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Application.html
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Application.html
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<!DOCTYPE html>
<html>
<head>
<title>Admission</title>
</head>
<body>
<center><h1>Admission for BTech/MTech/MBA/MCA</h1></center>
<form action="https://jntuacea.net/wtclass/formsubmit.php" method="get">
<label for "Firstname">First Name:</label><input type="text" name="Firstname" maxlength="30" placeholder="AS PER SSC" required="required"/>
<label for "lastname">Last Name:</label><input type="text" name="Last name" maxlength="20" placeholder="AS PER SSC" required="required"/></br></br>
<label for "Father's name">Father's Name:</label><input type="text" name="Father's name" maxlength="30" placeholder="AS PER SSC" required="required"/></br></br>
<label for "Mother's name">Mother's Name:</label><input type="text" name="Mother's name" maxlength="30" placeholder="AS PER SSC" required="required"/></br></br>
DOB: Day:<input type="text" name="day" pattern="[1-31]{1,2}" required="required" placeholder="1-31"/>
Month:<select name="month">
<option value="January">January</option>
<option value="February">February</option>
<option value="March">March</option>
<option value="April">April</option>
<option value="May">May</option>
<option value="June">June</option>
<option value="July">July</option>
<option value="August">August</option>
<option value="September">September</option>
<option value="October">october</option>
<option value="November">November</option>
<option value="December">December</option>
</select>
Year:<select name="Year">
<option value="1995">1995</option>
<option value="1996">1996</option>
<option value="1997">1997</option>
<option value="1998">1998</option>
<option value="1999">1999</option>
<option value="2000">2000</option>
<option value="2001">2001</option>
<option value="2002">2002</option>
<option value="2003">2003</option>
</select></br></br>
Type of exam:<select name="exam:">
<option value="EAMCET">EAMCET</option>
<option value="ECET">ECET</option>
<option value="APPGCET">APPGCET</option>
<option value="APICET">APICET</option>
</select></br></br>
Rank:<input type="text" name="rank" required="required" placeholder="Enter your rank"></br></br>
<input type="radio" name="graduate" value="UG"/>UnderGraduate
<input type="radio" name="graduate" value="PG"/>PostGraduate</br></br>
Btech:<select name="Course:">
<option value=Computer Science and Engineering">CSE</option>
<option value="Electronics and Communication Engineering">ECE</option>
<option value="Electrical and Electronics Engineering">EEE</option>
<option value="Mechanical Engineering">MECH</option>
<option value="Civil Engineering">Civil</option>
<option value="chemical Engineering ">CHEM</option>
</select>
Mtech:<select name="Course:">
<option value=Artificial Intelligence">AI</option>
<option value="Robotics">Robotics</option>
<option value="Machine Learning">ML</option>
<option value="Advance CAD">CAD</option>
<option value="Very Large Scale Integeration">VLSI</option>
<option value="Organic Chemistry">Organic chemistry</option>
</select>
MCA:<select name="Course:">
<option value=Systems management">Systems Management</option>
<option value="Software development">Software Development</option>
<option value="Networking">Networking</option>
<option value="Trouble shooting">Trouble shooting</option>
</select></br></br>
Email:<input type="text" name="email" placeholder="[email protected]"/></br></br>
MobileNo:<input type="text" name="Mobile no." maxlength="10" pattern="[0-9]{10}"/></br></br>
Address:<textarea name="address" placeholder="Enter your residence" rows="8" cols="25"></textarea>
<center><a href="challan.html" class="btn btn-primary">Submit</center>
</form>
</body>
</html>