<?php defined('BASEPATH')or exit('No Direct Access is Allowed');?>

<style>
    .margin-form1{
    display:inline-flex!important;
    margin-bottom:12px!important;
    }
    .m-btns-add{
    background-color: #fff;
    padding: 3px 8px;
    border-radius: 20px;
    font-size: 12px;
    cursor: pointer;
    padding-left: 15px;
    border: 1px solid #ddd;
    }
    .multi1-buttons{
    padding: 6px 20px!important;
    margin-left:12px;
    }
</style>
<style>
	li.opt.disabled.selected{
	display:none;
	}
	.required-field-block {
    position: relative;   
}

.required-icon {
    display: inline-block;
    vertical-align: middle;
    margin: -0.25em 0.25em 0em;
    background-color: #E8E8E8;
    border-color: #E8E8E8;
    padding: 0.5em 0.8em;
    color: rgba(0, 0, 0, 0.65);
    text-transform: uppercase;
    font-weight: normal;
    border-radius: 0.325em;
    -webkit-box-sizing: border-box;
    -moz-box-sizing: border-box;
    -ms-box-sizing: border-box;
    box-sizing: border-box;
    -webkit-transition: background 0.1s linear;
    -moz-transition: background 0.1s linear;
    transition: background 0.1s linear;
    /* font-size: 75%; */
}
.required-icon {
    background-color: transparent;
    position: absolute;
    top: 0em;
    right: 1em;
    z-index: 10;
    margin: 0em;
    width: 30px;
    height: 30px;
    padding: 0em;
    text-align: center;
    -webkit-transition: color 0.2s ease;
    -moz-transition: color 0.2s ease;
    transition: color 0.2s ease;
}

.required-icon:after {
    position: absolute;
    content: "";
    right: 1px;
    top: 1px;
    z-index: -1;
    width: 0em;
    height: 0em;
    border-top: 0em solid transparent;
    border-right: 30px solid transparent;
    border-bottom: 30px solid transparent;
    border-left: 0em solid transparent;
    border-right-color: inherit;
    -webkit-transition: border-color 0.2s ease;
    -moz-transition: border-color 0.2s ease;
    transition: border-color 0.2s ease;
}
.required-icon .text {
    color: #ff6705;
    font-size: 16px;
    margin: -1px 0 0 13px;
}
</style>

<div class="custom_content custom custom-register" style="min-height: 100%;">
    <div class="container large">
        <div class="row" style="margin-right:0px;margin-left:0px;">
            <div class="row clearfix row-spec">
                <div class="col-xs-12">
                    <div class="aboutTitle">
                        <h2 class="what-offer offer-spec register-stu register-teacher">Teacher Registration Process
                        	<span class="what-offer-span register-stu1">Already have an Account?
                        	<a href="<?php echo site_url('teacher/signin')?>" class="popup-with-zoom-anim hvr-underline-from-left register-pops">Login Here</a></span>
                        </h2>
                    </div>
                </div>
            </div>
       <script>
       function first_form_validate(){
        if($('#first_name').val()==""){//alert("Please Enter First Name");
        $( '#first_name_status' ).html('Please Enter First Name');$("#first_name").focus();return false;}
        if($('#last_name').val()==""){$( '#last_name_status' ).html('Please Enter Last Name');$("#last_name").focus();return false;}
        if($('#gender').val()==""){$('#gender_status').html('Please Select Gender');$("#gender").focus();return false;}
        if($('#datepicker').val()==""){$('#datepicker_status').html('Please select your Date of Birth');$("#datepicker").focus();return false;}
         if($('#email').val()==""){
            $('#email_status').html('Please Enter your Email Address');
            $("#email").focus();
            return false;
        } 
         /* if( $("#password").val() != $("#confirm_password").val()){$('#confirm_password_status2').html('Confirm password is not matching');$("#confirm_password").focus();return false;}
          */
        if($('#mobile').val()==""){$('#mobile_status').html('Please enter Contact no');$("#mobile").focus();return false;}
        if($('#password').val()==""){$('#password_status').html('Please enter password');$("#password").focus();return false;}
        if($('#confirm_password').val()==""){$('#confirm_password_status').html('Please enter confirm password');$("#confirm_password").focus();return false;}
      
        if($('#country').val()==""){$('#country_status').html('Please Slect country');$("#country").focus();return false;}
        if($('#state').val()==""){$('#state_status').html('Please enter State');$("#state").focus();return false;}
        if($('#city').val()==""){$('#city_status').html('Please enter City');$("#city").focus();return false;}
        if($('#zip_code').val()==""){$('#zip_code_status').html('Please enter Zipcode');$("#zip_code").focus();return false;}
       }
       function second_form_validate(){
           if($('#primary_qualification1').val()==""){	$('#primary_qualification1_status').html('Please select Primary Qualification');			$("#primary_qualification1").focus();	return false;}
           if($('#university1').val()==""){				$('#university1_status').html('Please Enter University');									$("#university1").focus();				return false;}
           if($('#year_of_passing1').val()==""){		$('#year_of_passing1_status').html('Please Enter passing Year');							$("#year_of_passing1").focus();			return false;}
           if($('#grade_percentage1').val()==""){		$('#grade_percentage1_status').html('Please Enter Grade pr Percentage got in exam');		$("#grade_percentage1").focus();		return false;}   
       }
       function third_form_validate(){
    	   if($('#8th').val()=="")			{	$('#8th_status').html('Please select 8th ');								$("#8th").focus();	        return false;}
    	   if($('#8th-primary').val()=="")	{	$('#8th-primary_status').html('Please Enter 8th primary subject');			$("#8th-primary").focus();	return false;}
    	   if($('#8th-secondary').val()==""){	$('#8th-secondary_status').html('Please Enter 8th secondary subject');		$("#8th-secondary").focus();return false;}
    	   //if($('#8th-others').val()=="")	{	$('#8th-others_status').html('Please Enter 8th other subject');				$("#8th-others").focus();	return false;}   
    	   
    	   if($('#9th').val()=="")			{	$('#9th_status').html('Please select 8th ');								$("#9th").focus();	        return false;}
    	   if($('#9th-primary').val()=="")	{	$('#9th-primary_status').html('Please Enter 8th primary subject');			$("#9th-primary").focus();	return false;}
    	   if($('#9th-secondary').val()==""){	$('#9th-secondary_status').html('Please Enter 8th secondary subject');		$("#9th-secondary").focus();return false;}
    	  // if($('#9th-others').val()=="")	{	$('#9th-others_status').html('Please Enter 8th other subject');				$("#9th-others").focus();	return false;} 
    	   
    	   if($('#10th').val()=="")			{	$('#10th_status').html('Please select 10th ');								$("#10th").focus();	        return false;}
    	   if($('#10th-primary').val()=="")	{	$('#10th-primary_status').html('Please Enter 10th primary subject');		$("#10th-primary").focus();	return false;}
    	   if($('#10th-secondary').val()==""){	$('#10th-secondary_status').html('Please Enter 10th secondary subject');	$("#10th-secondary").focus();return false;}
    	  // if($('#10th-others').val()=="")	{	$('#10th-others_status').html('Please Enter 10th other subject');			$("#8th-others").focus();	return false;} 
    	   
