{"id":71,"date":"2024-04-23T11:53:19","date_gmt":"2024-04-23T11:53:19","guid":{"rendered":"https:\/\/nelc.org.za\/?page_id=71"},"modified":"2026-01-07T12:52:00","modified_gmt":"2026-01-07T10:52:00","slug":"application-form","status":"publish","type":"page","link":"https:\/\/nelc.org.za\/?page_id=71","title":{"rendered":"Application form"},"content":{"rendered":"\n<p><strong>Fill out the form below  <\/strong><\/p>\n\n\n<div class=\"wlsm wlsm-grid\">\n\t<div id=\"wlsm-submit-registration-section\">\n\n\t\t\t\t\t<div class=\"wlsm-registration-form-header\">\n\t\t\t\t<h1 class=\"wlsm-registration-form-title\">\n\t\t\t\t\tRegistration\t\t\t\t<\/h1>\n\t\t\t<\/div>\n\t\t\n\t\t<form action=\"https:\/\/nelc.org.za\/wp-admin\/admin-ajax.php\" method=\"post\" id=\"wlsm-submit-registration-form\">\n\n\t\t\t\t\t\t<input type=\"hidden\" name=\"wlsm-submit-registration\" value=\"7d82521a0f\">\n\n\t\t\t<input type=\"hidden\" name=\"action\" value=\"wlsm-p-submit-registration\">\n\n\t\t\t\t\t\t\t<!-- School Selection -->\n\t\t\t\t<div class=\"wlsm-registration-section\" id=\"registration_school_selection\">\n\t\t\t\t\t<div class=\"wlsm-registration-section-header\">\n\t\t\t\t\t\t<h3 class=\"wlsm-registration-section-title\">\n\t\t\t\t\t\t\tSchool Selection\t\t\t\t\t\t<\/h3>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"wlsm-registration-section-content\">\n\t\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-6\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_school\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\t<span class=\"wlsm-important\">*<\/span> Select School:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<select name=\"school_id\" class=\"wlsm-form-control wlsm_school school_student_types\" data-nonce=\"cb4d0c84c3\" data-routes-vehicles-nonce=\"f2f1e2d02d\" id=\"wlsm_school\" data-sections=\"1\">\n\t\t\t\t\t\t\t\t\t<option value=\"\">Select School<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"2\">\n\t\t\t\t\t\t\t\t\t\t\tNhlayiseko Independent School\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t<!-- Personal Detail -->\n\t\t\t<div class=\"wlsm-registration-section\" id=\"registration_personal_detail\">\n\t\t\t\t<div class=\"wlsm-registration-section-header\">\n\t\t\t\t\t<h3 class=\"wlsm-registration-section-title\">\n\t\t\t\t\t\tPersonal Detail\t\t\t\t\t<\/h3>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wlsm-registration-section-content\">\n\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t<label for=\"wlsm_name\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t<span class=\"wlsm-important\">*<\/span> Student Name:\n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"name\" class=\"wlsm-form-control\" id=\"wlsm_name\" placeholder=\"Enter student name\" value=\"\">\n\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t<label class=\"wlsm-font-bold wlsm-d-block\">\n\t\t\t\t\t\t\t\t<span class=\"wlsm-important\">*<\/span> Gender:\n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-check wlsm-form-check-inline\">\n\t\t\t\t\t\t\t\t\t<input class=\"wlsm-form-check-input\" type=\"radio\" name=\"gender\" id=\"wlsm_gender_Male\" value=\"male\"  checked='checked'>\n\t\t\t\t\t\t\t\t\t<label class=\"wlsm-ml-1 wlsm-form-check-label wlsm-font-bold\" for=\"wlsm_gender_Male\">\n\t\t\t\t\t\t\t\t\t\tMale\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-check wlsm-form-check-inline\">\n\t\t\t\t\t\t\t\t\t<input class=\"wlsm-form-check-input\" type=\"radio\" name=\"gender\" id=\"wlsm_gender_Female\" value=\"female\" >\n\t\t\t\t\t\t\t\t\t<label class=\"wlsm-ml-1 wlsm-form-check-label wlsm-font-bold\" for=\"wlsm_gender_Female\">\n\t\t\t\t\t\t\t\t\t\tFemale\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_dob\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_date_of_birth\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tDate of Birth:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"date\" name=\"dob\" class=\"wlsm-form-control\" id=\"wlsm_date_of_birth_\" placeholder=\"Enter date of birth\" value=\"\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_religion\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_religion\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tReligion:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"religion\" class=\"wlsm-form-control\" id=\"wlsm_religion\" placeholder=\"Enter