625 lines
25 KiB
PHP
625 lines
25 KiB
PHP
@extends(env("CLIENT_PATH").".welcome")
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@section("content")
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<header>
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<div class="container">
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<img src="<?php
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use App\Models\Campaigns;
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use App\Models\Sources;
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echo site_url(); ?>access/assets/images/office.jpg" alt="cover-image" class="img-fluid" />
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</div>
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</header>
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<section class="main">
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<div class="container">
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<div class="form-box">
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<form method="post" action="#" id="enquiry-form">
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@csrf
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<input type="hidden" name="sources_id" value="<?php echo Sources::first()->source_id;?>" />
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<input type="hidden" name="campaigns_id" value="<?php echo Campaigns::first()->campaign_id;?>" />
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<div class="titlebox">
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<h2>
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PERSONAL INFORMATION
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</h2>
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</div>
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<div class="row">
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<div class="col-lg-12 col-md-12">
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<div class="form-row">
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<div class="col-lg-2 col-md-3"><label for="from-name">Name:</label><span class="required-input">*</span></div>
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<div class="col-lg-10 col-md-9">
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<div class="form-group">
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<input class="form-control" type="text" id="from-name" name="name" required="">
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</div>
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</div>
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</div>
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</div>
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<div class="col-lg-6 col-md-6">
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<div class="row">
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<div class="col-lg-4 col-md-4">
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<label for="from-dob">Date of Birth:<span class="required-input">*</span></label>
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</div>
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<div class="col-lg-8 col-md-8">
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<div class="form-group">
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<input class="form-control" type="text" id="from-dob" name="name" required="">
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</div>
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</div>
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</div>
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</div>
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<div class="col-lg-6 col-md-6">
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<div class="row">
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<div class="col-lg-4"><label for="from-name">Gender:</label><span class="required-input">*</span></div>
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<div class="col-lg-8">
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<div class="form-check form-check-inline">
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<input class="form-check-input" type="radio" id="inlineCheckbox1" name="gender" value="male">
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<label class="form-check-label" for="inlineCheckbox1">Male</label>
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</div>
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<div class="form-check form-check-inline">
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<input class="form-check-input" type="radio" id="inlineCheckbox2" name="gender" value="female">
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<label class="form-check-label" for="inlineCheckbox2">Female</label>
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</div>
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<div class="form-check form-check-inline">
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<input class="form-check-input" type="radio" id="inlineCheckbox3" name="gender" value="others">
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<label class="form-check-label" for="inlineCheckbox3">Others</label>
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</div>
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</div>
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</div>
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</div>
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<div class="col-lg-6 col-md-6">
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<div class="row">
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<div class="col-lg-4"><label for="from-name">Marital Status:</label><span class="required-input">*</span></div>
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<div class="col-lg-8">
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<div class="form-check form-check-inline">
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<input class="form-check-input" type="radio" id="married" name="marital_status" value="married">
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<label class="form-check-label" for="married">Married</label>
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</div>
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<div class="form-check form-check-inline">
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<input class="form-check-input" type="radio" id="unmarried" name="marital_status" value="unmarried">
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<label class="form-check-label" for="unmarried">Unmarried</label>
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</div>
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<div class="form-check form-check-inline">
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<input class="form-check-input" type="radio" id="divorced" name="marital_status" value="divorced">
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<label class="form-check-label" for="divorced">Divorced</label>
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</div>
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</div>
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</div>
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</div>
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<div class="col-lg-6 col-md-6">
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<div class="row">
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<div class="col-lg-4">
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<label for="from-phone">Tel/Mob Number</label><span class="required-input">*</span>
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</div>