    	   if($('#11th').val()=="")			{	$('#11th_status').html('Please select 11th ');								$("#11th").focus();	        return false;}
    	   if($('#11th-primary').val()=="")	{	$('#11th-primary_status').html('Please Enter 11th primary subject');		$("#11th-primary").focus();	return false;}
    	   if($('#11th-secondary').val()==""){	$('#11th-secondary_status').html('Please Enter 11th secondary subject');	$("#11th-secondary").focus();return false;}
    	   //if($('#11th-others').val()=="")	{	$('#11th-others_status').html('Please Enter 11th other subject');			$("#11th-others").focus();	return false;} 
    	   
    	   if($('#12th').val()=="")			{	$('#12th_status').html('Please select 12th ');								$("#12th").focus();	        return false;}
    	   if($('#12th-primary').val()=="")	{	$('#12th-primary_status').html('Please Enter 12th primary subject');		$("#12th-primary").focus();	return false;}
    	   if($('#12th-secondary').val()==""){	$('#12th-secondary_status').html('Please Enter 12th secondary subject');	$("#12th-secondary").focus();return false;}
    	  // if($('#12th-others').val()=="")	{	$('#12th-others_status').html('Please Enter 12th other subject');			$("#12th-others").focus();	return false;} 
    	}
       /* function fourth_form_validate(){
           if($('#bank_name').val()==""){				$('#bank_name_status').html('Please Enter Bank Name');										$("#bank_name").focus();				return false;}
           if($('#branch_name').val()==""){				$('#branch_name_status').html('Please Enter Branch Name');									$("#branch_name").focus();				return false;}
           if($('#account_holder_name').val()==""){		$('#account_holder_name_status').html('Please Enter name in Account ');						$("#account_holder_name").focus();		return false;}   
           if($('#account_no').val()==""){				$('#account_no_status').html('Please Enter Account No');									$("#account_no").focus();				return false;}
           if($('#ifsc_code').val()==""){				$('#ifsc_code_status').html('Please Enter ifsc code');										$("#ifsc_code").focus();				return false;}   
           if($('#micr_code').val()==""){				$('#micr_code_status').html('Please micr code');											$("#micr_code").focus();				return false;}   
           } */
       function fifth_form_validate(){
    	   if($('#current_occupation').val()==""){				$('#current_occupation_status').html('Please select Primary Qualification');						$("#current_occupation").focus();	return false;}
    	   if($('#days_available').val()==""){					$('#days_available_status').html('Please Enter University');										$("#days_available").focus();				return false;}
    	   if($('#hours_week_ends_available').val()==""){		$('#hours_week_ends_available_status').html('Please Enter passing Year');							$("#hours_week_ends_available").focus();			return false;}
    	   if($('#available_timings').val()==""){				$('#available_timings_status').html('Please Enter Grade pr Percentage got in exam');				$("#available_timings").focus();		return false;}   
    	   if($('#total_teaching_experience').val()==""){		$('#total_teaching_experience_status').html('Please select Primary Qualification');					$("#total_teaching_experience").focus();	return false;}
    	   if($('#type_of_connection').val()==""){				$('#type_of_connection_status').html('Please Enter University');									$("#type_of_connection").focus();				return false;}
    	   if($('#down_internet_conn_speed').val()==""){		$('#down_internet_conn_speed_status').html('Please Enter passing Year');							$("#down_internet_conn_speed").focus();			return false;}
    	   if($('#up_internet_conn_speed').val()==""){			$('#up_internet_conn_speed_status').html('Please Enter Grade pr Percentage got in exam');			$("#up_internet_conn_speed").focus();		return false;}   
    	   if($('#screenshot_speed').val()==""){				$('#screenshot_speed_status').html('Please select Primary Qualification');							$("#screenshot_speed").focus();	return false;}
    	   if($('#upload_profile_pic').val()==""){				$('#upload_profile_pic_status').html('Please Enter University');									$("#upload_profile_pic").focus();				return false;}
    	   if($('#upload_resume').val()==""){					$('#upload_resume_status').html('Please Enter passing Year');										$("#upload_resume").focus();			return false;}
    	   if($('#association_with_gurukul').val()==""){		$('#association_with_gurukul_status').html('Please Enter Grade pr Percentage got in exam');			$("#association_with_gurukul").focus();		return false;}   
    	   if($('#come_to_know_tog').val()==""){				$('#come_to_know_tog_status').html('Please Enter Grade pr Percentage got in exam');					$("#come_to_know_tog").focus();		return false;}   

          // document.teacher_signup.submit();
           }

       
       function validate(evt) {
    	   var theEvent = evt || window.event;
    	   var key = theEvent.keyCode || theEvent.which;
    	   key = String.fromCharCode( key );
    	   var regex = /[0-9]|\./;
    	   if( !regex.test(key) ) {
    	     theEvent.returnValue = false;
    	     if(theEvent.preventDefault) theEvent.preventDefault();
    	   }
    	 }
    </script>
   
     <script>
    function validatepass(){
        if (($("#password").val()) != ($("#confirm_password").val())) 
        {
        	$('#confirm_password_status2').html('Confirm password is not matching');
        	//$("#confirm_password").focus();
        	return false;
        }
        return true;
	}
	/* function validatecurrentoc(){
		  if (($("#current_occupation").val()) != "") 
	        {
	        	$('#current_occupation_status').html('please fill current occupation');
	        	//$("#confirm_password").focus();
	        	return false;
	        }
	        return true;
		
	} */
    </script>
    <script>
    function validateEmail(emailField){
        var reg = /^([A-Za-z0-9_\-\.])+\@([A-Za-z0-9_\-\.])+\.([A-Za-z]{2,4})$/;
       
        if (reg.test(emailField.value) == false) 
        {
        	$('#email_status' ).html('Please enetr valide Email address');
        	$("#email").focus();
            return false;
        }
       
        return true;

	}
    </script>
    <script>
	  function checkemail(){
   	   //alert('done');
	    var email=document.getElementById("email").value;
	    if(email){
	        $.ajax({
				type: 'post',
				url: "<?php echo site_url('Web/check_teacher2')?>",
				data: {
					email:email,
				},
				success: function (response) {
				  $( '#email_status' ).html(response);
				  if(response=="OK"){
				   return true;	
				  }
				  else{
				   return false;	
				  }
				}
	        });
	    }
		else{
		 $( '#email_status' ).html("");
			return false;
		}
	}
	</script>
	

	<!-- 'onSubmit'=>'return fifth_form_validate();' -->
         <?php echo form_open_multipart('teacher/signup',['class'=>"steps",'accept-charset'=>"UTF-8",'novalidate'=>"",'name'=>'teacher_signup','id'=>'teacher_signup',]) ?>  
            <ul id="progressbar">
                <li class="active">Basic Information</li>
                <li>Qualification Details</li>
                <li>Preferred classes & subjects</li>
				<li>Bank Details</li>
                <li>Other info and Uploads</li>
            </ul><!--  -->
            <!-- USER INFORMATION FIELD SET -->
            <fieldset>
            <h2 class="fs-title">Basic Information</h2>

