-control" name="remarks_1" id="remarks_1" value="<?php echo e(old('remarks_1')); ?>" > </div> <div class="form-group"> <label for="remarks_2"></label> <input type="text" class="form-control" name="remarks_2" id="remarks_2" value="<?php echo e(old('remarks_2')); ?>" > </div> <div class="form-group"> <label for="remarks_3"></label> <input type="text" class="form-control" name="remarks_3" id="remarks_3" value="<?php echo e(old('remarks_3')); ?>" > </div> </div> </div> <input type="hidden" name="form_id" value="<?php echo $a; ?>"/> <button type="submit" class="btn btn-primary btn-fw float-right" >Next</button> </form><br> <button class="btn btn-primary btn-fw float-left" onclick = "showTab(2,6)" >Previous</button> </div> <div id="tabs-4" class="formabc" style="display: none"> <h4>Statutory Compliance</h4><br> <form id="statutory"> <div class="form-group"> <label>Statutory Compliance Declaration </label> <input type="text" class="form-control" value="Are your financial records audited by independent auditor for last 3 years?" readonly> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-4"> <div class="form-group"> <label for="financial_rescords_confirmation">Yes/No <span style="color:red">*</span></label> <input type="text" class="form-control" name="financial_rescords_confirmation" id="financial_rescords_confirmation" value="<?php echo e(old('financial_rescords_confirmation')); ?>" > <span class="text-danger" id="financial_rescords_confirmationErrorMsg"></span> </div> </div> <div class="col-4"> <div class="form-group"> <label for="financial_records_justification">Please give justification <span style="color:red">*</span></label> <input type="text" class="form-control" name="financial_records_justification" id="financial_records_justification" value="<?php echo e(old('financial_records_justification')); ?>" > <span class="text-danger" id="financial_records_justificationErrorMsg"></span> </div> </div> </div> <div class="form-group"> <input type="text" class="form-control" value="Are there any adverse remarks by auditors in the 3 year’s P &amp; L Accounts?" readonly> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-4"> <div class="form-group"> <label for="adverse_remarks_confirmation">Yes/No <span style="color:red">*</span></label> <input type="text" class="form-control" name="adverse_remarks_confirmation" id="adverse_remarks_confirmation" value="<?php echo e(old('adverse_remarks_confirmation')); ?>" > <span class="text-danger" id="adverse_remarks_confirmationErrorMsg"></span> </div> </div> <div class="col-4"> <div class="form-group"> <label for="adverse_remarks_justification">Please give justification <span style="color:red">*</span></label> <input type="text" class="form-control" name="adverse_remarks_justification" id="adverse_remarks_justification" value="<?php echo e(old('adverse_remarks_justification')); ?>" > <span class="text-danger" id="adverse_remarks_justificationErrorMsg"></span> </div> </div> </div> <div class="form-group"> <input type="text" class="form-control" value="Has your organization / directors received any notice regarding any non-compliance under any applicable law in the last 3 Years?" readonly> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-4"> <div class="form-group"> <label for="q3_not_applicable">N/A </label> <input type="text" class="form-control" name="q3_not_applicable" id="q3_not_applicable" placeholder="N/A" value="<?php echo e(old('q3_not_applicable')); ?>" > </div> </div> <div class="col-4"> <div class="form-group"> <label for="notice_confirmation">Yes/No <span style="color:red">*</span></label> <input type="text" class="form-control" name="notice_confirmation" id="notice_confirmation" value="<?php echo e(old('notice_confirmation')); ?>" > <span class="text-danger" id="notice_confirmationErrorMsg"></span> </div> </div> <div class="col-4"> <div class="form-group"> <label for="notice_justification">Please give justification <span style="color:red">*</span></label> <input type="text" class="form-control" name="notice_justification" id="notice_justification" value="<?php echo e(old('notice_justification')); ?>" > <span class="text-danger" id="notice_justificationErrorMsg"></span> </div> </div> </div> <div class="form-group"> <input type="text" class="form-control" value="Has your organization/directors been prosecuted under any law in the last 3 financial years?" readonly> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-4"> <div class="form-group"> <label for="q4_not_applicable">N/A </label> <input type="text" class="form-control" name="q4_not_applicable" id="q4_not_applicable" placeholder="N/A" value="<?php echo e(old('q4_not_applicable')); ?