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                          ---> 
                        
                                     <!-- Nav Item - Pages Collapse Menu -->
           

            <!---distibutor    ---->
                          
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                                                  <a class="collapse-item" href="customerlistsuccess.php">ALL Success <span class="badge badge-success badge-counter">0</span> </a>
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            <!--other services----->
            
                                                               <!---PROFILE  ---->
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                        <a class="collapse-item" href="https://download.mantratecapp.com/StaticDownload/MFS100Driver_9.2.0.0.exe">Mantra Driver v9.2.0.0</a>
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                                                                <span class="badge badge-danger badge-counter">399</span>
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                                <span class="badge badge-danger badge-counter">13</span>
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                            <!-- Dropdown - Messages -->
                            <div class="dropdown-list dropdown-menu dropdown-menu-right shadow animated--grow-in"
                                aria-labelledby="messagesDropdown">
                                <h6 class="dropdown-header">
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                                <a class="dropdown-item d-none d-sm-inline-block btn btn-sm btn-primary shadow-sm" href="query.php">See All  <span class="badge badge-danger badge-counter">13</span></a>
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                        <!-- Nav Item - User Information -->
                        <li class="nav-item dropdown no-arrow">
                            <a class="nav-link dropdown-toggle" href="#" id="userDropdown" role="button"
                                data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">
                                <span class="mr-2 d-none d-lg-inline text-gray-600 small"> </span>
                                <img class="img-profile rounded-circle"
                                    src="img/undraw_profile.svg">
                            </a>
                            <!-- Dropdown - User Information -->
                            <div class="dropdown-menu dropdown-menu-right shadow animated--grow-in"
                                aria-labelledby="userDropdown">
                                <a class="dropdown-item" href="profile.php">
                                    <i class="fas fa-user fa-sm fa-fw mr-2 text-gray-400"></i>
                                    Profile
                                </a>
                              
                                <a class="dropdown-item h6 mb-0 font-weight-bold text-gray-800" href="wallet.php">
                                 
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                                <div class="dropdown-divider"></div>
                                
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                                    Logout
                                </a>
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                    </ul>

                </nav>
                
   
    <style>
    @media print {

        html,
        body {
            display: none;
        }
    }
    </style>
</head>

<body>
  
    <!-- ============================================================== -->
    <!-- 						Content Start	 						-->
    <!-- ============================================================== -->
    <div class="container-fluid">
                <div class="row page-header">
        <div class="col-lg-6 align-self-center ">
            <font color="Red"> <b> <font size="4px"><marquee bgcolor="white"> 
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                <li class="breadcrumb-item"><a href="#">1.एंट्री करने से पहले कस्टमर का डिटेल चेक कर ले  लिमिट क्रॉस तो नहीं है</li>
<li class="breadcrumb-item"><a href="#">2.अगर स्लिप लिमिट क्रॉस से रिजेक्ट होती है तो आप लोगों का पेमेंट रिफंड नहीं होगा
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<li class="breadcrumb-item"><a href="#">3.एंट्री करने से पहले कस्टमर का हाथ पानी से धुलवा दे 
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<li class="breadcrumb-item"><a href="#">4.उसके बाद हाथों पर थोड़ा सा वैसलीन लगाकर एक से 2 मिनट के बाद एंट्री कीजिए 
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<li class="breadcrumb-item"><a href="#">5.कस्टमर की फिंगरप्रिंट काफी ज्यादा अच्छी आएगी 
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<li class="breadcrumb-item"><a href="#">6.कस्टमर का फिंगरप्रिंट हल्का प्रेस करें मंत्र डिवाइस पर 
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<li class="breadcrumb-item"><a href="#">7.यह प्रक्रिया करने पर डाटा रिजेक्ट होने का चांस बहुत कम होता है</li>
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<li class="breadcrumb-item"><a href="#">नेम करेक्शन में जो आप लोगों को डॉक्यूमेंट सेंड करना   WHATSAPP SEND                                 
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<li class="breadcrumb-item"><a href="#">1.कस्टमर की एक लाइव फोटो 2.अगर कस्टमर का पैन कार्ड है तो पैन कार्ड सेंड कर दीजिए
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        <div class="col-lg-6 align-self-center text-right">
            <a href="customerlist.php" class="btn btn-success box-shadow btn-icon btn-rounded"><i class="fa fa-users"></i> View Customers</a>
        </div>
    </div>
<h1 style="background:red; color:white" align="center">Add Child Enrollment <span>With Parents Finger</span></h1>
    <section class="main-content">
        <div class="row">
            <div class="col-sm-12">
                <div class="card-body">
                        <form id="regform" method="post" enctype="multipart/form-data" class="form-horizontal" autocomplete="off" onsubmit="myButton.disabled = true; return true;">
                            <div class="form-group">
                                <div class="row">
                                  
