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PHP Version:

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✏️ Editing: jobApplyForm.php

<?php
require 'partials/_dbConnection.php';
$showEroor = false;
$showAlert = false;
$isloggedIn = false;
$role = 'USER';
session_start();
if (isset($_SESSION['isloggedIn'])) {
    $isloggedIn = true;
    $role =  $_SESSION['role'];
}

// session_start();

if($_SERVER['REQUEST_METHOD']=='POST'){
   $name = $_POST['name'];
   $fatherHusbandName = $_POST['fatherHusbandName'];
   $motherName = $_POST['motherName'];
   $dob = $_POST['dob'];
   $aadharNumber = $_POST['aadharNumber'];
   $mobileNumber = $_POST['mobileNumber'];
   $email = $_POST['email'];
   $education = $_POST['education'];
   $state = $_POST['state'];
   $country = $_POST['country'];
   $villagecouncil = $_POST['villagecouncil'];
   $village = $_POST['village'];
   $Block = $_POST['Block'];
   $district = $_POST['district'];
   $jobType = $_GET['job_type'];
   
    $filename = $_FILES['uplodeimage']['name'];
    $tempname =  $_FILES['uplodeimage']['tmp_name'];
    $folder = 'images/'.$filename ;
    $ext = pathinfo($filename,PATHINFO_EXTENSION);
    $allowedType = array("jpg","jpeg","png","gif");

if(!$name ||
    !$fatherHusbandName ||
     !$motherName ||
     !$dob ||
     !$aadharNumber ||
     !$mobileNumber ||
     !$email ||
     !$education ||
     !$state ||
     !$country 
     
     ){
     $showEroor = "All fields are required";
   }else{
    if(in_array($ext,$allowedType)){
        if(move_uploaded_file($tempname,$folder)){
           
            $sql = "INSERT INTO `apply_job` (`id`, `name`, `fatherHusbandName`, `motherName`, `dob`, `aadharNumber`, `mobileNumber`, `email`, `education`, `state`, `country`, `villagecouncil`, `village`, `block`, `district`, `image`, `job_type`) VALUES (NULL, '$name', '$fatherHusbandName', '$motherName', '$dob', '$aadharNumber', '$mobileNumber', '$email', '$education', '$state ', '$country ', '$villagecouncil', '$village', '$Block', '$district', '$filename ', '$jobType');";

$result = mysqli_query($db, $sql);
            if($result){
                // header('location:/ali');
                $showAlert = "Apply  successfully";
            } 
        }else{
           $showEroor = "File is not Uplode";
        }
       }else{
        $showEroor = "Your files are not allowed";
       }

}
}

<!DOCTYPE html>
<html lang="en">

<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>Application Form</title>
    <link href="https://stackpath.bootstrapcdn.com/bootstrap/4.5.2/css/bootstrap.min.css" rel="stylesheet">
    <script src="https://code.jquery.com/jquery-3.6.0.min.js"></script>
    
    <link href="https://cdn.jsdelivr.net/npm/bootstrap@5.0.2/dist/css/bootstrap.min.css" rel="stylesheet" integrity="sha384-EVSTQN3/azprG1Anm3QDgpJLIm9Nao0Yz1ztcQTwFspd3yD65VohhpuuCOmLASjC" crossorigin="anonymous">
    <link href="https://cdnjs.cloudflare.com/ajax/libs/select2/4.0.13/css/select2.min.css" rel="stylesheet" />
    <script src="https://cdnjs.cloudflare.com/ajax/libs/select2/4.0.13/js/select2.min.js"></script>
    <link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/6.6.0/css/all.min.css" integrity="sha512-Kc323vGBEqzTmouAECnVceyQqyqdsSiqLQISBL29aUW4U/M7pSPA/gEUZQqv1cwx4OnYxTxve5UMg5GT6L4JJg==" crossorigin="anonymous" referrerpolicy="no-referrer" />
    <style>
        body {
            background-color: #f7f9fc;
        }

.form-container {
            max-width: 800px;
            margin: 50px auto;
            background: #ffffff;
            padding: 30px;
            border-radius: 8px;
            box-shadow: 0 4px 8px rgba(0, 0, 0, 0.1);
        }

.form-header {
            text-align: center;
            margin-bottom: 20px;
        }

.form-header h2 {
            font-weight: 600;
            color: #333;
        }

.form-footer {
            text-align: center;
            margin-top: 20px;
        }
    </style>
</head>

<?php

if ($showAlert) {
    echo '<div class="alert alert-success alert-dismissible fade show" role="alert">
<strong>Success!</strong> ' . $showAlert . '
<button type="button" class="btn-close" data-bs-dismiss="alert" aria-label="Close"></button>
</div>';
}

