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GR0V Shell
GR0V shell
Linux in-mum-web921.main-hosting.eu 4.18.0-553.34.1.lve.el8.x86_64 #1 SMP Thu Jan 9 16:30:32 UTC 2025 x86_64
<?php include_once('admin-login/include/connect.php'); ?>
<!DOCTYPE html>
<html lang="en">
<meta http-equiv="content-type" content="text/html;charset=UTF-8" />
<head>
<!-- meta tag -->
<meta charset="utf-8">
<title>Franchise | Edunext</title>
<meta name="description" content="">
<meta http-equiv="x-ua-compatible" content="ie=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<!-- favicon -->
<link rel="shortcut icon" type="image/x-icon" href="images/fav.png">
<!-- style -->
<link rel="stylesheet" type="text/css" href="style.css">
<meta name="facebook-domain-verification" content="o68wp1v9y98c46u453rna7igat0jlz" />
</head>
<body>
<!--Full width header Start-->
<!--Full width header Start-->
<div class="full-width-header">
<!-- Toolbar Start -->
<?php include_once('includes/top-bar.php'); ?>
<!-- Toolbar End -->
<!--Header Start-->
<header id="rgcsm-header" class="rgcsm-header">
<!-- Header Top Start -->
<?php include_once('includes/header-top.php'); ?>
<!-- Header Top End -->
<!-- Menu Start -->
<?php include_once('includes/menu.php'); ?>
<!-- Menu End -->
</header>
<!--Header End-->
</div>
<!--Full width header End-->
<!--Full width header End-->
<!-- Breadcrumbs Start -->
<div class="rgcsm-breadcrumbs bg7 breadcrumbs-overlay" style="background:url(images/home-slider/02.jpg)">
<div class="breadcrumbs-inner">
<div class="container">
<div class="row">
<div class="col-md-12 text-center">
<h1 class="page-title">Be A Part Of Us & Build Your Future.</h1>
<ul>
<li>
<a class="active" href="index.php">Home</a>
</li>
<li>Franchise Enquiry</li>
</ul>
</div>
</div>
</div>
</div><!-- .breadcrumbs-inner end -->
</div>
<!-- Breadcrumbs End -->
<!-- ABOUT RGCSM Start -->
<div class="contactDtl commentArea secSpacer pb-0" style="padding-bottom: 60px !important;">
<div class="container">
<div class="row enq_form secSpacer pb-0">
<div class="col-lg-2"></div>
<div class="col-lg-8">
<div class="amtBtn amtBtn_copy js-amtBtn2">
<h2 class="desc-title sec-title text-center mb-3" style="background: #a11e25; color: #fff;">
Online Franchise Form</h2>
<div class="amtBtn__slider d-none">
<div class="amtBtn__slider-rect"></div>
</div>
</div>
<div class="frn_enqBlk rgcsm-animation-slide-left">
<form action="franchiseform-save.php" method="post" enctype="multipart/form-data">
<div class="row">
<h3 class="text-left" style="background:skyblue;color:white;padding-left: 25px;">
Persional Information</h3>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">Center Name </label>
<input type="text" class="form-control" placeholder="Your Name"
name="center_name" required="">
</div>
</div>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError"> Director Name </label>
<input type="text" class="form-control" placeholder="Director Name"
name="director_name" required="">
</div>
</div>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">Father's Name </label>
<input type="text" class="form-control" placeholder="Father's Name"
name="father_name" required="">
</div>
</div>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError"> Date of Birth </label>
<input class="form-control" placeholder="Birth Date" name="dob" type="date"
required="">
</div>
</div>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError"> Email </label>
<input type="email" class="form-control" placeholder="Your E-mail" name="email"
required="">
</div>
</div>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">Phone Number </label>
<input type="text" class="form-control" placeholder="Phone Number" name="phone"
onkeypress="return onlyNos(event,this);" maxlength="10" required="">
</div>
</div>
</div>
<div class="row">
<h3 style="background: skyblue;color:white;padding-left: 25px;">Center Address</h3>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">State </label>
<select id="countrydd" onchange="change_country()" class="form-control"
name="state">
<option>Select State</option>
<?php
$res=mysqli_query($con, "select * from tbl_state");
while ($row=mysqli_fetch_array($res)) {
?>
<option value="<?php echo $row["AutoID"]; ?>">
<?php echo $row["StateName"]; ?></option>
<?php
}
?>
</select>
</div>
</div>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">District </label>
