@extends('layout.app')
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								@section('title')
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								< title > Enquiry Form< / title > 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								    < meta  name = "description"  content = "ET Education and Visa Services, presented by Extratech, is an adept provider of excellent education consultation, information, and visa guidance solution to students seeking schooling abroad." > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								    < meta  name = "robots"  content = "index, follow"  / > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								    < meta  property = "og:url"  content = ""  / > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								    < meta  property = "og:image"  content = "{{url('frontend/images/banner.png')}}" / > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								    < meta  property = "og:title"  content = "ET-Visas" / > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								    < meta  property = "og:description"  content = "ET Education and Visa Services, presented by Extratech, is an adept provider of excellent education consultation, information, and visa guidance solution to students seeking schooling abroad." / > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								@endsection
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								@section('content')
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								    < section  class = "enquiry-form-section" > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								        < h2 > Enquiry Form< / h2 > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        < p > Please fill up the form and we will get back to you soon, Thanks !< / p > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								        < form  onsubmit = "return submitEnquiry()" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            < div  class = "row enquiry-form-row" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < h3 > Personal Details< / h3 > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > First Name< / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < input  type = "text"  class = "form-control mt-2"  id = "fname"  name = "first_name"  value = ""  placeholder = "Enter your First name"  onkeyup = "validatefName()" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < span  class = "error"  id = "error-fname" > < / span > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Middle Name< / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < input  type = "text"  class = "form-control mt-2"  id = "mname"  name = "middle_name"  value = ""  placeholder = "Enter your Middle name" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Last Name< / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < input  type = "text"  class = "form-control mt-2"  id = "lname"  name = "last_name"  value = ""  placeholder = "Enter your Last name"  onkeyup = "validatelName()" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < span  class = "error"  id = "error-lname" > < / span > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Date of birth< / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < input  type = "date"  class = "form-control mt-2"  id = "dob"  name = "dob"  placeholder = "Enter your Date of birth"  onkeyup = "validateDob()" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < span  class = "error"  id = "error-dob" > < / span > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Country< / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < select  class = "form-select mt-2"  name = "cob"  id = "e-cob"  onchange = "eCob()" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                            < option  value = ""  hidden > Select you country of birth< / option > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                            @foreach($countries as $country)
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                < option  value = "{{$country->id}}"  @ if ( old ( ' country_id ' )  = = =  $ country- > id) selected @endif>{{$country->name}}< / option > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                            @endforeach
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < / select > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < span  class = "error"  id = "error-cob" > < / span > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Gender< / label > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < div  class = "d-flex gap-2 mt-2"  onclick = "eGender()" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                            < div  class = "form-check" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                < input  class = "form-check-input gender"  type = "radio"  name = "gender"  value = "Male" / > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                < label  class = "form-check-label" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                    Male
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                < / label > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                            < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                            < div  class = "form-check" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                < input  class = "form-check-input gender"  type = "radio"  name = "gender"  value = "Female" / > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                < label  class = "form-check-label" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                    Female
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                < / label > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                            < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                            < div  class = "form-check" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                < input  class = "form-check-input gender"  type = "radio"  name = "gender"  value = "Other" / > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                < label  class = "form-check-label" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                    Other
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                < / label > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                            < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < / div > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < span  class = "error"  id = "error-gender" > < / span > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Address< / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < input  type = "text"  class = "form-control mt-2"  id = "address"  name = "address"  placeholder = "Enter your Address"  onkeyup = "validateAddress()" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < span  class = "error"  id = "error-address" > < / span > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Email< / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < input  type = "email"  class = "form-control mt-2"  id = "email"  name = "email"  placeholder = "Enter your Email Address"  onkeyup = "validateEmail()" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < span  class = "error"  id = "error-email" > < / span > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Phone< / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < input  type = "text"  class = "form-control mt-2"  id = "phone"  name = "phone"  placeholder = "Enter your Phone Number"  onkeyup = "validatePhone()" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < span  class = "error"  id = "error-phone" > < / span > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                < h3  class = "mt-5" > Additional Information< / h3 > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Highest Qualification< / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < input  type = "text"  class = "form-control mt-2"  id = "highest_qualification"  name = "highest_qualification"  placeholder = "Enter your Highest Qualification" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Stream< / label > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < input  type = "text"  class = "form-control mt-2"  id = "stream"  name = "stream"  placeholder = "Enter your Stream" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > % or GPA< / label > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < input  type = "text"  class = "form-control mt-2"  id = "gpa"  name = "gpa"  placeholder = "Enter your % or GPA" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Passed Year< / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < input  type = "text"  class = "form-control mt-2"  id = "graduate_year"  name = "graduate_year"  placeholder = "Enter your Passed Year" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Gap after Studies< / label > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < input  type = "text"  class = "form-control mt-2"  id = "gap"  name = "gap"  placeholder = "Enter your Gap after Studies" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > What you are doing now?< / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < input  type = "text"  class = "form-control mt-2"  id = "current_status"  name = "current_status"  placeholder = "Enter your Current Status" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Do you have work experience?< / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < select  class = "form-select mt-2"  name = "work_experience"  id = "work-experience"  onchange = "wExperience()" > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                            < option  value = ""  hidden > Work experence status< / option > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                            < option  value = "yes" > Yes< / option > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                            < option  value = "no" > No< / option > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < / select > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4"  id = "work-exp-detail" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Work experience Details< / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < input  type = "text"  class = "form-control mt-2"  id = "work-experience-detail"  name = "work_experience_details"  placeholder = "Enter your Work experience Details" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4"  id = "work-salary-mode" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Salary mode< / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < input  type = "text"  class = "form-control mt-2"  id = "salary-mode"  name = "salary_mode"  placeholder = "Enter your Salary Mode" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > IELTS / PTE Score< / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < input  type = "text"  class = "form-control mt-2"  id = "test-score"  name = "test_score"  placeholder = "Enter your IELTS / PTE score" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Marital Status< / label > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < div  class = "d-flex gap-2 mt-2"  onclick = "maritalStatus()" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                            < div  class = "form-check" > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                                < input  class = "form-check-input marital-status"  id = "marital-status"  type = "radio"  name = "marital_status"  value = "Single" / > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                < label  class = "form-check-label" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                    Single
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                < / label > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                            < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                            < div  class = "form-check" > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                                < input  class = "form-check-input marital-status"  id = "marital-status"  type = "radio"  name = "marital_status"  value = "Married" / > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                < label  class = "form-check-label" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                    Married
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                < / label > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                            < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                            < div  class = "form-check" > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                                < input  class = "form-check-input marital-status"  id = "marital-status"  type = "radio"  name = "marital_status"  value = "Widow" / > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                < label  class = "form-check-label" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                    Widow
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                                < / label > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                            < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < / div > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < span  class = 'error'  id = "error-gender" > < / span > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4"  id = "spouse-married-date" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Married date< / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < input  type = "date"  class = "form-control mt-2"  id = "married-date"  name = "married_date" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4"  id = "spouse-academic" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Spouse Academics< / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < input  type = "text"  class = "form-control mt-2"  id = "spouse-academics"  name = "spouse_academics"  placeholder = "Enter your Spouse Academics" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4"  id = "spouse-experience" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Work Experience of Spouse< / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < input  type = "text"  class = "form-control mt-2"  id = "spouse-work-experience"  name = "spouse_work_experience"  placeholder = "Enter Work Experience of Spouse" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4"  id = "spouse-salary" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Spouse Salary Mode< / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < input  type = "text"  class = "form-control mt-2"  id = "spouse-salary-mode"  name = "spouse_salary_mode"  placeholder = "Enter Spouse Salary Mode" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Immigration History: < / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < input  type = "text"  class = "form-control mt-2"  id = "immigration-history"  name = "immigration_history"  placeholder = "Enter your Immigration History" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Desired study field< / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < input  type = "text"  class = "form-control mt-2"  id = "desired-study-field"  name = "desired_study_field"  placeholder = "Enter your Desired study field" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-4" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < div  class = "form-group mb-3" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < label  for = "name" > Desired location (If Any)< / label > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                        < select  class = "form-select mt-2"  name = "desired_location"  id = "desired-location" > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								                            < option  value = ""  hidden  class = "select-placeholder" > Select your desired location< / option > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                            < option  value = "au" > Australia< / option > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                            < option  value = "nz" > New Zeland< / option > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                            < option  value = "ca" > Canada< / option > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                            < option  value = "us" > USA< / option > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                        < / select > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < div  class = "col-md-12 text-center" > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    < button  type = "submit"  class = "enquiry-from-btn" > Submit< / button > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            < / div > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        < / form > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								    < / section > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								@endsection
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								@section('script')
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								    < script > 
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								        fnameError = document.getElementById('error-fname');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        lnameError = document.getElementById('error-lname');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        dobError = document.getElementById('error-dob');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        cobError = document.getElementById('error-cob');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        GenderError = document.getElementById('error-gender');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        addressError = document.getElementById('error-address');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        emailError = document.getElementById('error-email');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        phoneNumberError = document.getElementById('error-phone');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								        function maritalStatus(){
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								            var marriedDate = document.getElementById('spouse-married-date');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            var spouseAcademic = document.getElementById('spouse-academic');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            var spouseExperience = document.getElementById('spouse-experience');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            var spouseSalary = document.getElementById('spouse-salary');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            var maritalStatus = document.getElementsByClassName("marital-status");
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								            for(var i=0;i< maritalStatus.length ; i + + ) { 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                if(maritalStatus[i].checked){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    valid = true;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    break;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            if(maritalStatus[i].value == "Married"){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                marriedDate.classList.add('married');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                spouseAcademic.classList.add('married');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                spouseExperience.classList.add('married');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                spouseSalary.classList.add('married');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            }else{
