ET-VISA/resources/views/enquiry-form.blade.php

@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>Can you please send me fill up this information sheet and we will get back to you soon, Thanks !</h2>
        <form action="">
            <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="fname" placeholder="Enter your First name" required>
                    </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="mname" placeholder="Enter your Middle name" required>
                    </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="lname" placeholder="Enter your Last name" required>
                    </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" required>
                    </div>
                </div>
                <div class="col-md-4">
                    <div class="form-group mb-3">
                        <label for="name">Country</label>
                        <input type="text" class="form-control mt-2" id="country" name="country" placeholder="Enter your Country Name" required>
                    </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>
                    </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" required>
                    </div>
                </div>
                <div class="col-md-4">
                    <div class="form-group mb-3">
                        <label for="name">Email</label>
                        <input type="text" class="form-control mt-2" id="email" name="email" placeholder="Enter your Email Address" required>
                    </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" required>
                    </div>
                </div>

                <h3>Addidional 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="highestqualification" name="highestqualification" 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="passedyear" name="passedyear" 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="gpa" name="gpa" placeholder="Enter your Current Status">
                    </div>
                </div>
                <div class="col-md-4">
                    <div class="form-group mb-3">
                        <label for="name">Work experience Details ( If any )</label>
                        <input type="text" class="form-control mt-2" id="work-experience" name="work-experience" placeholder="Enter your Work experience Details">
                    </div>
                </div>
                <div class="col-md-4">
                    <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" type="radio" name="marital-status" value="Male"/>
                                <label class="form-check-label">
                                    Single
                                </label>
                            </div>
                            <div class="form-check">
                                <input class="form-check-input marital-status" type="radio" name="marital-status" value="Female"/>
                                <label class="form-check-label">
                                    Married
                                </label>
                            </div>
                            <div class="form-check">
                                <input class="form-check-input marital-status" type="radio" name="marital-status" value="Other"/>
                                <label class="form-check-label">
                                    Widow
                                </label>
                            </div>
                        </div>
                    </div>
                </div>
                <div class="col-md-4">
                    <div class="form-group mb-3">
                        <label for="name">Married date: (Only if Married if not Leave it bank)</label>
                        <input type="date" class="form-control mt-2" id="married-date" name="married-date">
                    </div>
                </div>
                <div class="col-md-4">
                    <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">
                    <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">
                    <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>
                        <input type="text" class="form-control mt-2" id="desired-location" name="desired-location" placeholder="Enter your Desired location">
                    </div>
                </div>
                <div class="col-md-12 text-center">
                    <button type="submit" class="enquiry-from-btn">Submit</button>
                </div>
            </div>
        </form>
    </section>
@endsection