Mini Shell
Mini Shell
| Direktori : /home/importfo/public_html/svpimmigration.com/ |
| Current File : /home/importfo/public_html/svpimmigration.com/inquiry_now.php |
<?php include("admin/config.php") ?>
<!DOCTYPE html>
<html lang="zxx">
<head>
<!-- meta tag -->
<meta charset="utf-8">
<title>Contact Us - Svp immigration Pvt Ltd - Visa Immigration, STUDY IN USA, STUDY IN UK, STUDY IN CANADA, STUDY IN AUSTRALIA, Gurukul, Ahmedabad-380052</title>
<meta name=" Svp immigration Pvt Ltd - Visa Immigration, STUDY IN USA, STUDY IN UK, STUDY IN CANADA, STUDY IN AUSTRALIA" content="">
<!-- responsive tag -->
<meta http-equiv="x-ua-compatible" content="ie=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<!-- favicon -->
<link rel="apple-touch-icon" href="apple-touch-icon.html">
<link rel="shortcut icon" type="image/x-icon" href="assets/images/fav.png">
<!-- Bootstrap v4.4.1 css -->
<link rel="stylesheet" type="text/css" href="assets/css/bootstrap.min.css">
<!-- font-awesome css -->
<link rel="stylesheet" type="text/css" href="assets/css/font-awesome.min.css">
<!-- animate css -->
<link rel="stylesheet" type="text/css" href="assets/css/animate.css">
<!-- off canvas css -->
<link rel="stylesheet" type="text/css" href="assets/css/off-canvas.css">
<!-- linea-font css -->
<link rel="stylesheet" type="text/css" href="assets/fonts/linea-fonts.css">
<!-- flaticon css -->
<link rel="stylesheet" type="text/css" href="assets/fonts/flaticon.css">
<!-- Main Menu css -->
<link rel="stylesheet" href="assets/css/rsmenu-main.css">
<!-- spacing css -->
<link rel="stylesheet" type="text/css" href="assets/css/rs-spacing.css">
<!-- style css -->
<link rel="stylesheet" type="text/css" href="style.css">
<!-- responsive css -->
<link rel="stylesheet" type="text/css" href="assets/css/responsive.css">
<link rel="stylesheet" type="text/css" href="assets/css/custome.css">
<style type="text/css">
label {
margin-right: 15px!important;
}
input[type=checkbox], input[type=radio] {
margin-right: 7px!important;
}
.contact-page-section .rs-quick-contact {
/* background-color: #F9F7B5;*/
border: 1px solid;
padding: 10px;
box-shadow: -1px 19px 16px #888888;
}
</style>
</head>
<?php
date_default_timezone_set('Asia/Kolkata');
$currentTime = date( 'd-m-Y h:i:s A', time () );
?>
<body class="defult-home">
<!--Full width header Start-->
<?php include("top.php") ?>
<!--Full width header End-->
<!-- Main content Start -->
<div class="main-content">
<!-- Breadcrumbs Start -->
<!-- Breadcrumbs End -->
<!-- Contact Section Start -->
<div class="contact-page-section pt-100 pb-100 md-pt-70 md-pb-70">
<div class="container">
<div class="row">
<div class="col-lg-12 pl-30 lg-pl-15">
<div class="rs-quick-contact new-style">
<div class="inner-part mb-50">
<h2 class="title mb-15"><span style="color:#273c66;">GET</span> IN TOUCH</h2>
<p></p>
</div>
<div id="form-messages"></div>
<form method="post">
<div class="row">
<div class="form-group col-md-12">
<label for="email"><b>Inquiry Sources:</b></label>
<label class="checkbox-inline"><input type="checkbox" value="Facebook" name="inquiry_sources[]">Facebook</label>
<label class="checkbox-inline"><input type="checkbox" value="Facebook" name="inquiry_sources[]">Instagram</label>
<label class="checkbox-inline"><input type="checkbox" value="Google" name="inquiry_sources[]">Google</label>
<label class="checkbox-inline"><input type="checkbox" value="Refrences" name="inquiry_sources[]">Refrences</label>
<label class="checkbox-inline"><input type="checkbox" value="Other" name="inquiry_sources[]">Other</label>
