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PHP Version:

8.3.30

User:

u838833262

Directory:

/home/u838833262/domains/evolutionco.site/public_html/myapp/resources/views/student

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✏️ Editing: student_profile.blade.php

@extends('layouts.main')
@section('main_section')
<div class="container mt-5">
    <div class="progress">
        <div class="progress-bar progress-bar-striped bg-success" role="progressbar" style="width: 0%" aria-valuenow="0"
            aria-valuemin="0" aria-valuemax="100"></div>
    </div>

<div class="step active">
        <h2 class="fs-title">Personal Information:</h2>

</div>

<div class="row">
                    <div class="col-12 col-md-6 col-12">
                        <label class="fieldlabels">UserID: *</label>
                        <input type="text" value="{{ $student->user_id ?? '' }}" name="user_id"
                            placeholder="User ID" />
                        @if ($errors->has('user_id'))
                            <div class="text-danger">{{ $errors->first('user_id') }}</div>
                        @endif
                        @if ($student->user_id_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-12 col-md-6 col-12">
                        <label class="fieldlabels">First Name: *</label>
                        <input type="text" name="first_name" value="{{ $student->first_name }}"
                            placeholder="First Name" />
                        @if ($errors->has('first_name'))
                            <div class="text-danger">{{ $errors->first('first_name') }}</div>
                        @endif
                        @if ($student->first_name_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-12 col-md-6 col-12">
                        <label class="fieldlabels">Middle Name:</label>
                        <input type="text" value="{{ $student->middle_name }}" name="middle_name
"
                            placeholder="Middle Name" />
                        @if ($errors->has('middle_name'))
                            <div class="text-danger">{{ $errors->first('middle_name') }}</div>
                        @endif
                        @if ($student->middle_name_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-12 col-md-6 col-12">
                        <label class="fieldlabels">Last Name:</label>
                        <input type="text" value="{{ $student->last_name }}" name="last_name"
                            placeholder="Last Name" />
                        @if ($errors->has('last_name'))
                            <div class="text-danger">{{ $errors->first('last_name') }}</div>
                        @endif
                        @if ($student->last_name_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-12 col-md-6 col-12">
                        <label class="fieldlabels">Primary Contact: *</label>
                        <input type="text" value="{{ $student->primary_contact_number }}"
                            name="primary_contact_number" placeholder="Primary Contact" />
                        @if ($errors->has('primary_contact_number'))
                            <div class="text-danger">{{ $errors->first('primary_contact_number') }}
                            </div>
                        @endif
                        @if ($student->primary_contact_number_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-12 col-md-6 col-12">
                        <label class="fieldlabels">Secondary Contact:</label>
                        <input type="text" value="{{ $student->secondary_contact_number }}"
                            name="secondary_contact_number" placeholder="Secondary Contact" />
                        @if ($errors->has('secondary_contact_number'))
                            <div class="text-danger">{{ $errors->first('secondary_contact_number') }}
                            </div>
                        @endif
                        @if ($student->secondary_contact_number_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-12 col-md-6 col-12">
                        <label class="fieldlabels">Email: *</label>
                        <input type="text" value="{{ $student->email_address }}" name="email_address"
                            placeholder="Email Id" />
                        @if ($errors->has('email_address'))
                            <div class="text-danger">{{ $errors->first('email_address') }}</div>
                        @endif
                        @if ($student->email_address_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-12 col-md-6 col-12">
                        <label class="fieldlabels">Gender: *</label>
                        <select class="form-control" name="gender" value="{{ $student->gender }}"
                            class="col-12  py-3 ">
                            <option value="" disabled selected>
                                Select gender
                            </option>
                            <option value="Male">Male</option>
                            <option value="Female">Female</option>
                            <option value="Other">Other</option>
                        </select>
                        @if ($errors->has('gender'))
                            <div class="text-danger">{{ $errors->first('gender') }}</div>
                        @endif
                        @if ($student->gender_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-12 col-md-6 col-12">
                        <label class="fieldlabels">Date of Birth: *</label>
                        <input type="date" value="{{ $student->date_of_birth }}" id="date_of_birth"
                            name="date_of_birth
" />
                        @if ($errors->has('date_of_birth'))
                            <div class="text-danger">{{ $errors->first('date_of_birth') }}</div>
                        @endif
                        @if ($student->date_of_birth_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-12 col-md-6 col-12">
                        <label class="fieldlabels">Blood Group: *</label>
                        <select class="form-control" id="blood_group" value="{{ $student->blood_group }}"
                            class="col-12  py-3 " name="blood_group">
                            <option value="" disabled selected>
                                Select blood group
                            </option>
                            <option value="A+">A+</option>
                            <option value="A-">A-</option>
                            <option value="B+">B+</option>
                            <option value="B-">B-</option>
                            <option value="AB+">AB+</option>
                            <option value="AB-">AB-</option>
                            <option value="O+">O+</option>
                            <option value="O-">O-</option>
                        </select>
                        @if ($errors->has('blood_group'))
                            <div class="text-danger">{{ $errors->first('blood_group') }}</div>
                        @endif
                        @if ($student->blood_group_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-12 col-md-6 col-12">
                        <label class="fieldlabels">Mother Tongue: *</label>
                        <input type="text" value="{{ $student->mother_tongue }}" id="mother_tongue"
                            name="mother_tongue
" maxlength="30" placeholder="Enter mother tongue" />
                        @if ($errors->has('mother_tongue'))
                            <div class="text-danger">{{ $errors->first('mother_tongue') }}</div>
                        @endif
                        @if ($student->mother_tongue_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-12 col-md-6 col-12">
                        <label class="fieldlabels">Category: *</label>
                        <select class="form-control" name="category" value="{{ $student->category }}"
                            class=" col-12 py-3">
                            <option value="" disabled selected>
                                Select category
                            </option>
                            <option value="General">General</option>
                            <option value="SC">SC</option>
                            <option value="ST">ST</option>
                            <option value="OBC">OBC</option>
                        </select>
                        @if ($errors->has('category'))
                            <div class="text-danger">{{ $errors->first('category') }}</div>
                        @endif
                        @if ($student->category_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-12 col-md-6 col-12">
                        <label class="fieldlabels">Caste: *</label>
                        <input type="text" value="{{ $student->caste }}" id="caste" name="caste"
                            maxlength="30" placeholder="Enter caste" />
                        @if ($errors->has('caste'))
                            <div class="text-danger">{{ $errors->first('caste') }}</div>
                        @endif
                        @if ($student->caste_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-12 col-md-6 col-12">
                        <label class="fieldlabels">Religion: *</label>
                        <select class="form-control" name="religion" value="{{ $student->religion }}"
                            class=" col-12 py-3">
                            <option value="" disabled selected>
                                Select religion
                            </option>
                            <option value="Hindu">Hindu</option>
                            <option value="Muslim">Muslim</option>
                            <option value="Christian">Christian</option>
                            <option value="Sikh">Sikh</option>
                            <option value="Buddhist">Buddhist</option>
                            <option value="Other">Other</option>
                        </select>
                        @if ($errors->has('religion'))
                            <div class="text-danger">{{ $errors->first('religion') }}</div>
                        @endif
                        @if ($student->religion_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-12 col-md-6 col-12">
                        <label class="fieldlabels">Nationality: *</label>
                        <select class="form-control" name="nationality" value="{{ $student->nationality }}"
                            class=" col-12 py-3">
                            <option value="" disabled selected>
                                Select nationality
                            </option>
                            <option value="Indian">Indian</option>
                            <option value="Others">Others</option>
                        </select>
                        @if ($errors->has('nationality'))
                            <div class="text-danger">{{ $errors->first('nationality') }}</div>
                        @endif
                        @if ($student->nationality_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>
            </div>
        </div>
    </div>

