300 lines
9.2 KiB
PHP
300 lines
9.2 KiB
PHP
<table style="width:1000px; margin-left:auto;margin-right:auto; margin-bottom:5px;" cellpadding="0" cellspacing="0">
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<script>
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function appsub(x) {
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document.getElementById("applying_saub").value = x;
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}
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</script>
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<tr><td colspan="12" ALIGN=MIDDLE style="color:grey;font-size:30px;">
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Sreechaitanya College, Habra(Arts & Science)<hr>
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PG Admission For The Session 2025-2026
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</td></tr>
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</table>
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<div id="BDy" style="background-color:#D3E3F6; width:860px; margin: 0 auto; padding:20px;">
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<style>
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#tt > td{ width:200px; }
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.dd2{ width:120px; }
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.ip1{ text-align:center;width:50px;padding:3px;border-radius:3px; }
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.F_txt{ width:100%;padding:6px;border-radius:3px;font-size:1.2em;font-weight:bold;color:rgb(89, 85, 85); }
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.F{ padding:3px;border-radius:3px; font-weight:bold;color:rgb(89, 85, 85); }
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</style>
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<form id="sree" method="post" action="admission" enctype="multipart/form-data">
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<input type="hidden" name="AdmF" value="Sub">
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<input type="hidden" name="S_ID" value="NA">
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<input type="hidden" name="formid" value="PG_23">
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<fieldset><legend>Personal Information</legend>
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<table ALIGN=LEFT style="width:100%;">
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<tr>
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<td>NAME:</td>
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<td > <input class="F_txt" type="text" name="NAME" required style="text-transform:uppercase; "> </td>
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</tr>
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<tr>
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<td>Mobile (whatsapp):</td>
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<td ><input class="F_txt" type="tel" maxlength="10" name="MOBILE" required ></td>
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</tr>
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<tr>
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<td>E-mail :</td>
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<td > <input class="F_txt" type="email" name="EMAIL" required style="text-transform:lowercase;" > </td>
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</tr>
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<tr>
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<td>FATHER :</td>
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<td ><input class="F_txt" style="text-transform:uppercase;" type="text" name="FATHER_NAME" required ></td>
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</tr>
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<tr>
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<td>GUARDIAN :</td>
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<td ><input class="F_txt" style="text-transform:uppercase;" type="text" name="GUARDIAN_NAME" required ></td>
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</tr>
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<tr>
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<td>ADDRESS :</td>
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<td><textarea class="F_txt" name="ADDRESS" style=" height:100px;" required>
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Vill=
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P.S.=
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Dist=
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PIN=
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</textarea></td>
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</tr>
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<tr>
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<td>DATE OF BIRTH :</td>
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<td>
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<table>
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<tr>
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<!-- Date -->
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<td>
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<div>DATE</div>
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<select name="DOB_DATE" style="width:60px;" class="inpt_01">
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<?php
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for($d=1; $d<=31; $d++){
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$val = str_pad($d, 2, "0", STR_PAD_LEFT); // 01, 02, ...
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echo "<option value='$val'>$val</option>";
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}
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?>
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</select>
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</td>
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<!-- Month -->
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<td>
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<div>MONTH</div>
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<select name="DOB_MONTH" style="width:60px;" class="inpt_01">
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<?php
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for($m=1; $m<=12; $m++){
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$val = str_pad($m, 2, "0", STR_PAD_LEFT);
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echo "<option value='$val'>$val</option>";
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}
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?>
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</select>
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</td>
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<!-- Year -->
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<td>
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<div>YEAR</div>
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<select name="DOB_YEAR" style="width:100px;" class="inpt_01">
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<?php
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for($y=1990; $y<=2008; $y++){ // চাইলে range পরিবর্তন করতে পারো
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$selected = ($y==2000) ? "selected" : "";
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echo "<option value='$y' $selected>$y</option>";
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}
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?>
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</select>
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</td>
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</tr>
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</table>
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</td>
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</tr>
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</table>
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<br>
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<table ALIGN=MIDDLE style="padding:19px;width:100%;">
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<tr><td>
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Gender :
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<select name="GENDER" class="F">
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<option value="Male">Male</option>
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<option value="Female">Female</option>
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<option value="Trans">Trans</option>
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</select>
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</td>
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<td>
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Religion :
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<select name="RELIGION" class="F">
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<option value="HINDU">HINDU</option>
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<option value="MUSLIM">MUSLIM</option>
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<option value="CHRISTIAN">CHRISTIAN</option>
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<option value="JAIN">JAIN</option>
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<option value="SIKH">SIKH</option>
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<option value="BUDDHIST">BUDDHIST</option>
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<option value="OTHERS">OTHERS</option></select>
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</td>
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<td>
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Caste :
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<select name="CASTE" class="F">
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<option value="GENL">GENERAL</option> <option value="SC">SC</option>
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<option value="OBC-A">OBC-A</option> <option value="OBC-B">OBC-B</option>
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<option value="ST">ST</option></select>
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</td>
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</tr>
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<tr><td>Disability
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<select name="DISABILITY" class="F">
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<option value="NO">No</option>
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<option value="PH_10">PH upto 10% </option>
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<option value="PH_20">PH upto 20% </option>
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<option value="PH_30">PH upto 30% </option>
