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html code : form

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Mckenzie
2023-09-03 22:54:16 -05:00
parent 84c392a621
commit 808eb9f493
1 changed files with 59 additions and 0 deletions
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59
src/routes/form/+page.svelte
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@@ -3,6 +3,8 @@
</p> </p>
<form class="grid grid-cols-[2fr_3fr] w-4/5 md:w-2/3 gap-2 md:gap-4 mx-auto"> <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> <label for="programme">Pick your programme</label>
<select id="programme"> <select id="programme">
<option value="ug">UG Undergraduate</option> <option value="ug">UG Undergraduate</option>
@@ -23,4 +25,61 @@
<option value="9">Sem IX</option> <option value="9">Sem IX</option>
<option value="10">Sem X</option> <option value="10">Sem X</option>
</select> </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> </form>