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<div class="col-lg-8">
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<div class="form-group">
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<div class="input-group">
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<input class="form-control" type="text" id="from-phone" name="mobile" required="">
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="col-lg-6 col-md-6">
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<div class="row">
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<div class="col-lg-4"><label for="from-email">Email:</label><span class="required-input">*</span></div>
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<div class="col-lg-8">
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<div class="form-group">
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<input class="form-control" type="email" id="from-email" name="email" required="">
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</div>
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</div>
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</div>
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</div>
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<div class="col-lg-6 col-md-6">
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<div class="row">
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<div class="col-lg-4 col-md-4"> <label for="from-phone">Address</label><span class="required-input">*</span></div>
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<div class="col-lg-8 col-md-8">
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<div class="form-group">
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<input class="form-control" type="text" id="from-address" name="address" required="">
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</div>
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</div>
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</div>
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</div>
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<div class="col-lg-6 col-md-6">
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<div class="row">
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<div class="col-lg-4 col-md-4"> <label for="from-phone">Guardian's name</label><span class="required-input">*</span></div>
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<div class="col-lg-8 col-md-8">
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<div class="form-group">
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<input class="form-control" type="text" id="from-address" name="guardian_name" required="">
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</div>
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</div>
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</div>
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</div>
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<div class="col-lg-6 col-md-6">
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<div class="row">
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<div class="col-lg-4 col-md-4"> <label for="from-phone">Contact:</label><span class="required-input">*</span></div>
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<div class="col-lg-8 col-md-8">
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<div class="form-group">
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<input class="form-control" type="text" id="from-address" name="address" required="">
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</div>
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</div>
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</div>
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</div>
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<div class="col-lg-12 col-md-12">
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<div class="row">
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<div class="col-lg-3 col-md-3"> <label for="from-phone">Have you applied any country?</label></div>
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<div class="col-lg-9 col-md-9">
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<div class="form-group">
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<input class="form-control" type="text" id="from-address" name="applied_before">
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</div>
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</div>
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</div>
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</div>
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<div class="tabletitle">
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<h2>
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ACADEMIC DETAILS
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</h2>
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</div>
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<table class="table table-bordered">
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<thead>
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<tr>
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<th scope="col">Degree Obtained</th>
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<th scope="col">Major</th>
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<th scope="col">Institution</th>
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<th scope="col">Score/GPA</th>
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<th scope="col">Passed Year</th>
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</tr>
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</thead>
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<tbody>
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<tr>
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<th scope="row">SLC / SEE</th>
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<td> </td>
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<td> <input class="form-control" type="text" id="from-address" name="see_school" ></td>
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<td> <input class="form-control" type="text" id="from-address" name="see_grade" ></td>
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<td> <input class="form-control" type="text" id="from-address" name="see_year" ></td>
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</tr>
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<tr>
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<th scope="row">10+2/CTEVT/PCT</th>
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<td> <input class="form-control" type="text" id="from-address" name="plus2_stream" ></td>
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<td> <input class="form-control" type="text" id="from-address" name="plus2_college" ></td>
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<td> <input class="form-control" type="text" id="from-address" name="plus2_grade" ></td>
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<td> <input class="form-control" type="text" id="from-address" name="plus2_year" ></td>
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</tr>
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<tr>
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<th scope="row">Bachelor</th>
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<td> <input class="form-control" type="text" id="from-address" name="bachelors_stream" ></td>
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<td> <input class="form-control" type="text" id="from-address" name="bachelors_college" ></td>
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<td> <input class="form-control" type="text" id="from-address" name="bachelors_grade" ></td>
