{"id":5318,"date":"2025-04-21T06:30:45","date_gmt":"2025-04-21T06:30:45","guid":{"rendered":"https:\/\/www.sribalajiscience.com\/?page_id=5318"},"modified":"2025-05-21T10:31:01","modified_gmt":"2025-05-21T10:31:01","slug":"application-form-2","status":"publish","type":"page","link":"https:\/\/www.sribalajiscience.com\/?page_id=5318","title":{"rendered":"Enquiry Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"5318\" class=\"elementor elementor-5318\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c9e7cd9 e-flex e-con-boxed e-con e-parent\" data-id=\"c9e7cd9\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-981c514 elementor-widget elementor-widget-heading\" data-id=\"981c514\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Enquiry Form for Admission to Degree Courses<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-51078d8 e-flex e-con-boxed e-con e-child\" data-id=\"51078d8\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c29c2eb elementor-button-align-center elementor-widget elementor-widget-form\" data-id=\"c29c2eb\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Application Form for Admission to Degree Courses\" aria-label=\"Application Form for Admission to Degree Courses\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"5318\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"c29c2eb\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Enquiry Form\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"5318\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-Step1 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-name elementor-col-75 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSelect Course:*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"bbaname\" id=\"form-field-name-0\" name=\"form_fields[name]\" required=\"required\"> <label for=\"form-field-name-0\">B.B.A<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"bcaname\" id=\"form-field-name-1\" name=\"form_fields[name]\" required=\"required\"> <label for=\"form-field-name-1\">B.C.A<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"bcomname\" id=\"form-field-name-2\" name=\"form_fields[name]\" required=\"required\"> <label for=\"form-field-name-2\">B.COM (General)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"bscname\" id=\"form-field-name-3\" name=\"form_fields[name]\" required=\"required\"> <label for=\"form-field-name-3\">B.Sc (Computer Science)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"M.Com (General)\" id=\"form-field-name-4\" name=\"form_fields[name]\" required=\"required\"> <label for=\"form-field-name-4\">M.Com (General)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"B.Sc CS with DS\" id=\"form-field-name-5\" name=\"form_fields[name]\" required=\"required\"> <label for=\"form-field-name-5\">B.Sc CS with DS<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"B.Com CA\" id=\"form-field-name-6\" name=\"form_fields[name]\" required=\"required\"> <label for=\"form-field-name-6\">B.Com CA<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-StudentName elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[StudentName]\" id=\"form-field-StudentName\" class=\"elementor-field elementor-size-md  elementor-field-textual\" placeholder=\"Student Name*\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-Email elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[Email]\" id=\"form-field-Email\" class=\"elementor-field elementor-size-md  elementor-field-textual\" placeholder=\"E-mail Id*\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-Mobile elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[Mobile]\" id=\"form-field-Mobile\" class=\"elementor-field elementor-size-md  elementor-field-textual\" placeholder=\"Mobile*\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_9f7ee6c elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9f7ee6c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate of Birth:*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_9f7ee6c]\" id=\"form-field-field_9f7ee6c\" class=\"elementor-field elementor-size-md  elementor-field-textual elementor-date-field\" placeholder=\"dd\/mm\/yyyy\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\" min=\"2000-01-01\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_93df326 elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_93df326\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGender Options:*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"mname\" id=\"form-field-field_93df326-0\" name=\"form_fields[field_93df326]\" required=\"required\"> <label for=\"form-field-field_93df326-0\">Male<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"fname\" id=\"form-field-field_93df326-1\" name=\"form_fields[field_93df326]\" required=\"required\"> <label for=\"form-field-field_93df326-1\">Female<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"tname\" id=\"form-field-field_93df326-2\" name=\"form_fields[field_93df326]\" required=\"required\"> <label for=\"form-field-field_93df326-2\">Transgender<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_4a9b3f3 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4a9b3f3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDifferently Abled:*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_4a9b3f3-0\" name=\"form_fields[field_4a9b3f3]\"> <label for=\"form-field-field_4a9b3f3-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_4a9b3f3-1\" name=\"form_fields[field_4a9b3f3]\"> <label for=\"form-field-field_4a9b3f3-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-FatherName elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[FatherName]\" id=\"form-field-FatherName\" class=\"elementor-field elementor-size-md  elementor-field-textual\" placeholder=\"Father&#039;s Name*\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-MotherName elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[MotherName]\" id=\"form-field-MotherName\" class=\"elementor-field elementor-size-md  elementor-field-textual\" placeholder=\"Mother&#039;s Name*\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-Address elementor-col-70 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[Address]\" id=\"form-field-Address\" class=\"elementor-field elementor-size-md  elementor-field-textual\" placeholder=\"Door No. &amp; Street*\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-Town elementor-col-30 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[Town]\" id=\"form-field-Town\" class=\"elementor-field elementor-size-md  elementor-field-textual\" placeholder=\"Town*\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-District elementor-col-25 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[District]\" id=\"form-field-District\" class=\"elementor-field elementor-size-md  elementor-field-textual\" placeholder=\"District*\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-Pincode elementor-col-25 elementor-field-required\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[Pincode]\" id=\"form-field-Pincode\" class=\"elementor-field elementor-size-md  elementor-field-textual\" placeholder=\"Pincode*\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-State elementor-col-25 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[State]\" id=\"form-field-State\" class=\"elementor-field elementor-size-md  elementor-field-textual\" placeholder=\"State*\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-ResidenceMobile elementor-col-25 elementor-field-required\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[ResidenceMobile]\" id=\"form-field-ResidenceMobile\" class=\"elementor-field elementor-size-md  elementor-field-textual\" placeholder=\"Phone Residence*\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-md\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Submit<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Enquiry Form for Admission to Degree Courses<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_joinchat":[],"footnotes":""},"class_list":["post-5318","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.sribalajiscience.com\/index.php?rest_route=\/wp\/v2\/pages\/5318","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.sribalajiscience.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.sribalajiscience.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.sribalajiscience.com\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sribalajiscience.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5318"}],"version-history":[{"count":7,"href":"https:\/\/www.sribalajiscience.com\/index.php?rest_route=\/wp\/v2\/pages\/5318\/revisions"}],"predecessor-version":[{"id":5594,"href":"https:\/\/www.sribalajiscience.com\/index.php?rest_route=\/wp\/v2\/pages\/5318\/revisions\/5594"}],"wp:attachment":[{"href":"https:\/\/www.sribalajiscience.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5318"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}