religion\" value=\"\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_caste\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_caste\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tCaste\/Sub caste:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"caste\" class=\"wlsm-form-control\" id=\"wlsm_caste\" placeholder=\"Enter caste\/sub caste\" value=\"\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_blood_group\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_blood_group\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tBlood Group:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<select name=\"blood_group\" class=\"wlsm-form-control selectpicker\" id=\"wlsm_blood_group\" data-live-search=\"true\">\n\t\t\t\t\t\t\t\t\t<option value=\"\">Select Blood Group<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"O+\">\n\t\t\t\t\t\t\t\t\t\t\tO+\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"A+\">\n\t\t\t\t\t\t\t\t\t\t\tA+\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"B+\">\n\t\t\t\t\t\t\t\t\t\t\tB+\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AB+\">\n\t\t\t\t\t\t\t\t\t\t\tAB+\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"O-\">\n\t\t\t\t\t\t\t\t\t\t\tO-\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"A-\">\n\t\t\t\t\t\t\t\t\t\t\tA-\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"B-\">\n\t\t\t\t\t\t\t\t\t\t\tB-\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AB-\">\n\t\t\t\t\t\t\t\t\t\t\tAB-\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_address\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_address\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tAddress:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<textarea name=\"address\" class=\"wlsm-form-control\" id=\"wlsm_address\" cols=\"30\" rows=\"3\" placeholder=\"Enter student address\"><\/textarea>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_phone\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_phone\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tPhone:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"phone\" class=\"wlsm-form-control\" id=\"wlsm_phone\" placeholder=\"Enter student phone number\" value=\"\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t<label for=\"wlsm_email\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t<span class=\"wlsm-important\">*<\/span> Email:\n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<input type=\"email\" name=\"email\" class=\"wlsm-form-control\" id=\"wlsm_email\" placeholder=\"Enter student email address\" value=\"\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_city\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_city\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tCity:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"city\" class=\"wlsm-form-control\" id=\"wlsm_city\" placeholder=\"Enter city\" value=\"\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_state\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_state\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tState:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"state\" class=\"wlsm-form-control\" id=\"wlsm_state\" placeholder=\"Enter state\" value=\"\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_country\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_country\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tCountry:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"country\" class=\"wlsm-form-control\" id=\"wlsm_country\" placeholder=\"Enter country\" value=\"\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_dob_in_words\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_date_of_birth_in_words\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tDate of Birth:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"dob_in_words\" class=\"wlsm-form-control\" id=\"wlsm_date_of_birth_in_words\" placeholder=\"Enter date of birth in words\" value=\"\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_mother_tongue\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_mother_tongue\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tMother Tongue:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"mother_tongue\" class=\"wlsm-form-control\" id=\"wlsm_mother_tongue\" placeholder=\"Enter mother tongue\" value=\"\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_birth_place\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_birth_place\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tBirth