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"Zangon-Kataf|Zangon-Kataf",
"Zaria|Zaria"
];}

if(s1.value == "Kano State"){ var optionArray = ["|-Select LGA-",
"Ajigi|Ajigi",
"Albasu|Albasu",
"Bagwai|Bagwai",
"Bebeji|Bebeji",
"Bichi|Bichi",
"Bunkure|Bunkure",
"Dala|Dala",
"Dambatta|Dambatta",
"Dawakin kudu|Dawakin kudu",
"Dawakin tofa|Dawakin tofa",
"Doguwa|Doguwa",
"Fagge|Fagge",
"Gabasawa|Gabasawa",
"Garko|Garko",
"Garun mallam|Garun mallam",
"Gaya|Gaya",
"Gezawa|Gezawa",
"Gwale|Gwale",
"Gwarzo|Gwarzo",
"Kano|Kano",
"Karaye|Karaye",
"Kibiya|Kibiya",
"Kiru|Kiru",
"Kumbtso|Kumbtso",
"Kunch|Kunch",
"Kura|Kura",
"Maidobi|Maidobi",
"Makoda|Makoda",
"Minjibir |Minjibir ",
"Nassarawa|Nassarawa",
"Rano|Rano",
"Rimin gado|Rimin gado",
"Rogo|Rogo",
"Shanono|Shanono",
"Sumaila|Sumaila",
"Takai|Takai",
"Tarauni|Tarauni",
"Tofa|Tofa",
"Tsanyawa|Tsanyawa",
"Tudunwada|Tudunwada",
"Ungogo|Ungogo",
"Warawa|Warawa",
"Wudil|Wudil"
];}

if(s1.value == "Katsina State"){ var optionArray = ["|-Select LGA-",

"Bakori|Bakori",
"Batagarawa|Batagarawa",
"Batsari|Batsari",
"Baure|Baure",
"Bindawa|Bindawa",
"Charanchi|Charanchi",
"DanMusa|DanMusa",
"Dandume|Dandume",
"Danja|Danja",
"Daura|Daura",
"Dutsi|Dutsi",
"Dutsinma|Dutsinma",
"Faskar|Faskar",
"Funtua|Funtua",
"Ingawa|Ingawa",
"Jibiya|Jibiya",
"Kafur|Kafur",
"Kaita|Kaita",
"Kankara|Kankara",
"Kankiya|Kankiya",
"Katsina|Katsina",
"Furfi|Furfi",
"Kusada|Kusada",
"Mai aduwa|Mai aduwa",
"Malumfashi|Malumfashi",
"Mani|Mani",
"Mash|Mash",
"Matazu|Matazu",
"Musawa|Musawa",
"Rimi|Rimi",
"Sabuwa|Sabuwa",
"Safana|Safana",
"Sandamu|Sandamu",
"Zango|Zango"

];}

if(s1.value == "Kebbi State"){ var optionArray = ["|-Select LGA-",

"Aliero|Aliero",
"Arewa Dandi|Arewa Dandi",
"Argungu|Argungu",
"Augie|Augie",
"Bagudo|Bagudo",
"Birnin Kebbi|Birnin Kebbi",
"Bunza|Bunza",
"Dandi|Dandi",
"Danko|Danko",
"Fakai|Fakai",
"Gwandu|Gwandu",
"Jeda|Jeda",
"Kalgo|Kalgo",
"Koko-besse|Koko-besse",
"Maiyaama|Maiyaama",
"Ngaski|Ngaski",
"Sakaba|Sakaba",
"Shanga|Shanga",
"Suru|Suru",
"Wasugu|Wasugu",
"Yauri|Yauri",
"Zuru|Zuru"
];}

if(s1.value == "Kogi State"){ var optionArray = ["|-Select LGA-",

"Adavi|Adavi",
"Ajaokuta|Ajaokuta",
"Ankpa|Ankpa",
"Bassa|Bassa",
"Dekina|Dekina",
"Ibaji|Ibaji",
"Idah|Idah",
"Igalamela|Igalamela",
"Ijumu|Ijumu",
"Kabba bunu|Kabba bunu",
"Kogi|Kogi",
"Mopa muro|Mopa muro",
"Ofu|Ofu",
"Ogori magongo|Ogori magongo",
"Okehi|Okehi",
"Okene|Okene",
"Olamaboro|Olamaboro",
"Omala|Omala",
"Yagba east|Yagba east",
"Yagba west|Yagba west"
];}