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<td> <input class="form-control" type="text" id="from-address" name="bachelors_year" ></td>
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</tr>
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<tr>
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<th scope="row">Master</th>
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<td> <input class="form-control" type="text" id="from-address" name="highest_stream" ></td>
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<td> <input class="form-control" type="text" id="from-address" name="highest_college" ></td>
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<td> <input class="form-control" type="text" id="from-address" name="highest_grade" ></td>
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<td> <input class="form-control" type="text" id="from-address" name="highest_year" ></td>
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</tr>
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</tbody>
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</table>
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<div class="col-lg-12 col-md-12">
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<div class="row">
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<div class="col-lg-3 col-md-4"> <label for="from-phone">Work Experience:</label></div>
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<div class="col-lg-9 col-md-8">
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<div class="form-group">
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<input class="form-control" type="text" id="from-address" name="experience" >
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</div>
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</div>
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</div>
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</div>
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<div class="col-lg-12 col-md-12 mb20">
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<div class="row">
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<div class="col-lg-3 col-md-4"> <label for="from-phone">Your Country of Interest:</label></div>
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<div class="col-lg-9 col-md-8">
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<div class="select-group">
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<select name="preferred_destination" class="form-control field-info" >
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<option value="" selected="" disabled="">Preferred Study Destination</option>
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<option value="study-in-australia">Study in Australia</option>
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<option value="study-in-usa">Study in USA</option>
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<option value="study-in-canada">Study in Canada</option>
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<option value="other">Others</option>
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</select>
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</div>
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</div>
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</div>
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</div>
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<div class="col-lg-6 col-md-6">
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<div class="row">
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<div class="col-lg-6 col-md-6"> <label for="from-test">Test Taken:</label></div>
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<div class="col-lg-6 col-md-6">
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<div class="form-group">
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<input class="form-control" type="text" id="from-test" name="preparation_class" >
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</div>
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</div>
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</div>
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</div>
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<div class="col-lg-6 col-md-6">
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<div class="row">
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<div class="col-lg-4 col-md-4"> <label for="from-score">Score:</label></div>
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<div class="col-lg-8 col-md-8">
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<div class="form-group">
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<input class="form-control" type="text" id="from-score" name="preparation_score" >
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</div>
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</div>
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</div>
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</div>
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<div class="col-lg-6 col-md-6">
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<div class="row">
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<div class="col-lg-6 col-md-6"> <label for="from-hdykau">How did you know about us?:</label></div>
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<div class="col-lg-6 col-md-6">
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<div class="form-group">
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<input class="form-control" type="text" id="from-hdykau" name="how_you_know">
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</div>
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</div>
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</div>
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</div>
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<div class="col-lg-6 col-md-6">
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<div class="row">
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<div class="col-lg-4 col-md-4"> <label for="from-ref">Reference:</label></div>
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<div class="col-lg-8 col-md-8">
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<div class="form-group">
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<input class="form-control" type="text" id="from-ref" name="reference" >
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</div>
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</div>
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</div>
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</div>
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<div class="col-lg-6 col-md-6">
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<div class="row">
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<div class="col-lg-6 col-md-6"> <label for="from-other">Other:</label></div>
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<div class="col-lg-6 col-md-6">
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<div class="form-group">
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<input class="form-control" type="text" id="from-other" name="other" >
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</div>
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</div>
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</div>
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</div>
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</div>
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<div class="form-row">
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<div class="col-12 col-sm-12 col-md-12 col-lg-12">
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<div class="form-group"><label for="from-calltime">FOR OFFICIAL USE</label><span class="required-input">*</span>
