<?php
session_start();
 $app1=$_REQUEST['flag'];
$session=$_REQUEST['flag2'];
include("link/databaseconnection.php");
$sel="select * from  registration2 where id ='$app1' and session='$session' order by id desc";
$res=mysqli_query($conn,$sel);
$row=mysqli_fetch_array($res,MYSQLI_BOTH);



//echo"$app1";
?>

<html>
<head>
     <meta charset="utf-8">

    <meta name="viewport" content="width=device-width, initial-scale=1">

    <link href="https://fonts.googleapis.com/css?family=Mukta&display=swap" 

    rel="stylesheet">
 <script src="js/jquery-3.2.1.min.js"></script>  <!--jquery-->
 <script src="https://ajax.googleapis.com/ajax/libs/jquery/3.5.1/jquery.min.js"></script>
 <style>
 #name2{font-weight:bold}
 @media print {
 #name2{font-weight:bold;font-size:12px}
 #name3{font-size:12px;
 text-transform: uppercase;
 
 }

  body{
  -webkit-print-color-adjust:exact;
}
  p{font-size:11px}
  td{font-size:12px}
 }
 table th{background-color:#363636; color:white;font-size:12px}
 #name3{font-size:12px;
 text-transform: uppercase;
 
 }
 </style>
<script>
$(document).ready(function(){
	$("#pay").click(function(){
		window.location.href='bil.php';
	});
});
$(document).ready(function(){

	$("#print").click(function(){
		$("#pay").css("visibility","hidden");
		$("#back").css("visibility","hidden");
		$("#print").css("visibility","hidden");
		window.print();
		window.location.href='index.php';
	});
	$("#back").click(function(){
		window.location.href='index.php';
	});
});

</script>
<link href="css/student_print.css" rel="stylesheet" type="text/css">
</head>
<body>

<table frame="border" width="100%" >
<caption style="font-size:25px;font-weight:bold">Registration Form (<?php echo $row['session'];?>)</caption>

<tr>
<td colspan='2' style='background-color:black;color:white'><span><img src="images/name.png" height="110px" width="100%"/></span></td>
</tr>
</table>
<table cellspacing="0" width="100%" border="1px">

<tr>
<td ><span id="name2">Form Number</span></td><td ><span id="name3"><?php echo $row['id'];?> [MSDU REG = <?php echo  $row['msd_reg']?>]</span></td><td><span id="name2">Course</span></td><td ><span id="name2"><?php echo $row['class'];?></span></td>
</tr>
<tr>
<td width="20%"><span id="name2">Student's Name</span></td><td width=""><span id="name3"><?php echo $row['name'];?></span></td><td width="20%"><span id="name2">Father's Name</span></td><td width=""><span id="name3"><?php echo $row['fname'];?></span></td>
</tr>
<tr>
<td width="20%"><span id="name2"> Mother's Name</span></td><td><span id="name3"><?php echo $row['mname'];?></span></td><td width="20%"><span id="name2"> DOB</span></td><td><span id="name3"><?php echo $row['dob'];?></span></td>
</tr>


<tr>
<td width="30%"><span id="name2">Gender</span></td><td width="30%"><span id="name3"><?php echo $row['gender'];?></span></td><td width="20%"> <span id="name2">Sport</span></td><td width="30%"><span id="name3"><?php echo $row['game'];?></span></td>
</tr>
<tr>
<td width="30%"><span id="name2">Aadhaar Number</span></td><td width="30%"><span id="name3"><?php echo $row['adhar'];?></span></td><td width="20%"><span id="name2">NCC</span></td><td width="20%"><span id="name3"><?php echo $row['ncc'];?></span></td>
</tr>
<tr>
<td width="30%"><span id="name2">Category</span></td><td width="20%"><span id="name3"><?php echo $row['category'];?></span>  </td><td width="20%"><span id="name2">Rovers/Ranger</span></td><td width="20%"><span id="name3"><?php echo $row['rovers'];?></span></td>
</tr>
<tr>
<td width="30%"><span id="name2">Caste</span></td><td width="30%"><span id="name3"><?php echo $row['sub_category'];?></span></td><td width="20%"><span id="name2">NSS</span></td><td width="20%"><span id="name3"><?php echo $row['nss'];?></span></td>
</tr>
<tr>
<td width="30%"><span id="name2">Religion</span></td><td width="30%"><span id="name3"><?php echo $row['religion'];?></span></td><td width="20%"><span id="name2">Handicapped</span></td><td width="20%"><span id="name3"><?php echo $row['handicapped'];?></span></td>
</tr>
<tr>
<td width="30%"><span id="name2">Ews</span></td><td width="30%"><span id="name3" style ='color:black'><?php echo $row['ews'];?></span></td><td width="20%"><span id="name2">Staff Quota</span></td><td width="20%"><span id="name3"><?php echo $row['quota'];?></span></td>
</tr>

