{# <!--
    College header LNCPE PG
--> #}
{% set markDivwidth = 50  %}
{% if 'eleventhMarkEntry' in allFormFields %}
    {% set markDivwidth = 100/3  %}
{% endif %}
<html>
    <head>
    <style>
        @page { margin: 5mm; }
        body { font-size: 11px; }
        td {
            line-height: 13px;
            font-size: 11px;
        }
        h3 { margin: 2px 0; font-size: 13px; }
        .print-table-border {
            margin-bottom: 3px !important;
        }
        .table.table-bordered td,
        .table.table-bordered th {
            padding: 2px 4px;
        }
        .sub-page { page-break-inside: avoid; }
    </style>
    </head>
    <body class='page'>
        <div>
		<div class='sub-page'>
            <table width="100%" style="border-collapse: collapse; margin-bottom: 4px;">
                <tr>
                    <td width="22%" style="padding: 0;"></td>
                    <td style="vertical-align: top; text-align: center; padding: 0;">
                        <img style='width: 500px; height: 110px;' src="{{college.url}}/libcommon/images/college/{{college.collegeCode}}/banner.png">
                    </td>
                    <td width="22%" style="vertical-align: top; text-align: center; padding: 0 0 0 6px;">
                        <b style="font-size: 12px; display: block; margin-bottom: 4px;">Phase: {{student.admissionPhase}}</b>
                        <img style='width: 150px; height: 180px;' src="{{student.studentPhoto}}" alt='' class='img-responsive' />
                    </td>
                </tr>
            </table>
            <table width="100%" style="border-collapse: collapse; margin-bottom: 4px; margin-top:-50px; margin-left: 55px;">
                <tr>
                    <td width="50%" style="font-weight: bold; font-size: 12px; padding: 2px 0;">Application No : {{student.applicationNo}}</td>
                    <!-- <td width="50%" style="font-weight: bold; font-size: 12px; padding: 2px 0;">Applied For : {{choices[0].patternCourseName}}</td> -->
                </tr>
                <tr>
                    <td colspan="2" style="font-weight: bold; font-size: 12px; padding: 2px 0;">
                        Applied For : {{choices[0].patternCourseName}}
                    </td>
                </tr>
            </table>
			<table cellspacing='0'  cellpadding='0' class='table table-bordered padding-print' width='100%' style='color:black;'>
        	    <tr>
                    <td colspan='3' align='center'>
                        <h3 style="margin: 3px 0;">{{form.name}}</h3>
                    </td>
                </tr>
                <tr>
                    <td colspan=3>
                        <table class='table table-bordered m-b-0' width='100%'>
    		                <tr>
        		                <td  width='25%'><b>Name </b></td>
                                <td width='30%'>
                                    <b>: {{student.studentName|upper}}</b>
                                </td>
                                <td width='20%'>
                                    <b>Gender </b><br>
                                </td>
                                <td width='25%'>
                                    : {{student.gender}}
                                </td>
                            </tr>
                            <tr>
                                <td><b>Date of Birth </b></td>
                                <td>
                                    : {{student.dateOfBirth|date("d/m/Y")}}
                                </td>
                                <td><b>Religion </b></td>
                                <td>
                                    : {{student.religion}} 
                                </td>
                            </tr>
                            <tr>
                                <td><b>Student E-mail</b></td>
                                <td>
                                    : {{student.student_email}} 
                                </td>
                                <td>
                                    <b>Category</b><br>
                                </td>
                                <td>
                                    : {{student.studentReservationId}} 
                                </td>
                            </tr>
                            <tr>
                                <td><b>Student Contact No</b></td>
                                <td>
                                    : {{student.studentMobile}} 
                                </td>
                                <td>
                                    <b>Choice of Centre</b><br>
                                </td>
                                <td>
                                   : {{student.choiceOfCentre}}
                                </td>
                            </tr>
                            <tr>
                                <td><b>Sports</b></td>
                                <td>
                                    : {{student.sports}} 
