ursulineregistration.bdop.org Open in urlscan Pro
103.154.55.232  Public Scan

URL: https://ursulineregistration.bdop.org/
Submission: On December 01 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST /

<form action="/" class="form-horizontal form-label-left" enctype="multipart/form-data" id="student_entry_form" method="post" novalidate="novalidate"><input name="__RequestVerificationToken" type="hidden"
    value="XouCv8uzHdDKjvAQjzqGAVUZGjXOpTdaSc7HouzbXdc3XQ-vT7gBJUdFXx641LEIi3IWBV0fJXFJiV6SFij3YOdn6gC5HCQvySakkmE3uZY1">
  <div class="contentHolder">
    <div class="form_wizard wizard_horizontal">
      <ul class="wizard_steps">
        <li>
          <a class="done">
                            <span class="step_no">1</span>
                            <span class="step_descr">
                                <!--Step 1<br />-->
                                <small>Instructions</small>
                            </span>
                        </a>
        </li>
        <li>
          <a class="selected">
                            <span class="step_no">2</span>
                            <span class="step_descr">
                                <!--Step 2<br />-->
                                <small>Registration Entry</small>
                            </span>
                        </a>
        </li>
        <li>
          <a class="disabled">
                            <span class="step_no">3</span>
                            <span class="step_descr">
                                <!--Step 3<br />-->
                                <small>Verify Details</small>
                            </span>
                        </a>
        </li>
        <li>
          <a class="disabled">
                            <span class="step_no">4</span>
                            <span class="step_descr">
                                <!--Step 4<br />-->
                                <small>Payment Information</small>
                            </span>
                        </a>
        </li>
        <li>
          <a class="disabled">
                            <span class="step_no">5</span>
                            <span class="step_descr">
                                <!--Step 5<br />-->
                                <small>Finish Registration</small>
                            </span>
                        </a>
        </li>
      </ul>
    </div>
    <div class="formHolder">
      <div class="formcontainer">
        <div style="width: 100%;border: 1px solid #000;padding: 10px 5px;background: #337aa6;color: #fff;margin-bottom: 20px;">
          <table style="width:100%;">
            <tbody>
              <tr>
                <td colspan="2">
                  <h4 style="text-align: center;text-transform: uppercase;">Registration Form 2025-2026</h4>
                </td>
              </tr>
              <tr style="display:none;">
                <td>Application No </td>
                <td></td>
                <td>Application Token </td>
                <td>7d9bfc4215af35380c2501b9fc39cf29</td>
              </tr>
            </tbody>
          </table>
        </div>
        <!--Child Registration Entry Start-->
        <input type="hidden" name="STDREGID" value="0">
        <input type="hidden" name="REGTOKEN" value="7d9bfc4215af35380c2501b9fc39cf29">
        <input type="hidden" value="7d9bfc4215af35380c2501b9fc39cf29">
        <div class="form-horizontal form-label-left">
          <div style="width: 100%;">
            <div class="row">
              <div class="col-xs-12 col-sm-12 col-md-8 col-lg-8">
                <fieldset>
                  <legend>Child's Information</legend>
                  <div class="form-group">
                    <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Admission Seeking for</label>
                    <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                      <select class="form-control" data-val="true" data-val-required="The Admission Class field is required." id="ADMCLASS" name="ADMCLASS">
                        <option value="">--Select--</option>
                        <option value="NUR">Nursery</option>
                        <option value="LKG">LKG</option>
                      </select>
                      <span class="field-validation-valid text-danger" data-valmsg-for="ADMCLASS" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Name of the Child</label>
                    <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                      <input class="form-control text-box single-line" data-val="true" data-val-required="The Child Name field is required." id="CHILDNAME" name="CHILDNAME" type="text" value="">
                      <span class="field-validation-valid text-danger" data-valmsg-for="CHILDNAME" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Date of Birth</label>
                    <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                      <input autocomplete="off" class="form-control text-box single-line" data-val="true" data-val-required="The Date of Birth field is required." id="DOB" name="DOB" type="text" value="">
