{# <!--
    DBCSUB UG
--> #}
{% set markDivwidth = 50  %}
{% if ('eleventhMarkEntry' in allFormFields or 'ELEVENTH' in allFormFields) %}
    {% set markDivwidth = 100/3  %}
{% endif %}
<html>
    <head>
    <style>
        td {
            line-height: 15px;
        }
    </style>
    </head>
    <body class='page'>
        <div>
		<div class='sub-page'>
			<table cellspacing='0'  cellpadding='0' class='table table-bordered padding-print' width='100%' style='color:black;'>
			    <tr>
				    <td align='center'>
                        <br/>
                        <br/>
                        <img style='width: 75px;' src="{{college.url}}/libcommon/images/college/{{college.collegeCode}}/logo.png">
                        <h2 style='color:red;'><b>{{student.applicationNo}}</b></h2>
                    </td>
                    <td width="70%" align="center">
                        <div align='center' style="">
                            <div style="font: bold 20px 'Times New Roman';margin-top: 0px;margin-bottom: 4px">{{college.collegeName|upper}} {{college.autonomous?( college.autonomous|slice(0, 2)|upper):''}}{{college.autonomous?(college.autonomous|slice(2)|lower  ):''}}</div>
                        </div>
                        <div align='center'>
                            <p style='margin: 0 0 0px;font-size: 12px;'>{{college.collegeAddress}} {{college.collegeAddress1}} {{college.collegeAddress2}}</p>
                            <p style='margin: 0 0 0px;font-size: 12px;'>{{college.collegePhone}}</p>
                            <p style='margin: 0 0 0px;font-size: 12px;'>{{college.collegeWebsite}}</p>
                            <p style='margin: 0 0 0px;font-size: 12px;'>{{college.collegeEmail}}</p>
                        </div>
                    </td>
                    <td>
                        <b style=" float: right; margin-right:13px; ">Phase:{{student.admissionPhase}} </b>
                        <br>
                        <img style='float: right;width: 85px;height: 100px;'src="{{student.studentPhoto}}" alt='' class='img-responsive' />
                    </td>
                </tr>
        	    <tr>
                    <td colspan='3' align='center'>
                        <div align='center' style="font-size: 13px;width: 800px;">
                            <h3>{{form.name}}</h3>
                        </div>
                    </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>Caste</b></td>
                                <td>
                                    : {{student.caste}}
                                </td>
                            </tr>
                            <tr>
                                <td><b>Student Contact No</b></td>
                                <td>
                                    : {{student.studentMobile}}
                                </td>
                                <td>
                                    <b>Category </b><br>
                                </td>
                                <td>
                                    : {{student.seatReservationQuotaId}}
                                </td>
                            </tr>
                            <tr>
                                <td><b>Domicile Status</b></td>
                                <td>
                                    : {{student.domicileId}}
                                </td>
                                <td><b>Mother Tongue </b></td>
                                <td>
                                   : {{student.motherTongue}} 
                                </td>
                            </tr>
                            <tr>
                                <td>
                                    <b>Nationality </b><br>
                                </td>
                                <td>
                                    : {{student.nationality}}
                                </td>
                                <td><b>Course</b></td>
                                <td>: {{student.choice1}}</td>
                            </tr>
                            <tr>
                                <td>
                                    <b>Extra-Curricular Activities </b><br>
                                </td>
                                <td>
                                    : {{student.extraCurricularActivities}}
                                </td>
                                <td>
                                    <b>Second language opted in XII STD</b><br/>
                                </td>
                                <td>: {{student.secondLanguage}}</td>
                            </tr>
                            <tr>
                                
                                <td><b>Year</b></td>
                                <td>: {{student.admissionYear}} <b><span style='margin-left:20px;'>Management / Allotment</span></b></td>
                                <td><b>Blood Group</b></td>
                                <td>: {{student.bloodGroupId}}</td>
                            </tr>
                            <tr>
                                <td><b>Day Scholar / Hostler</b></td>
                                <td>: {{student.dayScholarHostler}}</td>
                                <td><b>Aadhar No</b></td>
                                <td>: {{student.aadharNo}}</td>
                            </tr>
                            <tr>
                                <td><b>Municipality / Panchayath</b></td>
                                <td>: {{student.municipality}}</td>
                                <td><b>State</b></td>
                                <td>: {{student.permState}}</td>
                            </tr>
                            <tr>
                                <td><b>Pvt. Bus Route (For Concession):- Sulthan Bathery To</b></td>
                                <td>: {{student.pvtBusRouteForConcessionSulthanBatheryTo}}</td>
                                <td><b>District</b></td>
                                <td>: {{student.permDistrict}}</td>
                            </tr>
                            <tr>
                                <td><b>Brothers</b></td>
                                <td>: {{student.brothers}}</td>
                                <td><b>Sisters</b></td>
                                <td>: {{student.sisters}}</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><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>Occupation</b></td>
                                            <td>: {{student.fatherOccupation}}</td>
                                            <td><b>Occupation</b></td>
                                            <td>: {{student.motherOccupation}}</td>
                                        </tr>
                                        <tr>
                                            <td><b>E-mail</b></td>
                                            <td>: {{student.fatherEmail}}</td>
                                            <td><b>E-mail</b></td>
                                            <td>: {{student.motherEmail}}</td>
                                        </tr>
                                        <tr>
                                            <td><b>Phone Number</b></td>