<h2 class="fs-title">Admission Details:</h2>
        <div class="mb-3">
            <div class="form-card">
                <div class="row">
                    <div class="col-md-7 d-none d-md-block">
                        
                    </div>

</div>

<div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Academic Year: *</label>
                        <input type="text" value="{{ $student->academic_year }}" name="academic_year"
                            placeholder="Enter academic year" />
                        @if ($errors->has('academic_year'))
                            <div class="text-danger">{{ $errors->first('academic_year') }}</div>
                        @endif
                        @if ($student->academic_year_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Program: *</label>
                        <input type="text" value="{{ $student->program }}" name="program"
                            placeholder="Enter program" />
                        @if ($errors->has('program'))
                            <div class="text-danger">{{ $errors->first('program') }}</div>
                        @endif
                        @if ($student->program_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Department: *</label>
                        <input type="text" value="{{ $student->department }}" id="department" name="department"
                            placeholder="Enter department" />
                        @if ($errors->has('department'))
                            <div class="text-danger">{{ $errors->first('department') }}</div>
                        @endif
                        @if ($student->department_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Admission Number: *</label>
                        <input type="number" value="{{ $student->admission_number }}" id="admission_number"
                            name="admission_number" placeholder="Enter admission number" />
                        @if ($errors->has('admission_number'))
                            <div class="text-danger">{{ $errors->first('admission_number') }}</div>
                        @endif
                        @if ($student->admission_number_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Admission Date: *</label>
                        <input type="date" value="{{ $student->admission_date }}" id="admission_date"
                            name="admission_date" />
                        @if ($errors->has('admission_date'))
                            <div class="text-danger">{{ $errors->first('admission_date') }}</div>
                        @endif
                        @if ($student->admission_date_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>
            </div>
        </div>
    </div>