Place :\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"birth_place\" class=\"wlsm-form-control\" id=\"wlsm_birth_place\" placeholder=\"Enter birth place\" value=\"\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-row\" id=\"registration_id\">\n\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_id_number\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tID\/UID Number:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"id_number\" class=\"wlsm-form-control\" id=\"wlsm_id_number\" placeholder=\"Enter ID\/UID number\" value=\"\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t\t<div class=\"wlsm-id-proof-box wlsm-mt-2\">\n\t\t\t\t\t\t\t\t\t<div class=\"wlsm-id-proof-section\">\n\t\t\t\t\t\t\t\t\t\t<label for=\"wlsm_id_proof\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\t\t\tUpload ID\/UID Proof:\n\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t<div class=\"custom-file mb-3\">\n\t\t\t\t\t\t\t\t\t\t\t<input type=\"file\" class=\"custom-file-input\" id=\"wlsm_id_proof\" name=\"id_proof\">\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"wlsm-row\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_pen\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_pen\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tPAN\/PEN Number :\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"pen\" class=\"wlsm-form-control\" id=\"wlsm_pen\" placeholder=\"Enter PAN\/PEN Number\" value=\"\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_dob\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_category\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tCategory:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<select name=\"category\" class=\"wlsm-form-control\" id=\"wlsm_category\">\n\t\t\t\t\t\t\t\t\t<option value=\"\">Select category<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"ST\">ST<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SC\">SC<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"OBC\">OBC<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"GEN\">GEN<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_apaar\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_apaar\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tAPAAR Number :\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"apaar\" class=\"wlsm-form-control\" id=\"wlsm_apaar\" placeholder=\"Enter APAAR Number\" value=\"\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t\t\t<!-- Sibling Detail -->\n\t\t\t<div id=\"sib_box\">\n\t\t\t<\/div>\n\n\t\t\t\n\t\t\t<!-- Previous School Detail -->\n\t\t\t\t\t\t\t<div class=\"wlsm-registration-section\" id=\"registration_school_details\">\n\t\t\t\t\t<div class=\"wlsm-registration-section-header\">\n\t\t\t\t\t\t<h3 class=\"wlsm-registration-section-title\">\n\t\t\t\t\t\t\tPrevious School Detail\t\t\t\t\t\t<\/h3>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"wlsm-registration-section-content\">\n\t\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_dob\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_school_name\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tSchool Name:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"school_name\" class=\"wlsm-form-control\" id=\"wlsm_school_name\" placeholder=\"Enter school Name\" value=\"\">\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_dob\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_school_address\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tSchool Address:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"school_address\" class=\"wlsm-form-control\" id=\"wlsm_school_address\" placeholder=\"Enter school Address\" value=\"\">\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_dob\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_school_class\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tSchool class:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"school_class\" class=\"wlsm-form-control\" id=\"wlsm_school_class\" placeholder=\"Enter school class\" value=\"\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_dob\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_pass_out_year\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tPassout Year:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"pass_out_year\" class=\"wlsm-form-control\" id=\"wlsm_pass_out_year\" placeholder=\"Enter Passout Year\" value=\"\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t<!