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<textarea name="message" class="form-control" rows="5" ></textarea>
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</div>
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</div>
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</div>
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<div class="form-group ">
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<div class="form-row">
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<input type="hidden" name="g-recaptcha-response" value="">
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<div class="col-3"><button class="btn btn-primary btn-block" type="submit" id="submitButton">Submit </button></div>
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</div>
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</div>
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</div>
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</form>
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<?php //pre(SITEVARS->Campaigns[0]);
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?>
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<div class="modal fade" id="success-modal" tabindex="-1" role="dialog" aria-labelledby="success-modal-label" aria-hidden="true">
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<div class="modal-dialog" role="document">
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<div class="modal-content">
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<div class="modal-header" style="display: none;">
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<h5 class="modal-title" id="success-modal-label">Success</h5>
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<button type="button" class="close" data-dismiss="modal" aria-label="Close">
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<span aria-hidden="true">×</span>
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</button>
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</div>
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<div class="modal-body">
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<div id="modal-text-area">
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</div>
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<div id="success-modal-qr">
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</div>
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<div id="canvas-area">
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</div>
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</div>
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<div class="modal-footer">
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<button type="button" id="downloadButton" class="btn btn-success full-width" style="width: 100%;">Download</button>
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<button type="button" id="downloadQRButton" class="btn btn-success full-width" style="width: 100%;" data-id=''>Download Pass</button>
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</div>
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</div>
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</div>
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</div>
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<div class="modal fade" id="error-modal" tabindex="-1" role="dialog" aria-labelledby="error-modal-label" aria-hidden="true">
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<div class="modal-dialog" role="document">
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<div class="modal-content">
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<div class="modal-header">
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<h5 class="modal-title" id="error-modal-label">Form Validation Errors</h5>
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<button type="button" class="close" data-dismiss="modal" aria-label="Close">
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<span aria-hidden="true">×</span>
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</button>
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</div>
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<div class="modal-body">
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<!-- Error messages will be displayed here -->
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</div>
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<div class="modal-footer">
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<button type="button" class="btn btn-secondary" data-dismiss="modal">Close</button>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</section>
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@endsection
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@push("js")
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<script>
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$(document).ready(function() {
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$('#enquiry-form').submit(function(e) {
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e.preventDefault();
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var formData = $(this).serialize();
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var response = "";
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$.ajax({
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type: 'POST',
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url: '<?php echo route("registration.submit"); ?>',
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data: formData,
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success: function(response) {
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// fbq('trackCustom', 'EventRegistration', {promotion: 'astro_solutions'});
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//fbq('track', 'PageView');
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if (response.status) {
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$.registration_id=response.registration_id;
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$('#registration-id').text(response.registration_id);
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$('#success-modal-label').text("Registration is successful");
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$('#success-modal-qr').html("<p class='text-center' style=' text-align: center!important;background-color: #830404;color: white;padding: 10px;font-weight: 600;'>Please download/save this PASS. </p><img src='" + response.qr_code + "' class='img-fluid' />");
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var downloadLink = document.createElement('a');
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downloadLink.href = response.qr_code;
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downloadLink.download = 'access_steps_pass.png'; // Set the desired file name
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// downloadLink.click();
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$('#success-modal').modal('show');
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$form[0].reset();
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} else if (response.message == 'Mobile number already exists. Returning existing data.') {
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$.registration_id=response.registration_id;
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var existingRegistrationData = response.registration;
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//$('#modal-text-area').html(JSON.stringify(existingRegistrationData));
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var downloadLink = document.createElement('a');
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downloadLink.href = response.qr_code;
