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sign_up_for_us.php
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<html>
<head>
<meta charset="UTF-8">
<title>Register | Annual Alumni Meet · IIT Kharagpur</title>
<meta name="viewport" content="width=device-width, initial-scale=1.0"/>
<link rel="icon" href="img/meet_14.png">
<link rel="stylesheet" href="css/materialize.min.css">
<link href="https://fonts.googleapis.com/icon?family=Material+Icons" rel="stylesheet">
<link rel="stylesheet" type="text/css" href="css/style.css">
<link rel="stylesheet" href="//code.jquery.com/ui/1.12.0/themes/base/jquery-ui.css">
<script type="text/javascript" src="https://code.jquery.com/jquery-2.2.4.min.js"></script>
<script type="text/javascript" src="js/materialize.min.js"></script>
<!-- <script type="text/javascript" src="https://code.jquery.com/jquery-1.12.4.js"></script>
<script type="text/javascript" src="https://code.jquery.com/ui/1.12.0/jquery-ui.js"></script> -->
<!-- <script type="text/javascript" src="https://unpkg.com/sweetalert/dist/sweetalert.min.js"></script>
<script type="text/javascript"src="https://ajax.googleapis.com/ajax/libs/jquery/2.1.0/jquery.min.js"></script> -->
<script>
$(function () {
$('form').on('submit', function (e) {
e.preventDefault();
$.ajax({
type: 'post',
url: 'register.php',
data: $('form').serialize(),
success: function (response) {
if(response== 0 )
{
swal({
title: "WRONG CAPTCHA!",
text: "Please re-enter the captcha!",
icon: "error",
buttons: true,
dangerMode: true,
}).then((value) => {});
}
else if(response== 1)
{
swal({
title: "REGISTERED!",
text: "You can login now!",
icon: "success",
buttons: false,
timer: 2000,
}).then((value) => {
window.location="aam.php";
});
//alert('success');
}
else{
alert(response);
}
}
});
});
});
</script>
<style type="text/css">
@media only screen and (min-width: 768px){
.signup{
padding: 5px 100px;
}
.mentor-reg a{
margin-top: 30px;
display: inline-block;
}
.mentor-text {
margin-left: 60px !important;
}
.mentor-top {
margin-top: 20px;
margin-left: 60px;
width: 860px;
height: 60px;
border-radius: 6px;
margin-bottom: 20px;
}
.ac-mentor img{
margin-left: 80px;
}
}
@media only screen and (max-width: 468px){
.ac-mentor img{
margin: 0px auto;
max-width:100%;
}
.mentor-top {
max-width: 100%;
height: 60px;
}
}
.heading{
padding-top: 10px;
margin-top: 0px;
margin-bottom: 30px;
}
</style>
</head>
<body>
<div class="_wrapper">
<?php include 'navbar.php';?>
<div class="row signup">
<form>
<center>
<div class="heading">
<hr><hr><br>
<div>
<p style="text-align: center">The registration fee per alumnus/alumna: Rs. 7000 and Rs. 4000 per additional guest.<br>
It covers all expenses the moment you step into your campus.<br>
It includes food, accommodation and travel within the campus. <br>
The payment can be made via cheque, DD or NEFT. <br>
Please fill the registration form below and take note of the password for future login. <br>
You will be contacted by Students' Alumni Cell.</p>
</div>
<br><hr><hr><br><br>
<div><a class="waves-effect waves-light btn-large modal-trigger" href="aam.php#modal1" >LOGIN - If already Registered</a></div>
<br><br>
</div>
<h class="subheading"><b>Personal Details</b> </h>
<br><br><br>
<div class="row1">
<div class="input-field col s12">
<input type="text" name="name" id="name" class="validate" required>
<label for="name">Name <span style="color:red;">*</span></label>
</div>
</div>
<div class="row1">
<div class="input-field col s6">
<input type="email" name="email" id="email" required>
<label for="email">Email ID <span style="color:red;">*</span></label>
</div>
<div class="input-field col s6">
<input type="password" id="password" name="password" required>
<label for="password">Password (For future login) <span style="color:red;">*</span></label>
</div>
</div>
<div class="input-field col s12">
<input type="text" name="address" id="personal_address">
<label for="address">Address </label>
</div>
<div class="row1">
<div class="input-field col s6">
<input type="text" id="personal_city" name="city" required>
<label for="city">City <span style="color:red;">*</span></label>
</div>
<div class="input-field col s6">
<input type="text" id="personal_state" name="state" >
<label for="state">State </label>
</div>
</div>
<div class="row1">
<div class="input-field col s6">
<input type="text" name="country" id="country" required>