<tr>
<td width="30%"><span id="name2">Nationality</span></td><td width="30%"><span id="name3"><?php echo $row['nationality'];?></span></td><td width="20%"><span id="name2">Marrital Status</span></td><td width="20%"><span id="name3"><?php echo $row['marrital'];?></span></td>
</tr>
<tr>
<td width="30%"><span id="name2">Email Id</span></td><td width="30%"><span id="name3"><?php echo $row['email'];?></span></td><td width="20%"><span id="name2"> Date</span></td><td width="20%"><span id="name3"><?php echo $row['datetime']?></span></td>
</tr>

</table>
<?php if($row['class']=='MA I' or $row['class']=='M.Sc I') {?>
	


<table cellspacing="0" width="100%" border="1px">
<tr>
<th colspan='3' >Subject Select By Candidate</th>


<th>Subject Given by College</th>
</tr>
<tr>
<td ></td>
<td>Major</td>
<td><?php echo $row['choose_subject1']?></td>
<td> </td>

</tr>
<tr>
<td ></td>
<td>Minor Subject</td>
<td><?php echo $row['choose_subject2']?></td>
<td></td>

</tr>

<tr>
<td ></td>
<td>Minor Paper</td>
<td id='name3'><?php echo $row['minor']?></td>
<td></td>

</tr>


</table>
<?php } else{?>



<table cellspacing="0" width="100%" border="1px">
<tr>
<th colspan='3' >Subject Select By Candidate</th>


<th>Subject Given by College</th>
</tr>
<tr>
<td >Sem-1 ,  Sem-2</td>
<td>Major-1</td>
<td><?php echo $row['choose_subject1']?></td>
<td> </td>

</tr>
<tr>
<td >Sem-1 ,Sem-2</td>
<td>Major-2</td>
<td><?php echo $row['choose_subject2']?></td>
<td></td>

</tr>
<tr>
<td >Sem-1 , Sem-2</td>
<td>Major-3</td>
<td><?php echo $row['choose_subject3']?></td>
<td></td>

</tr>
<tr>
<td >Sem-1 , Sem-2</td>
<td>Minor</td>
<td id='name3'><?php echo $row['minor']?></td>
<td></td>

</tr>
<tr>
<td >Sem-1</td>
<td>Co-Curriculor</td>
<td id='name3'><?php echo $row['curricular']?></td>
<td></td>

</tr>
<tr>
<td > Sem-2</td>
<td>Co-Curriculor</td>
<td id='name3'><?php echo $row['curricular_2']?></td>
<td></td>

</tr>

<tr>
<td >Sem-1</td>
<td>Skill Development</td>
<td id='name3'><?php echo $row['skill']?></td>
<td></td>

</tr>
<tr>
<td > Sem-2</td>
<td>Skill Development</td>
<td id='name3'><?php echo $row['skill_2']?></td>
<td></td>

</tr>
</table>
<?php }?>
<?php
$sel12="select * from  payment_fees where form_id ='$app1' and order_status='Success' and session='$session'";
$res12=mysqli_query($conn,$sel12);
$row12=mysqli_fetch_array($res12,MYSQLI_BOTH);



?>
<table cellspacing="0" width="100%" border="1px">
<tr>
<th colspan='3' >Registration Fee</th>

</tr>
<tr>
<td ><span style='font-weight:bold'>Order Id - </span> <?php echo $row12['order_id']?></td>
<td><span style='font-weight:bold'>Bank_Ref_no - </span> <?php echo $row12['bank_ref_no']?></td>
<td><span style='font-weight:bold'>Date - </span> <?php echo $row12['date']?></td>


</tr>
<tr>
<td ><span style='font-weight:bold'>Amount - </span> <?php echo $row12['amount']?> Rs</td>
<td><span style='font-weight:bold'>Time - </span> <?php echo $row12['time']?></td>
<td><span style='font-weight:bold'>Status - </span> <?php echo $row12['order_status']?></td>