            <!-- <h3 class="fs-subtitle"></h3> --><br>
            <!-- Begin What's Your First Name Field -->
                <div class="form-group margin-form">
                    <div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                        <input type="text" class="form-control input-sm" id="first_name" maxlength="15"  name="first_name"  placeholder="First Name" data-rule-required="true" data-msg-required="Please enter University" maxlength="15" autocomplete="off" onpaste="return false" onDrop="return false" onDrag="return false" onPaste="return false" onCopy="return false" oncut="return false">
                       <!--  <span class="error-left" style="display: none;">
                        	<i class="error-logn fa fa-exclamation-triangle"></i>
                        </span>-->
                         <span id="first_name_status" class="text-danger"></span>
                           <div class="required-icon"><div class="text">*</div> </div>
                    </div>
                    <div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                        <input type="text" class="form-control input-sm" id="last_name" name="last_name" maxlength="15"  placeholder="Last Name" data-rule-required="true" data-msg-required="Please enter University" maxlength="15" autocomplete="off" onpaste="return false" onDrop="return false" onDrag="return false" onPaste="return false" onCopy="return false" oncut="return false">
                       	<span id="last_name_status" class="text-danger"></span>
                       	<div class="required-icon"><div class="text">*</div> </div>
                        
                    </div>
                </div>
            <div class="form-group margin-form">
                <div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                    <select  id="gender" name="gender"  class="form-control country-select input-sm" data-rule-required="true" data-msg-required="Please enter University" autocomplete="off" onpaste="return false" onDrop="return false" onDrag="return false" onPaste="return false" onCopy="return false" oncut="return false">
            			<option value="" >Gender</option>
            			<option value="male">Male</option>
            			<option value="female">Female</option>
            			<option value="others">Others</option>
            		</select>
            		 <span id="gender_status" class="text-danger"></span>
            		<div class="required-icon"><div class="text">*</div> </div>
                </div>
                <div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                	<input type="text" class="form-control input-sm selector" id="datepicker" name="dob" placeholder="Date of Birth (MM/DD/YYYY)" data-rule-required="true" data-msg-required="Please enter University" maxlength="10" autocomplete="off" onpaste="return false" onDrop="return false" onDrag="return false" onPaste="return false" onCopy="return false" oncut="return false">
                	<span id="datepicker_status" class="text-danger"></span>
                	<div class="required-icon"><div class="text">*</div> </div>
                </div>
            </div>
            <!-- End What's Your Email Field -->
            <!-- Begin Total Number of Constituents in Your Database Field -->
            <div class="form-group margin-form">
            	<div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                    <input type="email" class="form-control input-sm" id="email" name="email" placeholder="Email" data-rule-required="true" data-msg-required="Please enter University"  maxlength="100" autocomplete="off" onpaste="return false" onDrop="return false" onDrag="return false" onPaste="return false" onCopy="return false" oncut="return false" autocorrect="off" autocapitalize="off" spellcheck="false" onblur="validateEmail(this);" onkeyup="checkemail();" >
                  	  <span id="email_status" class="text-danger"></span><span id="email_status2" class="text-danger"></span>
                  	 <div class="required-icon"><div class="text">*</div> </div>
                    
                </div>
                 <div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                    <input type="text" class="form-control input-sm" id="mobile" name="mobile" placeholder="Mobile Number" onkeypress='validate(event)' maxlength="10" data-rule-required="true" data-msg-required="Please enter University" autocomplete="off" onpaste="return false" onDrop="return false" onDrag="return false" onPaste="return false" onCopy="return false" oncut="return false" autocorrect="off" autocapitalize="off" spellcheck="false">
                    <span id="mobile_status" class="text-danger"></span>
                    <div class="required-icon"><div class="text">*</div> </div>
                </div>
                
            </div>
            <div class="form-group margin-form">
               	<div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                    <input type="password" class="form-control input-sm" id="password" name="password" placeholder="Password" data-rule-required="true" data-msg-required="Please enter University" maxlength="15" autocomplete="off" onpaste="return false" onDrop="return false" onDrag="return false" onPaste="return false" onCopy="return false" oncut="return false" autocorrect="off" autocapitalize="off" spellcheck="false">
                   <span id="password_status" class="text-danger"></span>
                   <div class="required-icon"><div class="text">*</div> </div>
                </div>
                <div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                    <input type="password" class="form-control input-sm" id="confirm_password" name="confirm_password" placeholder="Confirm Password" data-rule-required="true" data-msg-required="Please enter University" maxlength="15" autocomplete="off" onpaste="return false" onDrop="return false" onDrag="return false" onPaste="return false" onCopy="return false" oncut="return false" autocorrect="off" autocapitalize="off" spellcheck="false" onblur="validatepass();">
                     <span id="confirm_password_status" class="text-danger"></span> <span id="confirm_password_status2" class="text-danger"></span>
                    <div class="required-icon"><div class="text">*</div> </div>
                </div>
              
            </div>
            <div class="form-group margin-form">
                <div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                	<select class="form-control input-sm countries" name="country" id='country' data-rule-required="true" data-msg-required="Please enter University" autocomplete="off" onpaste="return false" onDrop="return false" onDrag="return false" onPaste="return false" onCopy="return false" oncut="return false" autocorrect="off" autocapitalize="off" spellcheck="false">
                       <option value="">Select Country</option>
                       <?php  foreach($country as $cont){

                           echo "<option value='".$cont['id']."'>".$cont['name']."</option>";
                        }?>
                    </select>
                     <span id="country_status" class="text-danger"></span>
                    <div class="required-icon"><div class="text">*</div> </div>
                </div>
                <div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                   <input type="text" class="form-control input-sm" id="state" name="state" placeholder="State" data-rule-required="true" data-msg-required="Please enter University"  maxlength="20" autocomplete="off" onpaste="return false" onDrop="return false" onDrag="return false" onPaste="return false" onCopy="return false" oncut="return false" autocorrect="off" autocapitalize="off" spellcheck="false">
                	 <span id="state_status" class="text-danger"></span>
                	<div class="required-icon"><div class="text">*</div> </div>
                </div>
                
            </div>
            <div class="form-group margin-form">
                <div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                	<input type="text" class="form-control input-sm" id="city" name="city" placeholder="City" data-rule-required="true" data-msg-required="Please enter University" maxlength="20" autocomplete="off" onpaste="return false" onDrop="return false" onDrag="return false" onPaste="return false" onCopy="return false" oncut="return false" autocorrect="off" autocapitalize="off" spellcheck="false">
                	 <span id="city_status" class="text-danger"></span>
                	<div class="required-icon"><div class="text">*</div> </div>
                </div>
                <div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                	<input type="text" class="form-control input-sm" id="zip_code" name="zip_code" placeholder="Zip code" onkeypress='validate(event)' data-rule-required="true" data-msg-required="Please enter University" maxlength="8" autocomplete="off" onpaste="return false" onDrop="return false" onDrag="return false" onPaste="return false" onCopy="return false" oncut="return false" autocorrect="off" autocapitalize="off" spellcheck="false">
                	<span id="zip_code_status" class="text-danger"></span>
                	<div class="required-icon"><div class="text">*</div> </div>
                </div>
            </div>
            <input type="button" id="fileSubmit1" name="fileSubmit1"  value="Next" onclick="return first_form_validate();" class="btn btn-primary btn btn-default next action-button send-btns btn-last" style="margin-top:0px;" >
           