</div>
<div class="form-group col-md-3">
<label for="email"><b>Date</b></label>
<input type="text" name="date" class="form-control" readonly value="<?php echo $currentTime; ?>">
</div>
<div class="form-group col-md-6">
<label for="email"><b>Applicant Name:</b></label>
<input type="text" name="applicant_name" class="form-control" required>
</div>
<div class="form-group col-md-3">
<label for="pwd">Contact Number:</label>
<input type="text" name="contact_number" class="form-control" required>
</div>
<div class="form-group col-md-3">
<label for="pwd">Date of Birth:</label>
<input type="text" name="b_date" class="form-control" required>
</div>
<div class="form-group col-md-3">
<label for="pwd">Marital Status:</label>
<input type="text" name="m_status" class="form-control" required>
</div>
<div class="form-group col-md-3">
<label for="pwd">Kid/kids</label>
<select class="form-control" name="Kids">
<option value="0">0</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
</select>
</div>
<div class="form-group col-md-12">
<label for="email"><b>Preferable Country :</b></label>
<label class="checkbox-inline"><input type="checkbox" value="CANADA" name="Pref_country[]">CANADA</label>
<label class="checkbox-inline"><input type="checkbox" value="AUSTRALIA" name="Pref_country[]">AUSTRALIA</label>
<label class="checkbox-inline"><input type="checkbox" value="U.S.A" name="Pref_country[]">U.S.A</label>
<label class="checkbox-inline"><input type="checkbox" value="U.K" name="Pref_country[]">U.K</label>
<label class="checkbox-inline"><input type="checkbox" value="NEW ZEALAND" name="Pref_country[]">NEW ZEALAND</label>
<label class="checkbox-inline"><input type="checkbox" value="Other" name="Pref_country[]">Other</label>
<input type="text" name="Pref_country[]">
<!--<label class="checkbox-inline"><input type="checkbox" value="SINGAPORE" name="Pref_country[]">SINGAPORE</label>-->
</div>
<div class="form-group col-md-12">
<label for="email"><b>Visa Purpose:</b></label>
<label class="checkbox-inline"><input type="checkbox" value="Student Visa" name="visa_purpose[]">Student Visa</label>
<!--<label class="checkbox-inline"><input type="checkbox" value="Immigration" name="visa_purpose[]visa_purpose[]visa_purpose[]visa_purpose[]visa_purpose[]">Immigration</label>-->
<label class="checkbox-inline"><input type="checkbox" value="Work-Permit" name="visa_purpose[]visa_purpose[]visa_purpose[]visa_purpose[]">Work-Permit</label>
<label class="checkbox-inline"><input type="checkbox" value="Visa" name="visa_purpose[]visa_purpose[]visa_purpose[]">Visa</label>
<label class="checkbox-inline"><input type="checkbox" value="P.R" name="visa_purpose[]visa_purpose[]">PR</label>
<!--<label class="checkbox-inline"><input type="checkbox" value="Business P.R" name="visa_purpose[]visa_purpose[]">PTE</label>-->
<label class="checkbox-inline"><input type="checkbox" value="DependentVisa" name="visa_purpose[]"> Dependent Visa</label>
</div>
<div class="form-group col-md-12">
<label for="email"><b> Inquiries For :</b></label>
<label class="checkbox-inline"><input type="checkbox" value="IELTS" name="visa_purpose[]">IELTS</label>
<label class="checkbox-inline"><input type="checkbox" value="PTE" name="visa_purpose[]visa_purpose[]">PTE</label>
<label class="checkbox-inline"><input type="checkbox" value="Other" name="visa_purpose[]">Other</label>
</div>
<div class="form-group col-md-3">
<label for="pwd">IELTS / PTE Over all Score:</label>
<input type="text" name="ielts" class="form-control" required>
</div>
<div class="form-group col-md-3">
