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Mini Shell

Direktori : /home2/selectio/public_html/sqarextechnologies.com/shrivaariagencies.in/
Upload File :
Current File : /home2/selectio/public_html/sqarextechnologies.com/shrivaariagencies.in/form.php

<?php include 'header.1.php' ?>
<style>
.contact-section::before {
      background: none;
}
.section-padding {
    padding: 160px 0px;
}
</style>

         <section class="contact-section section-padding">
            <div class="container"  >
                    <div class="section-title text-center">
                        <h2>Apply Here</h2>
                    </div> <!-- section-title -->
                    <div class="col-lg-12">
                        <div class="form-section">
                                <form class="" action="send-email.php" method="post" enctype="multipart/form-data">
                        <div class="row">
                        <div class="col-md-6">
                                    <div class="form-group">
                                        <label for="">Full Name</label>
                                        <input id="name" name="name" type="text" class="form-control"  required="" placeholder="Full Name">
                                    </div>

                                    <div class="form-group">
                                        <label for="">Mobile Number</label>
                                        <input class="domainSearchBar form-control" id="email" name="phone_number" type="number" required="" placeholder="Mobile Number">
                                    </div>
                                    <div class="form-group">
                                        <label for="">Choose the jobs you apply for:</label>
                                        <select name="jobs" id="jobs">
                                          <option value="">Construction Work</option>
                                          <option value="">CNC Operator</option>
                                          <option value="">Security</option>
                                          <option value="">Oil & Gases</option>
                                          <option value="">IT Solutions</option>
                                          <option value="">Hotel & Restaurant</option>
                                          <option value="">Drivers</option>
                                          <option value="">Loading & Unloading </option>
                                        </select>
                                    </div>

                                    <div class="form-group">
                                        <label for="">Resume </label>
                                        <input id="last-name" name="resume" type="file" class="form-control"  required="" placeholder="Resume" style="padding: 25px;padding-top: 6px;">
                                    </div>

                                    <div class="form-group">
                                        <label for="">Experience Certificate </label>
                                        <input id="last-name" name="exp_certi" type="file" class="form-control"  required="" placeholder="Resume" style="padding: 25px;padding-top: 6px;">
                                    </div>

                                    
                             
                            </div> <!-- mail-section -->
                       <div class="col-md-6">
                            
                                    
                                    <div class="form-group">
                                        <label for="">Image(Passport Size)</label>
                                        <input id="name" name="img" type="file" class="form-control"  required="" placeholder="" style="padding: 25px;padding-top: 6px;">
                                    </div>

                                    <div class="form-group">
                                        <label for="">Passport </label>
                                        <input class="domainSearchBar form-control" id="" name="passport" type="file" required="" placeholder="" style="padding: 25px;padding-top: 6px;">
                                    </div>

                                    <div class="form-group">
                                        <label for="">Educational Certificate </label>
                                        <input id="last-name" name="edu_certi" type="file" class="form-control"  required="" placeholder="Resume" style="padding: 25px;padding-top: 6px;">
                                    </div>

                                    <div class="form-group">
                                        <label for="">Aadhar Card </label>
                                        <input id="last-name" name="ad_card" type="file" class="form-control"  required="" placeholder="Resume" style="padding: 25px;padding-top: 6px;">
                                    </div>

                                    <div class="form-group">
                                        <label for="">PAN Card </label>
                                        <input id="last-name" name="pan_card" type="file" class="form-control"  required="" placeholder="Resume" style="padding: 25px;padding-top: 6px;">
                                    </div>
                                
                            </div> <!-- mail-section -->
                           
                            </div>
                            
                        </div>
                    </div>
                    <div class="col-lg-12">
                        <div class="form-group">
                            <button class="btn btn-primary" type="submit" name="add_news">Submit</button>
                        </div>
                    </div>
                </form>
            </div>
            
        </section> <!-- contact-section -->

<?php include 'footer.1.php' ?>

Zerion Mini Shell 1.0