                                    <div class="col-md-4">
                                        <label for="FullName">Enter Child Name:</label>
                                        <input type="text" placeholder="Full Name" id="fullname" name="name" class="form-control" required="">
                                    </div>
                                    <div class="col-md-4">
                                        <label for="childnamelocal">बच्चे का नाम (हिंदी में)</label>
                                        <input type="text" placeholder="बच्चे का नाम (हिंदी में)" id="childnamelocal" name="childnamelocal" class="form-control" required="">
                                    </div>
                                    <div class="col-md-4">
                                      <label>Enter Hof</label>
                                      <select class="form-control" name="hof" id="hof" onchange="test()">
                                          <option value="Father">Father</option>
                                          <option value="Mother">Mother</option>
                                          <option value="Guardian">Guardian</option>
                                      </select>
                                  </div>
                                    <input type="hidden" name="sub" value="1">
                                    <div class="col-md-4">
                                        <label for="fathername">Enter Hof Name</label>
                                        <input type="text" placeholder="Enter Hof Name" id="fathername" name="fname" class="form-control" required="">
                                    </div>
                                    
                                    
                                    <div class="col-md-4">
                                        <label for="fnamelocal">Hof का नाम (हिंदी में)</label>
                                        <input type="text" placeholder="Hof का नाम (हिंदी में)" id="fnamelocal" name="fnamelocal" class="form-control" required="">
                                    </div>
                                    <div class="col-md-4">
                                        <label for="Aadhaar">Enter Hof Aadhaar Number.</label>
                                        <input id="aadhaar-no" name="aadhaar_no" type="number" placeholder="Enter Hof Aadhaar Number" minlength="12" class="form-control" required="">
                                    </div>
                                    <div class="col-md-4">
                                        <label for="date-input1">Enter Child Dob :</label>
                                         <input type="text" name="birthdate" placeholder="07/05/2000" class="form-control" required="">
                                         </div>
                                    <div class="col-md-4">
                                        <label for="MobileNo">Mobile No.</label>
                                        <input id="mobileno" name="mobile_no" type="number" placeholder="Mobile No" class="form-control" required="">
                                    </div>
                                    <div class="col-md-4">
                                        <label for="address">Enter Full Address With Pincode</label>
                                        <input id="address" name="address" type="text" placeholder="EX - Village, Post, Thana , District, State&nbsp;Pin&nbsp;Code" class="form-control" required="">
                                    </div>
                                   <div class="form-group">
                                <div class="row">
                                    <div class="col-md-4">
                                        <label for="Email">Enter Full Address Hindi With Pincode</label>
                                        <input type="text" name="email" placeholder="EX - ग्राम, पोस्ट, थाना, जिला, राज्य,&nbsp;पिन&nbsp;कोड" class="form-control"="">
                                    </div>                                  
                                    <div class="col-sm-4">
                                             <label>Select Gender * </label>
                                             <select class="form-control" name="gender">
                                                 <option value="Male">Male</option>    
                                                 <option value="Female">Female</option>    
                                                 <option value="Transgender">Transgender</option>    
                                             </select>
                                         </div>
                                    <div class="col-md-4">
                                        <label for="photo">Photo with white background <span class="text-danger">(200 DPI COLOUR JPG, PNG)</span></label>
                                    <input type="file" name="imagefile" class="form-control" id="imgInp">
                                    </div>
                                    <div class="col-md-4">
                                        <label for="poi">Upload Child Birth Certificate <span class="text-danger">(200 DPI COLOUR PDF)</span></label>
                                        <input type="file" id="poi" name="poi" class="form-control">
                                    </div>
                                    <div class="col-md-4">
                                        <label for="poa">Hof Aadhar <span class="text-danger">(200 DPI COLOUR PDF)</span></label>
                                        <input type="file" id="poa" name="poa" class="form-control">
                                    </div>
                                    <div class="col-md-4">
                                        <label for="Purpose">Purpose</label>
                                        <select class="form-control" name="purpose" id="purpose" readonly="" required="">
						    <option value="New Child Enrollment">New Child Enrollment</option>
				        	<!--<option value="EMAIL ID UPDATE">EMAIL ID UPDATE</option>-->
				        	<!--	<option value="BOTH EMAIL ID && MOBILE NO UPDATE">BOTH EMAIL ID && MOBILE NO UPDATE</option>-->
							
              
				        </select>
                                    </div>
                                </div>
                            </div>
                            
                           
                                    