if(s1.value == "Kwara State"){ var optionArray = ["|-Select LGA-",

"Asa|Asa",
"Baruten|Baruten",
"Ede|Ede",
"Ekiti|Ekiti",
"Ifelodun|Ifelodun",
"Ilorin east|Ilorin east",
"Ilorin south|Ilorin south",
"Ilorin west|Ilorin west",
"Irepodun|Irepodun",
"Isin|Isin",
"Kaiama|Kaiama",
"Moro|Moro",
"Offa|Offa",
"Oke ero|Oke ero",
"Oyun|Oyun",
"Pategi|Pategi"
];}

if(s1.value == "Lagos State"){ var optionArray = ["|-Select LGA-",

"Agege|Agege",
"Alimosho Ifelodun|Alimosho Ifelodun",
"Alimosho|Alimosho",
"Amuwo-Odofin|Amuwo-Odofin",
"Apapa|Apapa",
"Badagry|Badagry",
"Epe|Epe",
"Eti-Osa|Eti-Osa",
"Ibeju- Lekki|Ibeju- Lekki",
"Ifako/Ijaye|Ifako/Ijaye",
"Ikeja|Ikeja",
"Ikorodu|Ikorodu",
"Kosofe|Kosofe",
"Lagos Island|Lagos Island",
"Lagos Mainland|Lagos Mainland",
"Mushin|Mushin",
"Ojo|Ojo",
"Oshodi-Isolo|Oshodi-Isolo",
"Shomolu|Shomolu",
"Surulere|Surulere"
];}

if(s1.value == "Nasarawa State"){ var optionArray = ["|-Select LGA-",

"Akwanga|Akwanga",
"Awe|Awe",
"Doma|Doma",
"Karu|Karu",
"Keana|Keana",
"Keffi|Keffi",
"Kokona|Kokona",
"Lafia|Lafia",
"Nassarawa|Nassarawa",
"Nassarawa/Eggon|Nassarawa/Eggon",
"Obi|Obi",
"Toto|Toto",
"Wamba|Wamba"
];}

if(s1.value == "Niger State"){ var optionArray = ["|-Select LGA-",

"Agaie|Agaie",
"Agwara|Agwara",
"Bida|Bida",
"Borgu|Borgu",
"Bosso|Bosso",
"Chanchanga|Chanchanga",
"Edati|Edati",
"Gbako|Gbako",
"Gurara|Gurara",
"Kitcha|Kitcha",
"Kontagora|Kontagora",
"Lapai|Lapai",
"Lavun|Lavun",
"Magama|Magama",
"Mariga|Mariga",
"Mokwa|Mokwa",
"Moshegu|Moshegu",
"Muya|Muya",
"Paiko|Paiko",
"Rafi|Rafi",
"Shiroro|Shiroro",
"Suleija|Suleija",
"Tawa|Tawa",
"Wushishi|Wushishi"
];}

if(s1.value == "Ogun State"){ var optionArray = ["|-Select LGA-",

"Abeokuta south|Abeokuta south",
"Abeokuta north|Abeokuta north",
"Ado-odo/otta|Ado-odo/otta",
"Agbado south|Agbado south",
"Agbado north|Agbado north",
"Ewekoro|Ewekoro",
"Idarapo|Idarapo",
"Ifo|Ifo",
"Ijebu east|Ijebu east",
"Ijebu north|Ijebu north",
"Ikenne|Ikenne",
"Ilugun Alaro|Ilugun Alaro",
"Imeko afon|Imeko afon",
"Ipokia|Ipokia",
"Obafemi/owode|Obafemi/owode",
"Odeda|Odeda",
"Odogbolu|Odogbolu",
"Ogun waterside|Ogun waterside",
"Sagamu|Sagamu"
];}