<div class="step">
        <h2 class="fs-title">Document Upload:</h2>

</div>

<div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Aadhar Card (Max 3MB, PNG/PDF):</label>
                        <input type="file" value="{{ $student->aadhar_card }}" id="aadhar_card"
                            name="aadhar_card" class="doc-upload" accept=".png,.pdf" data-max-size="3" />
                        @if ($errors->has('aadhar_card'))
                            <div class="text-danger">{{ $errors->first('aadhar_card') }}</div>
                        @endif
                        @if ($student->aadhar_card_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">PAN Card (Max 3MB, PNG/PDF):</label>
                        <input type="file" id="pan_card" value="{{ $student->pan_card }}" name="pan_card"
                            class="doc-upload" accept=".png,.pdf" data-max-size="3" />
                        @if ($errors->has('pan_card'))
                            <div class="text-danger">{{ $errors->first('pan_card') }}</div>
                        @endif
                        @if ($student->pan_card_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Birth Certificate (Max 3MB, PNG/PDF):</label>
                        <input type="file" value="{{ $student->birth_certificate }}" id="birth_certificate"
                            name="birth_certificate" class="doc-upload" accept=".png,.pdf" data-max-size="3" />
                        @if ($errors->has('birth_certificate'))
                            <div class="text-danger">{{ $errors->first('birth_certificate') }}</div>
                        @endif
                        @if ($student->birth_certificate_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Passport Size Photo (Max 3MB, PNG/PDF):</label>
                        <input type="file" value="{{ $student->passport_size_photograph }}"
                            id="passport_size_photograph" name="passport_size_photograph" class="doc-upload"
                            accept=".png,.pdf" data-max-size="3" />
                        @if ($errors->has('passport_size_photograph'))
                            <div class="text-danger">{{ $errors->first('passport_size_photograph') }}</div>
                        @endif
                        @if ($student->passport_size_photograph_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Fee Payment Receipt (Max 3MB, PNG/PDF):</label>
                        <input type="file" value="{{ $student->fee_payment_receipt }}" id="fee_payment_receipt"
                            name="fee_payment_receipt
" class="doc-upload" accept=".png,.pdf"
                            data-max-size="3" />
                        @if ($errors->has('fee_payment_receipt'))
                            <div class="text-danger">{{ $errors->first('fee_payment_receipt') }}</div>
                        @endif
                        @if ($student->fee_payment_receipt_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Caste Certificate (Max 3MB, PNG/PDF/ZIP):</label>
                        <input type="file" value="{{ $student->caste_certificate }}" id="caste_certificate"
                            name="caste_certificate" class="doc-upload" accept=".png,.pdf,.zip" data-max-size="3" />
                        @if ($errors->has('caste_certificate'))
                            <div class="text-danger">{{ $errors->first('caste_certificate') }}</div>
                        @endif
                        @if ($student->caste_certificate_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Disability Certificate (Max 3MB,
                            PNG/PDF/ZIP):</label>
                        <input type="file" value="{{ $student->disability_certificate }}"
                            id="disability_certificate" name="disability_certificate" class="doc-upload"
                            accept=".png,.pdf,.zip" data-max-size="3" />
                        @if ($errors->has('disability_certificate'))
                            <div class="text-danger">{{ $errors->first('disability_certificate') }}</div>
                        @endif
                        @if ($student->disability_certificate_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="step">
        <h2 class="fs-title">Medical History:</h2>
        
        <div class="mb-3">
            <div class="form-card">
                <div class="row">

</div>

<div class="row">
                    <div class="col-md-4 col-12">
                        <label class="fieldlabels">Specially Abled: *</label>
                        <div class="d-flex">
                            <div class="form-check me-2">
                                <input type="radio" value="{{ $student->specially_abled }}" name="specially_abled"
                                    value="Yes" id="yes" class="" />
                                @if ($errors->has('specially_abled'))
                                    <div class="text-danger">{{ $errors->first('specially_abled') }}</div>
                                @endif
                                @if ($student->specially_abled_status == 0)
                                    <div class="text-danger">This field marked incorrect by Admin</div>
                                @endif
                                <label class="form-check-label" for="yes">
                                    Yes
                                </label>
                            </div>
                            <div class="form-check">
                                <input type="radio" value="{{ $student->specially_abled }}" name="specially_abled"
                                    value="No" id="no" class="" />
                                @if ($errors->has('specially_abled'))
                                    <div class="text-danger">{{ $errors->first('specially_abled') }}</div>
                                @endif
                                @if ($student->specially_abled_status == 0)
                                    <div class="text-danger">This field marked incorrect by Admin</div>
                                @endif
                                <label class="form-check-label" for="no"> No </label>
                            </div>
                        </div>
                    </div>
                </div>