<!--<label style="visibility: hidden; margin-bottom: 15px;" ><b>Visa. Purpose:</b></label>-->
<label class="checkbox-inline"><input type="checkbox" value="Academic" name="select_cademic[]">Academic </label>
<label class="checkbox-inline"><input type="checkbox" value="General" name="select_cademic[]">General</label>
</div>
<div class="form-group col-md-6">
<label for="pwd">Any Immigration History / Refusal</label>
<input type="text" name="history" class="form-control" required>
</div>
<div class="col-md-12">
<h3>Academic</h3>
<div class="row">
<div class="form-group col-md-6">
<label for="pwd"><strong>12th</strong></label>
<!--<input type="text" name="degree" class="form-control">-->
<select for="pwd" class="form-control" name="level" required>
<option value="Select">Select</option>
<option value="12th">12th</option>
<option value="Bachelor">Bachelor's degree</option>
<option value="Master">Master's degree</option>
</select>
</div>
<div class="form-group col-md-6">
<label for="pwd">Year</label>
<input type="text" name="year" class="form-control" required >
</div>
<div class="form-group col-md-6">
<label for="pwd">Percentage</label>
<input type="text" name="pre" class="form-control" required >
</div>
<div class="form-group col-md-6">
<label for="pwd">Stream</label>
<input type="text" name="str" class="form-control" v >
</div>
<div class="form-group col-md-6">
<label for="pwd">Collage/Uni</label>
<input type="text" name="uni" class="form-control" required >
</div>
<div class="form-group col-md-6">
<label for="pwd">No. of Backlogs (For study visa) </label>
<input type="text" name="nof_backlogs" class="form-control" required >
</div>
</div>
<hr>
<div class="row">
<div class="form-group col-md-6">
<label for="pwd"><strong>Bachelor's degree</strong></label>
<!--<input type="text" name="degree" class="form-control">-->
<select for="pwd" class="form-control" name="level1">
<option value="Select">Select</option>
<option value="12th">12th</option>
<option value="Bachelor">Bachelor's degree</option>
<option value="Master">Master's degree</option>
</select>
</div>
<div class="form-group col-md-6">
<label for="pwd">Year</label>
<input type="text" name="year1" class="form-control" >
</div>
<div class="form-group col-md-6">
<label for="pwd">Percentage</label>
<input type="text" name="pre1" class="form-control" >
</div>
<div class="form-group col-md-6">
<label for="pwd">Stream</label>
<input type="text" name="str1" class="form-control" >
</div>
<div class="form-group col-md-6">
<label for="pwd">Collage/Uni</label>
<input type="text" name="uni1" class="form-control" >
</div>
<div class="form-group col-md-6">
<label for="pwd">No. of Backlogs (For study visa) </label>
<input type="text" name="nof_backlogs1" class="form-control" >
</div>
</div>
<hr>
<div class="row">
<div class="form-group col-md-6">
<label for="pwd"><strong>Master's degree</strong></label>
<!--<input type="text" name="degree" class="form-control">-->
<select for="pwd" class="form-control" name="level2">
<option value="Select">Select</option>
<option value="12th">12th</option>
<option value="Bachelor">Bachelor's degree</option>
<option value="Master">Master's degree</option>
</select>
</div>
<div class="form-group col-md-6">
<label for="pwd">Year</label>
<input type="text" name="year2" class="form-control" >
</div>
<div class="form-group col-md-6">
<label for="pwd">Percentage</label>
<input type="text" name="pre2" class="form-control" >
</div>
<div class="form-group col-md-6">
<label for="pwd">Stream</label>