>" > </div> </div> <div class="col-4"> <div class="form-group"> <label for="prosecuted_confirmation">Yes/No <span style="color:red">*</span></label> <input type="text" class="form-control" name="prosecuted_confirmation" id="prosecuted_confirmation" value="<?php echo e(old('prosecuted_confirmation')); ?>" > <span class="text-danger" id="prosecuted_confirmationErrorMsg"></span> </div> </div> <div class="col-4"> <div class="form-group"> <label for="prosecuted_justification">Please give justification <span style="color:red">*</span></label> <input type="text" class="form-control" name="prosecuted_justification" id="prosecuted_justification" value="<?php echo e(old('prosecuted_justification')); ?>" > <span class="text-danger" id="prosecuted_justificationErrorMsg"></span> </div> </div> </div> <input type="hidden" name="form_id" value="<?php echo $a; ?>"/> <button type="submit" class="btn btn-primary btn-fw float-right">Next</button> </form><br> <button class="btn btn-primary btn-fw float-left" onclick = "showTab(3,6)" >Previous</button> </div> <div id="tabs-5" class="formabc" style="display: none"> <h4>Other Resources</h4><br> <form id="resource"> <div class="col-12 row" style="min-width: 600px;"> <div class="col-4"> </div> <div class="col-4"> <div class="form-group"> <h5>Head Office – Corporate Office</h5> </div> </div> <div class="col-4"> <div class="form-group"> <h5>Branch Offices</h5> </div> </div> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-4" style="padding-top:25px;"> <div class="form-group"> <h5>Status (Leased/Owned) <span style="color:red">*</span></h5> </div> </div> <div class="col-4"> <div class="form-group"> <label for="head_status"></label> <input type="text" class="form-control" name="head_status" id="head_status" value="<?php echo e(old('head_status')); ?>" > <span class="text-danger" id="head_statusErrorMsg"></span> </div> </div> <div class="col-4"> <div class="form-group"> <label for="branch_status"></label> <input type="text" class="form-control" name="branch_status" id="branch_status" value="<?php echo e(old('branch_status')); ?>" > <span class="text-danger" id="branch_statusErrorMsg"></span> </div> </div> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-4" style="padding-top:25px;"> <div class="form-group"> <h5>Carpet area of Office <span style="color:red">*</span></h5> </div> </div> <div class="col-4"> <div class="form-group"> <label for="head_area"></label> <input type="text" class="form-control" name="head_area" id="head_area" value="<?php echo e(old('head_area')); ?>" > <span class="text-danger" id="head_areaErrorMsg"></span> </div> </div> <div class="col-4"> <div class="form-group"> <label for="branch_area"></label> <input type="text" class="form-control" name="branch_area" id="branch_area" value="<?php echo e(old('branch_area')); ?>" > <span class="text-danger" id="branch_areaErrorMsg"></span> </div> </div> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-4" style="padding-top:25px;"> <div class="form-group"> <h5>Infrastructure in office <span style="color:red">*</span></h5> </div> </div> <div class="col-4"> <div class="form-group"> <label for="head_infrastructure"></label> <input type="text" class="form-control" name="head_infrastructure" id="head_infrastructure" value="<?php echo e(old('head_infrastructure')); ?>" > <span class="text-danger" id="head_infrastructureErrorMsg"></span> </div> </div> <div class="col-4"> <div class="form-group"> <label for="branch_infrastructure"></label> <input type="text" class="form-control" name="branch_infrastructure" id="branch_infrastructure" value="<?php echo e(old('branch_infrastructure')); ?>" > <span class="text-danger" id="branch_infrastructureErrorMsg"></span> </div> </div> </div> <input type="hidden" name="form_id" value="<?php echo $a; ?>"/> <button type="submit" class="btn btn-primary btn-fw float-right" >Next</button> </form><br> <button class="btn btn-primary btn-fw float-left" onclick = "showTab(4,6)" >Previous</button> </div> <div id="tabs-6" class="formabc" style="display: none"> <form id="staff"> <h4>Existing staff size</h4><br> <!-- <div class="col-12 row" style="min-width: 600px;"> <div class="col-2"> </div> <div class="col-5"> <div class="form-group"> <h5>Management</h5> </div> </div> <div class="col-5"> <div class="form-group"> <h5 style="padding-left:72x;">Non - Management</h5> </div> </div> </div> --> <!-- <div class="col-12 row" style="min-width: 600px;"> <div class="col-2" style="padding-top:25px;"> <div class="form-group"> <h5>Permanent <span style="color:red">*</span></h5> </div> </div> <div class="col-5 row" > <div class="col-5"> <div class="form-group"> <label for="man_permanent"></label> <input type="text" class="form-control" name="man_permanent" id="man_permanent" value="<?php echo e(old('man_permanent')); ?