<div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Allergies (If any):</label>
                        <input type="text" value="{{ $student->allergies }}" id="allergies" name="allergies"
                            maxlength="50" placeholder="Enter allergies" />
                        @if ($errors->has('allergies'))
                            <div class="text-danger">{{ $errors->first('allergies') }}</div>
                        @endif
                        @if ($student->allergies_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                        <small class="error-message" id="allergy_error" style="color: red; display: none">
                            Alphanumeric only. Max 50 characters.
                        </small>
                    </div>
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Medical Conditions (If any):</label>
                        <input type="text" value="{{ $student->medical_conditions }}" id="medical_conditions"
                            name="medical_conditions" maxlength="50" placeholder="Enter medical conditions" />
                        @if ($errors->has('medical_conditions'))
                            <div class="text-danger">{{ $errors->first('medical_conditions') }}</div>
                        @endif
                        @if ($student->medical_conditions_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                        <small class="error-message" id="medical_error" style="color: red; display: none">
                            Alphanumeric only. Max 50 characters.
                        </small>
                    </div>
                </div>

<div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Medications (If any):</label>
                        <input type="text" value="{{ $student->medications }}" id="medications"
                            name="medications" maxlength="50" placeholder="Enter medications" />
                        @if ($errors->has('medications'))
                            <div class="text-danger">{{ $errors->first('medications') }}</div>
                        @endif
                        @if ($student->medications_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                        <small class="error-message" id="medication_error" style="color: red; display: none">
                            Alphanumeric only. Max 50 characters.
                        </small>
                    </div>
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Additional Notes:</label>
                        <input type="text" value="{{ $student->medical_notes }}" id="medical_notes"
                            name="medical_notes" maxlength="100"
                            placeholder="Enter any additional health-related information" />
                        @if ($errors->has('medical_notes'))
                            <div class="text-danger">{{ $errors->first('medical_notes') }}</div>
                        @endif
                        @if ($student->medical_notes_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="step">
        <h2 class="fs-title">Address details:</h2>
        
        <div class="mb-3">
            <div class="form-card">
                <div class="row">

</div>

<div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">House / Flat / Floor No.: *</label>
                        <input type="text" id="house_no" name="house_no" maxlength="100"
                            placeholder="Enter House / Flat / Floor No." />
                        @if ($errors->has('house_no'))
                            <div class="text-danger">{{ $errors->first('house_no') }}</div>
                        @endif
                        @if ($student->house_no_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Apartment / Road / Area: *</label>
                        <input type="text" id="apartment_road_area" name="apartment_road_area
    "
                            maxlength="100" placeholder="Enter Apartment / Road / Area" />
                        @if ($errors->has('apartment_road_area'))
                            <div class="text-danger">{{ $errors->first('apartment_road_area') }}</div>
                        @endif
                        @if ($student->apartment_road_area_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Pin Code: *</label>
                        <input type="text" id="pin_code" name="pin_code
    " maxlength="7"
                            placeholder="Enter Pin Code" />
                        @if ($errors->has('pin_code'))
                            <div class="text-danger">{{ $errors->first('pin_code') }}</div>
                        @endif
                        @if ($student->pin_code_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Country: *</label>
                        <select class="form-control" id="country" class=" col-12 py-3" name="country">
                            <option value="" disabled selected>
                                Select Country
                            </option>
                            <option value="India">India</option>
                            <option value="USA">USA</option>
                            <option value="UK">UK</option>
                            <option value="Canada">Canada</option>
                        </select>
                        @if ($errors->has('country'))
                            <div class="text-danger">{{ $errors->first('country') }}</div>
                        @endif
                        @if ($student->country_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">State: *</label>
                        <select class="form-control" id="state" name="state" class=" col-12 py-3">
                            <option value="" disabled selected>Select State</option>
                            <option value="">Select State</option>
                            <option value="">Select State</option>
                            <option value="">Select State</option>
                            <option value="">Select State</option>
                        </select>
                        @if ($errors->has('state'))
                            <div class="text-danger">{{ $errors->first('state') }}</div>
                        @endif
                        @if ($student->state_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">City: *</label>
                        <select class="form-control" id="city" name="city" class=" col-12 py-3">
                            <option value="" disabled selected>Select City</option>
                            <option value="">Select City</option>
                            <option value="">Select City</option>
                            <option value="">Select City</option>
                            <option value="">Select City</option>
                            <option value="">Select City</option>
                        </select>
                        @if ($errors->has('city'))
                            <div class="text-danger">{{ $errors->first('city') }}</div>
                        @endif
                        @if ($student->city_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-md-12">
                        <label class="fieldlabels">
                            <input type="checkbox" id="same_address" checked />
                            Same as Current Address
                        </label>
                    </div>
                </div>

