PK
<?php
session_start();
require_once 'common/common.php';
require_once 'common/secure.php';
?>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN"
"http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd">
<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-US" lang="en-US" dir="ltr">
<head>
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<title>Basic and Advanced details | Edusoft Registeration</title>
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<li><a href="#nav-main">skip to navigation</a></li>
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<h1><a href="/en-US/" title="Back to home page"><img src="/img/template/moz-com-logo.png" height="38" width="89" alt="Mozilla Corporation" /></a></h1>
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<li id="menu_products"><a href="/en-US/products/">Edusoft</a></li>
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<div><a href="/en-US/">Home</a> » <a href="/en-US/">Installation</a> » <span>Basic Details</span></div>
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<div class="feature-contents">
<h2><img src="/img/support/support-title.png" alt="Installation Information" width="117" height="29" /></h2>
<p>EDUSOFT DEMO VERSION INSTALLATION</p>
</div>
</div>
</div>
<div id="content">
<div id="mainContent">
<div id="mBody">
<h1> Registeration - Institute Information & Details</h1>
<font size="2">IMPORTANT: key provided by you is for DEMO PURPOSE
Installation only. Software will expire itself after
10 days if not upgraded.</font>
<table border="1" width="100%" cellpadding="3" cellspacing="3">
<form action="register.php" method="post">
<input type="hidden" name="vkey" value="e10adc3949ba59abbe56e057f20f883e">
<tr>
<td align="center" colspan="2" class="red"><font color="#669900"><strong>Basic
Infomation:</strong></font></td>
</tr>
<tr class="blue">
<td width="50%"> <strong>Name:</strong> <input type="text" name="name" size="45" value="Your Institute Name" onfocus="this.value=''"></td>
<td width="50%"><strong>Institute Type:</strong> <select name="tos">
<option>>Select Your Institute Type<</option>
<option>Higher secondary</option>
<option>Senior secondary</option>
<option>Creche</option>
<option>Nursery</option>
<option>Primary</option>
<option>Middle</option>
<option>Open Institute</option>
<option>Technical school/institute</option>
<option>Sports Institute</option>
<option>Language Institute</option>
</select> </td>
</tr>
<tr valign="top" class="blue">
<td valign="top"><strong>Address:</strong>
<textarea cols="35" rows="5" name="address1" onfocus="this.value=''">Your Institute Address Comes Here</textarea></td>
<td valign="top"><strong>Office:</strong>
<textarea cols="35" rows="5" name="address2" onfocus="this.value=''">Your Office Address Comes Here</textarea></td>
</tr>
<tr class="blue">
<td><strong>State:</strong> <select name="state">
<option>>select your state></option>
<option>Punjab</option>
</select></td>
<td><strong>City:</strong> <select name="city">
<option>>select your city></option>
<option>Ludhiana</option>
</select></td>
</tr>
<tr class="blue">
<td width="50%"> <strong>Pin Code:</strong> <input type="text" name="pcode" value="141001" onfocus="this.value=''"></td>
<td width="50%"> <strong>Country: INDIA</strong></td>
</tr>
<tr class="blue">
<td><strong>Phone1:</strong> <input type="text" name="phone1"></td>
<td><strong>Phone2:</strong> <input type="text" name="phone2"></td>
</tr>
<tr class="blue">
<td><strong>Mobile:</strong> <input type="text" name="mob"></td>
<td><strong>Fax:</strong> <input type="text" name="fax"></td>
</tr>
<tr class="blue">
<td><strong>Email:</strong> <input type="text" name="email" value="admin@website.com" onfocus="this.value=''" size="25"></td>
<td><strong>Website:</strong> <input type="text" name="wsite" onfocus="this.value=''" value="http://www.Institutename.com" size="30"></td>
</tr>
<tr class="red">
<td align="center" colspan="2"><font color="#669900"><strong>Affilition
Infomation:</strong></font></td>
</tr>
<tr class="white">
<td><strong>Affilited With:</strong> <select name="affiliation">
<option>C.B.S.E.</option>
<option>P.S.E.B.</option>
<option>Other</option>
</select> </td>
<td><strong>Affiliation No:</strong> <input type="text" name="afflno"></td>
</tr>
<tr class="white">
<td><strong>Affilited Since:</strong> <input type="text" name="affsince">
</td>
<td><strong>Estd. Since:</strong>
<input type="text" name="since"></td>
</tr>
<tr class="red">
<td align="center" colspan="2"><font color="#669900"><strong>Other
Infomation:</strong></font></td>
</tr>
<tr class="orange">
<td><strong>Enrollment type:</strong> <select name="type">
<option value="co-ed">Co-education</option>
<option value="boys">For Boys only</option>
<option value="girls">For Girls only</option>
</select> </td>
<td><strong>Boarding type:</strong> <select name="brdtype">
<option value="db">Day Boarding</option>
<option value="dr">Full Boarding</option>
</select> </td>
</tr>
<tr class="orange">
<td><center><strong>Medium of Education:</strong></center></td>
<td><strong>English</strong> <input type="checkbox" name="medium" value="English">
<strong>Hindi</strong> <input type="checkbox" name="medium" value="Hindi">
<strong>Punjabi</strong> <input type="checkbox" name="medium" value="Punjabi">
</td>
</tr>
<tr class="green">
<td align="center" colspan="4"><center><BR> <input type="submit" value="» Proceed to Next Step »" class="amo-submit"/> </center></tr>
<BR> <BR>
</form>
</table>
</div> </div></div><!-- end #maincontent div -->
<hr class="hide" />
<!-- start #footer -->
<div id="footer">
<div id="footer-contents">
<hr />
<form id="lang_form" dir="ltr" method="get" action=""><div>
<label for="flang">Other languages:</label>
<select id="flang" name="flang" dir="ltr" onchange="this.form.submit()"> <option value="ca" >Català</option>
<option value="cs" >Čeština</option>
<option value="da" >Dansk</option>
<option value="de" >Deutsch</option>
<option value="el" >Ελληνικά</option>
<option value="es" >Español</option>
<option value="eu" >Euskara</option>
<option value="en-US" selected="selected">English (US)</option>
<option value="fr" >Français</option>
<option value="it" >Italiano</option>
<option value="lt" >Lietuvių</option>
<option value="hu" >Magyar</option>
<option value="nl" >Nederlands</option>
<option value="no" >Norsk</option>
<option value="pl" >Polski</option>
<option value="pt-BR" >Português (do Brasil)</option>
<option value="pt-PT" >Português (Europeu)</option>
<option value="ro" >Română</option>
<option value="ru" >Русский</option>
<option value="sk" >Slovenský</option>
<option value="sq" >Shqip</option>
<option value="fi" >Suomi</option>
<option value="tr" >Türkçe</option>
<option value="zh-CN" >中文 (简体)</option>
<option value="ja" >日本語</option>
<option value="ko" >한국어</option>
<option value="zh-TW" >正體中文 (繁體)</option>
</select>
<noscript>
<div><input type="submit" id="lang_submit" value="Go" /></div>
</noscript>
</div></form>
<p>Copyright © 2005–2007 Edusoft Management Systems. All rights reserved.</p>
<p>
<a href="/en-US/about/rnotes.html">Release Notes</a>
<a href="/en-US/privacy-policy.html">Privacy Policy</a>
<a href="/en-US/about/legal.html">Legal Notices</a>
</p>
</div>
</div>
<!-- end #footer -->
</body>
</html>
PK 99