203 lines
6.7 KiB
PHP
203 lines
6.7 KiB
PHP
@extends(env("CLIENT_PATH").".welcome")
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@section("content")
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<div class="form-box">
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<div class="infotext">
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<h1>!!! Successfully Validated !!!</h1>
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<h5>Welcome <?php echo $data->name; ?></h5>
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</div>
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<form>
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@csrf
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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-name">Name</label><span class="required-input">*</span>
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<input class="form-control" type="text" id="from-name" name="name" required="" disabled value="<?php echo $data->name; ?>">
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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-6 col-md-12 col-lg-6">
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<div class="form-group"><label for="from-email">Email</label><span class="required-input">*</span>
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<input class="form-control" type="email" value="<?php echo $data->email; ?>" id="from-email" name="email" required="" disabled>
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</div>
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</div>
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<div class="col-12 col-sm-6 col-md-12 col-lg-6">
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<div class="form-group"><label for="from-phone">Mobile Number</label><span class="required-input">*</span>
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<div class="input-group">
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<input class="form-control" type="text" value="<?php echo $data->mobile; ?>" id="from-phone" name="mobile" required="" disabled>
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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-6 col-md-12 col-lg-6">
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<div class="form-group"><label for="from-qualifications">Highest Qualification</label><span class="required-input">*</span>
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<input class="form-control" type="text" value="<?php echo $data->highest_qualification; ?>" id="from-qualifications" name="from-qualifications" required="" disabled>
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</div>
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</div>
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<div class="col-12 col-sm-6 col-md-12 col-lg-6">
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<div class="form-group"><label for="board">University / Board:</label><span class="required-input">*</span>
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<div class="input-group">
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<input class="form-control" type="text" value="<?php echo $data->highest_college; ?>" required="" disabled>
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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-md-12">
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<div class="form-group"><label for="preferred_destination">Preferred Study Destination:</label><span class="required-input">*</span>
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<div class="select-group">
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<input class="form-control" type="text" value="<?php echo $data->intrested_for_country; ?>" required="" disabled>
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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">Message / Enquiry</label><span class="required-input">*</span>
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<input class="form-control" type="text" value="<?php echo $data->remarks; ?>" required="" disabled>
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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"><a class="btn btn-success btn-block" href="<?php echo route("home"); ?>">Visitor Confirmed <i class="fa fa-chevron-circle-right"></i></a></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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</div>
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@endsection
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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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body {
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background-image: url(<?php echo site_url("lms/assets/images/bg.jpg"); ?>);
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-webkit-background-size: cover;
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-moz-background-size: cover;
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-o-background-size: cover;
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background-size: cover;
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}
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.form-box {
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display: block;
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margin: 0 auto;
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margin-top: 5%;
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margin-bottom: 5%;
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background-color: white;
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width: 98%;
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border-radius: 5px;
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box-shadow: 10px 10px 0 0 #083079;
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}
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.boximage {
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width: 100%;
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height: auto;
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background-size: cover;
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border-radius: 5px 5px 0 0;
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}
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.infotext {
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width: 100%;
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padding: 3%;
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text-align: center;
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color: #fff;
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font-family: sans-serif;
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background: #1951b8;
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}
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h1 {
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font-family: 'Roboto Slab', serif;
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font-size: 1.8em;
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color: #fff;
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text-transform: uppercase;
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}
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.infotext p {
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line-height: 1.5em;
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letter-spacing: 0.05em;
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}
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form {
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width: 100%;
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padding: 5%;
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}
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.required-input {
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color: #f00;
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}
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input {
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display: block;
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width: 100%;
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border: solid 1px #bbb7b7;
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border-radius: 5px;
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margin-bottom: 15px;
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padding: 2%;
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font-size: .8em;
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font-family: sans-serif;
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letter-spacing: 0.1em;
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color: #888;
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text-align: left;
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}
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input[type=submit] {
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border: none;
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border-radius: 5px;
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background-color: #a82d2d;
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color: #fff;
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text-align: center;
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}
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input[type=submit]:hover {
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background-color: #711616;
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cursor: pointer;
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}
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.form-control {
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height: 50px;
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background: #ecf0f4;
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border-color: transparent;
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padding: 0 15px;
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font-size: 16px;
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-webkit-transition: all 0.3s ease-in-out;
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-moz-transition: all 0.3s ease-in-out;
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-o-transition: all 0.3s ease-in-out;
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transition: all 0.3s ease-in-out;
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}
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.form-control:focus {
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border-color: #00bcd9;
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-webkit-box-shadow: 0px 0px 20px rgba(0, 0, 0, .1);
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-moz-box-shadow: 0px 0px 20px rgba(0, 0, 0, .1);
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box-shadow: 0px 0px 20px rgba(0, 0, 0, .1);
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}
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textarea.form-control {
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height: 160px;
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padding-top: 15px;
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resize: none;
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}
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.content-column ul li {
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list-style-type: disc;
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margin-left: 20px;
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}
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</style>
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@endpush
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