if(s1.value == "Ondo State"){ var optionArray = ["|-Select LGA-",

"Akoko north|Akoko north",
"Akoko north east|Akoko north east",
"Akoko south east|Akoko south east",
"Akoko south|Akoko south",
"Akure north|Akure north",
"Akure|Akure",
"Idanre|Idanre",
"Ifedore|Ifedore",
"Ese odo|Ese odo",
"Ilaje|Ilaje",
"Ilaje oke-igbo|Ilaje oke-igbo",
"Irele|Irele",
"Odigbo|Odigbo",
"Okitipupa|Okitipupa",
"Ondo|Ondo",
"Ondo east|Ondo east",
"Ose|Ose",
"Owo|Owo"
];}

if(s1.value == "Osun State"){ var optionArray = ["|-Select LGA-",

"Atakumosa west|Atakumosa west",
"Atakumosa east|Atakumosa east",
"Ayeda-ade|Ayeda-ade",
"Ayedire|Ayedire",
"Bolawaduro|Bolawaduro",
"Boripe|Boripe",
"Ede|Ede",
"Ede north|Ede north",
"Egbedore|Egbedore",
"Ejigbo|Ejigbo",
"Ife north|Ife north",
"Ife central|Ife central",
"Ife south|Ife south",
"Ife east|Ife east",
"Ifedayo|Ifedayo",
"Ifelodun|Ifelodun",
"Ilesha west|Ilesha west",
"Ila-orangun|Ila-orangun",
"Ilesah east|Ilesah east",
"Irepodun|Irepodun",
"Irewole|Irewole",
"Isokan|Isokan",
"Iwo|Iwo",
"Obokun|Obokun",
"Odo-otin|Odo-otin",
"Ola oluwa|Ola oluwa",
"Olorunda|Olorunda",
"Oriade|Oriade",
"Orolu|Orolu",
"Osogbo|Osogbo"
];}

if(s1.value == "Oyo State"){ var optionArray = ["|-Select LGA-",

"Afijio|Afijio",
"Akinyele|Akinyele",
"Attba|Attba",
"Atigbo|Atigbo",
"Egbeda|Egbeda",
"Ibadan|Ibadan",
"Ibadan north east|Ibadan north east",
"Ibadan central|Ibadan central",
"Ibadan south east|Ibadan south east",
"Ibadan west south|Ibadan west south",
"Ibarapa east|Ibarapa east",
"Ibarapa north|Ibarapa north",
"Ido|Ido",
"Ifedapo|Ifedapo",
"Ifeloju|Ifeloju",
"Irepo|Irepo",
"Iseyin|Iseyin",
"Itesiwaju|Itesiwaju",
"Iwajowa|Iwajowa",
"Iwajowa olorunshogo|Iwajowa olorunshogo",
"Kajola|Kajola",
"Lagelu|Lagelu",
"Ogbomosho north|Ogbomosho north",
"Ogbomosho south|Ogbomosho south",
"Ogo oluwa|Ogo oluwa",
"Oluyole|Oluyole",
"Ona ara|Ona ara",
"Ore lope|Ore lope",
"Orire|Orire",
"Oyo east|Oyo east",
"Oyo west|Oyo west",
"Saki east|Saki east",
"Saki west|Saki west",
"Surulere|Surulere"
];}

if(s1.value == "Plateau State"){ var optionArray = ["|-Select LGA-",

"Barkin/ladi|Barkin/ladi",
"Bassa|Bassa",
"Bokkos|Bokkos",
"Jos north|Jos north",
"Jos east|Jos east",
"Jos south|Jos south",
"Kanam|Kanam",
"Kiyom|Kiyom",
"Langtang north|Langtang north",
"Langtang south|Langtang south",
"Mangu|Mangu",
"Mikang|Mikang",
"Pankshin|Pankshin",
"Quaan pan|Quaan pan",
"Shendam|Shendam",
"Wase|Wase"
];}

