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<?php
include('header.php');
$news_letter_class = "newsletter-area-2";
?>
<section class="page-banner">
<div class="page-banner-bg bg_cover" style="background-image: url(assets/images/page-banner.jpg);">
<div class="container">
<div class="banner-content text-center">
<h2 class="title">ARJUNA ENTRANCE TEST REGISTRATION</h2>
</div>
</div>
</div>
</section>
<section class="mb-50">
<div class="container">
<div class="mt-50">
<?php if(isset($_SESSION['error_msg'])) { ?>
<div class="alert alert-danger alert-dismissible fade show" role="alert">
<?php echo $_SESSION['error_msg']; unset($_SESSION['error_msg']); ?>
<button type="button" class="close" data-dismiss="alert"><span>×</span></button>
</div>
<?php } ?>
<?php if(isset($_SESSION['success_msg'])) { ?>
<div class="alert alert-success alert-dismissible fade show" role="alert">
<?php echo $_SESSION['success_msg']; unset($_SESSION['success_msg']); ?>
<button type="button" class="close" data-dismiss="alert"><span>×</span></button>
</div>
<?php } ?>
</div>
<div class="mt-50">
<div class="row justify-content-center">
<div class="col-lg-8">
<div class="contact-title text-center">
<h3 class="title">ARJUNA ENTRANCE TEST REGISTRATION FORM</h3>
<p>ಅರ್ಜುನ ಪ್ರವೇಶ ಪರೀಕ್ಷೆಗೆ ನೋಂದಣಿ - Arjuna Science PU College, Dharwad</p>
<div class="intro-text text-start" style="text-align: justify;">
<p style="margin-top:20px;"><strong>Welcome to the Arjuna Entrance Test Registration Form!</strong></p>
<p style="margin-top:10px;">If you're seeking top-quality education for your 11th and 12th grade journey, with the goal of excelling in IIT JEE, NEET, or other competitive exams, you're in the right place.</p>
<p style="margin-top:10px;">We admit students exclusively through our entrance test, which is conducted in various city locations. After filling out this form, we'll notify you about the test date and location via WhatsApp.</p>
<p style="margin-top:10px;"><strong>Stay tuned for further updates!</strong></p>
</div>
</div>
</div>
</div>
<div class="row justify-content-center">
<div class="col-lg-8">
<div class="contact-form-wrapper">
<div class="intro-text text-start" style="text-align: justify;">
<p style="margin-top:20px;">Arjuna Institutions, located in Dharwad, is a pioneering educational institution with a team of accomplished educators, including <strong>IITians, NITians, and graduates from renowned universities.</strong> Our core mission is to offer exceptional education with a unique focus on personal attention. The faculty is dedicated to providing top-notch training for competitive exams like IIT-JEE, NEET, KCET, etc, delivering outstanding results in a short span. We also provide separate hostel facilities for boys and girls, along with nutritious and hygienic food options.</p>
<p style="margin-top:10px;">If you aspire to gain admission to prestigious institutions like IITs, NITs, government medical colleges, and more, Arjuna is the best place to be. We combine quality education with dedicated educators who are passionate about helping you achieve your goals. Don't miss the opportunity to embark on a journey of academic excellence and success by joining Arjuna Institutions. </p>
</div>
<img src="assets/images/arjdwd_banner.jpg" class="img-responsive" style="margin-top: 30px;" />
<form action="" method="POST">
<div class="row">
<div class="col-md-6">
<div class="single-form">
<label>Student Name (ವಿದ್ಯಾರ್ಥಿಯ ಹೆಸರು) *</label>
<input type="text" name="student_name" class="form-control" required>
</div>
</div>
<div class="col-md-6">
<div class="single-form">
<label>Place (ಸ್ಥಳ) *</label>
<input type="text" name="place" class="form-control" required>
</div>
</div>
<div class="col-md-6">
<div class="single-form">
<label>Date of Birth (ಹುಟ್ಟಿದ ದಿನಾಂಕ) *</label>
<input type="date" name="dob" class="form-control" required>
</div>
</div>
<div class="col-md-6">
<div class="single-form">
<label>Gender (ಲಿಂಗ) *</label>
<select name="gender" class="form-control" required>
<option value="">Selectಿ</option>
<option>Male</option>
<option>Female</option>
</select>
</div>
</div>
<div class="col-md-12">
<div class="single-form">
<label>School Name and Place (ಶಾಲೆಯ ಹೆಸರು ಮತ್ತು ಸ್ಥಳ) *</label>
<input type="text" name="school_name" class="form-control" placeholder="Class 10th pursuing school, short address" required>
</div>
</div>
<div class="col-md-6">