<!-- <div id="permanent_address_section" style="display: none">
                        <div class="row">
                            <div class="col-md-6 col-12">
                                <label class="fieldlabels">House / Flat / Floor No.: *</label>
                                <input type="text" id="house_no" name="house_no" maxlength="100"
                                    placeholder="Enter House / Flat / Floor No." />
                                @if ($errors->has('house_no'))
<div class="text-danger">{{ $errors->first('house_no') }}</div>
@endif
                                @if ($student->house_no_status == 0)
<div class="text-danger">This field marked incorrect by Admin</div>
@endif
                            </div>
                            <div class="col-md-6 col-12">
                                <label class="fieldlabels">Apartment / Road / Area: *</label>
                                <input type="text" id="apartment_road_area" name="apartment_road_area"
                                    maxlength="100" placeholder="Enter Apartment / Road / Area" />
                                @if ($errors->has('apartment_road_area'))
<div class="text-danger">{{ $errors->first('apartment_road_area') }}</div>
@endif
                                @if ($student->apartment_road_area_status == 0)
<div class="text-danger">This field marked incorrect by Admin</div>
@endif
                            </div>
                        </div>

<div class="row">
                            <div class="col-md-6 col-12">
                                <label class="fieldlabels">Pin Code: *</label>
                                <input type="text" id="pin_code" name="pin_code" maxlength="7"
                                    placeholder="Enter Pin Code" />
                                @if ($errors->has('pin_code'))
<div class="text-danger">{{ $errors->first('pin_code') }}</div>
@endif
                                @if ($student->pin_code_status == 0)
<div class="text-danger">This field marked incorrect by Admin</div>
@endif
                            </div>
                            <div class="col-md-6 col-12">
                                <label class="fieldlabels">Country: *</label>
                                <select class="form-control" id="per_country" name="country" class=" col-12 py-3">
                                    <option value="" disabled selected>
                                        Select Country
                                    </option>
                                    <option value="India">India</option>
                                    <option value="USA">USA</option>
                                    <option value="UK">UK</option>
                                    <option value="Canada">Canada</option>
                                </select>
                                @if ($errors->has('per_country'))
<div class="text-danger">{{ $errors->first('per_country') }}</div>
@endif
                                @if ($student->per_country_status == 0)
<div class="text-danger">This field marked incorrect by Admin</div>
@endif
                            </div>
                        </div>

<div class="row">
                            <div class="col-md-6 col-12">
                                <label class="fieldlabels">State: *</label>
                                <select class="form-control" id="state" name="state" class=" col-12 py-3">
                                    <option value="" disabled selected>
                                        Select State
                                    </option>
                                </select>
                                @if ($errors->has('state'))
<div class="text-danger">{{ $errors->first('state') }}</div>
@endif
                                @if ($student->state_status == 0)
<div class="text-danger">This field marked incorrect by Admin</div>
@endif
                            </div>
                            <div class="col-md-6 col-12">
                                <label class="fieldlabels">City: *</label>
                                <select class="form-control" id="per_city" name="city" class=" col-12 py-3">
                                    <option value="" disabled selected>
                                        Select City
                                    </option>
                                </select>
                                @if ($errors->has('per_city'))
<div class="text-danger">{{ $errors->first('per_city') }}</div>
@endif
                                @if ($student->per_city_status == 0)
<div class="text-danger">This field marked incorrect by Admin</div>
@endif
                            </div>
                        </div>
                    </div> -->
            </div>
        </div>
    </div>
    <div class="step">
        <h2 class="text-center">
            Parents and guardian information:
        </h2>

