kspuclaassociationblr.org Open in urlscan Pro
2a02:4780:b:850:0:1a03:3b23:10  Public Scan

Form analysis
2 forms found in the DOM

<form id="myForm">
  <div class="register">
    <h4 class="mb-4" style="color: #5463FF; font-size: 26px; font-weight: 700; text-align: center; margin-top: 0;">Register Here</h4>
    <div class="col-sm-4 col-md-12 mb-4">
      <label class="form-label" for="employeeHomeCity" style="color: #25266D; font-size: 15px; font-weight: 500;">District</label>
      <input type="hidden" value="karnataka" id="employeeHomeCity">
      <select id="employeeHomedistrict" name="clg_city" style="color: #25266D; font-size: 15px; font-weight: 500; border-radius: 0;" class="form-control" placeholder=" ">
        <option>Select a district</option>
        <option value="Bagalkot">Bagalkot</option>
        <option value="Bangalore Rural">Bangalore Rural</option>
        <option value="Bangalore Urban">Bangalore Urban</option>
        <option value="Belgaum">Belgaum</option>
        <option value="Bellary">Bellary</option>
        <option value="Bidar">Bidar</option>
        <option value="Bijapur">Bijapur</option>
        <option value="Chamarajanagar">Chamarajanagar</option>
        <option value="Chikkaballapur">Chikkaballapur</option>
        <option value="Chikmagalur">Chikmagalur</option>
        <option value="Chitradurga">Chitradurga</option>
        <option value="Dakshina Kannada">Dakshina Kannada</option>
        <option value="Davanagere">Davanagere</option>
        <option value="Dharwad">Dharwad</option>
        <option value="Gadag">Gadag</option>
        <option value="Gulbarga">Gulbarga</option>
        <option value="Hassan">Hassan</option>
        <option value="Haveri">Haveri</option>
        <option value="Kodagu">Kodagu</option>
        <option value="Kolar">Kolar</option>
        <option value="Koppal">Koppal</option>
        <option value="Mandya">Mandya</option>
        <option value="Mysore">Mysore</option>
        <option value="Raichur">Raichur</option>
        <option value="Ramanagara">Ramanagara</option>
        <option value="Shimoga">Shimoga</option>
        <option value="Tumkur">Tumkur</option>
        <option value="Udupi">Udupi</option>
        <option value="Uttara Kannada">Uttara Kannada</option>
        <option value="Yadgir">Yadgir</option>
      </select>
    </div>
    <!-- <h4 style="color: #25266D; font-size: 15px; font-weight: 500; margin-top:10px">College Type</h4> -->
    <div class="gap-2 mb-4">
      <h4 class="form-label" for="employeeHomeCity" style="color: #25266D; font-size: 15px; font-weight: 500;">College Type</h4>
      <div class="flex gap-2">
        <label for="hs-radio-in-form" class="flex p-3 block w-full  text-sm focus:ring-blue-500">
          <input type="radio" name="college_type" value="government"
            class="shrink-0 mt-0.5 border-gray-200 rounded-full text-blue-600 pointer-events-none focus:ring-blue-500 dark:bg-gray-800 dark:border-gray-700 dark:checked:bg-blue-500 dark:checked:border-blue-500 dark:focus:ring-offset-gray-800"
            id="hs-radio-in-form" onclick="showGov()">
          <span class="text-sm text-gray-500 ml-3 dark:text-gray-400" style=" color: #25266D; font-size: 15px; font-weight: 500;">Government</span>
        </label>
        <label for="hs-radio-checked-in-form" class="flex p-3 block w-full  text-sm focus:ring-blue-500">
          <input type="radio" name="college_type" value="aided"
            class="shrink-0 mt-0.5 border-gray-200 rounded-full text-blue-600 pointer-events-none focus:ring-blue-500 dark:bg-gray-800 dark:border-gray-700 dark:checked:bg-blue-500 dark:checked:border-blue-500 dark:focus:ring-offset-gray-800"
            id="hs-radio-checked-in-form" onclick="showAid();">
          <span class="text-sm text-gray-500 ml-3 dark:text-gray-400 " style=" color: #25266D; font-size: 15px; font-weight: 500;">Aided</span>
        </label>
      </div>
    </div>
    <button type="button" style="background-color: #5463FF; display: block; margin: 0 auto;" id="regmod" class="btn btn-primary mt-4 " data-bs-toggle="modal" data-bs-target="#staticBackdrop" disabled=""> Click Here To Register </button>
  </div>
</form>