if(s1.value == "Rivers State"){ var optionArray = ["|-Select LGA-",

"Abua/Odial|Abua/Odial",
"Ahoada west|Ahoada west",
"Akuku toru|Akuku toru",
"Andoni|Andoni",
"Asari toru|Asari toru",
"Bonny|Bonny",
"Degema|Degema",
"Eleme|Eleme",
"Emohua|Emohua",
"Etche|Etche",
"Gokana|Gokana",
"Ikwerre|Ikwerre",
"Oyigbo|Oyigbo",
"Khana|Khana",
"Obio/Akpor|Obio/Akpor",
"Ogba east|Ogba east",
"Edoni|Edoni",
"Ogu/bolo|Ogu/bolo",
"Okrika|Okrika",
"Omumma|Omumma",
"Opobo/Nkoro|Opobo/Nkoro",
"Portharcourt|Portharcourt",
"Tai|Tai"
];}

if(s1.value == "Sokoto State"){ var optionArray = ["|-Select LGA-",

"Binji|Binji",
"Bodinga|Bodinga",
"Dange/shuni|Dange/shuni",
"Gada|Gada",
"Goronyo|Goronyo",
"Gudu|Gudu",
"Gwadabawa|Gwadabawa",
"Illela|Illela",
"Kebbe|Kebbe",
"Kware|Kware",
"Rabah|Rabah",
"Sabon-Birni|Sabon-Birni",
"Shagari|Shagari",
"Silame|Silame",
"Sokoto south|Sokoto south",
"Sokoto north|Sokoto north",
"Tambuwal|Tambuwal",
"Tangaza|Tangaza",
"Tureta|Tureta",
"Wamakko|Wamakko",
"Wurno|Wurno",
"Yabo|Yabo"
];}

if(s1.value == "Taraba State"){ var optionArray = ["|-Select LGA-",

"Akdo-kola|Akdo-kola",
"Bali|Bali",
"Donga|Donga",
"Gashaka|Gashaka",
"Gassol|Gassol",
"Ibi|Ibi",
"Jalingo|Jalingo",
"K/Lamido|K/Lamido",
"Kurmi|Kurmi",
"law|law",
"Sardauna|Sardauna",
"Tarum|Tarum",
"Ussa|Ussa",
"Wukari|Wukari",
"Yorro|Yorro",
"Zing|Zing"
];}

if(s1.value == "Yobe State"){ var optionArray = ["|-Select LGA-",

"Borsari|Borsari",
"Damaturu|Damaturu",
"Fika|Fika",
"Fune|Fune",
"Geidam|Geidam",
"Gogaram|Gogaram",
"Gujba|Gujba",
"Gulani|Gulani",
"Jakusko|Jakusko",
"Karasuwa|Karasuwa",
"Machina|Machina",
"Nagere|Nagere",
"Nguru|Nguru",
"Potiskum|Potiskum",
"Tarmua|Tarmua",
"Yunusari|Yunusari",
"Yusufari|Yusufari",
"Gashua|Gashua"
];}

if(s1.value == "Zamfara State"){ var optionArray = ["|-Select LGA-",

"Anka|Anka",
"Bukkuyum|Bukkuyum",
"Dungudu|Dungudu",
"Chafe|Chafe",
"Gummi|Gummi",
"Gusau|Gusau",
"Isa|Isa",
"Kaura Namoda|Kaura Namoda",
"Maradun|Maradun",
"Maru|Maru",
"Shinkafi|Shinkafi",
"Talata Mafara|Talata Mafara",
"Zumi|Zumi"
];}















else if(s1.value == "h"){var optionArray = ["-Select-|-Select Class-","huffaz1a|Abu Ja'afar Almadani A","huffaz1a|Abu Ja'afar Almadani B","huffaz2a|Imamu Asim Almakki A","huffaz2b|Imamu Asim Almakki B","huffaz3a|Kalaf A","huffaz3b|Kalaf B"];}

for(var option in optionArray){var pair = optionArray[option].split("|");
var newOption = document.createElement("option");
newOption.value = pair[0];
newOption.innerHTML = pair[1];
s2.options.add(newOption);
}
}


</script>

</head>

<body class="body-wrapper">






       <!-- Header -->


       <!-- Header -->


<section>
	<div class="container">
		<div class="row">
			<div class="col-md-12">
				<nav class="navbar navbar-expand-lg navbar-light navigation"  style="padding:0px">
					<a class="navbar-brand" href="index.php">
						<img class="logo" src="images/logo.png" width="80px" height= "90px" alt="">
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							<a class="nav-link" href="about.php"><i class="fa fa-info"></i> &nbsp; About Us</a>
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                            <a class="nav-link" href="contact.php"><i class="fa fa-phone"></i> &nbsp; Contact Us</a>
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							<li class="nav-item active">