                      <span class="field-validation-valid text-danger" data-valmsg-for="DOB" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Gender</label>
                    <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                      <select class="form-control" data-val="true" data-val-required="The Gender field is required." id="GENDER" name="GENDER">
                        <option value="">-- Select --</option>
                        <option value="Male">Male</option>
                        <option value="Female">Female</option>
                      </select>
                      <span class="field-validation-valid text-danger" data-valmsg-for="GENDER" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Caste</label>
                    <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                      <select class="form-control" data-val="true" data-val-required="The Caste field is required." id="CASTE" name="CASTE">
                        <option value="">-- Select --</option>
                        <option value="GENERAL">GENERAL</option>
                        <option value="SC">SC</option>
                        <option value="ST">ST</option>
                        <option value="OBC">OBC</option>
                      </select>
                      <span class="field-validation-valid text-danger" data-valmsg-for="CASTE" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Religion</label>
                    <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                      <input class="form-control text-box single-line" data-val="true" data-val-required="The Religion field is required." id="RELIGION" name="RELIGION" type="text" value="">
                      <span class="field-validation-valid text-danger" data-valmsg-for="RELIGION" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Blood Group</label>
                    <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                      <input class="form-control text-box single-line" data-val="true" data-val-required="The Blood Group field is required." id="BLOODGROUP" name="BLOODGROUP" type="text" value="">
                      <span class="field-validation-valid text-danger" data-valmsg-for="BLOODGROUP" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                </fieldset>
              </div>
              <div class="col-xs-12 col-sm-12 col-md-4 col-lg-4">
                <fieldset style="margin-top: 12px !important;">
                  <div style="width:100%;text-align:center;margin: 10px 0px;">
                    <h4>Child's Photo</h4>
                    <img src="https://www.cchwyo.org/media/physicians/profiles/CCH-Male-Default.jpg" alt="" style="width:160px;text-align: center;margin: 0px auto;">
                  </div>
                  <br>
                  <div class="form-group">
                    <div class="col-xs-12 col-sm-12 col-md-12 col-lg-12">
                      <input name="CHILDPHOTOFILE" id="CHILDPHOTOFILE" type="file" class="fileBrowse" style="height: 32px" data-val="true" data-val-required="Child Photo field is required.">
                      <span class="field-validation-valid text-danger" data-valmsg-for="CHILDPHOTOFILE" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                </fieldset>
              </div>
            </div>
            <br>
            <div class="row">
              <div class="col-xs-12 col-sm-12 col-md-8 col-lg-8">
                <fieldset>
                  <legend>Father's Information</legend>
                  <div class="form-group">
                    <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Name of the Father</label>
                    <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                      <input class="form-control text-box single-line" data-val="true" data-val-required="The Father Name field is required." id="FATHERNAME" name="FATHERNAME" type="text" value="">
                      <span class="field-validation-valid text-danger" data-valmsg-for="FATHERNAME" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Educational Qualification</label>
                    <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                      <input class="form-control text-box single-line" id="FTREDUQLN" name="FTREDUQLN" type="text" value="">
                      <span class="field-validation-valid text-danger" data-valmsg-for="FTREDUQLN" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Occupation</label>
                    <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                      <input class="form-control text-box single-line" id="FTROCCUPATION" name="FTROCCUPATION" type="text" value="">
                      <span class="field-validation-valid text-danger" data-valmsg-for="FTROCCUPATION" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Annual Income</label>
                    <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                      <input class="form-control text-box single-line" id="FTRINCOME" name="FTRINCOME" type="text" value="">
                      <span class="field-validation-valid text-danger" data-valmsg-for="FTRINCOME" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Email ID</label>