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                marriedDate.classList.remove('married');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                spouseAcademic.classList.remove('married');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                spouseExperience.classList.remove('married');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                spouseSalary.classList.remove('married');
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								            }
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								        }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        function wExperience(){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            workExperience = document.getElementById('work-experience').value;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            workDetail = document.getElementById('work-exp-detail');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            salaryMode = document.getElementById('work-salary-mode');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            if(workExperience.length == 0){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                $('#work-experience').focus();
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                return false;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            }if(workExperience == "yes"){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                workDetail.classList.add('married');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                salaryMode.classList.add('married');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            }else{
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                workDetail.classList.remove('married');
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                salaryMode.classList.remove('married');
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								            }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        }
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        function validatefName(){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            firstName = document.getElementById('fname').value;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            if(firstName.length == 0){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                $('#fname').focus();
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                fnameError.innerHTML = "First Name is required !";
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                return false;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            }else{
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                fnameError.innerHTML = "";
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                return true;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        function validatelName(){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            lastName = document.getElementById('lname').value;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            if(lastName.length == 0){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                $('#lname').focus();
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                lnameError.innerHTML = "Last Name is required !";
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                return false;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            }else{
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                lnameError.innerHTML = "";
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                return true;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        function validateDob(){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        var dob = document.getElementById('dob').value;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        if(dob == ""){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            $('#dob').focus();
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            dobError.innerHTML = "Date of birth is required!";
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            return false;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            dobError.innerHTML = '';
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            return true;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        function eCob(){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        var cob = document.getElementById('e-cob').value;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        if(cob == ""){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            $('#e-cob').focus();
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            cobError.innerHTML = "Country of birth is required!";
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            return false;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            cobError.innerHTML = '';
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            return true;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        function eGender(){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            var valid = false;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            var gender = document.getElementsByClassName("gender");
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            for(var i=0;i< gender.length ; i + + ) { 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                if(gender[i].checked){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    valid = true;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                    break;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            if(valid){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                GenderError.innerHTML = '';
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                return true;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            }else{
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                GenderError.innerHTML = "Please select your gender!";
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                return false;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        function validateAddress(){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        var address = document.getElementById('address').value;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        if(address.length == 0){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            $('#address').focus();
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            addressError.innerHTML = "Address field is required!";
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            return false;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        addressError.innerHTML = '';
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        return true;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								    }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								    function validateEmail(){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        var email = document.getElementById('email').value;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        if(email.length == 0){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            emailError.innerHTML = "Email is required!";
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            return false;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        if(!email.match(/^\w+([.-]?\w+)*@\w+([.-]?\w+)*(.\w{2,3})+$/)){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            emailError.innerHTML = "Invalid email address";
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            return false;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        emailError.innerHTML = '';
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        return true;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								    }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								    function validatePhone(){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        var phone = document.getElementById('phone').value;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        if(phone.length == 0){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            $('#phone').focus();
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            phoneNumberError.innerHTML = "Mobile number is required!";
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            return false;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        if(!phone.match(/^\d{10}$/)){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            phoneNumberError.innerHTML = "Invalid mobile number";
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            return false;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        phoneNumberError.innerHTML = '';
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        return true;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								    }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        function submitEnquiry(){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            if(!validatefName() || !validatelName() || !validateDob() || !eCob() || !eGender() ||
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            !validateAddress() || !validateEmail() || !validatePhone()){
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								                return false;
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            }else{
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								            }
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								        }
 
							 
						 
					
						
							
								
							 
							
								
									
										 
									 
								
							 
							
								 
							 
							
							
								    < / script > 
 
							 
						 
					
						
							
								
							 
							
								
							 
							
								 
							 
							
							
								@endsection