psc/eindex.html at main · pasindusenevirathne2002/psc · GitHub

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<!doctype html>
<html lang="en">
  <head>
    <meta charset="utf-8">
    <meta name="viewport" content="width=device-width, initial-scale=1">
    <title>PSC Project </title>
    <!-- Bootstrap Lib's css  -->
    <link rel="stylesheet" href="bootstrap/css/bootstrap.min.css">

    <!-- Custom styles for this template -->
    <link href="css/form-validation.css" rel="stylesheet">
  </head>
  <body class="bg-light">

<div class="container">
  <main>
    <div class="py-2 text-center">
      <h2>Transfer Application </h2>
      <!-- <p class="lead">Some Description Here.</p> -->
    </div>


    <div class="col-12">

      <div class="row g-3">
        <div class="col-sm-6">
          <label for="mname" class="form-label">Provincial Ministry: </label>

          <select name="type" id="type" class="form-control form-select" required>
            <option value="" disabled hidden selected>Select </option>
            <option value="0">Independent</option>
            <option value="1">Chief Ministry</option>
            <option value="2">Ministry of Education</option>
            <option value="3">Ministry of Agriculture </option>
            <option value="4">Ministry of Fisheries</option>
            <option value="5">Ministry of Sports</option>

        </select>
      <div class="invalid-feedback">

          </div>
        </div>

        <div class="col-sm-6">
          <label for="dname" class="form-label">Department:</label>
      <input type="text" class="form-control" id="dname" placeholder="" value="" required>
      <div class="invalid-feedback">

      </div>
        </div>


            <div class="col-12">
              <label for="inno" class="form-label">Full name of the officer:</label>
              <div class="input-group has-validation">
                <!--<span class="input-group-text">@</span>-->
                <input type="text" class="form-control" id="inno"placeholder=" " required>
              <div class="invalid-feedback">

                </div>
              </div>
            </div>

            <div class="col-12">
              <label for="inno" class="form-label">NIC Number:</label>
              <div class="input-group has-validation">
                <!--<span class="input-group-text">@</span>-->
                <input type="number" class="form-control" id="inno"placeholder=" " required>
              <div class="invalid-feedback">

                </div>
              </div>
            </div>

            <div class="col-12">
              <label for="inno" class="form-label">Duty Address:</label>
              <div class="input-group has-validation">
                <!--<span class="input-group-text">@</span>-->
                <input type="text" class="form-control" id="inno"placeholder=" " required>
              <div class="invalid-feedback">

                </div>
              </div>
            </div>

            <div class="col-12">
              <label for="inno" class="form-label">Personal address:</label>
              <div class="input-group has-validation">
                <!--<span class="input-group-text">@</span>-->
                <input type="text" class="form-control" id="inno"placeholder=" " required>
              <div class="invalid-feedback">

                </div>
              </div>
            </div>

            <div class="col-12">
              <label for="inno" class="form-label">Address of permanent residence:</label>
              <div class="input-group has-validation">
                <!--<span class="input-group-text">@</span>-->
                <input type="text" class="form-control" id="inno"placeholder=" " required>
              <div class="invalid-feedback">

                </div>
              </div>
            </div>

            <div class="col-12">
              <label for="inno" class="form-label">Active phone number:</label>
              <div class="input-group has-validation">
                <!--<span class="input-group-text">@</span>-->
                <input type="number" class="form-control" id="inno"placeholder=" " required>
              <div class="invalid-feedback">

                </div>
              </div>
            </div>

            <div class="col-12">
              <label for="inno" class="form-label">Phone number using Whatsapp:</label>
              <div class="input-group has-validation">
                <!--<span class="input-group-text">@</span>-->
                <input type="number" class="form-control" id="inno"placeholder=" " required>
              <div class="invalid-feedback">

                </div>
              </div>
            </div>

            <div class="col-12">
              <label for="inno" class="form-label">Email address:</label>
              <div class="input-group has-validation">
                <!--<span class="input-group-text">@</span>-->
                <input type="mail" class="form-control" id="inno"placeholder=" " required>
              <div class="invalid-feedback">

                </div>
              </div>
            </div>
           </div>
           </div>

          <div id="saved"></div>
          <hr class="my-4">

          <a href="eindex1.html" class="btn btn-primary btn-lg">NEXT </a>

          <input type="hidden" id="subno" value="0">
        </div>
      </div>
    </div>
  </main>
</div>

  </body>

</html>