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downloadLink.download = 'access_steps_pass.png'; // Set the desired file name
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//downloadLink.click();
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$('#success-modal-label').text(response.message);
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$('#success-modal-qr').html("<img src='" + response.qr_code + "' class='img-fluid' />");
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$('#success-modal').modal('show');
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} else {
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var errorMessages = '';
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$.each(response.errors, function(field, errors) {
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errorMessages += errors.join('<br>');
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});
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$('#error-modal .modal-body').html(errorMessages);
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$('#error-modal').modal('show');
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}
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}
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});
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});
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$('#success-modal').on('hidden.bs.modal', function() {
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$('#enquiry-form')[0].reset(); // Reset the form
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});
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$('#downloadButton').on('click', function() {
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// Trigger the download when the button is clicked
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var downloadLink = document.createElement('a');
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downloadLink.href = $('#success-modal-qr img').attr('src');
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downloadLink.download = 'access_steps_pass.png';
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downloadLink.click();
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});
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$('#downloadQRButton').on('click', function() {
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// Trigger the download when the button is clicked
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var downloadLink = document.createElement('a');
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downloadLink.href = '{{route("pass.generate")}}?id='+$.registration_id;
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downloadLink.download = 'steps_pass.png';
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downloadLink.click();
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});
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});
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</script>
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@endpush
|
|
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|
@push("css")
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<style>
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* {
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|
box-sizing: border-box;
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|
}
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|
.mb10{ margin-bottom: 10px;}
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|
.mb20{ margin-bottom: 20px;}
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|
|
|
body {
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|
background: #E7E8E9;
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|
}
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|
|
|
header {
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|
background-color: #FFFFFF;
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|
width: 100%;
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|
padding-bottom: 40px;
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|
}
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|
|
|
.main {
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|
background-color: #E7E8E9;
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|
margin: 0;
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|
padding: 0;
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|
}
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|
|
|
.table {
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|
background-color: #FFFFFF;
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|
}
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|
.table thead {
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|
background: rgb(2, 0, 36);
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|
background: linear-gradient(90deg, rgba(2, 0, 36, 1) 0%, rgba(139, 23, 26, 1) 0%, rgba(236, 31, 40, 1) 100%);
|
|
color: #fff;
|
|
}
|
|
.titlebox h2 {
|
|
background: rgb(2, 0, 36);
|
|
background: linear-gradient(90deg, rgba(2, 0, 36, 1) 0%, rgba(139, 23, 26, 1) 0%, rgba(236, 31, 40, 1) 100%);
|
|
color: #fff;
|
|
text-align: left;
|
|
margin: 10px 0px 20px 0;
|
|
text-transform: capitalize;
|
|
padding: 10px 20px;
|
|
font-size: 24px;
|
|
font-weight: 600;
|
|
}
|
|
.tabletitle h2 {
|
|
background: rgb(2, 0, 36);
|
|
background: linear-gradient(90deg, rgba(2, 0, 36, 1) 0%, rgba(139, 23, 26, 1) 0%, rgba(236, 31, 40, 1) 100%);
|
|
color: #fff;
|
|
text-align: left;
|
|
margin: 10px 0px 0px 0;
|
|
text-transform: capitalize;
|
|
padding: 10px 20px;
|
|
font-size: 20px;
|
|
font-weight: 600;
|
|
}
|
|
|
|
.form-box {
|
|
display: block;
|
|
margin: 0 auto;
|
|
/* margin-top: 5%; */
|
|
/* margin-bottom: 5%; */
|
|
background-color: #E7E8E9;
|
|
width: 98%;
|
|
/* border-radius: 5px;
|
|
box-shadow: 10px 10px 0 0 #9c1e5b; */
|
|
}
|
|
|
|
.boximage {
|
|
width: 100%;
|
|
height: auto;
|
|
|
|
background-size: cover;
|
|
border-radius: 5px 5px 0 0;
|
|
}
|
|
|
|
.infotext {
|
|
width: 100%;
|
|
padding: 3%;
|
|
text-align: center;
|
|
color: #162c38;
|
|
font-family: sans-serif;
|
|
}
|
|
|
|
h1 {
|
|
font-family: 'Roboto Slab', serif;
|
|
font-size: 1.1em;
|
|
color: #162c38;
|
|
text-transform: uppercase;
|
|
}
|
|
|
|
.infotext p {
|
|
line-height: 1.5em;
|
|
letter-spacing: 0.05em;
|
|
}
|
|
|
|
form {
|
|
width: 100%;
|
|
padding: 5%;
|
|
}
|
|
|
|
.required-input {
|
|
color: #f00;
|
|
}
|
|
|
|
input {
|
|
display: block;
|
|
width: 100%;
|
|
border: solid 1px #ec1f28;
|
|
border-radius: 5px;
|
|
/* margin-bottom: 15px; */
|
|
padding: 2%;
|
|
font-size: 0.8em;
|
|
font-family: sans-serif;
|
|
letter-spacing: 0.1em;
|
|
color: #888;
|
|
text-align: left;
|
|
}
|
|
|
|
input[type=submit] {
|
|
border: none;
|
|
border-radius: 5px;
|
|
background-color: #a82d2d;
|
|
color: #fff;
|
|
text-align: center;
|
|
}
|
|
|
|
input[type=submit]:hover {
|
|
background-color: #711616;
|
|
cursor: pointer;
|
|
}
|
|
|
|
.form-control {
|
|
height: 30px;
|
|
background: #fff;
|
|
border: 1px #ef373e solid;
|
|
padding: 0 15px;
|
|
font-size: 16px;
|
|
-webkit-transition: all 0.3s ease-in-out;
|
|
-moz-transition: all 0.3s ease-in-out;
|
|
-o-transition: all 0.3s ease-in-out;
|
|
transition: all 0.3s ease-in-out;
|
|
}
|
|
|
|
.form-control:focus {
|
|
border-color: #00bcd9;
|
|
-webkit-box-shadow: 0px 0px 20px rgba(0, 0, 0, .1);
|
|
-moz-box-shadow: 0px 0px 20px rgba(0, 0, 0, .1);
|
|
box-shadow: 0px 0px 20px rgba(0, 0, 0, .1);
|
|
}
|
|
|
|
textarea.form-control {
|
|
height: 160px;
|
|
padding-top: 15px;
|
|
resize: none;
|
|
}
|
|
|
|
|
|
.content-column ul li {
|
|
|
|
list-style-type: disc;
|
|
|
|
margin-left: 20px;
|
|
|
|
}
|
|
</style>
|
|
@endpush |