?>
<?php

if ($showEroor) {
    echo '<div class="alert alert-danger alert-dismissible fade show" role="alert">
<strong>Eroor!</strong> ' . $showEroor . '
<button type="button" class="btn-close" data-bs-dismiss="alert" aria-label="Close"></button>
</div>';
}

<div class="container-fluid">
        <div class="form-container">
            <div class="form-header">
                <h2>Application Form</h2>
              <h3>  <?= $_GET['job_type'] ?></h3>
                <p>Please fill out the details below</p>
            </div>

<form action="<?php $_SERVER['PHP_SELF'] ?>" method="post" enctype="multipart/form-data">
                
                <div class="form-row">
                    <div class="form-group col-md-6">
                        <label for="applicantName">Applicant's Name</label>
                        <input type="text" class="form-control" name="name" placeholder="Enter your name">
                    </div>
                    <div class="form-group col-md-6">
                        <label for="fatherHusbandName">Father's/Husband's Name</label>
                        <input type="text" class="form-control" name="fatherHusbandName" placeholder="Enter father's/husband's name">
                    </div>
                </div>

<div class="form-row">
                    <div class="form-group col-md-6">
                        <label for="motherName">Mother's Name</label>
                        <input type="text" class="form-control" name="motherName" placeholder="Enter mother's name">
                    </div>
                    <div class="form-group col-md-6">
                        <label for="dob">Date of Birth</label>
                        <input type="date" class="form-control" name="dob" id="dob">
                    </div>
                </div>

<div class="form-row">
                    <div class="form-group col-md-6">
                        <label for="aadharNumber">Aadhar Number</label>
                        <input type="text" class="form-control" name="aadharNumber" placeholder="Enter your Aadhar number">
                    </div>
                    <div class="form-group col-md-6">
                        <label for="mobileNumber">Mobile Number</label>
                        <input type="tel" class="form-control" name="mobileNumber" placeholder="Enter your mobile number">
                    </div>
                </div>

<div class="form-row">
                    <div class="form-group col-md-6">
                        <label for="email">Email ID</label>
                        <input type="email" class="form-control" name="email" placeholder="Enter your email address">
                    </div>
                    <div class="form-group col-md-6">
                        <label for="education">Educational Qualification</label>
                        <input type="text" class="form-control" name="education" placeholder="Enter your educational qualification">
                    </div>
                </div>

<div class="form-row">
                    <div class="form-group col-md-6">
                    
                        <label for="email">village council</label>
                        <input type="text" class="form-control" name="villagecouncil" placeholder="Enter your village council">
                    </div>
                    <div class="form-group col-md-6">
                        <label for="education">village</label>
                        <input type="text" class="form-control" name="village" placeholder="Enter your  village">
                    </div>
                </div>
                <div class="form-row">
                    <div class="form-group col-md-6">
                    
                        <label for="email">Block</label>
                        <input type="text" class="form-control" name="Block" placeholder="Enter your Block">
                    </div>
                    <div class="form-group col-md-6">
                        <label for="education">district</label>
                        <input type="text" class="form-control" name="district" placeholder="Enter your district">
                    </div>
                </div>

<div class="form-row row">
                    <div class="form-group col-md-6">
                        <label for="villagePanchayat">State</label>
                        
                        <select class="form-control" id="state" name="state">
                            <option value="">Select State</option>
                            <option value="Andhra Pradesh">Andhra Pradesh</option>
                            <option value="Arunachal Pradesh">Arunachal Pradesh</option>
                            <option value="Assam">Assam</option>
                            <option value="Bihar">Bihar</option>
                            <option value="Chhattisgarh">Chhattisgarh</option>
                            <option value="Goa">Goa</option>
                            <option value="Gujarat">Gujarat</option>
                            <option value="Haryana">Haryana</option>
                            <option value="Himachal Pradesh">Himachal Pradesh</option>
                            <option value="Jharkhand">Jharkhand</option>
                            <option value="Karnataka">Karnataka</option>
                            <option value="Kerala">Kerala</option>
                            <option value="Madhya Pradesh">Madhya Pradesh</option>
                            <option value="Maharashtra">Maharashtra</option>
                            <option value="Manipur">Manipur</option>
                            <option value="Meghalaya">Meghalaya</option>
                            <option value="Mizoram">Mizoram</option>
                            <option value="Nagaland">Nagaland</option>
                            <option value="Odisha">Odisha</option>
                            <option value="Punjab">Punjab</option>
                            <option value="Rajasthan">Rajasthan</option>
                            <option value="Sikkim">Sikkim</option>
                            <option value="Tamil Nadu">Tamil Nadu</option>
                            <option value="Telangana">Telangana</option>
                            <option value="Tripura">Tripura</option>
                            <option value="Uttar Pradesh">Uttar Pradesh</option>
                            <option value="Uttarakhand">Uttarakhand</option>
                            <option value="West Bengal">West Bengal</option>
                            <option value="Andaman and Nicobar Islands">Andaman and Nicobar Islands</option>
                            <option value="Chandigarh">Chandigarh</option>
                            <option value="Dadra and Nagar Haveli and Daman and Diu">Dadra and Nagar Haveli and Daman and Diu</option>
                            <option value="Lakshadweep">Lakshadweep</option>
                            <option value="Delhi">Delhi</option>
                            <option value="Puducherry">Puducherry</option>
                            <option value="Ladakh">Ladakh</option>
                            <option value="Jammu and Kashmir">Jammu and Kashmir</option>
                        </select>