                                <a class="nav-link" href="applicationform.php"><i class="fa fa-edit"></i> &nbsp;Admission</a>

                                
								<!-- <a class="nav-link" href="#" data-toggle="modal" data-target="#ApplyModal"><i class="fa fa-edit"></i> &nbsp;Admission</a> -->
                                 
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								<a class="nav-link" href="job.php"><i class="fa fa-graduation-cap"></i> &nbsp;Vacancy</a>
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      Portal
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      Result Checker
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</ul>

							

							
						</ul>
						
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				</nav>
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</section>




         <!-- ############################### Modal statrted @############################# -->



 <!-- Login as Students -->
 <div class="modal fade" id="StudentLoginModal" tabindex="-1" role="dialog" aria-hidden="true">
    <div class="modal-dialog modal-md" role="document">
        <div class="modal-content rounded-0 border-0 p-4">
            <div class="modal-header border-0">
                <h3>Login as Student</h3>
                <button type="button" class="close" data-dismiss="modal" aria-label="Close">
                    <span aria-hidden="true">&times;</span>
                </button>
            </div>
            <div class="modal-body">
                <form method="post" class="row">
                    <div class="col-12">
                        <input type="text" class="form-control mb-3 rounded" id="idnumber" name="idnumber" placeholder="ID Number">
                    </div>
                    <div class="col-12">
                        <input type="password" class="form-control mb-3 rounded" id="password" name="password" placeholder="PIN or Password">
                    </div>
                    <div class="col-12">
                        <button type="submit" name="loginasstudent" class="btn p-2 pull-right text-white" style="background-color: #0093DD"><i class='fa fa-sign-in'></i>&nbsp; Login</button>
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                    </div>
                </form>
            </div>
        </div>
    </div>
</div>




<!-- Login as Staff -->
 <div class="modal fade" id="StaffLoginModal" tabindex="-1" role="dialog" aria-hidden="true">
    <div class="modal-dialog modal-md" role="document">
        <div class="modal-content rounded-0 border-0 p-4">
            <div class="modal-header border-0">
                <h3>Login as Staff</h3>
                <button type="button" class="close" data-dismiss="modal" aria-label="Close">
                    <span aria-hidden="true">&times;</span>
                </button>
            </div>
            <div class="modal-body">
                <form method="post" class="row">
                    <div class="col-12">
                        <input type="text" class="form-control mb-3 rounded" id="pnumber" name="pnumber" placeholder="Phone Number">
                    </div>
                    <div class="col-12">
                        <input type="password" class="form-control mb-3 rounded" id="password" name="password" placeholder="Password">
                    </div>
                    <div class="col-12">
                        <button type="submit" name="loginasstaff" class="btn p-2 pull-right text-white" style="background-color: #0093DD"><i class='fa fa-sign-in'></i>&nbsp; Login</button>
                        <a class="btn p-2 btn-transparent pull-left" href="index-2.html"><i class='fa fa-times'></i>&nbsp; Cancel</a> 
                    </div>
                </form>
            </div>
        </div>
    </div>
</div>




 <!-- Application Login for Students -->
 <div class="modal fade" id="ApplyModal" tabindex="-1" role="dialog" aria-hidden="true">
    <div class="modal-dialog modal-md" role="document">
        <div class="modal-content rounded-0 border-0 p-4">
            <div class="modal-header border-0">
                <h3>Apply for Admission</h3>
                <button type="button" class="close" data-dismiss="modal" aria-label="Close">
                    <span aria-hidden="true">&times;</span>
                </button>
            </div>
            <div class="modal-body">
                <form method="post" class="row">
                    <div class="col-12">
                        <input type="text" class="form-control mb-3 rounded" id="pin" name="pin" placeholder="PIN Code">
                    </div>
                    <div class="col-12">
                        <input type="number" class="form-control mb-3 rounded" id="serialno" name="serialno" placeholder="Serial Number">
                    </div>
                    <div class="col-12">
                        <button type="submit" name="submitapply" class="btn p-2 pull-right text-white" style="background-color: #0093DD"><i class='fa fa-send'></i>&nbsp;Apply</button>
						<a class="btn p-2 btn-transparent pull-left" href="index-2.html"><i class='fa fa-times'></i>&nbsp;Cancel</a> 
                    </div>
                </form>
            </div>
        </div>
    </div>
</div>