           </fieldset>
            
            <fieldset>
            <h2 class="fs-title">Qualification Details</h2>
            <h3 class="fs-subtitle">Please provide your Qualification Details?</h3>
            <!-- Begin Total Number of Donors in Year 1 Field -->
            <div class="form-group margin-form">
                <div class="form-group margin-form col-lg-3 col-md-3 col-sm-3">
                 	<?php echo form_error('primary_qualification1');?>
                    <?php $option = array(""=>"Select First  Qualification","10th"=>"10th","12th"=>"12th","B.A"=>"B.A","M.A"=>"M.A","B.E"=>"B.E","M.E"=>"M.E","B.Tech"=>"B.Tech","M.Tech"=>"M.Tech","B.Sc"=>"B.Sc","M.Sc"=>"M.Sc","BBA"=>"BBA",
                        "MBA"=>"MBA","BCA"=>"BCA","MCA"=>"MCA","P.hd"=>"P.hd","M.Phil"=>"M.Phil","B.Arch"=>"B.Arch","MBBS"=>"MBBS","MD"=>"MD","BDS"=>"BDS",
                        "MDS"=>"MDS","BPT"=>"BPT","B.Pharm"=>"B.Pharm","M.Pharm"=>"M.Pharm","B.Com"=>"B.Com","M.Com"=>"M.Com","C.A"=>"C.A",
                        "ICWA"=>"ICWA","B.Cs"=>"B.Cs","LLB"=>"LLB");?>
            	 	<?=form_dropdown('primary_qualification1', $option, set_value('primary_qualification1'),array('id'=>'primary_qualification1','class'=>'form-control country-select input-sm','data-rule-required'=>"true",'data-msg-required'=>"Please select  Qualification"));?>
            	 	 <span id="primary_qualification1_status" class="text-danger"></span>
            	 	 <div class="required-icon"><div class="text">*</div> </div>
                </div>
                <div class="form-group margin-form form-group-university col-lg-3 col-md-3 col-sm-3">
                <?php echo form_error('university1');?>
                	<input type="text" class="form-control input-sm" id="university1" name="university1" placeholder="University/Institution" data-rule-required="true" data-msg-required="Please enter University">
                	 <span id="university1_status" class="text-danger"></span>
                	 <div class="required-icon"><div class="text">*</div> </div>
                </div>
                <div class="form-group margin-form col-lg-3 col-md-3 col-sm-3">
                	<?php echo form_error('year_of_passing1');?>
                      <?=form_input('year_of_passing1',set_value('year_of_passing1'),array('onkeypress'=>'validate(event)','id'=>'year_of_passing1','class'=>'form-control input-sm','placeholder'=>'Year of Passing','data-rule-required'=>"true",'data-msg-required'=>"Please enter year of passing"));?>
                      <span id="year_of_passing1_status" class="text-danger"></span>
                      <div class="required-icon"><div class="text">*</div> </div>
                </div>
                <div class="form-group margin-form form-group-university col-lg-3 col-md-3 col-sm-3">
                <?php echo form_error('grade_percentage1');?>
                	<input type="text" class="form-control input-sm" id="grade_percentage1" name="grade_percentage1" placeholder="Grade/Percentage" data-rule-required="true" data-msg-required="Please enter Grade Percentage">
                	<span id="grade_percentage1_status" class="text-danger"></span>
                	<div class="required-icon"><div class="text">*</div> </div>
                </div>
            </div>
            <div class="form-group margin-form">
                <div class="form-group margin-form col-lg-3 col-md-3 col-sm-3">
                <?php echo form_error('primary_qualification2');?>
                    <?php $option = array(""=>"Select Second  Qualification","10th"=>"10th","12th"=>"12th","B.A"=>"B.A","M.A"=>"M.A","B.E"=>"B.E","M.E"=>"M.E","B.Tech"=>"B.Tech","M.Tech"=>"M.Tech","B.Sc"=>"B.Sc","M.Sc"=>"M.Sc","BBA"=>"BBA",
                        "MBA"=>"MBA","BCA"=>"BCA","MCA"=>"MCA","P.hd"=>"P.hd","M.Phil"=>"M.Phil","B.Arch"=>"B.Arch","MBBS"=>"MBBS","MD"=>"MD","BDS"=>"BDS",
                        "MDS"=>"MDS","BPT"=>"BPT","B.Pharm"=>"B.Pharm","M.Pharm"=>"M.Pharm","B.Com"=>"B.Com","M.Com"=>"M.Com","C.A"=>"C.A",
                        "ICWA"=>"ICWA","B.Cs"=>"B.Cs","LLB"=>"LLB");?>
            	 	<?=form_dropdown('primary_qualification2', $option, set_value('primary_qualification2'),array('class'=>'form-control country-select input-sm',));?>
            	 	<span class="error-left" style="display: none;">
                    	<i class="error-logn fa fa-exclamation-triangle"></i>
                    </span>
                </div>
                <div class="form-group margin-form form-group-university col-lg-3 col-md-3 col-sm-3">
                	<input type="text" class="form-control input-sm" id="university2" name="university2" placeholder="University/Institution">
                </div>
                <div class="form-group margin-form col-lg-3 col-md-3 col-sm-3">
                    <?php echo form_error('year_of_passing2');?>
                      <?=form_input('year_of_passing2',set_value('year_of_passing2'),array('class'=>'form-control input-sm','placeholder'=>'Year of Passing',));?>
                      <span class="error-left" style="display: none;">
                    	<i class="error-logn fa fa-exclamation-triangle"></i>
                    </span>
                </div>
                <div class="form-group margin-form form-group-university col-lg-3 col-md-3 col-sm-3">
                	<input type="text" class="form-control input-sm" id="grade_percentage2" name="grade_percentage2" placeholder="Grade/Percentage">
                </div>
            </div>
            <div class="form-group margin-form">
                <div class="form-group margin-form col-lg-3 col-md-3 col-sm-3">
                    <?php echo form_error('primary_qualification3');?>
                    <?php $option = array(""=>"Select Third  Qualification","10th"=>"10th","12th"=>"12th","B.A"=>"B.A","M.A"=>"M.A","B.E"=>"B.E","M.E"=>"M.E","B.Tech"=>"B.Tech","M.Tech"=>"M.Tech","B.Sc"=>"B.Sc","M.Sc"=>"M.Sc","BBA"=>"BBA",
                        "MBA"=>"MBA","BCA"=>"BCA","MCA"=>"MCA","P.hd"=>"P.hd","M.Phil"=>"M.Phil","B.Arch"=>"B.Arch","MBBS"=>"MBBS","MD"=>"MD","BDS"=>"BDS",
                        "MDS"=>"MDS","BPT"=>"BPT","B.Pharm"=>"B.Pharm","M.Pharm"=>"M.Pharm","B.Com"=>"B.Com","M.Com"=>"M.Com","C.A"=>"C.A",
                        "ICWA"=>"ICWA","B.Cs"=>"B.Cs","LLB"=>"LLB");?>
            	 	<?=form_dropdown('primary_qualification3', $option, set_value('primary_qualification3'),array('class'=>'form-control country-select input-sm',));?>
            	 	<span class="error-left" style="display: none;">
                    	<i class="error-logn fa fa-exclamation-triangle"></i>
                    </span>
                </div>
                <div class="form-group margin-form form-group-university col-lg-3 col-md-3 col-sm-3">
                	<input type="text" class="form-control input-sm" id="university3" name="university3" placeholder="University/Institution">
                </div>
                <div class="form-group margin-form col-lg-3 col-md-3 col-sm-3">
                     <?php echo form_error('year_of_passing3');?>
                      <?=form_input('year_of_passing3',set_value('year_of_passing3'),array('class'=>'form-control input-sm','placeholder'=>'Year of Passing',));?>
                      <span class="error-left" style="display: none;">
                    	<i class="error-logn fa fa-exclamation-triangle"></i>
                    </span>
                </div>
                <div class="form-group margin-form form-group-university col-lg-3 col-md-3 col-sm-3">
                	<input type="text" class="form-control input-sm" id="grade_percentage3" name="grade_percentage3" placeholder="Grade/Percentage">
                </div>
            </div>
            <div class="form-group margin-form">
                <div class="form-group margin-form col-lg-3 col-md-3 col-sm-3">
                     <?php echo form_error('primary_qualification4');?>
                    <?php $option = array(""=>"Select Fourth  Qualification","10th"=>"10th","12th"=>"12th","B.A"=>"B.A","M.A"=>"M.A","B.E"=>"B.E","M.E"=>"M.E","B.Tech"=>"B.Tech","M.Tech"=>"M.Tech","B.Sc"=>"B.Sc","M.Sc"=>"M.Sc","BBA"=>"BBA",
                        "MBA"=>"MBA","BCA"=>"BCA","MCA"=>"MCA","P.hd"=>"P.hd","M.Phil"=>"M.Phil","B.Arch"=>"B.Arch","MBBS"=>"MBBS","MD"=>"MD","BDS"=>"BDS",
                        "MDS"=>"MDS","BPT"=>"BPT","B.Pharm"=>"B.Pharm","M.Pharm"=>"M.Pharm","B.Com"=>"B.Com","M.Com"=>"M.Com","C.A"=>"C.A",
                        "ICWA"=>"ICWA","B.Cs"=>"B.Cs","LLB"=>"LLB");?>
            	 	<?=form_dropdown('primary_qualification4', $option, set_value('primary_qualification4'),array('class'=>'form-control country-select input-sm'));?>
            	 	<span class="error-left" style="display: none;">
                    	<i class="error-logn fa fa-exclamation-triangle"></i>
                    </span>
                </div>
                <div class="form-group margin-form form-group-university col-lg-3 col-md-3 col-sm-3">
                	<input type="text" class="form-control input-sm" id="university4" name="university4" placeholder="University/Institution">
                </div>
                <div class="form-group margin-form col-lg-3 col-md-3 col-sm-3">
                     <?php echo form_error('year_of_passing4');?>
                      <?=form_input('year_of_passing4',set_value('year_of_passing4'),array('class'=>'form-control input-sm','placeholder'=>'Year of Passing',));?>
                      <span class="error-left" style="display: none;">
                    	<i class="error-logn fa fa-exclamation-triangle"></i>
                    </span>
                </div>
                <div class="form-group margin-form form-group-university col-lg-3 col-md-3 col-sm-3">
                	<input type="text" class="form-control input-sm" id="grade_percentage4" name="grade_percentage4" placeholder="Grade/Percentage">
                </div>
            </div>
            <div class="form-group margin-form">
                <div class="form-group margin-form col-lg-3 col-md-3 col-sm-3">
                    <?php echo form_error('primary_qualification5');?>
                    <?php $option = array(""=>"Select Fifth  Qualification","10th"=>"10th","12th"=>"12th","B.A"=>"B.A","M.A"=>"M.A","B.E"=>"B.E","M.E"=>"M.E","B.Tech"=>"B.Tech","M.Tech"=>"M.Tech","B.Sc"=>"B.Sc","M.Sc"=>"M.Sc","BBA"=>"BBA",
                        "MBA"=>"MBA","BCA"=>"BCA","MCA"=>"MCA","P.hd"=>"P.hd","M.Phil"=>"M.Phil","B.Arch"=>"B.Arch","MBBS"=>"MBBS","MD"=>"MD","BDS"=>"BDS",
                        "MDS"=>"MDS","BPT"=>"BPT","B.Pharm"=>"B.Pharm","M.Pharm"=>"M.Pharm","B.Com"=>"B.Com","M.Com"=>"M.Com","C.A"=>"C.A",
                        "ICWA"=>"ICWA","B.Cs"=>"B.Cs","LLB"=>"LLB");?>
            	 	<?=form_dropdown('primary_qualification5', $option, set_value('primary_qualification5'),array('class'=>'form-control country-select input-sm',));?>
            	 	<span class="error-left" style="display: none;">
                    	<i class="error-logn fa fa-exclamation-triangle"></i>
                    </span>
                </div>
                <div class="form-group margin-form form-group-university col-lg-3 col-md-3 col-sm-3">
                	<input type="text" class="form-control input-sm" id="university5" name="university5" placeholder="University/Institution">
                </div>
                <div class="form-group margin-form col-lg-3 col-md-3 col-sm-3">
                   <?php echo form_error('year_of_passing5');?>
                      <?=form_input('year_of_passing5',set_value('year_of_passing5'),array('class'=>'form-control input-sm','placeholder'=>'Year of Passing',));?>
                      <span class="error-left" style="display: none;">
                    	<i class="error-logn fa fa-exclamation-triangle"></i>
                    </span>
                </div>
                <div class="form-group margin-form form-group-university col-lg-3 col-md-3 col-sm-3">
                	<input type="text" class="form-control input-sm" id="grade_percentage5" name="grade_percentage5" placeholder="Grade/Percentage">
                </div>
            </div>
            
