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<head>
<meta charset="UTF-8">
<title>Admission Open || Siya Education Zone, Gandhinagar.</title>
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<meta name="viewport" content="width=device-width, initial-scale=1">
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<style type="text/css">
.payment-method { display: block!important;}
</style>
</head>
<body>
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<!-- <div id="switch-color" class="color-switcher">
<div class="open"><i class="fas fa-cog fa-spin"></i></div>
<h4>COLOR OPTION</h4>
<ul>
<li><a class="color-2" onclick="setActiveStyleSheet('color-2'); return true;" href="#!"><i class="fas fa-circle"></i></a> </li>
<li><a class="color-3" onclick="setActiveStyleSheet('color-3'); return true;" href="#!"><i class="fas fa-circle"></i></a> </li>
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</ul>
<button class="switcher-light">WIDE </button>
<button class="switcher-dark">BOX </button>
<a class="rtl-v" href="RTL_Genius/index.html">RTL </a>
</div> -->
<!-- Start of Header section
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<?php include("top.php") ?>
<!-- Start of Header section
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<!-- Start of breadcrumb section
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<section id="breadcrumb" class="breadcrumb-section relative-position backgroud-style">
<img src="banner/admittion.png" style="position: absolute; height: 100%;">
<div class="blakish-overlay"></div>
<div class="container">
<div class="page-breadcrumb-content text-center">
<div class="page-breadcrumb-title">
<h2 class="breadcrumb-head black bold">New <span>Admission</span></h2>
</div>
<div class="page-breadcrumb-item ul-li">
<ul class="breadcrumb text-uppercase black">
<li class="breadcrumb-item"><a href="index,php">Home</a></li>
<li class="breadcrumb-item active">New Admission</li>
</ul>
</div>
</div>
</div>
</section>
<!-- End of breadcrumb section
============================================= -->
<!-- Start of Checkout content
============================================= -->
<section id="checkout" class="checkout-section">
<div class="container">
<div class="section-title mb45 headline text-center">
<span class="subtitle text-uppercase">Admission Form</span>
<h2>Admission<span> </span></h2>
</div>
<div class="checkout-content">
<div class="row">
<div class="col-md-2"></div>
<div class="col-md-8">
<div class="order-payment">
<div class="payment-method">
<div class="check-out-form">
<form action="admission-inquiry.php" method="post" class="">
<div class="form-group row">
<label for="inputPassword" class="col-sm-3 col-form-label">Name :</label>
<div class="col-sm-9">
<span style="color: red;">*</span>
<input type="text" class="form-control" name="name" placeholder="Enter Name" required="">
</div>
</div>
<div class="form-group row">
<label for="inputPassword" class="col-sm-3 col-form-label">Email Address :</label>
<div class="col-sm-9">
<span style="color: red;">*</span>
<input type="text" class="form-control" name="email" placeholder="Enter Email" required="">
</div>
</div>
<div class="form-group row">
<label for="inputPassword" class="col-sm-3 col-form-label">Contact :</label>
<div class="col-sm-9">
<span style="color: red;">*</span>
<input type="text" class="form-control" name="contact" placeholder="Enter Contact" required="">
</div>
</div>
<div class="form-group row">
<label for="inputPassword" class="col-sm-3 col-form-label">Date:</label>
<div class="col-sm-9">
<input type="date" class="form-control" name="date1" placeholder="DD/MM/YYYY" required="">
</div>
</div>
<div class="form-group row">
<label for="inputPassword" class="col-sm-3 col-form-label">Cources :</label>
<div class="col-sm-9">
<select class="form-control" name="cources">
<option value="0">---- Select Cources ---</option>
<option value="8 to 12 Guj Mid">8 to 12 Guj Mid</option>
<option value="6 to 12 Eng Mid">6 to 12 Eng Mid</option>
<option value="NMMS exam">NMMS Exam</option>
<option value="Prakharta Exam">Prakharta Exam</option>
<option value="NTSE Exam">NTSE Exam</option>
</select>
</div>
</div>
<div class="form-group row">
<label for="inputPassword" class="col-sm-3 col-form-label">Message :</label>
<div class="col-sm-9">
<textarea class="form-control" name="msg" placeholder="Enter Text Here.."></textarea>
</div>
</div>
<div class="form-group row">
<label for="inputPassword" class="col-sm-3 col-form-label" style="visibility: hidden;">Message :</label>
<div class="col-sm-9">
<button type="Submit" class="btn btn-primary" name="submit">Submit</button>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</section>
<!-- End of Checkout content
============================================= -->
<!-- Start of footer section
============================================= -->
<?php include("footer.php") ?>
<!-- End of footer section
============================================= -->
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</body>
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Zerion Mini Shell 1.0