Mahesh Sharma
parent
3940ca697f
commit
c4b87ab6c0
5 changed files with 276 additions and 34 deletions
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@extends('layout.app') |
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@section('title') |
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<title>Enquiry Form</title> |
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<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."> |
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<meta name="robots" content="index, follow" /> |
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<meta property="og:url" content="" /> |
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<meta property="og:image" content="{{url('frontend/images/banner.png')}}"/> |
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<meta property="og:title" content="ET-Visas"/> |
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<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."/> |
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@endsection |
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@section('content') |
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<section class="enquiry-form-section"> |
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<h2>Can you please send me fill up this information sheet and we will get back to you soon, Thanks !</h2> |
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<form action=""> |
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<div class="row enquiry-form-row"> |
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<h3>Personal Details</h3> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">First Name</label> |
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<input type="text" class="form-control mt-2" id="fname" name="fname" placeholder="Enter your First name" required> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Middle Name</label> |
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<input type="text" class="form-control mt-2" id="mname" name="mname" placeholder="Enter your Middle name" required> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Last Name</label> |
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<input type="text" class="form-control mt-2" id="lname" name="lname" placeholder="Enter your Last name" required> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Date of birth</label> |
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<input type="text" class="form-control mt-2" id="dob" name="dob" placeholder="Enter your Date of birth" required> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Country</label> |
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<input type="text" class="form-control mt-2" id="country" name="country" placeholder="Enter your Country Name" required> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Gender</label> |
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<div class="d-flex gap-2 mt-2" onclick="eGender()"> |
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<div class="form-check"> |
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<input class="form-check-input gender" type="radio" name="gender" value="Male"/> |
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<label class="form-check-label"> |
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Male |
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</label> |
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</div> |
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<div class="form-check"> |
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<input class="form-check-input gender" type="radio" name="gender" value="Female"/> |
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<label class="form-check-label"> |
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Female |
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</label> |
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</div> |
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<div class="form-check"> |
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<input class="form-check-input gender" type="radio" name="gender" value="Other"/> |
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<label class="form-check-label"> |
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Other |
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</label> |
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</div> |
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</div> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Address</label> |
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<input type="text" class="form-control mt-2" id="address" name="address" placeholder="Enter your Address" required> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Email</label> |
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<input type="text" class="form-control mt-2" id="email" name="email" placeholder="Enter your Email Address" required> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Phone</label> |
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<input type="text" class="form-control mt-2" id="phone" name="phone" placeholder="Enter your Phone Number" required> |
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</div> |
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</div> |
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|
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<h3>Addidional Information</h3> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Highest Qualification</label> |
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<input type="text" class="form-control mt-2" id="highestqualification" name="highestqualification" placeholder="Enter your Highest Qualification"> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Stream</label> |
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<input type="text" class="form-control mt-2" id="stream" name="stream" placeholder="Enter your Stream"> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">% or GPA</label> |
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<input type="text" class="form-control mt-2" id="gpa" name="gpa" placeholder="Enter your % or GPA"> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Passed Year</label> |
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<input type="text" class="form-control mt-2" id="passedyear" name="passedyear" placeholder="Enter your Passed Year"> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Gap after Studies</label> |
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<input type="text" class="form-control mt-2" id="gap" name="gap" placeholder="Enter your Gap after Studies"> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">What you are doing now?</label> |
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<input type="text" class="form-control mt-2" id="gpa" name="gpa" placeholder="Enter your Current Status"> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Work experience Details ( If any )</label> |
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<input type="text" class="form-control mt-2" id="work-experience" name="work-experience" placeholder="Enter your Work experience Details"> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Salary mode</label> |
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<input type="text" class="form-control mt-2" id="salary-mode" name="salary-mode" placeholder="Enter your Salary Mode"> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">IELTS / PTE Score</label> |
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<input type="text" class="form-control mt-2" id="test-score" name="test-score" required> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Marital Status</label> |
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<div class="d-flex gap-2 mt-2" onclick="maritalStatus()"> |
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<div class="form-check"> |
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<input class="form-check-input marital-status" type="radio" name="marital-status" value="Male"/> |
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<label class="form-check-label"> |
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Single |
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</label> |
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</div> |
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<div class="form-check"> |
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<input class="form-check-input marital-status" type="radio" name="marital-status" value="Female"/> |
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<label class="form-check-label"> |
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Married |
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</label> |
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</div> |
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<div class="form-check"> |
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<input class="form-check-input marital-status" type="radio" name="marital-status" value="Other"/> |
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<label class="form-check-label"> |
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Widow |
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</label> |
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</div> |
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</div> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Married date: (Only if Married if not Leave it bank)</label> |
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<input type="date" class="form-control mt-2" id="married-date" name="married-date"> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Spouse Academics</label> |
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<input type="text" class="form-control mt-2" id="spouse-academics" name="spouse-academics" placeholder="Enter your Spouse Academics"> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Work Experience of Spouse</label> |
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<input type="text" class="form-control mt-2" id="spouse-work-experience" name="spouse-work-experience" placeholder="Enter Work Experience of Spouse"> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Spouse Salary Mode</label> |
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<input type="text" class="form-control mt-2" id="spouse-salary-mode" name="spouse-salary-mode" placeholder="Enter Spouse Salary Mode"> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Immigration History: </label> |
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<input type="text" class="form-control mt-2" id="immigration-history" name="immigration-history" placeholder="Enter your Immigration History"> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Desired study field</label> |
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<input type="text" class="form-control mt-2" id="desired-study-field" name="desired-study-field" placeholder="Enter your Desired study field"> |
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</div> |
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</div> |
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<div class="col-md-4"> |
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<div class="form-group mb-3"> |
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<label for="name">Desired location (If Any)</label> |
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<input type="text" class="form-control mt-2" id="desired-location" name="desired-location" placeholder="Enter your Desired location"> |
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</div> |
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</div> |
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<div class="col-md-12 text-center"> |
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<button type="submit" class="enquiry-from-btn">Submit</button> |
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</div> |
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</div> |
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</form> |
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</section> |
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@endsection |
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