@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