<div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Relation with the Applicant: *</label>
                        <select class="form-control" name="relation_with_applicant"
                            value="{{ $student->relation_with_applicant }}" id="relation_with_applicant"
                            class=" col-12 py-3">
                            <option value="" disabled selected>
                                Choose relation
                            </option>
                            <option value="Father">Father</option>
                            <option value="Mother">Mother</option>
                            <option value="Guardian">Guardian</option>
                        </select>
                        @if ($errors->has('relation_with_applicant'))
                            <div class="text-danger">{{ $errors->first('relation_with_applicant') }}</div>
                        @endif
                        @if ($student->relation_with_applicant_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Profile Picture:</label>
                        <input type="file" value="{{ $student->profile_picture }}" name="profile_picture"
                            id="profile_picture" accept="image/png, image/jpg, image/jpeg" />
                        <small class="error-message">Max 1MB. PNG, JPG, JPEG only.</small>
                        @if ($errors->has('profile_picture'))
                            <div class="text-danger">{{ $errors->first('profile_picture') }}</div>
                        @endif
                        @if ($student->profile_picture_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">First Name: *</label>
                        <input type="text" value="{{ $student->first_name }}" name="first_name
"
                            id="first_name" maxlength="20" placeholder="Enter first name" />
                        @if ($errors->has('first_name'))
                            <div class="text-danger">{{ $errors->first('first_name') }}</div>
                        @endif
                        @if ($student->first_name_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Middle Name:</label>
                        <input type="text" value="{{ $student->middle_name }}" name="middle_name
"
                            id="middle_name" maxlength="20" placeholder="Enter middle name" />
                        @if ($errors->has('middle_name'))
                            <div class="text-danger">{{ $errors->first('middle_name') }}</div>
                        @endif
                        @if ($student->middle_name_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Last Name: *</label>
                        <input type="text" value="{{ $student->last_name }}" name="last_name
"
                            id="last_name" maxlength="20" placeholder="Enter last name" />
                        @if ($errors->has('last_name'))
                            <div class="text-danger">{{ $errors->first('last_name') }}</div>
                        @endif
                        @if ($student->last_name_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Primary Contact: *</label>
                        <input type="text" value="{{ $student->primary_contact_number }}"
                            name="primary_contact_number
" maxlength="10" id="primary_contact_number"
                            placeholder="Enter 10-digit mobile number" />
                        @if ($errors->has('primary_contact_number'))
                            <div class="text-danger">{{ $errors->first('primary_contact_number') }}</div>
                        @endif
                        @if ($student->primary_contact_number_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Secondary Contact:</label>
                        <input type="text" value="{{ $student->secondary_contact_number }}"
                            name="secondary_contact_number" maxlength="10" id="secondary_contact_number"
                            placeholder="Enter 10-digit mobile number" />
                        @if ($errors->has('secondary_contact_number'))
                            <div class="text-danger">{{ $errors->first('secondary_contact_number') }}</div>
                        @endif
                        @if ($student->secondary_contact_number_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Email Address: *</label>
                        <input type="email" value="{{ $student->email_address }}" name="email_address"
                            placeholder="Enter personal email" id="email_address" />
                        @if ($errors->has('email_address'))
                            <div class="text-danger">{{ $errors->first('email_address') }}</div>
                        @endif
                        @if ($student->email_address_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Occupation: *</label>
                        <select class="form-control" name="occupation" value="{{ $student->occupation }}"
                            class=" col-12 py-3">
                            <option value="" disabled selected>
                                Select occupation
                            </option>
                            <option value="Government Employee">
                                Government Employee
                            </option>
                            <option value="Private Sector Employee">
                                Private Sector Employee
                            </option>
                            <option value="Self-Employed">Self-Employed</option>
                            <option value="Agriculturist">Agriculturist</option>
                            <option value="Doctor">Doctor</option>
                            <option value="Engineer">Engineer</option>
                            <option value="Lawyer">Lawyer</option>
                            <option value="Teacher">Teacher</option>
                            <option value="Defense Personnel">
                                Defense Personnel
                            </option>
                            <option value="Retired">Retired</option>
                            <option value="Unemployed">Unemployed</option>
                            <option value="Homemaker">Homemaker</option>
                            <option value="Daily Wage Worker">
                                Daily Wage Worker
                            </option>
                            <option value="Shopkeeper">Shopkeeper</option>
                            <option value="Driver">Driver</option>
                            <option value="Accountant">Accountant</option>
                            <option value="Artist">Artist</option>
                            <option value="IT Professional">IT Professional</option>
                            <option value="Consultant">Consultant</option>
                            <option value="Skilled Worker">Skilled Worker</option>
                            <option value="Social Worker">Social Worker</option>
                            <option value="Clergy">Clergy</option>
                            <option value="Police">Police</option>
                            <option value="Scientist">Scientist</option>
                            <option value="Other">Other</option>