>" > <span class="text-danger" id="man_permanentErrorMsg"></span> </div> </div> <div class="col-5" > <div class="form-group"> <label for="man_permanent_shift"></label> <input type="text" class="form-control" name="man_permanent_shift" id="man_permanent_shift" placeholder="PT/FT" value="<?php echo e(old('man_permanent_shift')); ?>" > <span class="text-danger" id="man_permanent_shiftErrorMsg"></span> </div> </div> </div> <div class="col-5 row" style="margin-left:15px;"> <div class="col-5"> <div class="form-group"> <label for="non_man_permanent"></label> <input type="text" class="form-control" name="non_man_permanent" id="non_man_permanent" value="<?php echo e(old('non_man_permanent')); ?>" > <span class="text-danger" id="non_man_permanentErrorMsg"></span> </div> </div> <div class="col-5" style="padding-left:10px;"> <div class="form-group"> <label for="non_man_permanent_shift"></label> <input type="text" class="form-control" name="non_man_permanent_shift" id="non_man_permanent_shift" placeholder="PT/FT" value="<?php echo e(old('non_man_permanent_shift')); ?>" > <span class="text-danger" id="non_man_permanent_shiftErrorMsg"></span> </div> </div> </div> </div> --> <!-- <div class="col-12 row" style="min-width: 600px;"> <div class="col-2" style="padding-top:25px;"> <div class="form-group"> <h5>Temporary <span style="color:red">*</span></h5> </div> </div> <div class="col-5 row" > <div class="col-5"> <div class="form-group"> <label for="man_temporary"></label> <input type="text" class="form-control" name="man_temporary" id="man_temporary" value="<?php echo e(old('man_temporary')); ?>" > <span class="text-danger" id="man_temporaryErrorMsg"></span> </div> </div> <div class="col-5" > <div class="form-group"> <label for="man_temporary_shift"></label> <input type="text" class="form-control" name="man_temporary_shift" id="man_temporary_shift" placeholder="PT/FT" value="<?php echo e(old('man_temporary_shift')); ?>" > <span class="text-danger" id="man_temporary_shiftErrorMsg"></span> </div> </div> </div> <div class="col-5 row" style="margin-left:15px;"> <div class="col-5"> <div class="form-group"> <label for="non_man_temporary"></label> <input type="text" class="form-control" name="non_man_temporary" id="non_man_temporary" value="<?php echo e(old('non_man_temporary')); ?>" > <span class="text-danger" id="non_man_temporaryErrorMsg"></span> </div> </div> <div class="col-5" > <div class="form-group"> <label for="non_man_temporary_shift"></label> <input type="text" class="form-control" name="non_man_temporary_shift" id="non_man_temporary_shift" placeholder="PT/FT" value="<?php echo e(old('non_man_temporary_shift')); ?>" > <span class="text-danger" id="non_man_temporary_shiftErrorMsg"></span> </div> </div> </div> </div> --> <!-- <div class="col-12 row" style="min-width: 600px;"> <div class="col-2" style="padding-top:25px;"> <div class="form-group"> <h5>Contractual <span style="color:red">*</span></h5> </div> </div> <div class="col-5 row" > <div class="col-5"> <div class="form-group"> <label for="man_contractual"></label> <input type="text" class="form-control" name="man_contractual" id="man_contractual" value="<?php echo e(old('man_contractual')); ?>" > <span class="text-danger" id="man_contractualErrorMsg"></span> </div> </div> <div class="col-5" > <div class="form-group"> <label for="man_contractual_shift"></label> <input type="text" class="form-control" name="man_contractual_shift" id="man_contractual_shift" placeholder="PT/FT" value="<?php echo e(old('man_contractual_shift')); ?>" > <span class="text-danger" id="man_contractual_shiftErrorMsg"></span> </div> </div> </div> <div class="col-5 row" style="margin-left:15px;"> <div class="col-5"> <div class="form-group"> <label for="non_man_contractual"></label> <input type="text" class="form-control" name="non_man_contractual" id="non_man_contractual" value="<?php echo e(old('non_man_contractual')); ?>" > <span class="text-danger" id="non_man_contractualErrorMsg"></span> </div> </div> <div class="col-5" style="padding-left:10px;"> <div class="form-group"> <label for="non_man_contractual_shift"></label> <input type="text" class="form-control" name="non_man_contractual_shift" id="non_man_contractual_shift" placeholder="PT/FT" value="<?php echo e(old('non_man_contractual_shift')); ?>" > <span class="text-danger" id="non_man_contractual_shiftErrorMsg"></span> </div> </div> </div> </div> --> <!