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<!DOCTYPE html>
<html lang="en">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">
<title>Contact Us - Maulana Azad Inter College</title>
<?php include 'head-links.php'; ?>
</head>
<body>
<!--header start -->
<?php include 'header.php';?>
<?php
if ($_SERVER["REQUEST_METHOD"] === "POST") {
echo "welcome";exit;
// Escape and sanitize the input values
$std_firstname = escape($_POST['std_firstname']);
$std_lastname = escape($_POST['std_lastname']);
$std_mobile = escape($_POST['std_mobile']);
$std_email = escape($_POST['std_email']);
$std_dob = escape($_POST['std_dob']);
$std_gender = escape($_POST['std_gender']);
$std_address = escape($_POST['std_address']);
// Prepare and bind the statement
$stmt = $conn->prepare("INSERT INTO maiclali_maic (std_firstname, std_lastname, std_mobile, std_email, std_dob, std_gender, std_address) VALUES (?, ?, ?, ?, ?, ?, ?)");
$stmt->bind_param("sssssss", $std_firstname, $std_lastname, $std_mobile, $std_email, $std_dob, $std_gender, $std_address);
// Execute the statement
if ($stmt->execute()) {
echo "Data inserted successfully!";
} else {
echo "Error: " . $stmt->error;
}
// Close the statement
$stmt->close();
}
?>
<!--header end -->
<section class="breadcrumb-wrap br-bg-3">
<img src="uploads/pages/mission-vission_19078_1645606780.jpg" />
<div class="overlay op-2 bg-black"></div>
<div class="container">
<div class="breadcrumb-title">
<h2><span></span></h2>
<ul class="breadcrumb-menu">
<li><a href="index.html">Home </a></li>
<li>Registration</li>
</ul>
</div>
</div>
</section>
<div class="container pt-50 pb-50">
<div class="row inner-page">
<h2 class="sec_title"><span>Registration</span>
<div><img src="assets/img/heading.png" /></div>
</h2>
<div class="col-md-12">
<div class="content">
<div class="row">
<div class="col-md-12">
<div class="contact-form_wrap pb-60">
<div class="row">
<div class="col-lg-12">
<div class="section-title text-center mb-20 style1">
<h2>Register Online</h2>
</div>
</div>
<div class="col-lg-12">
<div class="contact-form">
<form class="form-wrap" id="contactForm">
<div class="row">
<div class="col-lg-6">
<div class="form-group">
<input type="text" name="std_firstname" placeholder="First Name*" id="std_firstname" required
data-error="Please enter your first name">
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-lg-6">
<div class="form-group">
<input type="text" name="std_lastname" placeholder="Last Name*" id="std_lastname" required
data-error="Please enter your last name">
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-lg-6">
<div class="form-group">
<input type="tel" name="std_mobile" placeholder="Phone Number*" id="std_mobile" required
data-error="Please enter your phone number">
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-lg-6">
<div class="form-group">
<input type="email" name="std_email" placeholder="Email Address*" id="std_email" required
data-error="Please enter your email">
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-lg-6">
<div class="form-group">
<input type="text" name="std_dob" placeholder="Date of Birth*" id="std_dob" required
data-error="Please enter your date of birth" class="datepicker">
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-lg-6">
<div class="form-group">
<select name="std_gender" id="std_gender" required data-error="Please select your gender">
<option value="" selected disabled>Gender*</option>
<option value="Male">Male</option>
<option value="Female">Female</option>
<option value="Other">Other</option>
</select>
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-lg-12">
<div class="form-group v1">
<textarea name="std_address" id="std_address" placeholder="Address*" cols="30" rows="5" required
data-error="Please enter your address"></textarea>
<div class="help-block with-errors"></div>
</div>
</div>
<!-- Rest of the code -->
<div class="col-lg-12">
<button id="send1" class="btn v1 d-block w-100" >Submit</button>
<div id="msg_response" class="h3 text-center"></div>
<div class="clearfix"></div>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
</div>
<script src="assets/js/contact-form-script.js"></script>
</div>
</div>
</div>
</div>
<div class="bottomflower"></div>
</div>
<a href="#" class="back-to-top bounce"><i class="las la-arrow-up"></i></a>
<!--footer start -->
<?php include 'footer.php';?>
<!--footer end -->
</body>
</html>