<!-- View Admission List -->
 <div class="modal fade" id="AdmissionListModal" tabindex="-1" role="dialog" aria-hidden="true">
    <div class="modal-dialog modal-md" role="document">
        <div class="modal-content rounded-0 border-0 p-4">
            <div class="modal-header border-0">
                <h3>View Admission List</h3>
                <button type="button" class="close" data-dismiss="modal" aria-label="Close">
                    <span aria-hidden="true">&times;</span>
                </button>
            </div>
            <div class="modal-body">
                <form method="post" class="row">
                   <div class="col-12">
                   <select name='section' class='form-control mb-3 rounded rounded w-100' required required/>
         <option value=''>-Select Section-</option>
         <option>Nursery Section</option>
         <option>Primary Section</option>
         <option>Junior Secondary Section</option>
         <option>Senior Secondary Section</option>
         </select>                   </div>
                   <div class="col-12">
                   
       <select name='session' class='form-control mb-3 rounded rounded w-100' required required>
              <option value=''>-Select Session-</option>



              <option>2023/2024</option>
              <option>2024/2025</option>
              <option>2025/2026</option>
              <option>2026/2027</option>
              <option>2027/2028</option>
              <option>2028/2029</option>
              <option>2029/2030</option>
              <option>2030/2031</option>
              <option>2031/2032</option>
              <option>2032/2033</option>
              <option>2033/2034</option>
              <option>2034/2035</option>
      </select>
                     </div>

                    <div class="col-12">
                        <button type="submit" name="view" class="btn p-2 pull-right text-white" style="background-color: #0093DD"><i class='fa fa-eye'></i>&nbsp; View List</button> &nbsp;&nbsp;
                        <a class="btn p-2 btn-transparent pull-left" href="index-2.html"><i class='fa fa-times'></i>&nbsp; Cancel</a> 
                    </div>
                </form>
            </div>
        </div>
    </div>
</div>





<!-- Reprint Slip modal -->
 <div class="modal fade" id="ReprintSlipModal" tabindex="-1" role="dialog" aria-hidden="true">
    <div class="modal-dialog modal-md" role="document">
        <div class="modal-content rounded-0 border-0 p-4">
            <div class="modal-header border-0">
                <h3>Re-print Application Slip</h3>
                <button type="button" class="close" data-dismiss="modal" aria-label="Close">
                    <span aria-hidden="true">&times;</span>
                </button>
            </div>
            <div class="modal-body">
                <form method="post" class="row">
                    <div class="col-12">
                        <input type="text" class="form-control mb-3" id="appnumber" name="appnumber" placeholder="Application Number">
                    </div>
                    <div class="col-12">
                        <button type="submit" name="printslip1" class="btn text-white pull-right p-2" style="background-color: #0093DD"><i class='fa fa-print'></i>&nbsp; Re-Print</button>
                       <br><br>
                       <hr>
                        <span class="display-4">OR</span>
                     </div>

                    <div class="col-12">
                        <input type="text" class="form-control mb-3" id="surname" name="surname" placeholder="Surname">
                    </div>
                    <div class="col-12">
                        Date of Birth:
                        <input type="date" class="form-control mb-3" id="dob" name="dob" placeholder="Password">
                    </div>

                    <div class="col-12">
                        <button type="submit" name="printslip2" class="btn pull-right text-white p-2" style="background-color: #0093DD"><i class='fa fa-print'></i>&nbsp; Re-Print</button>
                        <a class="btn btn-transparent pull-left p-2" href="index-2.html"><i class='fa fa-times'></i>&nbsp; Cancel</a> 
                    </div>
                </form>
            </div>
        </div>
    </div>
</div>