                                            <td>: {{student.fatherMobileNo}}</td>
                                            <td><b>Phone Number</b></td>
                                            <td>: {{student.motherMobileNo}}</td>
                                        </tr>
                                        <tr>
                                            <td><b>Local Guardian Mobile No :</b></td>
                                            <td>: {{student.localGuardianMobileNo}}</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><b>ADDRESS</b></td>
                                        </tr>
                                        <tr>
                                            <td><b>Permanent Address :</b><span style='margin-left:50px;'>{{student.permanentAddress}}</span></td>
                                        </tr>
                                        <tr>
                                            <td><b>Local/ Guardian Address :</b><span style='margin-left:15px;'>{{student.guardianAddress}}</span>
                                            </td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                        </table>
                        <table class='table table-bordered m-b-2 print-table-border' width='100%'>
                            <tr>
                                <th></th>
                                <th>Board</th>
                                <th>Reg. No</th>
                                <th>Year of Pass</th>
                                <th>No. of Attempts</th>
                                <th>Total Marks</th>
                                <th>%</th>
                                <th>TC No</th>
                                <th>TC Date</th>
                            </tr>
                            <tr>
                                <td><b>SSLC</b></td>
                                <td>{{student.tenthBoardStream}}</td>
                                <td>{{student.sslcRegNumber}}</td>
                                <td>{{student.xYearOfPass}}</td>
                                <td>{{student.tenthNumberofAttempt}}</td>
                                <td>{{student.totalMarksSSLC}}</td>
                                <td>{{student.totalMarkPerPercentageSSLC}}</td>
                                <td>{{student.tcNumber}}</td>
                                <td>{{student.tcDate}}</td>
                            </tr>
                            <tr>
                                <td><b>HSS / Plus 2</b></td>
                                <td>{{student.twelfthBoardStream}}</td>
                                <td>{{student.hssRegNumber}}</td>
                                <td>{{student.pLUSTWO}}</td>
                                <td>{{student.hssChances}}</td>
                                <td></td>
                                <td></td>
                                <td>{{student.tcNumber1}}</td>
                                <td>{{student.tcDate1}}</td>
                            </tr>
                        </table>
                        <table class='table table-bordered m-b-2 print-table-border' width='100%'>
                            <tr >
                                <td valign="top">
                                    <table class='table table-bordered m-b-0' width='100%'>
                                        <tr>
                                            <td style=' width:100px;' valign="top" ><b>Other Details</b></td>
                                            <td style=' width:260px; border-right: 1px solid #000;' valign="top">
                                                <table class="table table-borderless" width="100%">
                                                    <tr>
                                                        <td style='line-height: 15px;' valign="top">
                                                            {% if not student.weightageQuota.subdivision %}
                                                                {{student.weightageQuota.weightageName}}
                                                            {% elseif student.weightageQuota.subdivision %}
                                                                {{student.weightageQuota.subDivisionName}} : {{student.weightageQuota.selected}}
                                                            {% endif %}
                                                        </td>
                                                        <td style='line-height: 15px;' valign="top">
                                                            {% for quotaChild1 in student.weightageQuota.childList %}
                                                                <table class="table table-borderless" width="100%">
                                                                    <tr>
                                                                        <td style='line-height: 15px;'  valign="top">
                                                                            {% if not quotaChild1.subdivision %}
                                                                                {{quotaChild1.weightageName}}
                                                                            {% elseif quotaChild1.subdivision %}
                                                                                {{quotaChild1.subDivisionName}} : {{quotaChild1.selected}}
                                                                            {% endif %}
                                                                        </td>
                                                                    </tr>
                                                                </table>
                                                            {% endfor %}
                                                        </td>
                                                    </tr>
                                                </table>
                                            </td>
                                            <td valign="top" style=' width:360px;'>
                                            {% if 'batchTiming' in allFormFields %}
                                            <b>Batch Timing</b>:{{student.batchTiming}}
                                            {% endif %}
                                            </td>
                                        </tr>
                                        <tr>
                                            <td colspan='3' style=' border-top: 1px solid #000;'><b>Place of Birth</b>:{{student.placeOfBirth}}</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>
                                                <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 the information furnished is correct & authentic. I have read and agreed to the Terms & Conditions.</p>
                                                <br/>
                                                <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>Signature of the Parent / Guardian</b></td>
                                                            <td align='right'><b>Signature of the Student</b></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>