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<!doctype html> <html lang="en"> <head> <meta charset="utf-8"> <meta name="viewport" content="width=device-width, initial-scale=1"> <title>Application Form</title> <link href="https://fonts.googleapis.com/css2?family=Roboto:ital,wght@0,100..900;1,100..900&display=swap" rel="stylesheet"> <link href="https://cdn.jsdelivr.net/npm/bootstrap@5.3.7/dist/css/bootstrap.min.css" rel="stylesheet"> <link rel="stylesheet" href="style.css"> </head> <body> <div class="form-sec-wrapper"> <div class="container"> <div class="row"> <div class="col-12 col-md-8 m-auto"> <div class="formbox p-3"> <div class="formbox-header mb-3"> <div class="row"> <div class="col-12 col-md-6"><h3 class="text-uppercase m-0">Application Form</h3></div> <div class="col-12 col-md-6 d-flex align-items-center gap-2"> <h3 class="text-uppercase m-0 text-nowrap">REG NO:</h3> <input type="text" class="form-control border border-dark rounded-0"> </div> </div> </div> <p class="mb-1">Circle the course you want to join:</p> <h6>CsCs / NVQ / ECS / Electrical / Plumbing / SMSTS / SSSTS / CpCs / NPORS / GAS / SIA / Short course </h6> <div class="row my-4"> <div class="col-12 col-md-6 d-flex align-items-center gap-2"> <h5 class="text-uppercase m-0 text-nowrap">SITE LOCATION:</h5> <input type="text" class="form-control border-0 border-bottom border-dark rounded-0"> </div> <div class="col-12 col-md-6 d-flex align-items-center gap-2"> <h5 class="text-uppercase m-0 text-nowrap">Qualification Level:</h5> <input type="text" class="form-control border-0 border-bottom border-dark rounded-0"> </div> </div> <h5 class="text-uppercase text-nowrap"><span class="text-decoration-underline">EMPLOYEE DETAILS</span></h5> <h6>* Denotes a mandatory field. You should not leave it blank.</h6> <table class="table table-bordered border-dark form-table" style="table-layout: fixed; width: 100%;"> <tbody> <tr> <td>First Name*</td> <td></td> <td>House No.*</td> <td></td> </tr> <tr> <td>Middle Name</td> <td></td> <td>House Name</td> <td></td> </tr> <tr> <td>Last Name*</td> <td></td> <td>Street*</td> <td></td> </tr> <tr> <td>Gender*</td> <td> <div class="form-check"> <input class="form-check-input border-dark" type="checkbox" value="" id="male"> <label class="form-check-label" for="male"> Male </label> </div> <div class="form-check"> <input class="form-check-input border-dark" type="checkbox" value="" id="female" checked> <label class="form-check-label" for="female"> Female </label> </div> </td> <td>District</td> <td></td> </tr> <tr> <td>DOB (dd.mm.yyyy)*</td> <td></td> <td>Town/City</td> <td></td> </tr> <tr> <td>Place of birth</td> <td></td> <td>Country/State*</td> <td></td> </tr> <tr> <td>Nationality</td> <td></td> <td>Country</td> <td></td> </tr> <tr> <td>Telephone No. *</td> <td></td> <td>Postcode*</td> <td></td> </tr> <tr> <td>Mobile No. *</td> <td></td> <td>NI No / UTR.</td> <td></td> </tr> <tr> <td>Email*</td> <td></td> <td>CSCS / CPCS No.</td> <td></td> </tr> <tr> <td colspan="4">Where did you hear about us?</td> </tr> <tr> <td colspan="4" class="text-center">PLEASE PROVIDE DOCUMENTS WITH THE APPLICATION FORM AS LISTED BELOW</td> </tr> </tbody> </table> <h6>Checklist</h6> <div class="m-0"> <div class="form-check form-check-inline"> <input class="form-check-input border-dark" type="checkbox" id="inlineCheckbox1" value="option1"> <label class="form-check-label" for="inlineCheckbox1">PHOTO ID</label> </div> <div class="form-check form-check-inline"> <input class="form-check-input border-dark" type="checkbox" id="inlineCheckbox2" value="option2"> <label class="form-check-label" for="inlineCheckbox2">PROOF OF ADRESS </label> </div> <div class="form-check form-check-inline"> <input class="form-check-input border-dark" type="checkbox" id="inlineCheckbox3" value="option3"> <label class="form-check-label" for="inlineCheckbox3">COPY OF CPCS / CSCS CARD</label> </div> </div> <div class="border border-dark p-4 my-3"> <h6>NOTICE TO APPLICANTS</h6> <p class="m-0">Under the terms of the Data Protection Act, 1998, the personal information supplied by you will be treated in confidence but may be used intentionally for other registered purpose.</p> </div> <h6 class="m-0">I hereby declare that all the foregoing particulars are correct and apply for admission.</h6> <div class="row"> <div class="col-12 col-md-6 d-flex align-items-center gap-2"> <h6 class="m-0 text-nowrap">Signature of candidate:</h6> <input type="text" class="form-control border-0 border-bottom border-dark rounded-0"> </div> <div class="col-12 col-md-6 d-flex align-items-center gap-2"> <h6 class="m-0 text-nowrap">Date:</h6> <input type="text" class="form-control border-0 border-bottom border-dark rounded-0"> </div> </div> </div> </div> </div> </div> </div> <script src="https://cdn.jsdelivr.net/npm/bootstrap@5.3.7/dist/js/bootstrap.bundle.min.js"></script> </body> </html>
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