<form id="teachers-data-submit">
  <div class="modal fade" id="staticBackdrop" data-bs-backdrop="static" data-bs-keyboard="false" tabindex="-1" aria-labelledby="staticBackdropLabel" aria-hidden="true">
    <div class="modal-dialog modal-dialog-centered modal-fullscreen modal-fullscreen-sm-down modal-dialog-scrollable">
      <div class="modal-content">
        <div class="modal-header">
          <h5 style="color:#3B55A4;font-weight:700;font-size:20px" class="modal-title" id="staticBackdropLabel"> Karnataka State PU College Lecturers Association Ⓡ Membership form</h5>
          <button type="button" data-bs-dismiss="modal" aria-label="Close">
            <i style="color:#3B55A4" class="fa-regular fa-circle-xmark fa-xl"></i>
          </button>
        </div>
        <div class="modal-body" style="background-color:#ECECEC">
          <div class="row my-3 mx-3 rounded-lg " style="background-color:#ECECEC">
            <input type="text" value="" name="base64ConvertValue" id="base64ConvertValue" style="visibility: hidden;">
            <div class="col-12 py-4 px-3">
              <label class="block text-sm font-medium " style="color:#25266D;font-weight:700"> Name Of The Lecturer </label>
              <div class="row justify-content-around">
                <div class="col-sm-12 col-md-12 mb-3">
                  <label class="form-label" for="employeeFirstName"><span style="color:#25266D;font-weight:700" class="required">Full Name</span></label>
                  <input type="text" id="employeeFirstName" placeholder=" " name="full_name" class="form-control">
                </div>
              </div>
            </div>
            <div class=" hide col-sm-12 col-md-12 mb-3" id="textKGID" style="margin-top:20px;display:none">
              <label style="color:#25266D;font-weight:700" class="form-label" for="employeeDisplayName">KGID Number</label>
              <input type="text" class="form-control" id="textkg" placeholder=" Enter the KGID Number " name="kgid_hrms" title="Please enter only alphabets and hyphens in the Content, Subject field.">
              <label style="color:#25266D;font-weight:700" class="form-label" for="employeetype">Recruitment Mode: </label>
              <div class="grid sm:grid-cols-2 gap-2">
                <label for="hs-radio-in-form" class="flex p-3 block w-full bg-white border border-gray-200 rounded-md text-sm focus:border-blue-500 focus:ring-blue-500 dark:bg-slate-900 dark:border-gray-700 dark:text-gray-400">
                  <input type="radio" name="mode_of_recuritment_or_aided_date">
                  <span style="color:#25266D;font-weight:700" class="text-sm text-gray-500 ml-3 dark:text-gray-400">Directed</span>
                </label>
                <label for="hs-radio-checked-in-form" class="flex p-3 block w-full bg-white border border-gray-200 rounded-md text-sm focus:border-blue-500 focus:ring-blue-500 dark:bg-slate-900 dark:border-gray-700 dark:text-gray-400">
                  <input type="radio" name="mode_of_recuritment_or_aided_date">
                  <span style="color:#25266D;font-weight:700" class="text-sm text-gray-500 ml-3 dark:text-gray-400">Promoted</span>
                </label>
              </div>
            </div>
            <div class="hide col-sm-12 col-md-12 mb-3" id="textHRMS" style="margin-top:20px;display:none">
              <label style="color:#25266D;font-weight:700" class="form-label" for="employeeDisplayName">HRMS Number &amp; Institute Aided Date</label>
              <div class="grid sm:grid-cols-2 gap-2">
                <input type="text" id="textkg" placeholder=" Enter the HRMS Number " name="kgid_hrms" class="form-control" title="Please enter only alphabets and hyphens in the ">
                <label for="hs-radio-checked-in-form" class="flex p-3 block w-full bg-white border border-gray-200 rounded-md text-sm focus:border-blue-500 focus:ring-blue-500 dark:bg-slate-900 dark:border-gray-700 dark:text-gray-400">
                  <input type="date" name="mode_of_recuritment_or_aided_date">
                </label>
              </div>
            </div>
            <div class="col-sm-12 col-md-12 mb-3">
              <label style="color:#25266D;font-weight:700" class="form-label" for="employeeDisplayName"> Subject</label>
              <input type="text" id="employeeSubject" placeholder=" " name="subject" class="form-control" title="Please enter only alphabets and hyphens in the Content, Subject field.">
            </div>
            <div class="col-sm-12 col-md-12 mb-3">
              <label style="color:#25266D;font-weight:700" class="form-label" for="employeeDisplayName">Qualification</label>
              <input type="text" id="employeeQualification" placeholder=" " name="qualification" class="form-control" title="Please enter only alphabets, dots, hyphens, and commas in the Eligibility field.">
            </div>
            <div class="col-sm-12 col-md-12 mb-3">
              <label style="color:#25266D;font-weight:700" class="form-label" for="employeeDateofJoin">Date Of Birth</label>
              <input type="date" class="form-control" name="date_of_birth" id="employeeDateofBirth">