-- <div class="col-12 row" style="min-width: 600px;"> <div class="col-2" style="padding-top:25px;"> <div class="form-group"> <h5>Consulting <span style="color:red">*</span></h5> </div> </div> <div class="col-5 row" > <div class="col-5"> <div class="form-group"> <label for="man_consulting_advisory"></label> <input type="text" class="form-control" name="man_consulting_advisory" id="man_consulting_advisory" value="<?php echo e(old('man_consulting_advisory')); ?>" > <span class="text-danger" id="man_consulting_advisoryErrorMsg"></span> </div> </div> <div class="col-5"> <div class="form-group"> <label for="man_consulting_shift"></label> <input type="text" class="form-control" name="man_consulting_shift" id="man_consulting_shift" placeholder="PT/FT" value="<?php echo e(old('man_consulting_shift')); ?>" > <span class="text-danger" id="man_consulting_shiftErrorMsg"></span> </div> </div> </div> <div class="col-5 row" style="margin-left:15px;"> <div class="col-5"> <div class="form-group"> <label for="non_man_consulting_advisory"></label> <input type="text" class="form-control" name="non_man_consulting_advisory" id="non_man_consulting_advisory" value="<?php echo e(old('non_man_consulting_advisory')); ?>" > <span class="text-danger" id="non_man_consulting_advisoryErrorMsg"></span> </div> </div> <div class="col-5" style="padding-left:10px;"> <div class="form-group"> <label for="non_man_consulting_shift"></label> <input type="text" class="form-control" name="non_man_consulting_shift" id="non_man_consulting_shift" placeholder="PT/FT" value="<?php echo e(old('non_man_consulting_shift')); ?>" > <span class="text-danger" id="non_man_consulting_shiftErrorMsg"></span> </div> </div> </div> </div> --> <div class="col-12 row" style="min-width: 600px;"> <div class="col-3" style="padding-top:25px;"> <div class="form-group"> <h5>Learning Delivery team <span style="color:red">*</span></h5> </div> </div> <div class="col-8 row" > <div class="col-8"> <div class="form-group"> <label for="delivery_team"></label> <input type="text" class="form-control" name="delivery_team" id="delivery_team" value="<?php echo e(old('delivery_team')); ?>" > <span class="text-danger" id="delivery_teamErrorMsg"></span> </div> </div> </div> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-3" style="padding-top:25px;"> <div class="form-group"> <h5>Learner Support team <span style="color:red">*</span></h5> </div> </div> <div class="col-8 row" > <div class="col-8"> <div class="form-group"> <label for="support_team"></label> <input type="text" class="form-control" name="support_team" id="support_team" value="<?php echo e(old('support_team')); ?>" > <span class="text-danger" id="support_teamErrorMsg"></span> </div> </div> </div> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-3" style="padding-top:25px;"> <div class="form-group"> <h5>Marketing team <span style="color:red">*</span></h5> </div> </div> <div class="col-8 row" > <div class="col-8"> <div class="form-group"> <label for="marketing_team"></label> <input type="text" class="form-control" name="marketing_team" id="marketing_team" value="<?php echo e(old('marketing_team')); ?>" > <span class="text-danger" id="marketing_teamErrorMsg"></span> </div> </div> </div> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-3" style="padding-top:25px;"> <div class="form-group"> <h5>Information Technology team <span style="color:red">*</span></h5> </div> </div> <div class="col-8 row" > <div class="col-8"> <div class="form-group"> <label for="technology_team"></label> <input type="text" class="form-control" name="technology_team" id="technology_team" value="<?php echo e(old('technology_team')); ?>" > <span class="text-danger" id="technology_teamErrorMsg"></span> </div> </div> </div> </div> <div class="col-12 row" style="min-width: 600px;"> <div class="col-3" style="padding-top:25px;"> <div class="form-group"> <h5>Assessment team <span style="color:red">*</span></h5> </div> </div> <div class="col-8 row" > <div class="col-8"> <div class="form-group"> <label for="assessment_team"></label> <input type="text" class="form-control" name="assessment_team" id="assessment_team" value="<?php echo e(old('assessment_team')); ?>" > <span class="text-danger" id="assessment_teamErrorMsg"></span> </div> </div> </div> </div> <input type="hidden" name="form_id" value="<?php echo $a; ?>"/> <button type="submit" class="btn btn-primary btn-fw float-right">Submit</button> </form><br> <button class="btn btn-primary btn-fw float-left" onclick = "showTab(5,6)" >Previous</button> </div> </div> </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 C:\xampp\htdocs\center\resources\views/User/add_documents.blade.php ENDPATH**/ ?>