<div class="single-form">
<label>Contact number (WhatsApp) (ಸಂಪರ್ಕ ಸಂಖ್ಯೆ) *</label>
<input type="text" name="contact_number" class="form-control" required pattern="[0-9]{10}" maxlength="10" placeholder="10-digit number">
</div>
</div>
<div class="col-md-6">
<div class="single-form">
<label>Board of Study (ಅಧ್ಯಯನ ಮಾಡುತ್ತಿರುವುದು) *</label>
<select name="board_of_study" class="form-control" required>
<option value="">Select Board</option>
<option>CBSE</option>
<option>ICSE</option>
<option>Karnataka Board (English Medium)</option>
<option>Karnataka Board (ಕನ್ನಡ ಮಾಧ್ಯಮ)</option>
<option>Other</option>
</select>
</div>
</div>
<div class="col-md-6">
<div class="single-form">
<label>Percentage scored in 9th % (9ನೇ ತರಗತಿ ಶೇಕಡಾವಾರು) *</label>
<input type="text" name="percentage_9" class="form-control" required>
</div>
</div>
<div class="col-md-6">
<div class="single-form">
<label>Expected Percentage scored of 10th % (10ನೇ ತರಗತಿ ಶೇಕಡಾವಾರು) *</label>
<input type="text" name="expected_percentage_10" class="form-control" required>
</div>
</div>
<div class="col-md-12">
<div class="single-form">
<label>How did you get to know about Arjuna Entrance Test? *</label>
<br/>
<label>(ಅರ್ಜುನ ಪ್ರವೇಶ ಪರೀಕ್ಷೆಯ ಬಗ್ಗೆ ನಿಮಗೆ ಹೇಗೆ ತಿಳಿಯಿತು?)</label>
<textarea name="know_about" class="form-control" rows="2" required></textarea>
</div>
</div>
<div class="col-md-12">
<div class="single-form">
<label>Payment Mode *</label>
<select name="exam_date" class="form-control" required>
<option value="">Select</option>
<option>Online</option>
<option>Offline</option>
</select>
</div>
</div>
<div class="col-md-12">
<div class="single-form">
<label>Choose a Date when you will appear for Entrance Exam *</label>
<br/>
<label>Choose a Date!! Further details shall be intimated through WhatsApp.</label>
<select name="exam_date" class="form-control" required>
<option value="">Choose a Date</option>
<option>16 April 2025 (Venue: Arjuna Science PU College, Dharwad)</option>
</select>
</div>
</div>
<div class="col-md-12 mt-4">
<div class="p-3" style="background:#f9f9f9; border-left:4px solid #28a745; text-align:justify;">
<h5><strong>Our Results</strong></h5>
<p>We have got the best Results in all formats of exams. In 2023-24, our students have outperformed and have secured top spots in Dharwad district.</p>
<img src="assets/images/arjdwd_result.jpg" class="img-responsive" style="margin-top: 30px;" />
</div>
</div>
<div class="col-md-12 mt-4">
<div class="p-3" style="background:#f9f9f9; border-left:4px solid #28a745; text-align:justify;">
<p>
THANK YOU FOR TAKING YOUR TIME FOR FILLING THIS FORM
<br/>
(ಈ ಫಾರ್ಮ್ ಅನ್ನು ಭರ್ತಿ ಮಾಡಲು ನಿಮ್ಮ ಸಮಯವನ್ನು ತೆಗೆದುಕೊಂಡಿದ್ದಕ್ಕಾಗಿ ಧನ್ಯವಾದಗಳು)
</p>
</div>
</div>
<div class="col-md-12 mt-4">
<div class="p-3" style="background:#f9f9f9; border-left:4px solid #28a745; text-align:justify;">
<p>
ARJUNA TEAM
<br/>
ARJUNA SCIENCE PU COLLEGE, DHARWAD
</p>
<img src="assets/images/arjdwd_logo.jpg" class="img-responsive" style="margin-top: 30px;" />
</div>
</div>
<div class="col-md-12 text-center mt-3">
<button class="main-btn" name="btnSubmit">Submit</button>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
</section>
<?php include('footer.php'); ?>
<?php
if(isset($_POST['btnSubmit']))
{
$student_name = mysqli_real_escape_string($con, $_POST['student_name']);
$place = mysqli_real_escape_string($con, $_POST['place']);
$dob = $_POST['dob'];
$gender = $_POST['gender'];
$school_name = mysqli_real_escape_string($con, $_POST['school_name']);
$contact_number = $_POST['contact_number'];
$board_of_study = $_POST['board_of_study'];
$percentage_9 = $_POST['percentage_9'];
$expected_percentage_10 = $_POST['expected_percentage_10'];
$know_about = mysqli_real_escape_string($con, $_POST['know_about']);
$exam_date = $_POST['exam_date'];
$ins = mysqli_query($con, "INSERT INTO `arjuna_register`
(`student_name`, `place`, `dob`, `gender`, `school_name`, `contact_number`, `board_of_study`, `percentage_9`, `expected_percentage_10`, `know_about`, `exam_date`)
VALUES ('$student_name', '$place', '$dob', '$gender', '$school_name', '$contact_number', '$board_of_study', '$percentage_9', '$expected_percentage_10', '$know_about', '$exam_date')");
if($ins){
$_SESSION['success_msg'] = 'Your registration has been successfully submitted.';
} else {
$_SESSION['error_msg'] = 'Unable to register your details. Please try again.';
}
echo "<script>window.location='arjuna_register.php';</script>";
}
?>