            </div>
            <div class="col-12 py-4 px-3">
              <label class="block text-sm font-medium text-gray-700" style="color:#25266D;font-weight:700;font-size: 20px;"> College Address and College Code </label>
              <div class="col-sm-12 col-md-12 mb-3">
                <label class="form-label" for="employeeHomeStreetName" style="color:#25266D;font-weight:700">Street Name</label>
                <input type="text" id="clg_street_name" name="clg_street_name" placeholder=" " class="form-control" required="">
              </div>
            </div>
            <div class="col-sm-12 col-md-12 mb-3">
              <label class="form-label" style="color:#25266D;font-weight:700" for="employeeHomeCity">College Taluk</label>
              <input type="text" id="employeeCollegeTaluk" name="clg_taluk" class="form-control">
            </div>
            <div class="col-sm-12 col-md-4 mb-3">
              <label class="form-label" style="color:#25266D;font-weight:700" for="employeeHomeCity">Country</label>
              <select id="employeeHomeCountry" class="form-control" name="clg_country">
                <option value="India " style="color:#25266D;font-weight:700"> India</option>
              </select>
            </div>
            <div class="col-sm-12 col-md-4 mb-3">
              <label style="color:#25266D;font-weight:700" class="form-label" for="employeeHomeCity">Zip Code</label>
              <input type="text" id="zipCode" placeholder=" " name="clg_zip_code" class="form-control" maxlength="6">
            </div>
            <div class="col-sm-12 col-md-4 mb-3">
              <label class="form-label" style="color:#25266D;font-weight:700" for="employeeHomeCity">College Code</label>
              <input type="text" id="collegeCode" placeholder=" " name="clg_code" class="form-control" maxlength="6">
            </div>
            <div class="col-12 py-4 px-3">
              <label class="block text-sm font-medium text-gray-700" style="color:#25266D;font-weight:700;font-size: 20px;"> Residential Address </label>
              <div class="col-sm-12 col-md-12 mb-3">
                <label style="color:#25266D;font-weight:700" class="form-label" for="employeeHomeStreetName">Street Name</label>
                <input type="text" id="streetName" placeholder=" " name="emp_street_name" class="form-control">
              </div>
            </div>
            <div class="col-sm-12 col-md-4 mb-3 employeeCommunicationAddress">
              <label style="color:#25266D;font-weight:700" class="form-label" for="employeeCommunicationState">State</label>
              <select id="employeeCommunicationState" name="emp_state" onchange="print_city('employeeCommunicationCity', this.selectedIndex);" class="form-control" placeholder=" ">
                <option value="">Select State</option>
                <option value="Andaman &amp; Nicobar">Andaman &amp; Nicobar</option>
                <option value="Andhra Pradesh">Andhra Pradesh</option>
                <option value="Arunachal Pradesh">Arunachal Pradesh</option>
                <option value="Assam">Assam</option>
                <option value="Bihar">Bihar</option>
                <option value="Chandigarh">Chandigarh</option>
                <option value="Chhattisgarh">Chhattisgarh</option>
                <option value="Dadra &amp; Nagar Haveli">Dadra &amp; Nagar Haveli</option>
                <option value="Daman &amp; Diu">Daman &amp; Diu</option>
                <option value="Delhi">Delhi</option>
                <option value="Goa">Goa</option>
                <option value="Gujarat">Gujarat</option>
                <option value="Haryana">Haryana</option>
                <option value="Himachal Pradesh">Himachal Pradesh</option>
                <option value="Jammu &amp; Kashmir">Jammu &amp; Kashmir</option>
                <option value="Jharkhand">Jharkhand</option>
                <option value="Karnataka">Karnataka</option>
                <option value="Kerala">Kerala</option>
                <option value="Lakshadweep">Lakshadweep</option>
                <option value="Madhya Pradesh">Madhya Pradesh</option>
                <option value="Maharashtra">Maharashtra</option>
                <option value="Manipur">Manipur</option>
                <option value="Meghalaya">Meghalaya</option>
                <option value="Mizoram">Mizoram</option>
                <option value="Nagaland">Nagaland</option>
                <option value="Orissa">Orissa</option>
                <option value="Pondicherry">Pondicherry</option>
                <option value="Punjab">Punjab</option>
                <option value="Rajasthan">Rajasthan</option>
                <option value="Sikkim">Sikkim</option>
                <option value="Tamil Nadu">Tamil Nadu</option>
                <option value="Tripura">Tripura</option>
                <option value="Uttar Pradesh">Uttar Pradesh</option>
                <option value="Uttaranchal">Uttaranchal</option>
                <option value="West Bengal">West Bengal</option>
              </select>
            </div>
            <div class="col-sm-12 col-md-4 mb-3 employeeCommunicationAddress">