</div>
                    
                    <div class="form-group col-md-6 ">
                        <label for="country">Select Country:</label>
                        <select class="form-control" id="country" name="country">
                            <option value="">Select Country</option>
                            <option value="Afghanistan">Afghanistan</option>
                            <option value="Albania">Albania</option>
                            <option value="Algeria">Algeria</option>
                            <option value="Andorra">Andorra</option>
                            <option value="Angola">Angola</option>
                            <option value="Antigua and Barbuda">Antigua and Barbuda</option>
                            <option value="Argentina">Argentina</option>
                            <option value="Armenia">Armenia</option>
                            <option value="Australia">Australia</option>
                            <option value="Austria">Austria</option>
                            <option value="Azerbaijan">Azerbaijan</option>
                            <option value="Bahamas">Bahamas</option>
                            <option value="Bahrain">Bahrain</option>
                            <option value="Bangladesh">Bangladesh</option>
                            <option value="Barbados">Barbados</option>
                            <option value="Belarus">Belarus</option>
                            <option value="Belgium">Belgium</option>
                            <option value="Belize">Belize</option>
                            <option value="Benin">Benin</option>
                            <option value="Bhutan">Bhutan</option>
                            <option value="Bolivia">Bolivia</option>
                            <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
                            <option value="Botswana">Botswana</option>
                            <option value="Brazil">Brazil</option>
                            <option value="Brunei">Brunei</option>
                            <option value="Bulgaria">Bulgaria</option>
                            <option value="Burkina Faso">Burkina Faso</option>
                            <option value="Burundi">Burundi</option>
                            <option value="Cabo Verde">Cabo Verde</option>
                            <option value="Cambodia">Cambodia</option>
                            <option value="Cameroon">Cameroon</option>
                            <option value="Canada">Canada</option>
                            <option value="Central African Republic">Central African Republic</option>
                            <option value="Chad">Chad</option>
                            <option value="Chile">Chile</option>
                            <option value="China">China</option>
                            <option value="Colombia">Colombia</option>
                            <option value="Comoros">Comoros</option>
                            <option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
                            <option value="Congo, Republic of the">Congo, Republic of the</option>
                            <option value="Costa Rica">Costa Rica</option>
                            <option value="Cote d'Ivoire">Cote d'Ivoire</option>
                            <option value="Croatia">Croatia</option>
                            <option value="Cuba">Cuba</option>
                            <option value="Cyprus">Cyprus</option>
                            <option value="Czech Republic">Czech Republic</option>
                            <option value="Denmark">Denmark</option>
                            <option value="Djibouti">Djibouti</option>
                            <option value="Dominica">Dominica</option>
                            <option value="Dominican Republic">Dominican Republic</option>
                            <option value="Ecuador">Ecuador</option>
                            <option value="Egypt">Egypt</option>
                            <option value="El Salvador">El Salvador</option>
                            <option value="Equatorial Guinea">Equatorial Guinea</option>
                            <option value="Eritrea">Eritrea</option>
                            <option value="Estonia">Estonia</option>
                            <option value="Eswatini">Eswatini</option>
                            <option value="Ethiopia">Ethiopia</option>
                            <option value="Fiji">Fiji</option>
                            <option value="Finland">Finland</option>
                            <option value="France">France</option>
                            <option value="Gabon">Gabon</option>
                            <option value="Gambia">Gambia</option>
                            <option value="Georgia">Georgia</option>
                            <option value="Germany">Germany</option>
                            <option value="Ghana">Ghana</option>
                            <option value="Greece">Greece</option>
                            <option value="Grenada">Grenada</option>
                            <option value="Guatemala">Guatemala</option>
                            <option value="Guinea">Guinea</option>
                            <option value="Guinea-Bissau">Guinea-Bissau</option>
                            <option value="Guyana">Guyana</option>
                            <option value="Haiti">Haiti</option>
                            <option value="Honduras">Honduras</option>
                            <option value="Hungary">Hungary</option>
                            <option value="Iceland">Iceland</option>
                            <option value="India">India</option>
                            <option value="Indonesia">Indonesia</option>
                            <option value="Iran">Iran</option>
                            <option value="Iraq">Iraq</option>
                            <option value="Ireland">Ireland</option>
                            <option value="Israel">Israel</option>
                            <option value="Italy">Italy</option>
                            <option value="Jamaica">Jamaica</option>
                            <option value="Japan">Japan</option>
                            <option value="Jordan">Jordan</option>
                            <option value="Kazakhstan">Kazakhstan</option>
                            <option value="Kenya">Kenya</option>
                            <option value="Kiribati">Kiribati</option>
                            <option value="Korea, North">Korea, North</option>
                            <option value="Korea, South">Korea, South</option>
                            <option value="Kuwait">Kuwait</option>
                            <option value="Kyrgyzstan">Kyrgyzstan</option>
                            <option value="Laos">Laos</option>
                            <option value="Latvia">Latvia</option>
                            <option value="Lebanon">Lebanon</option>
                            <option value="Lesotho">Lesotho</option>
                            <option value="Liberia">Liberia</option>
                            <option value="Libya">Libya</option>
                            <option value="Liechtenstein">Liechtenstein</option>
                            <option value="Lithuania">Lithuania</option>
                            <option value="Luxembourg">Luxembourg</option>
                            <option value="Madagascar">Madagascar</option>
                            <option value="Malawi">Malawi</option>
                            <option value="Malaysia">Malaysia</option>
                            <option value="Maldives">Maldives</option>
                            <option value="Mali">Mali</option>
                            <option value="Malta">Malta</option>
                            <option value="Marshall Islands">Marshall Islands</option>
                            <option value="Mauritania">Mauritania</option>
                            <option value="Mauritius">Mauritius</option>
                            <option value="Mexico">Mexico</option>
                            <option value="Micronesia">Micronesia</option>
                            <option value="Moldova">Moldova</option>
                            <option value="Monaco">Monaco</option>
                            <option value="Mongolia">Mongolia</option>
                            <option value="Montenegro">Montenegro</option>
                            <option value="Morocco">Morocco</option>
                            <option value="Mozambique">Mozambique</option>
                            <option value="Myanmar">Myanmar</option>
                            <option value="Namibia">Namibia</option>
                            <option value="Nauru">Nauru</option>
                            <option value="Nepal">Nepal</option>
                            <option value="Netherlands">Netherlands</option>
                            <option value="New Zealand">New Zealand</option>
                            <option value="Nicaragua">Nicaragua</option>
                            <option value="Niger">Niger</option>
                            <option value="Nigeria">Nigeria</option>
                            <option value="North Macedonia">North Macedonia</option>
                            