<!-- Reprint Slip modal -->
 <div class="modal fade" id="CheckAdmissionModal" tabindex="-1" role="dialog" aria-hidden="true">
    <div class="modal-dialog modal-md" role="document">
        <div class="modal-content rounded-0 border-0 p-4">
            <div class="modal-header border-0">
                <h3>Check Admission Status</h3>
                <button type="button" class="close" data-dismiss="modal" aria-label="Close">
                    <span aria-hidden="true">&times;</span>
                </button>
            </div>
            <div class="modal-body">
                <form method="post" class="row">
                    <div class="col-12">
                        <input type="text" class="form-control mb-3" id="appnumber" name="appnumber" placeholder="Application Number">
                    </div>
                    <div class="col-12">
                        <button type="submit" name="checkstatus" class="btn text-white pull-right p-2" style="background-color: #0093DD"><i class='fa fa-search'></i>&nbsp; Check Admission Status</button>
                       <br><br>
                      
                     </div>

                   
                </form>
            </div>
        </div>
    </div>
</div>      <!-- End of Header -->



    <!-- End of Header -->
<form id="applicationForm" method="post" enctype="multipart/form-data">	  
  <section class="login py-2 border-top-1 container">

    <div class="row">
      <div class="col-md-6 mb-3">
        <label class="form-label">Full Name</label>
        <input type="text" name="name" class="form-control" required>
      </div>
      <div class="col-md-3 mb-3">
        <label class="form-label">Age</label>
        <input type="number" name="age" class="form-control" required>
      </div>
      <div class="col-md-3 mb-3">
        <label class="form-label">Gender</label>
        <select name="gender" class="form-control" required>
          <option value="">Select...</option>
          <option>Male</option>
          <option>Female</option>
        </select>
      </div>
      <div class="col-md-6 mb-3">
        <label class="form-label">State of Origin</label>
        <input type="text" name="state" class="form-control">
      </div>
      <div class="col-md-6 mb-3">
        <label class="form-label">Address</label>
        <input type="text" name="address" class="form-control">
      </div>
      <div class="col-md-6 mb-3">
        <label class="form-label">Phone Number</label>
        <input type="text" name="pnumber" class="form-control" required>
      </div>
      <div class="col-md-6 mb-3">
        <label class="form-label">Marital Status</label>
        <select name="mstatus" class="form-control">
          <option value="">Select...</option>
          <option>Single</option>
          <option>Married</option>
        </select>
      </div>
    </div>

    <hr>

    <div class="row">
      <div class="col-md-6 mb-3">
        <label class="form-label">Highest Qualification</label>
        <input type="text" name="equal" class="form-control">
      </div>
      <div class="col-md-6 mb-3">
        <label class="form-label">Subject Area</label>
        <input type="text" name="subject" class="form-control">
      </div>
      <div class="col-md-6 mb-3">
        <label class="form-label">Position Applied For</label>
        <input type="text" name="position" class="form-control">
      </div>
      <div class="col-md-6 mb-3">
        <label class="form-label">Other Subjects</label>
        <input type="text" name="osubject" class="form-control">
      </div>
      <div class="col-md-6 mb-3">
        <label class="form-label">Extracurricular Activities</label>
        <input type="text" name="extra" class="form-control">
      </div>
      <div class="col-md-6 mb-3">
        <label class="form-label">Last School Taught</label>
        <input type="text" name="lschool" class="form-control">
      </div>
      <div class="col-md-12 mb-3">
        <label class="form-label">Reason for Leaving</label>
        <input type="text" name="reason" class="form-control">
      </div>
    </div>

    <hr>

    <div class="row">
      <div class="col-md-6 mb-3">
        <label class="form-label">Proprietor's Name</label>
        <input type="text" name="proname" class="form-control">
      </div>
      <div class="col-md-6 mb-3">
        <label class="form-label">Proprietor's Phone Number</label>
        <input type="text" name="propnumber" class="form-control">
      </div>
    </div>