<input type="text" name="str2" class="form-control" >
</div>
<div class="form-group col-md-6">
<label for="pwd">Collage/Uni</label>
<input type="text" name="uni2" class="form-control" >
</div>
<div class="form-group col-md-6">
<label for="pwd">No. of Backlogs (For study visa) </label>
<input type="text" name="nof_backlogs2" class="form-control" >
</div>
</div>
<hr>
<label for="email"><b>Other Academic Detail :</b></label>
<div class="row">
<div class="form-group col-md-12">
<!--<label for="pwd">Other Acadamic Info.</label>-->
<textarea class="form-control" name="other" placeholder="Text Here.."></textarea>
</div>
</div>
</div>
<div class="col-md-12">
<h3>Experience Details</h3>
<div class="row">
<div class="form-group col-md-4">
<label for="pwd">Company Name</label>
<input type="text" name="com_name" class="form-control" >
</div>
<div class="form-group col-md-4">
<label for="pwd">Job Title</label>
<input type="text" name="job_title" class="form-control" >
</div>
<div class="form-group col-md-4">
<label for="pwd">Years of Experience </label>
<input type="text" name="from_date" class="form-control" >
</div>
</div>
<div class="row">
<div class="form-group col-md-12">
<label for="pwd">Additional Info.</label>
<textarea class="form-control" name="desc" placeholder="Text Here.."></textarea>
</div>
</div>
<div class="form-group col-md-12">
<label for="email"><b>Have You Ever Visited Any Country ? :</b></label>
<label class="checkbox-inline"><input type="checkbox" value="Yes" name="visa_purpose[]">Yes</label>
<label class="checkbox-inline"><input type="checkbox" value="No" name="visa_purpose[]visa_purpose[]visa_purpose[]visa_purpose[]">No</label><br>
If YES _ _ _
<div class="form-group col-md-6">
<label for="pwd">Country Name</label>
<input type="text" name="coun" class="form-control">
</div>
<div class="col-md-12">
<h6>Spouse Details :</h6>
<div class="row">
<!-- <div class="form-group col-md-6">-->
<!-- <label for="pwd">Spouse Details</label>-->
<!-- <input type="text" name="degree" class="form-control">-->
<!--</div>-->
<div class="form-group col-md-6">
<label for="pwd">Full Name</label>
<input type="text" name="fname" class="form-control" >
</div>
<div class="form-group col-md-6">
<label for="pwd">D.O.B</label>
<input type="date" name="bod" class="form-control" >
</div>
<div class="form-group col-md-6">
<label for="pwd">Education</label>
<input type="text" name="edu" class="form-control" >
</div>
<div class="form-group col-md-6">
<label for="pwd">Occupation </label>
<input type="text" name="occu" class="form-control" >
</div>
</div>
</div>
</div>
</div>
<div class="col-md-12">
<div class="form-group mb-0 col-md-3">
<input class="btn-send" type="submit" name="submit" value="Submit">
</div>
</div>
</div>
</form>
<?php
if(isset($_POST['submit']))
{
$date=$_POST['date'];
$checkbox11=$_POST['inquiry_sources'];
$chk1="";
foreach($checkbox11 as $chk11)
{
$chk1 .= $chk11.",";
}
$applicant_name=$_POST['applicant_name'];
$contact_number=$_POST['contact_number'];
$b_date=$_POST['b_date'];
$m_status=$_POST['m_status'];
$Kids=$_POST['Kids'];
$checkbox55=$_POST['Pref_country'];
$chk5="";
foreach($checkbox55 as $chk55)
{
$chk5.= $chk55.",";
}
$checkbox44=$_POST['visa_purpose'];
$chk4="";
foreach($checkbox44 as $chk44)
{
$chk4 .= $chk44.",";
}
$ielts=$_POST['ielts'];
$checkbox33=$_POST['select_cademic'];
$chk3="";
foreach($checkbox33 as $chk33)
{
$chk3 .= $chk33.",";
}
$history=$_POST['history'];
$degree=$_POST['degree'];
$checkbox22=$_POST['time'];
$chk2="";
foreach($checkbox22 as $chk22)
{