                        </select>
                    </div>

</div>
                <div class="form-row">
                    
                    <div class="form-group col-md-6">
                        <?php 
                        $sql = "SELECT * FROM `payment` WHERE 1";

$result = mysqli_query($db, $sql);
                        $row = mysqli_fetch_assoc($result);
                         echo ' <label for="education">You have to pay '. $row['payment'] .  '</label> <br>'
                        ?>
                       
                        <img src="./img/QR.jpg" height="200" alt="">
                    </div>
                </div>

<div class="form-row">
                    
                    <div class="form-group col-md-6">
                        <label for="education">Uplode payment screenshot</label>
                        <input type="file" class="form-control" name="uplodeimage" placeholder="Enter educational qualification">
                    </div>
                </div>

<button type="submit" class="btn btn-primary btn-block">Submit</button>
            </form>

<div class="form-footer">
                <small>&copy; 2024 Your Organization. All rights reserved.</small>
            </div>
        </div>
    </div>
    <script>
        $(document).ready(function() {
            // Initialize Select2 for the country dropdown
            $('#country').select2({
                placeholder: "Select Country",
                allowClear: true
            });
        });
    </script>
 <script src="https://cdn.jsdelivr.net/npm/bootstrap@5.0.2/dist/js/bootstrap.bundle.min.js" integrity="sha384-MrcW6ZMFYlzcLA8Nl+NtUVF0sA7MsXsP1UyJoMp4YLEuNSfAP+JcXn/tWtIaxVXM" crossorigin="anonymous"></script>
    
    <script src="https://cdn.jsdelivr.net/npm/bootstrap@4.5.2/dist/js/bootstrap.bundle.min.js"></script>
</body>

</html>

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