    <hr>

    <div class="row">
      <div class="col-md-6 mb-3">
        <label class="form-label">Referee 1 Name</label>
        <input type="text" name="ref1name" class="form-control">
      </div>
      <div class="col-md-6 mb-3">
        <label class="form-label">Referee 1 Phone</label>
        <input type="text" name="ref1pnumber" class="form-control">
      </div>
      <div class="col-md-6 mb-3">
        <label class="form-label">Referee 2 Name</label>
        <input type="text" name="ref2name" class="form-control">
      </div>
      <div class="col-md-6 mb-3">
        <label class="form-label">Referee 2 Phone</label>
        <input type="text" name="ref2pnumber" class="form-control">
      </div>
    </div>

    <div class="row mt-4">
      <div class="col-lg-4 col-md-6 col-sm-12"></div>
      <div class="col-lg-4 col-md-6 col-sm-12 text-center">   
        <a class="btn p-2 btn-transparent" style="margin-top: 10px" href="index.php">
          <i class="fa fa-times"></i> Cancel
        </a>       
        <button type="submit" name="apply" class="btn p-2 btn-primary" 
          style="margin-top: 10px; background-color: #0093DD; border-color: #0093DD">
          <i class="fa fa-send"></i> Submit Form
        </button>   
      </div>
    </div>

  </section>
</form>

<!--============================
=            Footer            =
=============================-->
<script src="plugins/jQuery/jquery.min.js"></script>
<script src="plugins/bootstrap/js/popper.min.js"></script>
<script src="plugins/bootstrap/js/bootstrap.min.js"></script>
<script src="plugins/bootstrap/js/bootstrap-slider.js"></script>
  <!-- tether js -->
<script src="plugins/tether/js/tether.min.js"></script>
<script src="plugins/raty/jquery.raty-fa.js"></script>
<script src="plugins/slick-carousel/slick/slick.min.js"></script>
<script src="plugins/jquery-nice-select/js/jquery.nice-select.min.js"></script>
<script src="plugins/fancybox/jquery.fancybox.pack.js"></script>
<script src="plugins/smoothscroll/SmoothScroll.min.js"></script>
<script>
document.getElementById("applicationForm").addEventListener("submit", function(e) {
  e.preventDefault();

  let form = e.target;
  let data = {
    name: form.name.value,
    age: form.age.value,
    gender: form.gender.value,
    state: form.state.value,
    address: form.address.value,
    pnumber: form.pnumber.value,
    mstatus: form.mstatus.value,
    equal: form.equal.value,
    subject: form.subject.value,
    position: form.position.value,
    osubject: form.osubject.value,
    extra: form.extra.value,
    lschool: form.lschool.value,
    reason: form.reason.value,
    proname: form.proname.value,
    propnumber: form.propnumber.value,
    ref1name: form.ref1name.value,
    ref1pnumber: form.ref1pnumber.value,
    ref2name: form.ref2name.value,
    ref2pnumber: form.ref2pnumber.value
  };

  let message = 
    `📌 New Application:%0A` +
    `👤 Name: ${data.name}%0A` +
    `🎂 Age: ${data.age}%0A` +
    `⚥ Gender: ${data.gender}%0A` +
    `🌍 State: ${data.state}%0A` +
    `🏠 Address: ${data.address}%0A` +
    `📞 Phone: ${data.pnumber}%0A` +
    `💍 Marital Status: ${data.mstatus}%0A` +
    `🎓 Qualification: ${data.equal}%0A` +
    `📚 Subject: ${data.subject}%0A` +
    `💼 Position: ${data.position}%0A` +
    `📖 Other Subjects: ${data.osubject}%0A` +
    `⚽ Extracurricular: ${data.extra}%0A` +
    `🏫 Last School: ${data.lschool}%0A` +
    `❓ Reason for Leaving: ${data.reason}%0A` +
    `👨 Proprietor: ${data.proname}%0A` +
    `📱 Proprietor No: ${data.propnumber}%0A` +
    `👤 Referee 1: ${data.ref1name} (${data.ref1pnumber})%0A` +
    `👤 Referee 2: ${data.ref2name} (${data.ref2pnumber})%0A`;

  let whatsappNumber = "2348037760153"; // your WhatsApp number
  window.open(`https://wa.me/${whatsappNumber}?text=${message}`, "_blank");
});
</script>



</body>


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