              <label class="form-label" style="color:#25266D;font-weight:700" for="employeeCommunicationCity">district</label>
              <select id="employeeCommunicationCity" name="emp_city" class="form-control" placeholder=" "></select>
            </div>
            <div class="col-sm-12 col-md-4 mb-3">
              <label class="form-label" for="employeeHomeCity" style="color:#25266D;font-weight:700">Employee Residential Taluk</label>
              <input type="text" id="employeeHomeTaluk" name="emp_taluk" class="form-control">
            </div>
            <div class="col-sm-12 col-md-6 mb-3">
              <label class="form-label" style="color:#25266D;font-weight:700" for="employeeHomeCity">Country</label>
              <select id="employeeHomeCountry" name="emp_country" class="form-control" placeholder=" " required="">
                <option style="color:#25266D;font-weight:700" value="India">India</option>
              </select>
            </div>
            <div class="col-sm-12 col-md-6 mb-3">
              <label class="form-label" style="color:#25266D;font-weight:700" for="employeeHomeCity">Zip Code</label>
              <input type="text" id="emphomezipCode" placeholder=" " name="emp_zip_code" class="form-control" maxlength="6">
            </div>
            <div class="col-sm-12 col-md-6 mb-3">
              <label class="form-label" for="employeeOfficialNumber"><span style="color:#25266D;font-weight:700">Contact Number</span></label>
              <input type="text" id="contactNumber" name="emp_contact" placeholder=" " class="form-control" maxlength="10" title="Please enter a valid 10-digit contact number.">
            </div>
            <div class="col-sm-12 col-md-6 mb-3">
              <label class="form-label" for="employeeAlternateMobile" style="color:#25266D;font-weight:700">Alternate Contact Number</label>
              <input type="text" id="altcontactNumber" name="emp_alt_contact" placeholder=" " class="form-control" maxlength="10">
            </div>
            <div class="col-sm-12 col-md-6 mb-3">
              <label class="form-label" style="color:#25266D;font-weight:700" for="employeeDateofJoin">Date of Issue</label>
              <input type="date" class="form-control disableDate" name="issue_date" id="employeeDateofissue" style="" min="2023-06-22">
            </div>
            <div class="col-sm-12 col-md-6 mb-3">
              <label style="color:#25266D;font-weight:700" class="form-label" for="employeeDateofJoin">Date of Joining Service</label>
              <input type="date" class="form-control" name="joining_date" id="employeeDateofJoin" style="">
            </div>
            <div class="col-12 py-4 px-3">
              <label style="color:#25266D;font-weight:700" class="block text-sm font-medium text-gray-700"> Annual Membership </label>
              <div class="row justify-content-around">
                <!-- <div class="col-sm-12 col-md-4 mb-3">
                    <label class="form-label" for="employeeFirstName"><span style="color:#25266D;font-weight:700" class="required">Fee</span></label>
                    <input type="text" id="fee" name="fee" placeholder=" " class="form-control" minlength="2" maxlength="4"
                      title="Please enter only numbers in the fee field."  />
                  </div> -->
                <div class="col-sm-12 col-md-4 mb-3">
                  <label class="form-label" for="employeeFirstName"><span style="color:#25266D;font-weight:700" class="required">Fee</span></label>
                  <input type="text" id="fee" name="fee" placeholder=" " class="form-control" minlength="2" maxlength="4" title="Please enter only numbers in the fee field." value="400" readonly="">
                </div>
                <div class="col-sm-12 col-md-4 mb-3">
                  <label class="form-label" style="color:#25266D;font-weight:700" for="employeeDateofJoin">Date </label>
                  <input type="date" class="form-control disableDate" name="transact_date" id="employeeDateoftransact" min="2023-06-22">
                </div>
                <div class="col-sm-12 col-md-4 mb-3">
                  <label class="form-label" for="employeeLastName"><span style="color:#25266D;font-weight:700;border-color:white" class="required">Receipt Number</span></label>
                  <input type="text" id="employeeLastName" name="reciept_num" class="form-control" readonly="">
                </div>
                <div class="col-sm-12 col-md-12 mb-3">
                  <label class="form-label" style="color:#25266D;font-weight:700" for="employeeHomeCity">Blood Group</label>
                  <select name="blood_grp" id="bloodgroup" class="form-control dropdown" style="">
                    <option style="color:#25266D;font-weight:700" value="" disabled="" selected="">Select</option>
                    <option value="A-">A-</option>
                    <option value="B-">B-</option>
                    <option value="O-">O-</option>
                    <option value="B+">B+</option>
                    <option value="O+">O+</option>
                    <option value="A+">A+</option>