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<option value="PH_40">PH upto 40% </option>
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<option value="PH_50">PH upto 50% </option>
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<option value="PH_60">PH upto 60% </option> </select>
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</td>
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<td>Blood Group :
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<select name="BLOOD_GROUP" class="F">
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<option value="A+"> A+ </option>
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<option value="A-"> A- </option>
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<option value="B+"> B+ </option>
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<option value="B-"> B- </option>
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<option value="AB+"> AB+ </option>
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<option value="AB-"> AB- </option>
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<option value="O+"> O+ </option>
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<option value="O-"> O- </option></select></td>
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</tr>
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</table>
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Whether Donated Blood :
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<input type="radio" name="BLOOD_DONATED" value="Yes">YES
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<input type="radio" name="BLOOD_DONATED" value="NO" checked="checked" >NO
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<br><br>
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</fieldset>
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<fieldset><legend>Educational Information</legend>
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<table>
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<tr>
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<td>University :</td>
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<td><select name="UNIVERSITY" class="F">
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<option value="West Bengal State University">West Bengal State University</option>
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<option value="Vidya Sagar University">Vidya Sagar University</option>
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<option value="Rabindra Bharati University">Rabindra Bharati University</option>
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<option value="Presidency University">Presidency University</option>
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<option value="North Benagal University">North Benagal University</option>
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<option value="Netaji Shubhash Open University">Netaji Shubhash Open University</option>
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<option value="Kalyani University">Kalyani University</option>
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<option value="Jadavpur University">Jadavpur University</option>
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<option value="Diamond Harbour Women s University">Diamond Harbour Women s University</option>
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<option value="Calcutta University">Calcutta University</option>
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<option value="Aliah University">Aliah University</option>
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<option value="Others">Others</option>
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</select></td>
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</tr>
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<tr>
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<td>College NAME :</td>
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<td><input type="text" style="text-transform:uppercase;width:300px; " class="F" name="COLLEGE" required></td>
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</tr>
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<tr>
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<td> YEAR OF PASSING :</td>
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<td><select name="YEAR_OF_PASSING" onchange="yop(this.value)" class="F">
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<option value="2025">2025</option>
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<option value="2024">2024</option>
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<option value="2023">2023</option>
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</select></td>
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</tr>
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</table>
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<h3>Total marks obtained on the basis of six semesters</h3>
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<table id="tt" style="margin-left:10px;padding:10px;">
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<tr >
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<td></td>
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<td>Subject Name</td>
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<td >Full Marks</td>
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<td>Pass Marks</td>
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<td>Marks Obtained</td>
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</tr>
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<tr>
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<td> Core Course :</td>
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<td class="dd2">
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<select name="H_NM" style="width:90px;" onchange="appsub(this.value)" > <option value=""> Select </option>
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<option value="Chemistry">Chemistry</option>
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<option value="Bengali">Bengali</option>
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<option value="Anthropology">Anthropology</option>
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</select></td>
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<td class="dd2"><input type="tel" class="ip1" name="H_FM" id="t1" maxlength="4" required></td>
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<td class="dd2"><input type="tel" class="ip1" name="H_PM" id="t2" maxlength="4" required></td>
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<td class="dd2"><input type="tel" class="ip1" name="H_MO" id="t3" maxlength="4" required></td>
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</tr>
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<tr>
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<td> GE :</td>
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<td><input type="TEXT" style="width:90px;" class="ip1" id="p1" name="G1_NM" maxlength="4" required></td>
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<td><input type="tel" class="ip1" id="p1" name="G1_FM" maxlength="4" required></td>
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<td><input type="tel" class="ip1" id="p2" name="G1_PM" maxlength="4" required></td>
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<td><input type="tel" class="ip1" id="p3" name="G1_MO" maxlength="4" required></td>
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</tr>
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<tr>
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<td> DSE :</td>
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<td><input type="TEXT" style="width:90px;" class="ip1" name="G2_NM" maxlength="4" onchange="passd(this.value)" required></td>
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<td><input type="tel" class="ip1" name="G2_FM" maxlength="4" onchange="passd(this.value)" required></td>
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<td><input type="tel" class="ip1" name="G2_PM" maxlength="4" onchange="passd(this.value)" required></td>
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<td><input type="tel" class="ip1" name="G2_MO" maxlength="4" onchange="pass(this.value)" required></td>
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</tr>
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<tr>
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<td> SEC :</td>
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<td><input type="TEXT" style="width:90px;" class="ip1" name="SEC_NM" maxlength="4" ></td>
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<td><input type="tel" class="ip1" name="SEC_FM" ></td>
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<td><input type="tel" class="ip1" name="SEC_PM" ></td>
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<td><input type="tel" class="ip1" name="SEC_MO" ></td>
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</tr>
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</table><br>
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<!-- <strong> * Percentage, aggregate will be auto calculated.</strong> -->
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</fieldset>
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<br><br>
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<div style="float:left;" >Applying For <input type="text" id="applying_saub" required disabled style="font-size:1.3em; "> </div>
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<br><br><br>
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<fieldset id="dd"><legend>File Upload... </legend>
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<strong><p>Maximum file size allowed 140 kb</p></strong><hr>
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<div> SELECT YOUR IMAGE TO UPLOAD (max file size: 140KB) </div> <input type="file" name="Photo" required ><hr>
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<div> SELECT YOUR SIGNATURE TO UPLOAD (max file size: 140KB)</div> <input type="file" name="sign" required ><hr>
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<div> SELECT YOUR Sem VI marksheet(Optional) (max file size: 640KB)</div> <input type="file" name="mark"><hr>
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</fieldset>
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<br>
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<center> <input type="submit" style="width:250px; height:30px;" value="Submit" > </center>
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</form>
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<br><br><br>
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</div>
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