-- Admission Detail -->\n\t\t\t<div class=\"wlsm-registration-section\" id=\"registration_admission_detail\">\n\t\t\t\t<div class=\"wlsm-registration-section-header\">\n\t\t\t\t\t<h3 class=\"wlsm-registration-section-title\">\n\t\t\t\t\t\tAdmission Detail\t\t\t\t\t<\/h3>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wlsm-registration-section-content\">\n\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_student_type\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_student_type\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\t<span class=\"wlsm-important\">*<\/span> Student type:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<select name=\"student_type\" class=\"wlsm-form-control\" id=\"wlsm_student_type\">\n\t\t\t\t\t\t\t\t\t<!-- <option value=\"\">Select Student type<\/option> -->\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t<label for=\"wlsm_school_class\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t<span class=\"wlsm-important\">*<\/span> Class:\n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<select name=\"class_id\" class=\"wlsm-form-control wlsm_school_class wlsm_school_class_subject wlsm_school_class_activity wlsm_get_class_fees \" data-session=\"2\" data-nonce=\"e3d268c26c\" id=\"\">\n\t\t\t\t\t\t\t\t<option value=\"\">Select Class<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t<label for=\"wlsm_section\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t<span class=\"wlsm-important\">*<\/span> Section:\n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<select name=\"section_id\" class=\"wlsm-form-control\" id=\"wlsm_section\">\n\t\t\t\t\t\t\t\t<option value=\"\">Select Section<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t<label for=\"wlsm_subjects\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t<span class=\"wlsm-important\">*<\/span> Subjects:\n\t\t\t\t\t\t\t<\/label><br>\n\t\t\t\t\t\t\t<div id=\"wlsm_subjects\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id='registration_activity'>\n\t\t\t\t\t\t\t\t<label for=\"wlsm_activity\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tActivity:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div id=\"wlsm_activity\">\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_medium\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_medium\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tMedium:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<select name=\"medium\" class=\"wlsm-form-control selectpicker\" id=\"wlsm_medium\" data-live-search=\"true\">\n\t\t\t\t\t\t\t\t\t<option value=\"\">Select Medium<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"1\">\n\t\t\t\t\t\t\t\t\t\t\tEnglish\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"2\">\n\t\t\t\t\t\t\t\t\t\t\tHindi\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_student_photo\">\n\t\t\t\t\t\t\t\t<div class=\"wlsm-photo-box wlsm-mt-2\">\n\t\t\t\t\t\t\t\t\t<div class=\"wlsm-photo-section\">\n\t\t\t\t\t\t\t\t\t\t<label for=\"wlsm_photo\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\t\t\tUpload Photo:\n\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t<div class=\"custom-file mb-3\">\n\t\t\t\t\t\t\t\t\t\t\t<input type=\"file\" class=\"custom-file-input\" id=\"wlsm_photo\" name=\"photo\">\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t\t\t<!-- <div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_pan\">\n\t\t\t\t\t<label for=\"wlsm_pan\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t:\n\t\t\t\t\t<\/label>\n\t\t\t\t\t<input type=\"text\" name=\"pan\" class=\"wlsm-form-control\" id=\"wlsm_pan\" placeholder=\"\" value=\"\">\n\t\t\t\t<\/div> -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t\t\t<!-- Parent Detail -->\n\t\t\t\t\t\t\t<div class=\"wlsm-registration-section\" id=\"registration_parent_detail\">\n\t\t\t\t\t<div class=\"wlsm-registration-section-header\">\n\t\t\t\t\t\t<h3 class=\"wlsm-registration-section-title\">\n\t\t\t\t\t\t\tParent Detail\t\t\t\t\t\t<\/h3>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"wlsm-registration-section-content\">\n\t\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_father_name\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tFather&#039;s Name:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"father_name\" class=\"wlsm-form-control\" id=\"wlsm_father_name\" placeholder=\"Enter father