</tr>
</table>
<table cellspacing="0" width="100%" border="1px">
<tr>
<td colspan='12' align="center" style='background-color:black;color:white'><span id="name2">Education Eligibility</span></td>

</tr
<tr>

<tr align="center">
<td><span id="name2">Examination</span></td>
<td><span id="name2">Roll Number</span></td>
<td><span id="name2">Board/Uni</span></td>
<td><span id="name2">College</span></td>
<td><span id="name2">Subject</span></td>
<td><span id="name2">Year</span></td>
<td><span id="name2">Total Mark</span></td>
<td><span id="name2">Obtain Mark</span></td>
<td><span id="name2">Per</span></td>
<td><span id="name2">Regu/Priv</span></td>
<td><span id="name2">Grade</span></td>
<td><span id="name2">Cgpa</span></td>

</tr>
<tr align="center">
<td><span id="name3"><?php echo $row['high_school'];?></span></td>
<td><span id="name3"><?php echo $row['rol_10'];?></span></td>
<td><span id="name3"><?php echo $row['university'];?></span></td>
<td><span id="name3"><?php echo $row['college'];?></span></td>
<td><span id="name3"><?php echo $row['subject_pass'];?></span></td>
<td><span id="name3"><?php echo $row['year'];?></span></td>
<td><span id="name3"><?php echo $row['tmark'];?></span></td>
<td><span id="name3"><?php echo $row['omark'];?></span></td>
<td><span id="name3"><?php echo $row['per'];?></span></td>
<td><span id="name3"><?php echo $row['reg_10'];?></span></td>
<td><span id="name3"><?php echo $row['grade'];?></span></td>
</tr>
<tr align="center">
<td><span id="name3"><?php echo $row['intermediate'];?></span></td>
<td><span id="name3"><?php echo $row['rol_12'];?></span></td>
<td><span id="name3"><?php echo $row['university_12'];?></span></td>
<td><span id="name3"><?php echo $row['college_12'];?></span></td>
<td><span id="name3"><?php echo $row['subject_pass_12'];?></span></td>
<td><span id="name3"><?php echo $row['year_12'];?></span></td>
<td><span id="name3"><?php echo $row['tmark_12'];?></span></td>
<td><span id="name3"><?php echo $row['omark_12'];?></span></td>
<td><span id="name3"><?php echo $row['per_12'];?></span></td>
<td><span id="name3"><?php echo $row['reg_12'];?></span></td>
<td><span id="name3"><?php echo $row['grade_12'];?></span></td>
</tr>
<?php if($row['class']=='MA I' OR $row['class']=='M.Sc I')
{
;?>
<tr align="center">
<td><span id="name3"><?php echo $row['ba1'];?></span></td>
<td><span id="name3"><?php echo $row['rol_ba1'];?></span></td>
<td><span id="name3"><?php echo $row['university_ba1'];?></span></td>
<td><span id="name3"><?php echo $row['college_ba1'];?></span></td>
<td><span id="name3"><?php echo $row['subject_pass_ba1'];?></span></td>
<td><span id="name3"><?php echo $row['year_ba1'];?></span></td>
<td><span id="name3"><?php echo $row['tmark_ba1'];?></span></td>
<td><span id="name3"><?php echo $row['omark_ba1'];?></span></td>
<td><span id="name3"><?php echo $row['per_ba1'];?></span></td>
<td><span id="name3"></span></td>
<td><span id="name3"><?php echo $row['grade_ba1'];?></span></td>
<td><span id="name3"><?php echo $row['cgpa'];?></span></td>
</tr>
<?PHP };?>
</table>
<?php if($row['class']=='MA I' OR $row['class']=='M.Sc I')
{
;?>
<table cellspacing="0" width="100%" border="1px">
<tr>
<td colspan='11' align="center" style='background-color:black;color:white'><span id="name2">Previous Subject Details</span></td>

</tr
<tr>

<tr align="center">
<td><span id="name2">BA III /B.Sc III</span></td>
<td><span id="name2">Subject</span></td>
<td><span id="name2">Total Mark</span></td>
<td><span id="name2">Obtain Mark</span></td>


</tr>
<tr align="center">
<td><span id="name3"><?php  if($row['class']=='MA I'){echo 'BA III';} else {echo 'B.Sc III';} ;?></span></td>
<td><span id="name3"><?php echo $row['choose_subject1'];?></span></td>
<td><span id="name3"><?php echo $row['total_mark'];?></span></td>
<td><span id="name3"><?php echo $row['obtain_mark'];?></span></td>