            <input type="button"  name="previous" class="btn btn-primary btn btn-default previous action-button send-btns btn-last" value="Previous" />
            <input type="button"  name="next" onclick="return second_form_validate();" class="btn btn-primary btn btn-default next action-button send-btns btn-last" value="Next" />
            
            
            
            </fieldset>
            <!-- ACQUISITION FIELD SET -->
            <!-- Cultivation FIELD SET -->
            <fieldset>
            <h2 class="fs-title">PREFERRED CLASSES & SUBJECTS</h2>
            <h3 class="fs-subtitle">Please Give your teaching prefrerrence according to classes and subjects?</h3>
            <div class="form-group margin-form col-md-12" style="display:inline-flex;">
            	<div class="form-group margin-form" style="margin-left:12px;">
            	  <select name="8th" id="8th" class="form-control country-select  input-sm">
            		<!-- <option value="" >Grade Love to Teach</option> -->
            		<option value="8th" >8th Standard</option>
            	   </select>
            	   <span id="8th_status" class="text-danger"></span>
            	</div>
            	<div class="form-group margin-form form-group-university" style="margin-left:12px;">
            	  <select multiple="multiple" id="8th-primary" name="8th_primary[]" class="form-control country-select  input-sm SlectBox">
                		<option disabled="disabled" selected="selected">Primary Subject</option>
                		<option value="Mathematics">Mathematics</option>
                		<option value="Physics">Physics</option>
                		<option value="Chemistry">Chemistry</option>
                		<option value="Biology">Biology</option>
                		<option value="Computer">Computer</option>
                		<option value="Science">Science</option>
                		<option value="English">English</option>
                		<option value="Hindi">Hindi</option>
                		<option value="Sanskrit">Sanskrit</option>
                		<option value="German">German</option>
                		<option value="French">French</option>
                		<option value="other">Other</option>
                		