name\" value=\"\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_father_phone\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tFather&#039;s Phone:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"father_phone\" class=\"wlsm-form-control\" id=\"wlsm_father_phone\" placeholder=\"Enter father phone number\" value=\"\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t\t\t<label for=\"wlsm_father_occupation\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\t\tFather&#039;s Occupation:\n\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"text\" name=\"father_occupation\" class=\"wlsm-form-control\" id=\"wlsm_father_occupation\" placeholder=\"Enter father occupation\" value=\"\">\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_father_id_number\">\n\t\t\t\t\t\t\t\t\t<label for=\"wlsm_father_id_number\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\t\tFather&#039;s ID Number:\n\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"text\" name=\"father_id_number\" class=\"wlsm-form-control\" id=\"wlsm_father_id_number\" placeholder=\"Enter Father ID Number\" value=\"\">\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_mother_name\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tMother&#039;s Name:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"mother_name\" class=\"wlsm-form-control\" id=\"wlsm_mother_name\" placeholder=\"Enter mother name\" value=\"\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_mother_phone\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tMother&#039;s Phone:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"mother_phone\" class=\"wlsm-form-control\" id=\"wlsm_mother_phone\" placeholder=\"Enter mother phone number\" value=\"\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t\t\t<label for=\"wlsm_mother_occupation\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\t\tMother&#039;s Occupation:\n\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"text\" name=\"mother_occupation\" class=\"wlsm-form-control\" id=\"wlsm_mother_occupation\" placeholder=\"Enter mother occupation\" value=\"\">\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\" id=\"registration_mother_id_number\">\n\t\t\t\t\t\t\t\t\t<label for=\"wlsm_mother_id_number\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\t\tMother&#039;s ID Number:\n\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"text\" name=\"mother_id_number\" class=\"wlsm-form-control\" id=\"wlsm_mother_id_number\" placeholder=\"Enter mother ID Number\" value=\"\">\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t\t<div class=\"wlsm-parent-id-proof-box\">\n\t\t\t\t\t\t\t\t\t<div class=\"wlsm-parent-id-proof-section\">\n\t\t\t\t\t\t\t\t\t\t<label for=\"wlsm_parent_id_proof\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\t\t\tUpload Parent ID Proof:\n\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t<div class=\"custom-file mb-3\">\n\t\t\t\t\t\t\t\t\t\t\t<input type=\"file\" class=\"custom-file-input\" id=\"wlsm_parent_id_proof\" name=\"parent_id_proof\">\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t<!-- Student Login Detail -->\n\t\t\t\t\t\t\t<div class=\"wlsm-registration-section\" id=\"registration_student_login\">\n\t\t\t\t\t<div class=\"wlsm-registration-section-header\">\n\t\t\t\t\t\t<h3 class=\"wlsm-registration-section-title\">\n\t\t\t\t\t\t\tLogin Detail\t\t\t\t\t\t<\/h3>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"wlsm-registration-section-content\">\n\t\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t\t<div class=\"wlsm-col-12\">\n\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-row wlsm-mb-2\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"allow_student_login\" id=\"wlsm_allow_student_login\" class=\"wlsm-mt-1 wlsm-mr-1\" value=\"1\">\n\t\t\t\t\t\t\t\t\t<label class=\"wlsm-font-bold wlsm-d-i-block wlsm-ml-1\" for=\"wlsm_allow_student_login\">\n\t\t\t\t\t\t\t\t\t\tAllow Student Login?\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"wlsm-student-new-user\">\n\t\t\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t\t\t<label for=\"wlsm_username\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\t\t<span class=\"wlsm-important\">*<\/span> Username:\n\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"text\" name=\"username\" class=\"wlsm-form-control\" id=\"wlsm_username\" placeholder=\"Enter username\">\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t<!