</select>
                        @if ($errors->has('occupation'))
                            <div class="text-danger">{{ $errors->first('occupation') }}</div>
                        @endif
                        @if ($student->occupation_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Annual Income: *</label>
                        <select class="form-control" name="annual_income" value="{{ $student->annual_income }}"
                            id="annual_income" class=" col-12 py-3">
                            <option value="" disabled selected>
                                Choose annual income
                            </option>
                            <option value="Below ₹1,00,000">Below ₹1,00,000</option>
                            <option value="₹1,00,001 – ₹2,50,000">
                                ₹1,00,001 – ₹2,50,000
                            </option>
                            <option value="₹2,50,001 – ₹5,00,000">
                                ₹2,50,001 – ₹5,00,000
                            </option>
                            <option value="₹5,00,001 – ₹7,50,000">
                                ₹5,00,001 – ₹7,50,000
                            </option>
                            <option value="₹7,50,001 – ₹10,00,000">
                                ₹7,50,001 – ₹10,00,000
                            </option>
                            <option value="₹10,00,001 – ₹15,00,000">
                                ₹10,00,001 – ₹15,00,000
                            </option>
                            <option value="₹15,00,001 – ₹20,00,000">
                                ₹15,00,001 – ₹20,00,000
                            </option>
                            <option value="₹20,00,001 – ₹25,00,000">
                                ₹20,00,001 – ₹25,00,000
                            </option>
                            <option value="₹25,00,001 – ₹50,00,000">
                                ₹25,00,001 – ₹50,00,000
                            </option>
                            <option value="₹50,00,001 and above">
                                ₹50,00,001 and above
                            </option>
                        </select>
                        @if ($errors->has('annual_income'))
                            <div class="text-danger">{{ $errors->first('annual_income') }}</div>
                        @endif
                        @if ($student->annual_income_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<!-- <div id="guardian_address_section" style="display: none">
                    <div class="row">
                        <div class="col-md-6 col-12">
                            <label class="fieldlabels">House / Flat / Floor No.: *</label>
                            <input type="text" name="house_no" class="form-control" maxlength="100"
                                id="house_no" placeholder="Enter House / Flat / Floor No." />
                                @if ($errors->has('house_no'))
<div class="text-danger">{{ $errors->first('house_no') }}</div>
@endif
                                @if ($student->house_no_status == 0)
<div class="text-danger">This field marked incorrect by Admin</div>
@endif
                            <div class="error-message" id="house_no_error"></div>
                        </div>
                        <div class="col-md-6 col-12">
                            <label class="fieldlabels">Apartment / Road / Area: *</label>
                            <input type="text" name="apartment_road_area" id="apartment_road_area"
                                class="form-control" maxlength="100"
                                placeholder="Enter Apartment / Road / Area" />
                                @if ($errors->has('apartment_road_area'))
<div class="text-danger">{{ $errors->first('apartment_road_area') }}</div>
@endif
                                @if ($student->apartment_road_area_status == 0)
<div class="text-danger">This field marked incorrect by Admin</div>
@endif
                            <div class="error-message" id="apartment_error"></div>
                        </div>
                    </div>

<div class="row">
                        <div class="col-md-6 col-12">
                            <label class="fieldlabels">Pin Code: *</label>
                            <input type="text" name="pin_code" class="form-control" maxlength="7"
                                placeholder="Enter Pin Code" />
                                @if ($errors->has('pin_code'))
<div class="text-danger">{{ $errors->first('pin_code') }}</div>
@endif
                                @if ($student->pin_code_status == 0)
<div class="text-danger">This field marked incorrect by Admin</div>
@endif
                            <div class="error-message" id="pincode_error"></div>
                        </div>
                        <div class="col-md-6 col-12">
                            <label class="fieldlabels">Country: *</label>
                            <select class="form-control" name="country" id="country" class="form-control" class=" col-12 py-3">
                                <option value="">Select Country</option>
                               
                            </select>
                            @if ($errors->has('country'))
<div class="text-danger">{{ $errors->first('country') }}</div>
@endif
                                @if ($student->country_status == 0)
<div class="text-danger">This field marked incorrect by Admin</div>
@endif
                            <div class="error-message" id="country_error"></div>
                        </div>
                    </div>

<div class="row">
                        <div class="col-md-6 col-12">
                            <label class="fieldlabels">State: *</label>
                            <select class="form-control" name="state" id="state" class="form-control" class=" col-12 py-3">
                                <option value="">Select State</option>
                                
                            </select>
                            @if ($errors->has('state'))
<div class="text-danger">{{ $errors->first('state') }}</div>
@endif
                                @if ($student->state_status == 0)
<div class="text-danger">This field marked incorrect by Admin</div>
@endif
                            <div class="error-message" id="state_error"></div>
                        </div>
                        <div class="col-md-6 col-12">
                            <label class="fieldlabels">City: *</label>
                            <select class="form-control" name="city" id="city" class="form-control" class=" col-12 py-3">
                                <option value="">Select City</option>
                                
                            </select>
                            @if ($errors->has('city'))
<div class="text-danger">{{ $errors->first('city') }}</div>
@endif
                            @if ($student->city_status == 0)
<div class="text-danger">This field marked incorrect by Admin</div>
@endif
                            <div class="error-message" id="city_error"></div>
                        </div>
                    </div>
                </div> -->
            </div>
        </div>
    </div>
    <div class="step">
        <p class="text-center mb-4">Step 7 Content</p>
        <div class="mb-3">
            <div class="form-card">
                <div class="row">
                    <div class="col-md-7 d-none d-md-block">
                        <h2 class="fs-title">Education Details:</h2>
                    </div>