                                </td>
                                <td>
                                    <b>Marital Status</b><br>
                                </td>
                                <td>
                                    : {{student.maritalStatus}}
                                </td>
                            </tr>
                            <tr>
                                <td>
                                    <b>Caste</b><br/>
                                </td>
                                <td>: {{student.caste1}}</td>
                            </tr>
		                </table>
                        {% if student.UG.markList[0].markList is not empty %}
                        <table class="table table-bordered print-table-border" width="100%">
                            <thead>
                                <tr>
                                    <th colspan="5" class="text-center"><b>UG Mark Entry</b></th>
                                </tr>
                                <tr>
                                    <th>Semester</th>
                                    <th>Credit</th>
                                    <th>Credit Point</th>
                                    <th>WGPA</th>
                                </tr>
                            </thead>
                            <tbody>
                                {% for mark in student.UG.markList[0].markList %}
                                    <tr>
                                        <td>&nbsp{{ mark.subjectName }}</td>
                                        <td>&nbsp{{ mark.credit }}</td>
                                        <td>&nbsp{{ mark.creditPoint }}</td>
                                        <td>&nbsp{{ mark.overallWgpa }}</td>
                                    </tr>
                                {% else %}
                                    <tr>
                                        <td colspan="5" class="text-center">No records found</td>
                                    </tr>
                                {% endfor %}
                            </tbody>
                        </table>
                        {% endif %}
                        <table class='table table-bordered m-b-2 print-table-border' width='100%'>
                            <tr>
                                <td>
                                    <table class='table table-bordered m-b-0' width='100%'>
                                        <tr>
                                            <td><b>Father's Name</b></td>
                                            <td>: {{student.salutation}} {{student.fatherName|upper}} </td>
                                            <td><b>Mother's Name</b></td>
                                            <td>: {{student.salutationMother}} {{student.motherName|upper}} </td>
                                        </tr>
                                        <tr>
                                            <td><b>Father's Occupation</b></td>
                                            <td>: {{student.fatherOccupation}}</td>
                                            <td><b>Mother's Occupation</b></td>
                                            <td>: {{student.motherOccupation}}</td>
                                        </tr>
                                        <!-- <tr>
                                            <td><b>Annual Income</b></td>
                                            <td> : {{student.fatherAnnualIncome}} - {{ student.fatherIncomeCurrency | split(' - ', 2)[1] }} </td>
                                            <td><b>Annual Income</b></td>
                                            <td> : {{student.motherAnnualIncome}} - {{ student.motherIncomeCurrency | split(' - ', 2)[1] }}</td>
                                        </tr> -->
                                        <tr>
                                            <td><b>Father's E-mail</b></td>
                                            <td>: {{student.fatherEmail}}</td>
                                            <td><b>Mother's E-mail</b></td>
                                            <td>: {{student.motherEmail}}</td>
                                        </tr>
                                        <tr>
                                            <td><b>Father's Phone Number</b></td>
                                            <td>: {{student.fatherMobileNo}}</td>
                                            <td><b>Mother's Phone Number</b></td>
                                            <td>: {{student.motherMobileNo}}</td>
                                        </tr>
                                        <tr>
                                            <td><b>Guardian Name</b></td>
                                            <td>: {{student.guardiansName}}</td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                        </table>
                        