$chk2 .= $chk22.",";
}
$u_name=$_POST['u_name'];
$c_year=$_POST['c_year'];
$c_name=$_POST['c_name'];
$m_subject=$_POST['m_subject'];
$level=$_POST['level'];
$year=$_POST['year'];
$pre=$_POST['pre'];
$str=$_POST['str'];
$uni=$_POST['uni'];
$nof_backlogs=$_POST['nof_backlogs'];
$level1=$_POST['level1'];
$year1=$_POST['year1'];
$pre1=$_POST['pre1'];
$str1=$_POST['str1'];
$uni1=$_POST['uni1'];
$nof_backlogs1=$_POST['nof_backlogs1'];
$level2=$_POST['level2'];
$year2=$_POST['year2'];
$pre2=$_POST['pre2'];
$str2=$_POST['str2'];
$uni2=$_POST['uni2'];
$nof_backlogs2=$_POST['nof_backlogs2'];
$other=$_POST['other'];
$cgpa=$_POST['cgpa'];
$com_name=$_POST['com_name'];
$job_title=$_POST['job_title'];
$from_date=$_POST['from_date'];
$to_date=$_POST['to_date'];
$com_name1=$_POST['com_name1'];
$job_title1=$_POST['job_title1'];
$from_date1=$_POST['from_date1'];
$to_date1=$_POST['to_date1'];
$desc=$_POST['desc'];
$coun=$_POST['coun'];
$fname=$_POST['fname'];
$bod=$_POST['bod'];
$edu=$_POST['edu'];
$occu=$_POST['occu'];
$sql="INSERT INTO `book_inquiry` (`id`, `date`, `inquiry_sources`, `applicant_name`, `contact_number`, `b_date`, `m_status`, `Kids`, `Pref_country`, `visa_purpose`, `ielts`, `select_cademic`, `history`, `degree`, `time`, `u_name`, `c_year`, `c_name`, `m_subject`, `level`,`year`,`pre`,`str`,`uni`,`nof_backlogs`,`level1`,`year1`,`pre1`,`str1`,`uni1`,`nof_backlogs1`,`level2`,`year2`,`pre2`,`str2`,`uni2`,`nof_backlogs2`,`other`, `cgpa`, `com_name`, `job_title`, `from_date`, `to_date`,`com_name1`, `job_title1`, `from_date1`, `to_date1`, `desc`,`coun`,`fname`,`bod`,`edu`,`occu`)
VALUES (NULL, '$date', '$chk1', '$applicant_name', '$contact_number', '$b_date', '$m_status', '$Kids', '$chk5', '$chk4', '$ielts', '$chk3', '$history', '$degree', '$chk2', '$u_name', '$c_year', '$c_name', '$m_subject','$level','$year','$pre','$str','$uni','$nof_backlogs','$level1','$year1','$pre1','$str1','$uni1','$nof_backlogs1','$level2','$year2','$pre2','$str2','$uni2','$nof_backlogs2', '$other','$cgpa', '$com_name', '$job_title', '$from_date', '$to_date','$com_name1', '$job_title1', '$from_date1', '$to_date1', '$desc','$coun','$fname','$bod','$edu','$occu')";
$res=mysqli_query($db, $sql);
if($res==1)
{
echo ("<script LANGUAGE='JavaScript'>window.alert('Succesfully Send..');
window.location.href='index.php';</script>");
/* echo "save data";*/
}
else
{
/* echo "data not save";*/
echo ("<script LANGUAGE='JavaScript'>window.alert('Not Send Data.!');
window.location.href='inquiry_now.php';</script>");
}
} ?>
</div>
</div>
</div>
</div>
</div>
<!-- Contact Section End -->
</div>
<!-- Main content End -->
<!-- Footer Start -->
<?php include("footer.php") ?>
<!-- Footer End -->
<!-- start scrollUp -->
<div id="scrollUp" class="orange-color">
<i class="fa fa-angle-up"></i>
</div>
<!-- End scrollUp -->
<!-- modernizr js -->
<script src="assets/js/modernizr-2.8.3.min.js"></script>
<!-- jquery latest version -->
<script src="assets/js/jquery.min.js"></script>
<!-- Bootstrap v4.4.1 js -->
<script src="assets/js/bootstrap.min.js"></script>
<!-- Menu js -->
<script src="assets/js/rsmenu-main.js"></script>
<!-- op nav js -->
<script src="assets/js/jquery.nav.js"></script>
<!-- wow js -->
<script src="assets/js/wow.min.js"></script>
<!-- plugins js -->
<script src="assets/js/plugins.js"></script>
<!-- magnific popup js -->
<script src="assets/js/jquery.magnific-popup.min.js"></script>
<!-- contact form js -->
<script src="assets/js/contact.form.js"></script>
<!-- main js -->
<script src="assets/js/main.js"></script>
</body>
</html>