</div>

<div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Qualification Type: *</label>
                        <select class="form-control" id="qualification_type"
                            value="{{ $student->qualification_type }}" name="qualification_type"
                            class=" col-12 py-3">
                            <option value="" disabled selected>
                                Choose qualification
                            </option>
                            <option value="10th">10th</option>
                            <option value="12th">12th</option>
                            <option value="Graduation">Graduation</option>
                            <option value="PostGraduation">Post Graduation</option>
                            <option value="Diploma">Diploma</option>
                            <option value="PhD">PhD</option>
                        </select>
                        @if ($errors->has('qualification_type'))
                            <div class="text-danger">{{ $errors->first('qualification_type') }}</div>
                        @endif
                        @if ($student->qualification_type_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-md-6 col-12" id="education_board_section" style="display: none">
                        <label class="fieldlabels">Education Board: *</label>
                        <select class="form-control" id="education_board" value="{{ $student->education_board }}"
                            name="education_board" class=" col-12 py-3">
                            <option value="" disabled selected>Choose board</option>
                            <option value="State Board">State Board</option>
                            <option value="CBSE">CBSE</option>
                            <option value="ICSE">ICSE</option>
                            <option value="ISC">ISC</option>
                            <option value="NIOS">NIOS</option>
                            <option value="IB">IB</option>
                            <option value="IGCSE">IGCSE</option>
                            <option value="CIE">CIE</option>
                        </select>
                        @if ($errors->has('education_board'))
                            <div class="text-danger">{{ $errors->first('education_board') }}</div>
                        @endif
                        @if ($student->education_board_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Institute / School Name: *</label>
                        <input type="text" value="{{ $student->institute_name }}" name="institute_name"
                            maxlength="50" id="institute_name" placeholder="Enter Institute / School Name" />
                        @if ($errors->has('institute_name'))
                            <div class="text-danger">{{ $errors->first('institute_name') }}</div>
                        @endif
                        @if ($student->institute_name_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Stream / Specialization: *</label>
                        <input type="text" value="{{ $student->stream_specialization }}"
                            name="stream_specialization" maxlength="50" placeholder="Enter Stream / Specialization"
                            id="stream_specialization" />
                        @if ($errors->has('stream_specialization'))
                            <div class="text-danger">{{ $errors->first('stream_specialization') }}</div>
                        @endif
                        @if ($student->stream_specialization_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Passing Year: *</label>
                        <select class="form-control" id="passing_year" value="{{ $student->passing_year }}"
                            name="passing_year" class=" col-12 py-3">
                            <option value="" disabled selected>Choose Year</option>
                        </select>
                        @if ($errors->has('passing_year'))
                            <div class="text-danger">{{ $errors->first('passing_year') }}</div>
                        @endif
                        @if ($student->passing_year_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Examination Seat No.: *</label>
                        <input type="text" value="{{ $student->examination_seat_no }}"
                            name="examination_seat_no" maxlength="15" placeholder="Enter Examination Seat No." />
                        @if ($errors->has('examination_seat_no'))
                            <div class="text-danger">{{ $errors->first('examination_seat_no') }}</div>
                        @endif
                        @if ($student->examination_seat_no_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Percentage / CGPA / Grade: *</label>
                        <input type="text" value="{{ $student->percentage_cgpa_grade }}"
                            name="percentage_cgpa_grade" maxlength="6" placeholder="Enter Percentage / CGPA / Grade"
                            id="percentage_cgpa_grade" />
                        @if ($errors->has('percentage_cgpa_grade'))
                            <div class="text-danger">{{ $errors->first('percentage_cgpa_grade') }}</div>
                        @endif
                        @if ($student->percentage_cgpa_grade_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Transfer Certificate (TC): *</label>
                        <input type="file" name="transfer_ertificate"
                            value="{{ $student->transfer_ertificate }}" class="doc-upload" accept=".png,.pdf"
                            data-max-size="3" />
                        @if ($errors->has('transfer_ertificate'))
                            <div class="text-danger">{{ $errors->first('transfer_ertificate') }}</div>
                        @endif
                        @if ($student->transfer_ertificate_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>
                
                <div class="row">
                    <div class="col-md-6 col-12">
                        <label class="fieldlabels">Migration Certificate:*</label>
                        <input type="file" name="migration_certificate"
                            value="{{ $student->migration_certificate }}" class="doc-upload" accept=".png,.pdf"
                            data-max-size="3" />
                        @if ($errors->has('migration_certificate'))
                            <div class="text-danger">{{ $errors->first('migration_certificate') }}</div>
                        @endif
                        @if ($student->migration_certificate_status == 0)
                            <div class="text-danger">This field marked incorrect by Admin</div>
                        @endif
                    </div>
                </div>

<div id="documents_section"></div>
            </div>
        </div>
    </div>

<div class="form-footer d-flex">
        <button type="button" id="prevBtn" onclick="nextPrev(-1)">Previous</button>
        <button type="button" id="nextBtn" onclick="nextPrev(1)">Next</button>
    </div>
</div>
</div>
@endsection
@section('js')
    <script src="{{ url('/assets/step/custom.js') }}"></script>
    <script src="{{ url('/assets/step/main.js') }}"></script>
    <script src="{{ url('/assets/step/step.js') }}"></script>
@endsection
@section('css')
    <link rel="stylesheet" href="{{ url('assets/step/style.css') }}" />
    <link rel="stylesheet" href="{{ url('assets/step/main.css') }}" />
@endsection

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