-- <div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t<label for=\"wlsm_login_email\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t<span class=\"wlsm-important\">*<\/span> :\n\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<input type=\"email\" name=\"login_email\" class=\"wlsm-form-control\" id=\"wlsm_login_email\" placeholder=\"\">\n\t\t\t\t\t\t<\/div> -->\n\n\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t\t\t<label for=\"wlsm_login_password\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\t\t<span class=\"wlsm-important\">*<\/span> Password:\n\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"password\" name=\"password\" class=\"wlsm-form-control\" id=\"wlsm_login_password\" placeholder=\"Enter password\">\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t<!-- Parent \/ Guardian Name and Login Detail -->\n\t\t\t\t\t\t\t<div class=\"wlsm-registration-section\" id=\"registration_parent_login\">\n\t\t\t\t\t<div class=\"wlsm-registration-section-header\">\n\t\t\t\t\t\t<h3 class=\"wlsm-registration-section-title\">\n\t\t\t\t\t\t\tParent \/ Guardian Login Detail\t\t\t\t\t\t<\/h3>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"wlsm-registration-section-content\">\n\t\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t\t<div class=\"wlsm-col-12\">\n\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-row wlsm-mb-2\">\n\t\t\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"allow_parent_login\" id=\"wlsm_allow_parent_login\" class=\"wlsm-mt-1 wlsm-mr-1\" value=\"1\" disabled>\n\t\t\t\t\t\t\t\t\t<label class=\"wlsm-font-bold wlsm-d-i-block wlsm-ml-1\" for=\"wlsm_allow_parent_login\" style=\"opacity: 0.6;\">\n\t\t\t\t\t\t\t\t\t\tAllow Parent Login?\t\t\t\t\t\t\t\t\t\t<small class=\"wlsm-text-muted\">(Enable student login first)<\/small>\n\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"wlsm-parent-new-user\">\n\t\t\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t\t\t<label for=\"wlsm_parent_username\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\t\t<span class=\"wlsm-important\">*<\/span> Username:\n\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"text\" name=\"parent_username\" class=\"wlsm-form-control\" id=\"wlsm_parent_username\" placeholder=\"Enter username\">\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t\t\t<label for=\"wlsm_parent_login_email\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\t\t<span class=\"wlsm-important\">*<\/span> Login Email:\n\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"email\" name=\"parent_login_email\" class=\"wlsm-form-control\" id=\"wlsm_parent_login_email\" placeholder=\"Enter login email\">\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t\t\t<label for=\"wlsm_parent_login_password\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\t\t<span class=\"wlsm-important\">*<\/span> Password:\n\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"password\" name=\"parent_password\" class=\"wlsm-form-control\" id=\"wlsm_parent_login_password\" placeholder=\"Enter password\">\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t<!-- Transport Detail -->\n\t\t\t\t\t\t\t<div class=\"wlsm-registration-section\" id=\"registration_transport\">\n\t\t\t\t\t<div class=\"wlsm-registration-section-header\">\n\t\t\t\t\t\t<h3 class=\"wlsm-registration-section-title\">\n\t\t\t\t\t\t\tTransport Detail\t\t\t\t\t\t<\/h3>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"wlsm-registration-section-content\">\n\t\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t\t<div class=\"wlsm-form-group wlsm-col-4\">\n\t\t\t\t\t\t\t\t<label for=\"wlsm_route_vehicle\" class=\"wlsm-font-bold\">\n\t\t\t\t\t\t\t\t\tTransport Route and Vehicle:\n\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<select name=\"route_vehicle_id\" class=\"wlsm-form-control selectpicker\" id=\"wlsm_route_vehicle\" data-live-search=\"true\" title=\"Select\">\n\t\t\t\t\t\t\t\t\t<option value=\"\">Select<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t<!-- Survey Section -->\n\t\t\t\t\t\t\t<div class=\"wlsm-registration-section\" id=\"registration_survey\">\n\t\t\t\t\t<div class=\"wlsm-registration-section-header\">\n\t\t\t\t\t\t<h3 class=\"wlsm-registration-section-title\">\n\t\t\t\t\t\t\tHow Did you Hear From Us?