                        <table class="table table-bordered m-b-2 print-table-border" width="100%">
                            <tr>
                                <td>
                                    <table class="table table-bordered m-b-0" width="100%">
                                        
                                        <tr>
                                            <td colspan="2" style="background-color: lightgray;">
                                                <b>ADDRESS</b>
                                            </td>
                                        </tr>

                                        <tr>
                                            <td width="50%">
                                                <b>Street Address :</b>
                                                {{student.commuAddressLine1}}
                                            </td>

                                            <td width="50%">
                                                <b>City :</b>
                                                {{student.commuCity}}
                                            </td>
                                        </tr>

                                        <tr>
                                            <td width="50%">
                                                <b>State/UT :</b>
                                                {{student.commuState}}
                                            </td>

                                            <td width="50%">
                                                <b>Country :</b>
                                                {{student.commuCountry}}
                                            </td>
                                        </tr>

                                        <tr>
                                            <td width="50%">
                                                <b>Zip Code :</b>
                                                {{student.commuPin}}
                                            </td>

                                            <td width="50%">
                                            </td>
                                        </tr>

                                    </table>
                                </td>
                            </tr>
                        </table>
                       
                        <table class='table table-bordered m-b-2 print-table-border' width='100%'>
                            <tr>
                                <!-- <td valign='top' style='width:360px;'>
                                    <table class='table table-bordered m-b-0' width='100%'>
                                        <tr>
                                            <td style="width:40%;"><b>Sports :</b></td>
                                            <td>{{student.sportsItem}}</td>
                                        </tr>
                                        <tr>
                                            <td><b>Level of participation :</b></td>
                                            <td>{{student.sportsLevel}}</td>
                                        </tr>
                                    </table>
                                </td> -->
                                <!-- <td valign='top' style='width:360px;'>
                                    <table class='table table-bordered m-b-0' width='100%'>
                                        <tr>
                                            <td style="width: 40%;"><b>Disability :</b></td>
                                            <td>{{student.disability}}</td>
                                        </tr>
                                        <tr>
                                            <td><b>Disability Percentage:</b></td>
                                            <td>{{student.disabilityPercent}}</td>
                                        </tr>
                                    </table>
                                </td> -->
                            </tr>
		    	        </table>
                        <table class='table table-bordered m-b-2 print-table-border' width='100%'>
                            <tr>
                                <td colspan="2" style="background-color: lightgray;"><b>HSS Details</b></td>
                            </tr>
                            <tr>
                                <td width='33%'><b>School Name</b></td>
                                <td>: {{student.schoolName}}</td>
                            </tr>
                            <tr>
                                <td><b>Register No</b></td>
                                <td>: {{student.hssRegNumber}}</td>
                            </tr>
                            <tr>
                                <td><b>Board</b></td>
                                <td>: {{student.twelfthBoardStream}}</td>
                            </tr>
                            <tr>
                                <td><b>Year of Passing HSS</b></td>
                                <td>: {{student.yearOfPassingHss}}</td>
                            </tr>
                            <tr>
                                <td><b>Total Marks</b></td>
                                <td>: {{student.totalMarks}}</td>
                            </tr>
                            <tr>
                                <td><b>Marks Obtained</b></td>
                                <td>: {{student.marksObtained}}</td>
                            </tr>
                            <tr>
                                <td><b>Percentage</b></td>
                                <td>: {{student.textField4}}</td>
                            </tr>
                        </table>
                        <table class='table table-bordered m-b-2 print-table-border' width='100%'>
                            <tr>
                                <td colspan="2" style="background-color: lightgray;"><b>Degree Details</b></td>
                            </tr>
                            <tr>
                                <td width='33%'><b>Name of University / Board</b></td>
                                <td>: {{student.ugUniversity}}</td>
                            </tr>
                            <tr>
                                <td><b>College Name</b></td>
                                <td>: {{student.collegeName}}</td>
                            </tr>
                            <tr>
                                <td><b>Name of the Degree</b></td>
                                <td>: {{student.ugBoardStream}}</td>
                            </tr>
                            <tr>
                                <td><b>Subject</b></td>
                                <td>: {{student.subject}}</td>
                            </tr>
                            <tr>
                                <td><b>Total Marks</b></td>
                                <td>: {{student.totalMarks1}}</td>
                            </tr>
                            <tr>
                                <td><b>Marks Obtained</b></td>
                                <td>: {{student.marksObtained1}}</td>
                            </tr>
                            <tr>
                                <td><b>Percentage</b></td>
                                <td>: {{student.percentage}}</td>
                            </tr>
                        </table>
                        <!-- <table class='table table-bordered m-b-2 print-table-border' width='100%'>
                            <tr>
                                <td colspan="4" style="background-color: lightgray;"><b>Achievements &amp; Awards</b></td>
                            </tr>
                            <tr>
                                <td width='25%'><b>Level of Participation</b></td>
                                <td width='25%'><b>Game/Sports</b></td>
                                <td width='25%'><b>Year of Participation</b></td>
                                <td width='25%'><b>Position Obtained</b></td>
                            </tr>
                            {% for item in student.dataGrid %}
                            <tr>
                                <td>{{item.textField}}</td>
                                <td>{{item.textField1}}</td>
                                <td>{{item.textField2}}</td>
                                <td>{{item.textField3}}</td>
                            </tr>
                            {% endfor %}
                        </table> -->
                        <table class='table table-bordered m-b-2 print-table-border' width='100%'>
                            <tr>
                                <td colspan="4" style="background-color: lightgray;">
                                    <b>Achievements &amp; Awards</b>
                                </td>
                            </tr>