                    <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                      <input class="form-control text-box single-line" data-val="true" data-val-required="The Father Email ID field is required." id="FTREMAILID" name="FTREMAILID" type="text" value="">
                      <span class="field-validation-valid text-danger" data-valmsg-for="FTREMAILID" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Mobile No</label>
                    <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                      <input class="form-control text-box single-line" data-val="true" data-val-required="The Father Mobile No field is required." id="FTRMOBILENO" name="FTRMOBILENO" type="text" value="">
                      <span class="field-validation-valid text-danger" data-valmsg-for="FTRMOBILENO" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Address</label>
                    <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                      <input class="form-control text-box single-line" data-val="true" data-val-required="The Address field is required." id="FTRADDRESS" name="FTRADDRESS" type="text" value="">
                      <span class="field-validation-valid text-danger" data-valmsg-for="FTRADDRESS" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                </fieldset>
              </div>
              <div class="col-xs-12 col-sm-12 col-md-4 col-lg-4">
                <fieldset style="margin-top: 12px !important;">
                  <div style="width:100%;text-align:center;margin: 10px 0px;">
                    <h4>Father's Photo</h4>
                    <img src="https://www.cchwyo.org/media/physicians/profiles/CCH-Male-Default.jpg" alt="" style="width:160px;text-align: center;margin: 0px auto;">
                  </div>
                  <br>
                  <div class="form-group">
                    <div class="col-xs-12 col-sm-12 col-md-12 col-lg-12">
                      <input name="FATHERPHOTOFILE" id="FATHERPHOTOFILE" type="file" class="fileBrowse" style="height: 32px" data-val="true" data-val-required="Father Photo field is required.">
                      <span class="field-validation-valid text-danger" data-valmsg-for="FATHERPHOTOFILE" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                </fieldset>
              </div>
            </div>
            <br>
            <div class="row">
              <div class="col-xs-12 col-sm-12 col-md-8 col-lg-8">
                <fieldset>
                  <legend>Mother's Information</legend>
                  <div class="form-group">
                    <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Name of the Mother</label>
                    <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                      <input class="form-control text-box single-line" data-val="true" data-val-required="The Mother Name field is required." id="MOTHERNAME" name="MOTHERNAME" type="text" value="">
                      <span class="field-validation-valid text-danger" data-valmsg-for="MOTHERNAME" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Educational Qualification</label>
                    <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                      <input class="form-control text-box single-line" id="MTREDUQLN" name="MTREDUQLN" type="text" value="">
                      <span class="field-validation-valid text-danger" data-valmsg-for="MTREDUQLN" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Occupation</label>
                    <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                      <input class="form-control text-box single-line" id="MTROCCUPATION" name="MTROCCUPATION" type="text" value="">
                      <span class="field-validation-valid text-danger" data-valmsg-for="MTROCCUPATION" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Annual Income</label>
                    <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                      <input class="form-control text-box single-line" id="MTRINCOME" name="MTRINCOME" type="text" value="">
                      <span class="field-validation-valid text-danger" data-valmsg-for="MTRINCOME" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Email ID</label>
                    <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                      <input class="form-control text-box single-line" id="MTREMAILID" name="MTREMAILID" type="text" value="">
                      <span class="field-validation-valid text-danger" data-valmsg-for="MTREMAILID" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Mobile No</label>
                    <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                      <input class="form-control text-box single-line" id="MTRMOBILENO" name="MTRMOBILENO" type="text" value="">
                      <span class="field-validation-valid text-danger" data-valmsg-for="MTRMOBILENO" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                  <div class="form-group">
                    <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Address</label>
