From 808eb9f4932fc43ff2be5be34d401e42ce90f271 Mon Sep 17 00:00:00 2001
From: Mckenzie <mckenz318@gmail.com>
Date: Sun, 3 Sep 2023 22:54:16 -0500
Subject: [PATCH] html code : form

---
 src/routes/form/+page.svelte | 59 ++++++++++++++++++++++++++++++++++++
 1 file changed, 59 insertions(+)

diff --git a/src/routes/form/+page.svelte b/src/routes/form/+page.svelte
index 437c6d6..16b5c34 100644
--- a/src/routes/form/+page.svelte
+++ b/src/routes/form/+page.svelte
@@ -3,6 +3,8 @@
 </p>
 
 <form class="grid grid-cols-[2fr_3fr] w-4/5 md:w-2/3 gap-2 md:gap-4 mx-auto">
+	<label for="name">Name of the student</label>
+	<input type = "text" id = "name" name = "name">
 	<label for="programme">Pick your programme</label>
 	<select id="programme">
 		<option value="ug">UG Undergraduate</option>
@@ -23,4 +25,61 @@
 		<option value="9">Sem IX</option>
 		<option value="10">Sem X</option>
 	</select>
+	<label for="role">Roll No</label>
+	<input type = "text" id = "role" name = "role">
+	<label for="category">Category</label>
+	<select id="category">
+		<option value="1">General</option>
+		<option value="2">EWS</option>
+		<option value="3">OBC</option>
+		<option value="4">WDP</option>
+		<option value="5">SC</option>
+		<option value="6">ST</option>
+		<option value="7">VHC</option>
+		<option value="8">PHC</option>
+	</select>
+	<label for="phone">Phone No</label>
+	<input type = "tel" id = "phone" name = "phone">
+
+	
+	<strong>Details of the fees payment</strong>
+	<br>
+	<label for="acc-holder">Name of the account holder</label>
+	<input type="text" id="acc-holder" name="acc-holder">
+	<label for="acc-no">Account No</label>
+	<input type="number" id="acc-no" name="acc-no">
+	<label for="bank">Name of the bank</label>
+	<input type="text" id="bank" name="bank">
+	<label for="branch">Branch</label>
+	<input type="text" id="branch" name="branch">
+
+	<label for="ifsc">IFSC code</label>
+	<input type="number" id="ifsc" name="ifsc">
+	<label for="paid-amt">Amount paid</label>
+	<input type="number" id="paid-amt" name="paid-amt">
+	<label for="pay-date">Date of Payment</label>
+	<input type="date" id="pay-date" name="bank">
+	<label for="mode">Payment Mode</label>
+	<select id="mode">
+		<option value="1">NEFT</option>
+		<option value="2">SBI to SBI</option>
+		<option value="3">Debit card</option>
+		<option value="4">Credit card</option>
+	</select>
+	<label for="transaction-no">Transaction Number</label>
+	<input type="number" id="transaction-no" name="transaction-no">
+	<label for="reference-no">Reference Number</label>
+	<input type="number" id="reference-no" name="reference-no">
+	<label for="utr">UTR Number</label>
+	<input type="number" id="utr" name="utr">
+	<label for="inb">INB Reference Number (for transfer from SBI to SBI)</label>
+	<input type="number" id="inb" name="inb">
+
+	<strong>Details of the fees payment</strong>
+	<br>
+
+	<ol type = "a">
+		<li>A scanned copy of the receipt/counterfoil</li>
+		<li>Screenshot of the message regarding payment of fees</li>
+	</ol>
 </form>