</tr>



</table>
<?PHP };?>
<table  cellspacing="0" width="100%" border="1px">
<tr>
<td align="center" style='background-color:black;color:white'><span id="name2">Student Address</span></td><td align="center" style='background-color:black;color:white'><span id="name2">Photo & Signature
</span></td>
</tr>
<tr align="center">
<td><span id="name3"><?php echo $row['village'];?></br><?php echo $row['postoffice'];?> </br><?php echo $row['dist'];?></br><?php echo $row['state'];?></br><?php echo $row['mobile'];?></br><?php echo $row['pincode'];?></span></td>
<td><img src="code/img/<?php echo $row['picture'];?>" height="80px" ></br><img src="code/img/<?php echo $row['signature'];?>" height="50px" ></td>

</tr>
</table>

<p style='font-size:11px'>मैं महाविद्यालय में  <b> <?php echo $row['class']?>  </b>कक्षा का प्रवेशार्थी हूँ  | आवेदन पत्र में समस्त सूचनायें अपने पूर्ण विश्वास के साथ सही भरी है | कोई भी तथ्य असत्य पाए जाने पर या जान बूझ कर  छिपाने जाने पर मेरा प्रवेश निरस्त कर दिए  जाने पर मुझे कोई  आपत्ति नहीं  होगी  | महाविद्यालय के छात्र  / छात्रा के रूप में सदैव अनुशासनबद्ध रहकर  मैं अपना व्यवहार और आचरण सही रखूँगा / रखूँगी | </p>


<?php
	 $app1=$_REQUEST['flag'];
$session=$_REQUEST['flag2'];
	$sel="select * from  registration2 where id ='$app1' and session='$session' order by id desc";
$res=mysqli_query($conn,$sel);
$row=mysqli_fetch_array($res,MYSQLI_BOTH);
	//echo $app1;
	
	?>

<style>
	@media print {
  #k {page-break-before: always;}
}
	</style>
	<p id='k'></p>
<table border="1" width="100%" cellspacing="0">
<tr  style="background-color:#363636;color:#ffffff;text-align:center;font-size:17px; font-weight:600;">
<td colspan='4'>Office Copy</td>
</tr>
<tr>
<td>एडमिशन  संख्या :</td>
<td><?php echo $row['id'];?>  [MSDU REG = <?php echo  $row['msd_reg']?>]</td>
<td>कक्षा </td>
<td><?php echo $row['class'];?></td>
</tr>
<!-----2 row--->
<tr>
<td>प्रेवशार्थी</td>
<td id='name3'><?php echo $row['name'];?></td>
<td>सत्र  </td>
<td><?php echo $row['session'];?></td>
</tr>
<!------3 row---->
<tr>
<td>पिता/पति का नाम </td>
<td id='name3'><?php echo $row['fname'];?></td>
<td>जन्मतिथि </td>
<td><?php echo $row['dob'];?></td>
</tr>
<!------4 row---->
<tr>
<td>दिनांक</td>
<td><?php echo $row['datetime'];?></td>
<td>मोबाइल</td>
<td><?php echo $row['mobile'];?></td>
</tr>
<!------5 row---->

</table>
<tr></tr>
<br/>
<?php if($row['class']=='MA I' or $row['class']=='M.Sc I') {?>
	


<table cellspacing="0" width="100%" border="1px">
<tr>
<th colspan='3' >Subject Select By Candidate</th>


<th>Subject Given by College</th>
</tr>
<tr>
<td ></td>
<td>Major</td>
<td><?php echo $row['choose_subject1']?></td>
<td> </td>

</tr>
<tr>
<td ></td>
<td>Minor Subject</td>
<td><?php echo $row['choose_subject2']?></td>
<td></td>

</tr>

<tr>
<td ></td>
<td>Minor Paper</td>
<td id='name3'><?php echo $row['minor']?></td>
<td></td>

</tr>


</table>
<?php } else{?>



<table cellspacing="0" width="100%" border="1px">
<tr>
<th colspan='3' >Subject Select By Candidate</th>


<th>Subject Given by College</th>
</tr>
<tr>
<td >Sem-1 ,  Sem-2</td>
<td>Major-1</td>
<td><?php echo $row['choose_subject1']?></td>
<td> </td>