                	</select>
                	<span id="8th-primary_status" class="text-danger"></span>
            	</div>
            <div class="form-group margin-form form-group-university" style="margin-left:12px;">
            	<select multiple="multiple" id="8th-secondary" name="8th_secondary[]" class="form-control country-select  input-sm SlectBox">
                		<option disabled="disabled" selected="selected">Secondary Subject</option>
                		<option value="Mathematics">Mathematics</option>
                		<option value="Physics">Physics</option>
                		<option value="Chemistry">Chemistry</option>
                		<option value="Biology">Biology</option>
                		<option value="Computer">Computer</option>
                		<option value="Science">Science</option>
                		<option value="English">English</option>
                		<option value="Hindi">Hindi</option>
                		<option value="Sanskrit">Sanskrit</option>
                		<option value="German">German</option>
                		<option value="French">French</option>
                		<option value="other">Other</option>
                		
                	</select>
                	<span id="8th-secondary_status" class="text-danger"></span>
            </div>
            	<div class="form-group margin-form form-group-university" style="margin-left:12px;">
            		<input type="text" class="form-control input-sm" id="8th-others" name="8th_others" placeholder="others">
            		<span id="8th-others_status" class="text-danger"></span>
            	</div>
            </div>
            <div class="form-group margin-form col-md-12" style="display:inline-flex;">
            	<div class="form-group margin-form" style="margin-left:12px;">
            	  <select name="9th" id="9th" class="form-control country-select  input-sm">
            		<!-- <option value="" >Grade Love to Teach</option> -->
            		<option value="9th" >9th Standard</option>
            	   </select>
            	   <span id="9th_status" class="text-danger"></span>
            	</div>
            	<div class="form-group margin-form form-group-university" style="margin-left:12px;">
            		<select  id="9th-primary" name="9th_primary[]" multiple="multiple" class="form-control country-select  input-sm SlectBox">
            			<option disabled="disabled" selected="selected" value="" >Primary Subject</option>
            			<option value="Mathematics">Mathematics</option>
            			<option value="Physics">Physics</option>
            			<option value="Chemistry">Chemistry</option>
            			<option value="Biology">Biology</option>
            			<option value="Computer">Computer</option>
            			<option value="Science">Science</option>
            			<option value="English">English</option>
            			<option value="Hindi">Hindi</option>
            			<option value="Sanskrit">Sanskrit</option>
            			<option value="German">German</option>
            			<option value="French">French</option>
            			<option value="Social">Social</option>
            			<option value="other">Other</option>
            			
            		</select>
            		<span id="9th-primary_status" class="text-danger"></span>
            	</div>
            <div class="form-group margin-form form-group-university" style="margin-left:12px;">
            	<select  id="9th-secondary" multiple="multiple" name="9th_secondary[]" class="form-control country-select  input-sm SlectBox">
            		<option disabled="disabled" selected="selected" value="" >Secondary Subject</option>
            		<option value="Mathematics">Mathematics</option>
            		<option value="Physics">Physics</option>
            		<option value="Chemistry">Chemistry</option>
            		<option value="Biology">Biology</option>
            		<option value="Computer">Computer</option>
            		<option value="Science">Science</option>
            		<option value="English">English</option>
            		<option value="Hindi">Hindi</option>
            		<option value="Sanskrit">Sanskrit</option>
            		<option value="German">German</option>
            		<option value="French">French</option>
            		<option value="other">Other</option>
            		
            	</select>
            	<span id="9th-secondary_status" class="text-danger"></span>
            </div>
            	<div class="form-group margin-form form-group-university" style="margin-left:12px;">
            		<input type="text" class="form-control input-sm" id="9th-others" name="9th_others" placeholder="others">
            	<span id="9th-others_status" class="text-danger"></span>
            	</div>
            </div>
             <div class="form-group margin-form col-md-12" style="display:inline-flex;">
            	<div class="form-group margin-form" style="margin-left:12px;">
            	  <select name="10th" id="10th" class="form-control country-select  input-sm">
            		<!-- <option value="" >Grade Love to Teach</option> -->
            		<option value="10th" >10th Standard</option>
            	   </select>
            	   <span id="10th_status" class="text-danger"></span>
            	</div>
            	<div class="form-group margin-form form-group-university" style="margin-left:12px;">	
	           <select id="10th-primary" name="10th_primary[]" multiple="multiple"  class="form-control country-select  input-sm SlectBox">
                    	<option disabled="disabled" selected="selected">Primary Subject</option>
                    	<option value="Mathematics">Mathematics</option>
                    	<option value="Physics">Physics</option>
                    	<option value="Chemistry">Chemistry</option>
                    	<option value="Biology">Biology</option>
                    	<option value="Computer">Computer</option>
                    	<option value="Science">Science</option>
                    	<option value="English">English</option>
                    	<option value="Hindi">Hindi</option>
                    	<option value="Sanskrit">Sanskrit</option>
                    	<option value="German">German</option>
                    	<option value="French">French</option>
                    	<option value="other">Other</option>
                    	
	         </select>
	         <span id="10th-primary_status" class="text-danger"></span>
            	</div>
            <div class="form-group margin-form form-group-university" style="margin-left:12px;">
            	<select  id="10th-secondary" multiple="multiple" name="10th_secondary[]" class="form-control country-select  input-sm SlectBox">
            		<option disabled="disabled" selected="selected" value="" >Secondary Subject</option>
            		<option value="Mathematics">Mathematics</option>
            		<option value="Physics">Physics</option>
            		<option value="Chemistry">Chemistry</option>
            		<option value="Biology">Biology</option>
            		<option value="Computer">Computer</option>
            		<option value="Science">Science</option>
            		<option value="English">English</option>
            		<option value="Hindi">Hindi</option>
            		<option value="Sanskrit">Sanskrit</option>
            		<option value="German">German</option>
            		<option value="French">French</option>
            		<option value="other">Other</option>
            		
            	</select>
            	<span id="10th-secondary_status" class="text-danger"></span>
            </div>
            	<div class="form-group margin-form form-group-university" style="margin-left:12px;">
            		<input type="text" class="form-control input-sm" id="10th-others" name="10th_others" placeholder="others">
            	<span id="10th-others_status" class="text-danger"></span>
            	</div>
            </div>
             <div class="form-group margin-form col-md-12" style="display:inline-flex;">
            	<div class="form-group margin-form" style="margin-left:12px;">
            	  <select name="11th" id="11th" class="form-control country-select  input-sm">
            		<!-- <option value="" >Grade Love to Teach</option> -->
            		<option value="11th" >11th Standard</option>
            	   </select>
            	   <span id="11th_status" class="text-danger"></span>
            	</div>
            	<div class="form-group margin-form form-group-university" style="margin-left:12px;">
            		<select  id="11th-primary" name="11th_primary[]" multiple="multiple" class="form-control country-select  input-sm SlectBox">
            			<option disabled="disabled" selected="selected" value="" >Primary Subject</option>
            			<option value="Mathematics">Mathematics</option>
            			<option value="Physics">Physics</option>
            			<option value="Chemistry">Chemistry</option>
            			<option value="Biology">Biology</option>
            			<option value="Computer">Computer</option>
            			<option value="Science">Science</option>
            			<option value="English">English</option>
            			<option value="Hindi">Hindi</option>
            			<option value="Sanskrit">Sanskrit</option>
            			<option value="German">German</option>
            			<option value="French">French</option>
            			<option value="Social">Social</option>
            			<option value="other">Other</option>
            			