                    <option value="A1+">A1+</option>
                    <option value="A1B-">A1B-</option>
                    <option value="AB+">AB+</option>
                    <option value="AB-">AB-</option>
                    <option value="A1B+">A1B+</option>
                    <option value="A2+">A2+</option>
                    <option value="A2B-">A2B-</option>
                    <option value="A2B+">A2B+</option>
                    <option value="A1-">A1-</option>
                  </select>
                </div>
              </div>
            </div>
            <div class="app">
              <div class="heading">
                <h1 style="color:#25266D;font-weight:700">File Upload Preview</h1>
                <p style="color:#25266D;font-weight:700;padding:20px">Upload a file to continue.</p>
              </div>
              <div class="preview">
                <div>
                  <img src="../assets/img/avatars/demo.jpeg" alt="" name="image_name" class="preview-image" accept="image/*">
                </div>
              </div>
              <div class="button_section">
                <div class="button_group">
                  <label for="input1">Upload file &nbsp; <i class="fa fa-upload" aria-hidden="true"></i></label>
                  <input type="file" id="input1" name="image" accept="image/*" onclick="enableBtn()" onchange="encodeImageFileAsURL(this)">
                </div>
                <button type="button" id="start-camera"
                  class="focus:outline-none text-white bg-purple-700 hover:bg-purple-800 focus:ring-4 focus:ring-purple-300 font-medium rounded-lg text-sm px-5 py-2.5 mb-2 dark:bg-purple-600 dark:hover:bg-purple-700 dark:focus:ring-purple-900"
                  onclick="disableBtn();showClickPhotoButton()">Start Camera</button>
              </div>
              <video id="video" width="320" height="240" autoplay=""></video>
              <button type="button" id="click-photo"
                class="text-gray-900 bg-white border border-gray-300 focus:outline-none hover:bg-gray-100 focus:ring-4 focus:ring-gray-200 font-medium rounded-lg text-sm px-5 py-2.5 mr-2 mb-2 dark:bg-gray-800 dark:text-white dark:border-gray-600 dark:hover:bg-gray-700 dark:hover:border-gray-600 dark:focus:ring-gray-700"
                onclick="showClearButton()" onchange="encodeCaptureImageFileAsURL(this)" style="display:none">Click Photo</button>
              <center><canvas id="canvas" name="image_name" width="320" height="240"></canvas></center>
              <button type="button" id="clear-photo"
                class="text-gray-900 bg-white border border-gray-300 focus:outline-none hover:bg-gray-100 focus:ring-4 focus:ring-gray-200 font-medium rounded-lg text-sm px-5 py-2.5 mr-2 mb-2 dark:bg-gray-800 dark:text-white dark:border-gray-600 dark:hover:bg-gray-700 dark:hover:border-gray-600 dark:focus:ring-gray-700"
                onclick="clearContent()" style="display:none">Clear Photo</button>
              <button class="clear_button"><span>Clear</span><i class="fa fa-trash" aria-hidden="true"></i></button>
            </div>
            <script>
              let camera_button = document.querySelector("#start-camera");
              let video = document.querySelector("#video");
              let click_button = document.querySelector("#click-photo");
              let canvas = document.querySelector("#canvas");
              camera_button.addEventListener('click', async function() {
                let stream = await navigator.mediaDevices.getUserMedia({
                  video: true,
                  audio: false
                });
                video.srcObject = stream;
              });
              click_button.addEventListener('click', function(stream) {
                canvas.getContext('2d').drawImage(video, 0, 0, canvas.width, canvas.height);
                let image_data_url = canvas.toDataURL('image/jpeg');
                document.querySelector('#base64ConvertValue').value = image_data_url.replace(/^.+,/, "");
                // data url of the image
                // console.log(image_data_url.replace(/^.+,/, ""));
                navigator.mediaDevices.getDisplayMedia({
                  video: false,
                  audio: false
                })
                console.log(stream)
              });
            </script>
            <div class="col-sm-12 col-md-12 mb-3">
              <input class="form-check-input" type="checkbox" role="switch" id="employeeSalaryVariableCheck">
              <label class="form-check-label" for="employeeSalaryVariableCheck">
                <b>I confirm that all the above information is correct. agree to take membership subject to the rules
                    and regulations of the association</b>
              </label>
            </div>
          </div>
        </div>
        <div class="modal-footer">
          <button type="button" class="btn btn-secondary" data-bs-dismiss="modal">Close</button>
          <button type="button" class="btn btn-primary" value="Submit" id="teachers-information">Submit</button>
        </div>
      </div>
    </div>
  </div>
</form>