\t\t\t\t\t\t<\/h3>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"wlsm-registration-section-content\">\n\t\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t\t<div class=\"wlsm-col-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-check\">\n\t\t\t\t\t\t\t\t\t\t<input class=\"wlsm-form-check-input\" type=\"radio\" name=\"survey\" id=\"wlsm_survey_Google\" value=\"google\"  checked='checked'>\n\t\t\t\t\t\t\t\t\t\t<label class=\"wlsm-ml-1 wlsm-form-check-label wlsm-font-bold\" for=\"wlsm_survey_Google\">\n\t\t\t\t\t\t\t\t\t\t\tGoogle\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-check\">\n\t\t\t\t\t\t\t\t\t\t<input class=\"wlsm-form-check-input\" type=\"radio\" name=\"survey\" id=\"wlsm_survey_Facebook\" value=\"facebook\" >\n\t\t\t\t\t\t\t\t\t\t<label class=\"wlsm-ml-1 wlsm-form-check-label wlsm-font-bold\" for=\"wlsm_survey_Facebook\">\n\t\t\t\t\t\t\t\t\t\t\tFacebook\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-check\">\n\t\t\t\t\t\t\t\t\t\t<input class=\"wlsm-form-check-input\" type=\"radio\" name=\"survey\" id=\"wlsm_survey_Instagram\" value=\"instagram\" >\n\t\t\t\t\t\t\t\t\t\t<label class=\"wlsm-ml-1 wlsm-form-check-label wlsm-font-bold\" for=\"wlsm_survey_Instagram\">\n\t\t\t\t\t\t\t\t\t\t\tInstagram\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-check\">\n\t\t\t\t\t\t\t\t\t\t<input class=\"wlsm-form-check-input\" type=\"radio\" name=\"survey\" id=\"wlsm_survey_Friends &amp; Family\" value=\"friends\" >\n\t\t\t\t\t\t\t\t\t\t<label class=\"wlsm-ml-1 wlsm-form-check-label wlsm-font-bold\" for=\"wlsm_survey_Friends &amp; Family\">\n\t\t\t\t\t\t\t\t\t\t\tFriends &amp; Family\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-check\">\n\t\t\t\t\t\t\t\t\t\t<input class=\"wlsm-form-check-input\" type=\"radio\" name=\"survey\" id=\"wlsm_survey_Banner\" value=\"banner\" >\n\t\t\t\t\t\t\t\t\t\t<label class=\"wlsm-ml-1 wlsm-form-check-label wlsm-font-bold\" for=\"wlsm_survey_Banner\">\n\t\t\t\t\t\t\t\t\t\t\tBanner\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-check\">\n\t\t\t\t\t\t\t\t\t\t<input class=\"wlsm-form-check-input\" type=\"radio\" name=\"survey\" id=\"wlsm_survey_Flyer\" value=\"flyer\" >\n\t\t\t\t\t\t\t\t\t\t<label class=\"wlsm-ml-1 wlsm-form-check-label wlsm-font-bold\" for=\"wlsm_survey_Flyer\">\n\t\t\t\t\t\t\t\t\t\t\tFlyer\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"wlsm-form-check\">\n\t\t\t\t\t\t\t\t\t\t<input class=\"wlsm-form-check-input\" type=\"radio\" name=\"survey\" id=\"wlsm_survey_Other\" value=\"other\" >\n\t\t\t\t\t\t\t\t\t\t<label class=\"wlsm-ml-1 wlsm-form-check-label wlsm-font-bold\" for=\"wlsm_survey_Other\">\n\t\t\t\t\t\t\t\t\t\t\tOther\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t<!-- Student Fees -->\n\t\t\t\t\t\t\t<div class=\"wlsm-registration-section\" id=\"registration_fees\">\n\t\t\t\t\t<div class=\"wlsm-registration-section-header\">\n\t\t\t\t\t\t<h3 class=\"wlsm-registration-section-title\">\n\t\t\t\t\t\t\tStudent Fees\t\t\t\t\t\t<\/h3>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"wlsm-registration-section-content\">\n\t\t\t\t\t\t<div class=\"wlsm-row\">\n\t\t\t\t\t\t\t<div class=\"wlsm-col-12 \" id=\"wlsm_fees\">\n\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t<!-- GDPR Section -->\n\t\t\t<div class=\"wlsm-form-section wlsm-mt-2\">\n\t\t\t\t\t\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wlsm-border-top wlsm-pt-2 wlsm-mt-1\">\n\t\t<button class=\"button wlsm-btn btn btn-primary\" type=\"submit\" id=\"wlsm-submit-registration-btn\">\n\t\t\tSubmit\t\t<\/button>\n\t<\/div>\n\t<\/form>\n\n<\/div>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Fill out the form below<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-71","page","type-page","status-publish","hentry","entry"],"_links":{"self":[{"href":"https:\/\/nelc.org.za\/index.php?rest_route=\/wp\/v2\/pages\/71","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nelc.org.za\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nelc.org.za\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nelc.org.za\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nelc.org.za\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=71"}],"version-history":[{"count":6,"href":"https:\/\/nelc.org.za\/index.php?rest_route=\/wp\/v2\/pages\/71\/revisions"}],"predecessor-version":[{"id":476,"href":"https:\/\/nelc.org.za\/index.php?rest_route=\/wp\/v2\/pages\/71\/revisions\/476"}],"wp:attachment":[{"href":"https:\/\/nelc.org.za\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=71"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}