<div id="state">
<select>
<option></option>
</select>
</div>
</div>
</div>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">Center Place </label>
<input type="text" class="form-control" name="cCenterPlace"
placeholder="Center Place" title="Please enter center place" required="">
</div>
</div>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">Block </label>
<input type="text" class="form-control" name="cBlock" placeholder="Block"
title="Please enter block" required="">
</div>
</div>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">Post Office </label>
<input type="text" class="form-control" name="cPostOffice"
placeholder="Post Office" title="Please enter post office" required="">
</div>
</div>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">Police Station </label>
<input type="text" class="form-control" name="cPoliceStation"
placeholder="Police Station" title="Please enter police station"
required="">
</div>
</div>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">Pin Code </label>
<input type="text" class="form-control" name="cPinCode"
placeholder="Post Office" title="Please enter post office" required="">
</div>
</div>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">WhatsApp Number </label>
<input type="text" class="form-control" name="cWhatsApp"
placeholder="WhatsApp Number" title="Please enter whatsapp number"
onkeypress="return onlyNos(event,this);" maxlength="10" required="">
</div>
</div>
</div>
<div class="row">
<h3 style="background: skyblue;color:white;padding-left: 25px;">Residential Address</h3>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">State </label>
<input type="text" class="form-control" name="rState" placeholder="State"
title="Please enter state" required="">
</div>
</div>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">District </label>
<input type="text" class="form-control" name="rDistt" placeholder="Disttrict"
title="Please enter District" required="">
</div>
</div>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">Village/Town </label>
<input type="text" class="form-control" name="rVillage"
placeholder="Village/Town" title="Please enter center place" required="">
</div>
</div>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">Block </label>
<input type="text" class="form-control" name="rBlock" placeholder="Block"
title="Please enter block" required="">
</div>
</div>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">Post Office </label>
<input type="text" class="form-control" name="rPostOffice"
placeholder="Post Office" title="Please enter post office" required="">
</div>
</div>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">Police Station </label>
<input type="text" class="form-control" name="rPoliceStation"
placeholder="Police Station" title="Please enter police station"
required="">
</div>
</div>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">Pin Code </label>
<input type="text" class="form-control" name="rPinCode"
placeholder="Post Office" title="Please enter post office" required="">
</div>
</div>
<div class=" col-md-6 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">2nd Mobile Number </label>
<input type="text" class="form-control" name="rContactNumber"
placeholder="2nd Mobile Number" title="Please enter 2nd mobile number"
onkeypress="return onlyNos(event,this);" maxlength="10" required="">
</div>
</div>
</div>
<div class="row">
<h3 style="background: skyblue;color:white;padding-left: 25px;">Document Requirement
</h3>
<div class="col-md-6">
<div class=" col-md-12 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">Director Photo </label>
<input type="file" class="form-control" name="director_photo" required="">
</div>
</div>
<div class=" col-md-12 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">Voter iD/ Driving Licence/
Aadhar Card </label>
<input type="file" class="form-control" name="idcard_photo" required="">
</div>
</div>
<div class=" col-md-12 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">Pan Card Photo </label>
<input type="file" class="form-control" name="panphoto" required="">
</div>
</div>
<div class=" col-md-12 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">Last Qualification Certificate
</label>
<input type="file" class="form-control" name="last_qualification"
required="">
</div>
</div>
<div class=" col-md-12 col-xs-12 col-xs-12">