Text Content

KSPCLA
 * Home
   
 * Admin
 * Contact
 * English Kannada
   


KARNATAKA STATE PU COLLEGE LECTURERS ASSOCIATION


KARNATAKA STATE PRE-UNIVERSITY COLLEGE LECTURERS COUNCIL (R), BANGALORE
ACCREDITED FROM THE GOVERNMENT #26, 4TH MAIN ROAD, M.E.I COLONY, NAGASANDRA,
T.DASARAHALLI, BANGALORE-73 MEMBERSHIP APPLICATION APPLICATION NUMBER

REGISTER HERE

District Select a district Bagalkot Bangalore Rural Bangalore Urban Belgaum
Bellary Bidar Bijapur Chamarajanagar Chikkaballapur Chikmagalur Chitradurga
Dakshina Kannada Davanagere Dharwad Gadag Gulbarga Hassan Haveri Kodagu Kolar
Koppal Mandya Mysore Raichur Ramanagara Shimoga Tumkur Udupi Uttara Kannada
Yadgir

COLLEGE TYPE

Government Aided
Click Here To Register

KARNATAKA STATE PU COLLEGE LECTURERS ASSOCIATION Ⓡ MEMBERSHIP FORM

Name Of The Lecturer
Full Name
KGID Number Recruitment Mode:
Directed Promoted
HRMS Number & Institute Aided Date

Subject
Qualification
Date Of Birth
College Address and College Code
Street Name
College Taluk
Country India
Zip Code
College Code
Residential Address
Street Name
State Select StateAndaman & NicobarAndhra PradeshArunachal
PradeshAssamBiharChandigarhChhattisgarhDadra & Nagar HaveliDaman &
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