                                    
                    <div class="form-group">
                                <div class="row">
                                    <div class="col-md-1"></div>
                                    <div class="col-md-2">
                                        <div class="card">
                                            <div class="card-body">
                                                <img src="assets/img/sd.jpg" id="im1"
                                                    class="img-fluid rounded-end border p-1">
                                                <input class="form-control" type="hidden" id="pic1" name="photo1" style="width: 205px;" id="cim1"required>
                                                <div style="width:100px;height:auto" class="text-center mt-2">
                                                    <img src="assets/img/check.png" style="display:none; width:205px;"
                                                        id="cim1" alt="">
                                                </div>
                                                <button type="button"
                                                    class="btn btn-outline-info px-4 mt-1 capture btn-sm w-100"
                                                    data-id="1">Click</button>
                                                <h5 id="q1" class="text-center mt-3"></h5>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-md-2">
                                        <div class="card">
                                            <div class="card-body">
                                                <img src="assets/img/sd.jpg" id="im2"
                                                    class="img-fluid rounded-end border p-1">
                                                <input class="form-control" type="hidden" id="pic2" name="photo2" required> 
                                                <div style="width:100px; height : auto" class="text-center mt-2">
                                                    <img src="assets/img/check.png" style="display:none; width:205px;"
                                                        id="cim2" alt="">
                                                </div>
                                                <button type="button"
                                                    class="btn btn-outline-info px-4 mt-1 capture btn-sm w-100"
                                                    data-id="2">Click</button>
                                                <h5 id="q2" class="text-center mt-3"></h5>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-md-2">
                                        <div class="card">
                                            <div class="card-body">
                                                <img src="assets/img/sd.jpg" id="im3"
                                                    class="img-fluid rounded-end border p-1">
                                                <input class="form-control" type="hidden" id="pic3" name="photo3" required>
                                                <div style="width:100px; height : auto" class="text-center mt-2">
                                                    <img src="assets/img/check.png" style="display:none; width:205px;"
                                                        id="cim3" alt="">
                                                </div>
                                                <button type="button"
                                                    class="btn btn-outline-info px-4 mt-1 capture btn-sm w-100"
                                                    data-id="3">Click</button>
                                                <h5 id="q3" class="text-center mt-3"></h5>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-md-2">
                                        <div class="card">
                                            <div class="card-body">
                                                <img src="assets/img/sd.jpg" id="im4"
                                                    class="img-fluid rounded-end border p-1">
                                                <input class="form-control" type="hidden" id="pic4" name="photo4" required>
                                                <div style="width:100px; height : auto" class="text-center mt-2">
                                                    <img src="assets/img/check.png" style="display:none; width:205px;"
                                                        id="cim4" alt="">
                                                </div>
                                                <button type="button"
                                                    class="btn btn-outline-info px-4 mt-1 capture btn-sm w-100"
                                                    data-id="4">Click</button>
                                                <h5 id="q4" class="text-center mt-3"></h5>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-md-2">
                                        <div class="card">
                                            <div class="card-body">
                                                <img src="assets/img/sd.jpg" id="im5"
                                                    class="img-fluid rounded-end border p-1">
                                                <input class="form-control" type="hidden" id="pic5" name="photo5" required>
                                                <div style="width:100px; height : auto" class="text-center mt-2">
                                                    <img src="assets/img/check.png" style="display:none; width:205px;"
                                                        id="cim5" alt="">
                                                </div>
                                                <button type="button"
                                                    class="btn btn-outline-info px-4 mt-1 capture btn-sm w-100"
                                                    data-id="5">Click</button>
                                                <h5 id="q5" class="text-center mt-3"></h5>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-md-1"></div>
                                </div>
                            </div>
                            <div class="form-group">
                                <button type="submit" name="myButton" class="btn btn-success btn-icon"><i
                                        class="fa fa-floppy-o"></i>Submit</button>
                            </div>
                        </form>
                    </div>
                </div>
            </div>
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        aria-hidden="true">
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                    <button class="btn btn-secondary" type="button" data-dismiss="modal">Cancel</button>
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    <script src="assets/lib/formatter/jquery.formatter.min.js"></script>
    <script>
    $(function() {
        /* BirthDate */
        $('input[name="birthdate"]').daterangepicker({
            singleDatePicker: true,
            showDropdowns: true,
            minYear: 1901,
            maxYear: parseInt(moment().format('YYYY'), 10),
            locale: {
                format: "DD/MM/YYYY",
            }
        });
    });
    $('#mobileno').formatter({
        'pattern': '+91 {{99}}-{{99}}-{{999999}}',
        'persistent': true
    });
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        'pattern': '{{9999}} {{9999}} {{9999}}',
        'persistent': true
    });
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<script>
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<script>
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    }
</script>

<script>
    $(function() {
        $('#example2').DataTable({
            "paging": true,
            "lengthChange": true,
            "searching": true,
            "ordering": true,
            "info": true,
            "autoWidth": false,
            "responsive": true,
        });
    });

    function deleteRecord(th) {
        Swal.fire({
            title: 'Are you sure?',
            text: "You won't be able to revert this!",
            icon: 'warning',
            showCancelButton: true,
            showConfirmButton: true,
            confirmButtonColor: '#3085d6',
            cancelButtonColor: '#d33',
            confirmButtonText: 'Yes, delete it!'
        }).then((result) => {
            if (result.value == 1) {
                $(th).parent().submit();
            }
        });
    }
</script>



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