            		</select>
            		<span id="11th-primary_status" class="text-danger"></span>
            	</div>
            <div class="form-group margin-form form-group-university" style="margin-left:12px;">
            	<select  id="11th-secondary" multiple="multiple" name="11th_secondary[]" class="form-control country-select  input-sm SlectBox">
            		<option disabled="disabled" selected="selected" value="" >Secondary Subject</option>
            		<option value="Mathematics">Mathematics</option>
            		<option value="Physics">Physics</option>
            		<option value="Chemistry">Chemistry</option>
            		<option value="Biology">Biology</option>
            		<option value="Computer">Computer</option>
            		<option value="Science">Science</option>
            		<option value="English">English</option>
            		<option value="Hindi">Hindi</option>
            		<option value="Sanskrit">Sanskrit</option>
            		<option value="German">German</option>
            		<option value="French">French</option>
            		<option value="other">Other</option>
            		
            	</select>
            	<span id="11th-secondary_status" class="text-danger"></span>
            </div>
            	<div class="form-group margin-form form-group-university" style="margin-left:12px;">
            		<input type="text" class="form-control input-sm" id="11th-others" name="11th_others" placeholder="others">
            	<span id="11th-others_status" class="text-danger"></span>
            	</div>
            </div>
             <div class="form-group margin-form col-md-12" style="display:inline-flex;">
            	<div class="form-group margin-form" style="margin-left:12px;">
            	  <select name="12th" id="12th" class="form-control country-select  input-sm">
            		<!-- <option value="" >Grade Love to Teach</option> -->
            		<option value="12th" >12th Standard</option>
            	   </select>
            	   <span id="12th_status" class="text-danger"></span>
            	</div>
            	<div class="form-group margin-form form-group-university" style="margin-left:12px;">
            		<select  id="12th-primary" name="12th_primary[]" multiple="multiple" class="form-control country-select  input-sm SlectBox">
            			<option disabled="disabled" selected="selected" value="" >Primary Subject</option>
            			<option value="Mathematics">Mathematics</option>
            			<option value="Physics">Physics</option>
            			<option value="Chemistry">Chemistry</option>
            			<option value="Biology">Biology</option>
            			<option value="Computer">Computer</option>
            			<option value="Science">Science</option>
            			<option value="English">English</option>
            			<option value="Hindi">Hindi</option>
            			<option value="Sanskrit">Sanskrit</option>
            			<option value="German">German</option>
            			<option value="French">French</option>
            			<option value="Social">Social</option>
            			<option value="other">Other</option>
            			
            		</select>
            		<span id="12th-primary_status" class="text-danger"></span>
            	</div>
            <div class="form-group margin-form form-group-university" style="margin-left:12px;">
            	<select  id="12th-secondary" multiple="multiple" name="12th_secondary[]" class="form-control country-select  input-sm SlectBox">
            		<option disabled="disabled" selected="selected" value="" >Secondary Subject</option>
            		<option value="Mathematics">Mathematics</option>
            		<option value="Physics">Physics</option>
            		<option value="Chemistry">Chemistry</option>
            		<option value="Biology">Biology</option>
            		<option value="Computer">Computer</option>
            		<option value="Science">Science</option>
            		<option value="English">English</option>
            		<option value="Hindi">Hindi</option>
            		<option value="Sanskrit">Sanskrit</option>
            		<option value="German">German</option>
            		<option value="French">French</option>
            		<option value="other">Other</option>
            		
            	</select>
            	<span id="12th-secondary_status" class="text-danger"></span>
            </div>
            	<div class="form-group margin-form form-group-university" style="margin-left:12px;">
            		<input type="text" class="form-control input-sm" id="12th-others" name="12th_others" placeholder="others">
            	<span id="12th-others_status" class="text-danger"></span>
            	</div>
            </div>
             
            <input type="button"  name="previous" class="btn btn-primary btn btn-default previous action-button send-btns btn-last" value="Previous" />
            <input type="button" onclick="return third_form_validate();" name="next"  class="btn btn-primary btn btn-default next action-button send-btns btn-last" value="Next" />
              
           </fieldset>
            <!-- Cultivation2 FIELD SET -->
            <!-- RETENTION FIELD SET -->
            
         <fieldset>
            <h2 class="fs-title">Bank Details</h2>
            <h3 class="fs-subtitle">Please provide your bank details to get payment in Your Account.</h3>
            <!-- Begin What's Your First Name Field -->
            <div class="form-group margin-form">
                <div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                    <input type="text" class="form-control input-sm" id="bank_name" name="bank_name" placeholder="Bank Name" data-rule-required="true" data-msg-required="Please enter First Nmae">
                    <span id="bank_name_status" class="text-danger"></span>
                </div>
                <div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                    <input type="text" class="form-control input-sm" id="branch_name" name="branch_name" placeholder="Branch Name" data-rule-required="true" data-msg-required="Please enter Last Nmae">
                    <span id="branch_name_status" class="text-danger"></span>
                </div>
            </div>
           
            <div class="form-group margin-form">
            	<div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                	<input type="text" class="form-control input-sm " id="account_holder_name" name="account_holder_name" placeholder="Name as in Account">
                	<span id="account_holder_name_status" class="text-danger"></span>
                </div>
                <div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                    <input type="text" class="form-control input-sm" id="account_no" name="account_no" placeholder="Account-Number" onKeypress="validate(event);" maxlength="20"   data-rule-required="true" data-msg-required="Please enter Email id">
                  	<span id="account_no_status" class="text-danger"></span>
                </div>
            </div>
            <div class="form-group margin-form">
                <div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                    <input type="text" class="form-control input-sm" id="ifsc_code" name="ifsc_code" placeholder="IFSC-Code" data-rule-required="true" data-msg-required="Please enter phone">
                 	<span id="ifsc_code_status" class="text-danger"></span>
                </div>
                <div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                	<input type="text" class="form-control input-sm" id="micr_code" name="micr_code" placeholder="MICR-Code">
                	<span id="micr_code_status" class="text-danger"></span>
                </div>
            </div>
            <!-- End Total Number of Constituents in Your Database Field -->
           <input type="button"  name="previous" class="btn btn-primary btn btn-default previous action-button send-btns btn-last" value="Previous" />
            <input type="button"  name="next" class="btn btn-primary btn btn-default next action-button send-btns btn-last" value="Next" />
            
         </fieldset>
            
            
            