<div class="form-group">
<label class="control-label" for="inputError">Institution Photo </label>
<input type="file" class="form-control" name="institution_photo"
required="">
</div>
</div>
</div>
<div class=" col-md-6 text-center">
</div>
</div>
<input type="submit" value="Apply Now" name="submit" class="btn btn-info">
</form>
</div>
</div><div class="col-lg-2"></div>
<!--<div class="col-lg-4">
<div class="amtBtn amtBtn_copy js-amtBtn2">
<h2 class="desc-title sec-title text-center mb-3" style="background: #a11e25; color: #fff;">
Online Enquiry Form</h2>
<img src="franchiseenquiry.jpg" class="img-responsive">
<div class="amtBtn__slider d-none">
<div class="amtBtn__slider-rect"></div>
</div>
</div>
<div class="blo-top">
<div class="blog-grids">
<form method="post" id="cent_enquiry" action="franchiseenquirysuccess.php">
<div class="form-group">
<input type="text" class="form-control" id="your_name" placeholder="Your Name" name="your_name">
</div>
<div class="form-group">
<input type="text" class="form-control" id="company_name"
placeholder="Institute Name" name="company_name">
</div>
<div class="form-group">
<input type="email" class="form-control" id="email" placeholder="Email" name="email">
</div>
<div class="form-group">
<input type="number" class="form-control" id="whatsapp_number"
placeholder="WhatsApp Number" name="whatsapp_number">
</div>
<div class="form-group">
<input type="number" class="form-control" id="mobile_number"
placeholder="Mobile Number" name="mobile_number">
</div>
<div class="form-group">
<input type="text" class="form-control" id="address" placeholder="Address" name="address">
</div>
<div class="form-group">
<input type="number" class="form-control" id="pin_code" placeholder="Pin Code" name="pin_code">
</div>
<div class="form-group">
<textarea class="form-control" id="short_note"
placeholder="Purpose of Query" name="short_note"></textarea>
</div>
<input type="submit" name="submit" class="btn btn-success" value="Apply Now">
<div class="clearfix"> </div>
</form>
</div>
</div>
</div>-->
</div>
</div>
</div>
<!-- ABOUT RGCSM Start End -->
<!-- Footer Start -->
<!--Footer Start -->
<?php include_once('includes/footer.php'); ?>
<!-- Footer End -->
<!--Start of Tawk.to Script-->
<!--End of Tawk.to Script-->
<!-- Footer End -->
<!-- Canvas Menu start -->
<!-- Canvas Menu start -->
<?php include_once('includes/canva-menu.php'); ?>
<!-- Canvas Menu end -->
<!-- Search Modal Start
<div aria-hidden="true" class="modal fade search-modal" role="dialog" tabindex="-1">
<button type="button" class="close" data-dismiss="modal" aria-label="Close">
<span aria-hidden="true" class="fa fa-close"></span>
</button>
<div class="modal-dialog modal-dialog-centered">
<div class="modal-content">
<div class="search-block clearfix">
<form>
<div class="form-group">
<input class="form-control" placeholder="eg: Computer" type="text">
</div>
</form>
</div>
</div>
</div>
</div>
Search Modal End -->
<!-- Canvas Menu end -->
<!-- Js Links Start -->
<!-- modernizr js -->
<script src="js/modernizr-2.8.3.min.js"></script>
<!-- jquery latest version -->
<script src="js/jquery.min.js"></script>
<!-- bootstrap js -->
<script src="js/bootstrap.min.js"></script>
<!-- owl.carousel js -->
<script src="js/owl.carousel.min.js"></script>
<!-- slick.min js -->
<script src="js/slick.min.js"></script>
<!-- isotope.pkgd.min js -->
<script src="js/isotope.pkgd.min.js"></script>
<!-- imagesloaded.pkgd.min js -->
<script src="js/imagesloaded.pkgd.min.js"></script>
<!-- wow js -->
<script src="js/wow.min.js"></script>
<!-- magnific popup -->
<script src="js/jquery.magnific-popup.min.js"></script>
<!-- plugins js -->
<script src="js/plugins.js"></script>
<!-- main js -->
<script src="js/main.js"></script>
<!-- Js Links End -->
<script type="text/javascript">
function change_country()
{
var xmlhttp = new XMLHttpRequest();
xmlhttp.open("GET","ajax.php?country="+document.getElementById("countrydd").value,false);
xmlhttp.send(null);
document.getElementById("state").innerHTML=xmlhttp.responseText;
}
function change_state()
{
var xmlhttp = new XMLHttpRequest();
xmlhttp.open("GET","ajax.php?district="+document.getElementById("statedd").value,false);
xmlhttp.send(null);
document.getElementById("city").innerHTML=xmlhttp.responseText;
}
</script>
</body>
</html>
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