</tr>
<tr>
<td >Sem-1 ,Sem-2</td>
<td>Major-2</td>
<td><?php echo $row['choose_subject2']?></td>
<td></td>

</tr>
<tr>
<td >Sem-1 , Sem-2</td>
<td>Major-3</td>
<td><?php echo $row['choose_subject3']?></td>
<td></td>

</tr>
<tr>
<td >Sem-1 , Sem-2</td>
<td>Minor</td>
<td id='name3'><?php echo $row['minor']?></td>
<td></td>

</tr>
<tr>
<td >Sem-1</td>
<td>Co-Curriculor</td>
<td id='name3'><?php echo $row['curricular']?></td>
<td></td>

</tr>
<tr>
<td > Sem-2</td>
<td>Co-Curriculor</td>
<td id='name3'><?php echo $row['curricular_2']?></td>
<td></td>

</tr>

<tr>
<td >Sem-1</td>
<td>Skill Development</td>
<td id='name3'><?php echo $row['skill']?></td>
<td></td>

</tr>
<tr>
<td > Sem-2</td>
<td>Skill Development</td>
<td id='name3'><?php echo $row['skill_2']?></td>
<td></td>

</tr>
</table>
<?php }?>
<table border="1" style='margin-top:2px' width="100%" cellspacing="0">
<tr>
<th colspan='4'>Submit Document by Candidate (Photocopy & Original)</th>

</tr>

<tr>
<td><input type='checkbox'> &nbsp; High School Mark sheet</td>
<td><input type='checkbox'> &nbsp; InterMediate Mark Sheet</td>
<td><input type='checkbox'> &nbsp; Graduation Mark Sheet</td>
<td><input type='checkbox'> &nbsp; Domicile Certificate</td>
</tr>
<tr>
<td><input type='checkbox'> &nbsp; Aadhar Card</td>
<td><input type='checkbox'> &nbsp; Transfer Certificate</td>
<td><input type='checkbox'> &nbsp; Character Certificate</td>
<td><input type='checkbox'> &nbsp; Caste Certificate</td>


</tr>


</table>
<table   style="border:none; border-collapse:collapse; cellspacing:0; cellpadding:0;margin-top:20px" width="100%">
	<tr>
<td width='50%'>  &nbsp; Counseling Date</td>
<td style='text-align:right'> Verifier/Counselor Sign</td>



</tr>
	</table>
<p style='width:100%'>-------------------------------------------------Cut Here------------------------------------------------------------</p>

<table border="1" width="100%">
	
	<tr  style="background-color:#363636;color:#ffffff;text-align:center;font-size:15px; font-weight:600;" cellspacing="0">
<td colspan='4'>Candidate Copy</td>
</tr>
<tr>
<td>एडमिशन  संख्या :</td>
<td><?php echo $row['id'];?> [MSDU REG = <?php echo  $row['msd_reg']?>] </td>
<td>कक्षा </td>
<td><?php echo $row['class'];?></td>
</tr>
<!-----2 row--->
<tr>
<td>प्रेवशार्थी</td>
<td id='name3'><?php echo $row['name'];?></td>
<td>सत्र  </td>
<td><?php echo $row['session'];?></td>
</tr>
<!------3 row---->
<tr>
<td>पिता/पति का नाम </td>
<td id='name3'><?php echo $row['fname'];?></td>
<td>जन्मतिथि </td>
<td><?php echo $row['dob'];?></td>
</tr>
<!------4 row---->
<tr>
<td>दिनांक</td>
<td><?php echo $row['datetime'];?></td>
<td>मोबाइल</td>
<td><?php echo $row['mobile'];?></td>
</tr>
<!------5 row---->

</table>

<?php if($row['class']=='MA I' or $row['class']=='M.Sc I') {?>
	


<table cellspacing="0" width="100%" border="1px">
<tr>
<th colspan='3' >Subject Select By Candidate</th>


<th>Subject Given by College</th>
</tr>
<tr>
<td ></td>
<td>Major</td>
<td><?php echo $row['choose_subject1']?></td>
<td> </td>

</tr>
<tr>
<td ></td>
<td>Minor Subject</td>
<td><?php echo $row['choose_subject2']?></td>
<td></td>

</tr>

<tr>
<td ></td>
<td>Minor Paper</td>
<td id='name3'><?php echo $row['minor']?></td>
<td></td>

</tr>


</table>
<?php } else{?>



<table cellspacing="0" width="100%" border="1px">
<tr>
<th colspan='3' >Subject Select By Candidate</th>