                    <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                      <input class="form-control text-box single-line" id="MTRADDRESS" name="MTRADDRESS" type="text" value="">
                      <span class="field-validation-valid text-danger" data-valmsg-for="MTRADDRESS" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                </fieldset>
              </div>
              <div class="col-xs-12 col-sm-12 col-md-4 col-lg-4">
                <fieldset style="margin-top: 12px !important;">
                  <div style="width:100%;text-align:center;margin: 10px 0px;">
                    <h4>Mother's Photo</h4>
                    <img src="https://www.cchwyo.org/media/physicians/profiles/CCH-Male-Default.jpg" alt="" style="width:160px;text-align: center;margin: 0px auto;">
                  </div>
                  <br>
                  <div class="form-group">
                    <div class="col-xs-12 col-sm-12 col-md-12 col-lg-12">
                      <input name="MOTHERPHOTOFILE" id="MOTHERPHOTOFILE" type="file" class="fileBrowse" style="height: 32px" data-val="true" data-val-required="Mother Photo field is required.">
                      <span class="field-validation-valid text-danger" data-valmsg-for="MOTHERPHOTOFILE" data-valmsg-replace="true"></span>
                    </div>
                  </div>
                </fieldset>
              </div>
            </div>
            <br>
            <div class="row">
              <div class="col-xs-12 col-sm-12 col-md-12 col-lg-12">
                <fieldset>
                  <legend>ATTACHMENTS</legend>
                  <div class="row">
                    <div class="form-group">
                      <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Birth Certificate</label>
                      <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                        <input class="form-control1" data-val="true" data-val-required="The Birth Certificate field is required." id="BIRTHCERTFILE" name="BIRTHCERTFILE" type="file" value="">
                        <span class="field-validation-valid text-danger" data-valmsg-for="BIRTHCERTFILE" data-valmsg-replace="true"></span>
                      </div>
                    </div>
                    <div class="form-group">
                      <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Aadhaar File</label>
                      <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                        <input class="form-control1" id="AADHAARFILE" name="AADHAARFILE" type="file" value="">
                        <span class="field-validation-valid text-danger" data-valmsg-for="AADHAARFILE" data-valmsg-replace="true"></span>
                      </div>
                    </div>
                    <div class="form-group">
                      <label class="control-label col-xs-4 col-sm-4 col-md-4 col-lg-4">Caste Certificate</label>
                      <div class="col-xs-8 col-sm-8 col-md-8 col-lg-8">
                        <input class="form-control1" id="CASTECERTFILE" name="CASTECERTFILE" type="file" value="">
                        <span class="field-validation-valid text-danger" data-valmsg-for="CASTECERTFILE" data-valmsg-replace="true"></span>
                      </div>
                    </div>
                  </div>
                </fieldset>
              </div>
            </div>
          </div>
        </div>
        <!--Child Registration Entry End-->
      </div>
    </div>
  </div>
  <div class="footerHolder">
    <div class="footerHolderInner">
      <div class="col-xs-6 col-sm-6 col-md-6 col-lg-6">
        <a href="./STD_RegInstruction" class="btn btn-primary btn-xs" style="width: 100%;max-width:150px;height: 40px;line-height: 36px;float:left;"><span class="glyphicon glyphicon-circle-arrow-left" aria-hidden="true"></span> Go Back</a>
      </div>
      <div class="col-xs-6 col-sm-6 col-md-6 col-lg-6">
        <button class="btn btn-primary btn-xs" style="width: 100%;max-width:150px;height: 40px;float:right;" type="submit" name="GONEXT" value="Save &amp; Continue"><span class="glyphicon glyphicon-circle-arrow-right" aria-hidden="true"></span> Save
          &amp; Continue</button>
        <!--<input type="submit" name="SAVEENTRY" value="Save & Continue" class="btn btn-primary btn-xs" style="width: 100%;height: 40px;" />-->
      </div>
    </div>
  </div>
</form>

Text Content

 * 1 Instructions
 * 2 Registration Entry
 * 3 Verify Details
 * 4 Payment Information
 * 5 Finish Registration

REGISTRATION FORM 2025-2026

Application No Application Token 7d9bfc4215af35380c2501b9fc39cf29

Child's Information
Admission Seeking for
--Select-- Nursery LKG
Name of the Child

Date of Birth

Gender
-- Select -- Male Female
Caste
-- Select -- GENERAL SC ST OBC
Religion

Blood Group


CHILD'S PHOTO




Father's Information
Name of the Father

Educational Qualification

Occupation

Annual Income

Email ID

Mobile No

Address


FATHER'S PHOTO




Mother's Information
Name of the Mother

Educational Qualification

Occupation

Annual Income

Email ID

Mobile No

Address


MOTHER'S PHOTO




ATTACHMENTS
Birth Certificate

Aadhaar File

Caste Certificate

Go Back
Save & Continue
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