<label for="country">Country <span style="color:red;">*</span></label>
</div>
<div class="input-field col s6">
<input type="text" id="zipcode" name="zipCode" >
<label for="zipcode">Zip Code </label>
</div>
</div>
<div class="row1">
<div class="input-field col s6" style="margin-top:30.5px;">
<input type="text" name="mobile" id="mobile" required>
<label for="mobile">Mobile <span style="color:red;">*</span></label>
</div>
<div class="col s6" style="margin-top:15px;">
<label for="dob">DOB <span style="color:red;">*</span></label>
<input type="date" name="dob" required id="dob">
</div>
</div>
<div class="input-field col s12" style="margin-bottom:30px;">
<input type="text" name="marital" id="marital">
<label for="marital">Marital Status</label>
</div>
<div class="heading">
<center>
<h class="subheading"><b>Work Experience</b></h>
</center><br>
<center style="color:#9e9e9e">Current or past work experiences as per relevance
</center>
</div>
<div class="row1">
<div class="input-field col s6">
<input type="text" id="ind" name="industry" >
<label for="ind">Industry </label>
</div>
<div class="input-field col s6">
<input type="text" id="prof" name="profession" >
<label for="prof">Profession </label>
</div>
</div>
<div class="row1">
<div class="input-field col s6">
<input type="text" id="org" name="orgName" required>
<label for="org">Organisation Name <span style="color:red;">*</span></label>
</div>
<div class="input-field col s6">
<input type="text" id="desig" name="designation" required>
<label for="desig">Designation <span style="color:red;">*</span></label>
</div>
</div>
<div class="input-field col s12" style="margin-bottom:30px;">
<input type="text" id="address" name="work_address">
<label for="address">Address</label>
</div>
<div class="row1">
<div class="input-field col s6">
<input type="text" id="city" name="work_city">
<label for="city">City</label>
</div>
<div class="input-field col s6">
<input type="text" id="state" name="work_state">
<label for="state">State</label>
</div>
</div>
<div class="row1">
<div class="input-field col s6">
<input type="text" id="Country" name="work_country">
<label for="Country">Country</label>
</div>
<div class="input-field col s6">
<input type="text" id="zip" name="work_zipCode">
<label for="zip">Zip Code</label>
</div>
</div>
<div class="row"></div>
<p></p>
<div class="heading" >
<center><br><br>
<h class="subheading"><b>Nostalgic Section</b> </h>
</center>
</div>
<div class="row1">
<div class="input-field col s6">
<input type="text" id="roll" name="rollNum">
<label for="roll">Roll Number</label>
</div>
<div class="input-field col s6">
<input type="number" min="1951" max="2006" id="join" name="joinYear" required>
<label for="join">Join Year <span style="color:red;">*</span></label>
</div>
</div>
<div class="row1">
<div class="input-field col s6">
<input type="text" id="degree" name="degree" required>
<label for="degree">Degree <span style="color:red;">*</span></label>
</div>
<div class="input-field col s6">
<input type="text" id="dept" name="department" required>
<label for="dept">Department <span style="color:red;">*</span></label>
</div>
</div>
<div class="row1">
<div class="input-field col s6">
<input type="text" id="hall" name="hall" required>
<label for="hall">Hall <span style="color:red;">*</span></label>
</div>
<div class="input-field col s6">
<input type="number" min="1955" max="2010" id="yog" name="graduatingYear" required>
<label for="yog">Year of Graduating <span style="color:red;">*</span></label>
</div>
</div>
<div class="row1">
<div class="input-field col s6">
<input type="text" id="involvements" name="involvements">
<label for="yog">Involvements (Societies, Hall Events, etc) </label>
</div>
<div class="input-field col s6">
<input type="text" id="hobbies" name="hobbies">
<label for="yog">Hobbies</label>
</div>
</div>
<div class="input-field col s12" style="margin-bottom:20px;margin-top:3%">
<input type="number" min="0" id="accompanyingNo" name="accompanyingNo" required>
<label for="accompanyingNo">Accompaniments(Number of guests)<span style="color:red;">*</span></label>
</div>
<div class="col s12">
<center>
<button type="submit" class="btn btn-success btn-lg btn-block" name="button" style="width:25%" >SUBMIT</button>
</center>
</div>
</center>
</form>
</div>
</div>
<?php include 'footer.php';?>
</body>
</html>