<th>Subject Given by College</th>
</tr>
<tr>
<td >Sem-1 ,  Sem-2</td>
<td>Major-1</td>
<td><?php echo $row['choose_subject1']?></td>
<td> </td>

</tr>
<tr>
<td >Sem-1 ,Sem-2</td>
<td>Major-2</td>
<td><?php echo $row['choose_subject2']?></td>
<td></td>

</tr>
<tr>
<td >Sem-1 , Sem-2</td>
<td>Major-3</td>
<td><?php echo $row['choose_subject3']?></td>
<td></td>

</tr>
<tr>
<td >Sem-1 , Sem-2</td>
<td>Minor</td>
<td id='name3'><?php echo $row['minor']?></td>
<td></td>

</tr>
<tr>
<td >Sem-1</td>
<td>Co-Curriculor</td>
<td id='name3'><?php echo $row['curricular']?></td>
<td></td>

</tr>
<tr>
<td > Sem-2</td>
<td>Co-Curriculor</td>
<td id='name3'><?php echo $row['curricular_2']?></td>
<td></td>

</tr>

<tr>
<td >Sem-1</td>
<td>Skill Development</td>
<td id='name3'><?php echo $row['skill']?></td>
<td></td>

</tr>
<tr>
<td > Sem-2</td>
<td>Skill Development</td>
<td id='name3'><?php echo $row['skill_2']?></td>
<td></td>

</tr>
</table>
<?php }?>
<?php if($row['class']=='MA I' or $row['class']=='M.Sc I'){?>
	<table border="1" style='margin-top:1px' width="100%" cellspacing="0">
<tr>
<th colspan='4' >Checked by Counselor</th>

</tr>

<tr>
<td><input type='checkbox'> &nbsp; Name</td>
<td><input type='checkbox'> &nbsp; Father Name</td>
<td><input type='checkbox'> &nbsp; Mother Name</td>
<td><input type='checkbox'> &nbsp; Date Of Birth</td>


</tr>
<tr>
<td><input type='checkbox'> &nbsp; High School Marks</td>
<td><input type='checkbox'> &nbsp; InterMediate Marks</td>
<td><input type='checkbox'> &nbsp; Graduation Marks</td>
<td><input type='checkbox'> &nbsp; Registration Fee</td>


</tr>

</table>

<?php } else{?>
<table border="1" style='margin-top:1px' width="100%" cellspacing="0">
<tr>
<th colspan='4' >Checked by Counselor</th>

</tr>

<tr>
<td><input type='checkbox'> &nbsp; Name</td>
<td><input type='checkbox'> &nbsp; Father Name</td>
<td><input type='checkbox'> &nbsp; Mother Name</td>
<td><input type='checkbox'> &nbsp; Date Of Birth</td>


</tr>
<tr>
<td><input type='checkbox'> &nbsp; Gender</td>
<td><input type='checkbox'> &nbsp; High School Marks</td>
<td><input type='checkbox'> &nbsp; InterMediate Marks</td>
<td><input type='checkbox'> &nbsp; Registration Fee</td>


</tr>

</table>
<?php }?>


<table border="1" style='margin-top:1px' width="100%" cellspacing="0">
<tr>
<th colspan='4' >Submit Document by Candidate (Photocopy & Original)</th>

</tr>

<tr>
<td><input type='checkbox'> &nbsp; High School Mark sheet</td>
<td><input type='checkbox'> &nbsp; InterMediate Mark Sheet</td>
<td><input type='checkbox'> &nbsp; Graduation Mark Sheet</td>
<td><input type='checkbox'> &nbsp; Domicile Certificate</td>
</tr>
<tr>
<td><input type='checkbox'> &nbsp; Aadhar Card</td>
<td><input type='checkbox'> &nbsp; Transfer Certificate</td>
<td><input type='checkbox'> &nbsp; Character Certificate</td>
<td><input type='checkbox'> &nbsp; Caste Certificate</td>


</tr>


</table>
<table   style="border:none; border-collapse:collapse; cellspacing:0; cellpadding:0;margin-top:15px" width="100%">
	<tr>
<td width='50%'>  &nbsp; Counseling Date</td>
<td style='text-align:right'> Verifier/Counselor Sign</td>



</tr>
	</table>

<button id="print" style="margin-left:500px;" >Click For Print</button>&emsp;&emsp;&emsp;&emsp;&emsp;

</body>
</html>