                            <tr>
                                <td width='25%'><b>Level of Participation</b></td>
                                <td width='25%'><b>Game/Sports</b></td>
                                <td width='25%'><b>Year of Participation</b></td>
                                <td width='25%'><b>Position Obtained</b></td>
                            </tr>

                            <tr>
                                <td>{{student.dataGrid[0].textField}}</td>
                                <td>{{student.dataGrid[0].textField1}}</td>
                                <td>{{student.dataGrid[0].textField2}}</td>
                                <td>{{student.dataGrid[0].textField3}}</td>
                            </tr>
                        </table>
                        <table class='table table-bordered m-b-2 print-table-border' width='100%'>
                            <tr>
                                <td colspan="2" style="background-color: lightgray;"><b>Payment Details</b></td>
                            </tr>
                            <tr>
                                <td width='33%'><b>Transaction ID</b></td>
                                <td>: {{student.transactionId}}</td>
                            </tr>
                            <tr>
                                <td><b>Account Number (Used For Payment)</b></td>
                                <td>: {{student.accountNumber}}</td>
                            </tr>
                        </table>
                        <table class='table table-bordered m-b-2 print-table-border' width='100%'>
                            <tr>
                                <td>
                                    <table class='table table-bordered m-b-0' width='100%'>
                                        <tr>
                                            <td>
                                                <div align='center' style='color:black;'><h3><b>UNDERTAKING</b></h3></div>
                                                <p style="text-align: justify;color: black;font-size: 12px;">
                                                I hereby declare that all the information furnished by me in this application form and the documents submitted in support thereof are true, complete, and correct to the best of my knowledge and belief. I understand that if any information provided by me is found to be false, incorrect, concealed, or misleading at any stage, my candidature/admission shall be liable to be cancelled without prior notice.</p>
                                                <table width='100%' style='color:black;' class='padding-print'>
                                                        <tr>
                                                            <td>
                                                            </td>
                                                            <td align='right'><img style='float: right;width: 150px;height: 40px; margin-top: 30px;margin-bottom: -5px; 'src="{{student.signImage}}" alt='' class='img-responsive' /></td>
                                                        </tr>
                                                        <tr>
                                                            <td width='50%'><b>Place: </b> {{student.commuCity}} </td>
                                                            <td align='right'><b>Signature of the Student</b></td>
                                                        </tr>
                                                        <tr>
                                                            <td width='50%'><b>Date: </b>{{student.verifiedTime}}</td>
                                                            <td align='right'></td>
                                                        </tr>
                                                </table>
                                                <hr style='border-top: 1px solid black;'>
                                                <!-- <table class='table table-bordered m-b-0' width='100%'>
                                                    <tr>
                                                    <td><b>FOR OFFICE USE ONLY:</b></td>
                                                    </tr>
                                                    <tr>
                                                        <td>
                                                            <table width='100%' style='color:black;margin-top:;' class='padding-print'>
                                                                <tr>
                                                                    <td align='left'><b>Date of Admission:</b></td>
                                                                    <td align='middle'><b>Language :</b></td>
                                                                    <td align='right'><b>Principal's Signature</b></td>
                                                                </tr>
                                                            </table>
                                                        </td>
                                                    </tr>
                                                </table> -->
                                            </td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                        </table>
                    </td>
                </tr>
            </table>
        </div>
    </div>
                        
    </body>
</html>