            <fieldset>
            
            <h2 class="fs-title">Network info | Uploads</h2>
            <h3 class="fs-subtitle">Network information and uploads profile</h3>
             <div class="form-group margin-form">
                <div class="form-group  margin-form col-lg-6 col-md-6 col-sm-6">	
    			<input type="text" name="current_occupation" id='current_occupation'  class="form-control input-sm" placeholder="Current Occupation" >
                   <span id="current_occupation_status" class="text-danger"></span>     
                   <div class="required-icon"><div class="text">*</div> </div>                                              	
        		</div>		
        		<div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">	
        			<select multiple="multiple"  class="form-control country-select input-sm SlectBox"  name='days_available[]' id='days_available'>
                		<option disabled="disabled" selected="selected">Days Available for teaching</option>
                		<option value="monday">Monday</option>
                		<option value="tuesday">Tuesday</option>
                		<option value="wednesday">Wednesday</option>
                		<option value="thrusday">Thrusday</option>
                		<option value="friday">Friday</option>
                		<option value="saturday">Saturday</option>
                		<option value="sunday">Sunday</option>
                	</select>
                	<span id="days_available_status" class="text-danger"></span>
                	<div class="required-icon"><div class="text">*</div> </div>
    			</div>
            </div>
            <div class="form-group margin-form">
                <div class="form-group  margin-form col-lg-6 col-md-6 col-sm-6">	
    					<?php $option = array(""=>"Hours daily Available","0"=>"0 hour","1"=>"1  hour","2"=>"2 hour",
    				    "3"=>"3 hour","4"=>"4 hour","5"=>"5 hour","6"=>"6 hour","7"=>"7 hour","8"=>"8 hour");?>
                		<?=form_dropdown('hours_week_ends_available', $option,set_value('hours_week_ends_available'),array('class'=>'form-control country-select  input-sm','id'=>'hours_week_ends_available'));?>
                        <span id="hours_week_ends_available_status" class="text-danger"></span> 
                        <div class="required-icon"><div class="text">*</div> </div>                                                      	
        		</div>		
        		<div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">	
        			<select multiple="multiple"  class="form-control country-select input-sm SlectBox"  name='available_timings[]' id='available_timings'>
                		<option disabled="disabled" selected="selected">Preferred time for teaching</option>
                		<option value="6-7 am">6-7 Am</option>
                		<option value="7-8 am">7-8 Am</option>
                		<option value="9-10 am">9-10 Am</option>
                		<option value="11-12 pm">11-12 Pm</option>
                		<option value="2-3 pm">2-3 Pm</option>
                		<option value="3-4 pm">3-4 Pm</option>
                		<option value="4-5 pm">4-5 Pm</option>
                		<option value="5-6 pm">5-6 Pm</option>
                		<option value="7-8 pm">7-8 Pm</option>
                		<option value="8-9 pm">8-9 Pm</option>
                	</select>
                	<span id="available_timings_status" class="text-danger"></span>
                	<div class="required-icon"><div class="text">*</div> </div>
    			</div>
            </div>
            
            <div class="form-group margin-form">
            	<div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
        			<?php $option = array(""=>"Total Teaching Experience","Less than a year"=>" Less than a year ","Less Two years"=>" Less Two years ",
        			  "Less Four years"=>" Less Four years ","More than 5 years"=>" More than 5 years ");?>
                     <?=form_dropdown('total_teaching_experience', $option, set_value('total_teaching_experience'),array('class'=>'form-control input-sm','id'=>'total_teaching_experience'));?>
                     <span id="total_teaching_experience_status" class="text-danger"></span>
                     <div class="required-icon"><div class="text">*</div> </div>
                </div> 
                <div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                    <select name="type_of_connection" class="form-control input-sm" id="type_of_connection">
                        <option value="" >Type of Connection</option>
                        <option value="Broadband">Broadband</option>
                        <option value="Wifi">Wifi</option>
                        <option value="Dongle">Dongle</option>
                        <option value="Mobile">Mobile</option>
                        <option value="Cable">Cable</option>
                    </select>
                    <span id="type_of_connection_status" class="text-danger"></span>
                    <div class="required-icon"><div class="text">*</div> </div>
                </div>
            </div>
            <div class="form-group margin-form">
            	<div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                    <select name="down_internet_conn_speed" class="form-control input-sm" id="down_internet_conn_speed">
                        <option value="" >Download speed of Internet Connection</option>
                        <option value="512-kbps">512 Kbps</option>
                        <option value="1-mbps">1 Mbps</option>
                        <option value="2-mbps">2 Mbps</option>
                        <option value="4-mbps">4 Mbps</option>
                        <option value="More than 4 mbps">More than 4 mbps</option>
                    </select>
                    <span id="down_internet_conn_speed_status" class="text-danger"></span>
                    <div class="required-icon"><div class="text">*</div> </div>
                </div>
                <div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                    <select name="up_internet_conn_speed" class="form-control input-sm" id="up_internet_conn_speed">
                        <option value="" >Upload speed of Internet Connection</option>
                        <option value="512-kbps">512 Kbps</option>
                        <option value="1-mbps">1 Mbps</option>
                        <option value="2-mbps">2 Mbps</option>
                        <option value="4-mbps">4 Mbps</option>
                        <option value="More than 4 mbps">More than 4 mbps</option>
                    </select>
                    <span id="up_internet_conn_speed_status" class="text-danger"></span>
                    <div class="required-icon"><div class="text">*</div> </div>
                </div>
            </div>
            <div class="form-group margin-form">
                <div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                    <label class="b-submit__main-file-label btn m-btn">
        			 	<?=form_upload(['name'=>'screenshot_speed','class'=>' form-control input-sm','id'=>'screenshot_speed']);?>
                       <label for="screenshot_speed" class="ch1-img" style="font-weight:100;cursor:pointer;">Net Speed Screenshot</label>     
        				<span class="fa fa-angle-right choose-img"></span>
                    </label>
                    <span id="screenshot_speed_status" class="text-danger"></span>
                    <div class="required-icon"><div class="text">*</div> </div>
                </div>
                <div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                    <label class="b-submit__main-file-label btn m-btn">
						<?=form_upload(['name'=>'upload_profile_pic','class'=>' form-control input-sm','id'=>'upload_profile_pic']);?>
                        <label for="upload_profile_pic" class="ch1-img" style="font-weight:100;cursor:pointer;">Upload Your profile pic</label>  
        				<span class="fa fa-angle-right choose-img"></span>
                    </label>
                    <span id="upload_profile_pic_status" class="text-danger"></span>
                    <div class="required-icon"><div class="text">*</div> </div>
                </div>
                
            </div>
            <div class="form-group margin-form">
            	<div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                    <label class="b-submit__main-file-label btn m-btn">
						<?=form_upload(['name'=>'upload_resume','class'=>' form-control input-sm','id'=>'upload_resume']);?>
                        <label for="upload_resume" class="ch1-img" style="font-weight:100;cursor:pointer;">Upload Your CV</label>  
        				<span class="fa fa-angle-right choose-img"></span>
                    </label>
                    <span id="upload_resume_status" class="text-danger"></span>
                    <div class="required-icon"><div class="text">*</div> </div>
                </div>
                <div class="form-group margin-form col-lg-6 col-md-6 col-sm-6">
                    <select name="association_with_gurukul" class="form-control input-sm" id="association_with_gurukul">
                        <option value="" >association with Gurukul is</option>
                        <option value="primary-source-of-income">Primary source of Income</option>
                        <option value="additional-source-of-income">Additonal source of Income</option>
                        <option value="pursue-your-passion">Pursue your passion</option>
                    </select>
                    <span id="association_with_gurukul_status" class="text-danger"></span>
                    <div class="required-icon"><div class="text">*</div> </div>
                </div>
            </div>
            <div class="form-group margin-form">
                <div class="form-group margin-form col-lg-12 col-md-12 col-sm-12">
                	<textarea class="form-control input-sm" type="textarea"  placeholder="How you come to know with theonlinegurukul" maxlength="100" rows="2" name="come_to_know_tog" id="come_to_know_tog"></textarea>
                <span id="come_to_know_tog_status" class="text-danger"></span>
                </div>
            </div>
            <input type="button"  name="previous" class="btn btn-primary btn btn-default previous action-button send-btns btn-last" value="Previous" />
            <?php echo  form_submit(['name'=>'fileSubmit','value'=>'Register','class'=>'btn btn-primary btn btn-default hs-button primary large action-button next send-btns btn-last','style'=>'margin-top:0px;']); ?><!-- 'onClick'=>'return fifth_form_validate();' -->	 
             <?php echo form_close();?>
            </fieldset>
      
        </div>
    </div>
</div>

