{"id":96,"date":"2024-03-20T15:00:07","date_gmt":"2024-03-20T09:30:07","guid":{"rendered":"https:\/\/application.kalakshetra.in\/?page_id=96"},"modified":"2026-03-04T11:43:13","modified_gmt":"2026-03-04T06:13:13","slug":"rdcfa-form","status":"publish","type":"page","link":"https:\/\/application.kalakshetra.in\/index.php\/rdcfa-form\/","title":{"rendered":"Full Time Diploma Admission form &#8211; RDCFA"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"96\" class=\"elementor elementor-96\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2a6ffc8 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2a6ffc8\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div 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src=\"https:\/\/application.kalakshetra.in\/wp-content\/uploads\/2026\/02\/KALAKSHETRA-ADMISSION-BANNER-2026.jpg\" style=\"width:100%\" \/><br \/>\n  <\/center><\/p>\n<h5><center><u><a href=\"https:\/\/application.kalakshetra.in\/wp-content\/uploads\/2026\/02\/Prospectus-2026-2027-.pdf\" target=\"_blank\">Application form for Full Time Diploma in Bharatanatyam, Carnatic Music &#038; Visual Arts course &#8211; For the Academic year (2026-2027)<\/u><\/a><\/center><\/h5>\n<div class=\"clearfix\">\n<fieldset style=\"margin-top: 25px;\">\n<legend>Candidate Information<\/legend>\n<div id=\"left\">\n  <label style=\"font-weight: 400;\"> Name of the Candidate (As per the Xth Marksheet)<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap your-name\"><input type=\"text\" name=\"your-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label>\n  <\/div>\n<div id=\"right\">\n  <label style=\"font-weight: 400;\"> Date of Birth (As per the Xth Marksheet) <red>*<\/red><br \/>\n     <span class=\"wpcf7-form-control-wrap date-661\"><input type=\"date\" name=\"date-661\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"rdcfa-dob\" min=\"2001-07-01\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label>\n  <\/div>\n<div id=\"left\">\n  <label style=\"font-weight: 400;\"> Age<red>* (The Maximum age is 25 years as on 01-07-2026)<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap your-age\"><input type=\"number\" name=\"your-age\" value=\"\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number age\" id=\"rdcfa-age\" min=\"15\" max=\"25\" readonly=\"readonly\" aria-invalid=\"false\" \/><\/span> <\/label>\n   <\/div>\n<div id=\"right\">\n  <label style=\"font-weight: 400;\"> Student&#8217;s Photo<red>*<\/red> Max. 1MB (Only JPG\/JPEG\/PNG)<br \/>\n   <span class=\"wpcf7-form-control-wrap stud-photo\"><input type=\"file\" name=\"stud-photo\" size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.ppt,.pptx,.odt,.avi,.ogg,.m4a,.mov,.mp3,.mp4,.mpg,.wav,.wmv\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label>\n     <\/div>\n<div id=\"left\">\n  <label style=\"font-weight: 400;\"> E-mail (Primary E-mail)<red>*<\/red><br \/>\n      <span class=\"wpcf7-form-control-wrap your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label>\n  <\/div>\n<div id=\"right\">\n  <label style=\"font-weight: 400;\"> Candidate Mobile Number <red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap tel-700\"><input type=\"tel\" name=\"tel-700\" value=\"\" size=\"40\" maxlength=\"10\" minlength=\"10\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label>\n  <\/div>\n<div id=\"left\">\n  <label style=\"font-weight: 400;\">Gender<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap gender\"><select name=\"gender\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"Male\">Male<\/option><option value=\"Female\">Female<\/option><option value=\"Transgender\">Transgender<\/option><\/select><\/span> <\/label>\n   <\/div>\n<div id=\"right\">\n  <label style=\"font-weight: 400;\">Whether SC \/ ST \/ OBC \/ OTHERS (Select the Relevant)<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap caste\"><select name=\"caste\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"SC\">SC<\/option><option value=\"ST\">ST<\/option><option value=\"OBC\">OBC<\/option><option value=\"OTHERS\">OTHERS<\/option><\/select><\/span> <\/label>\n   <\/div>\n<div id=\"left\">\n  <label style=\"font-weight: 400;\">Nationality<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap nationality\"><select name=\"nationality\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"Indian\">Indian<\/option><option value=\"Others\">Others<\/option><\/select><\/span> <\/label><\/p>\n<div data-id=\"other-nation\" data-orig_data_id=\"other-nation\"  data-class=\"wpcf7cf_group\">\n<p>  <label style=\"font-weight: 400;\"> If Other, Select Country<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap other-nationality\"><select name=\"other-nationality\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"Aruba\">Aruba<\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Angola\">Angola<\/option><option value=\"Albania\">Albania<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"United Arab Emirates\">United Arab Emirates<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/option><option value=\"American Samoa\">American Samoa<\/option><option value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option><option value=\"Australia\">Australia<\/option><option value=\"Austria\">Austria<\/option><option value=\"Azerbaijan\">Azerbaijan<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"Belgium\">Belgium<\/option><option value=\"Benin\">Benin<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Bangladesh\">Bangladesh<\/option><option value=\"Bulgaria\">Bulgaria<\/option><option value=\"Bahrain\">Bahrain<\/option><option value=\"Bahamas\">Bahamas<\/option><option value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option><option value=\"Belarus\">Belarus<\/option><option value=\"Belize\">Belize<\/option><option value=\"Bermuda\">Bermuda<\/option><option value=\"Bolivia, Plurinational State of\">Bolivia, Plurinational State of<\/option><option value=\"Brazil\">Brazil<\/option><option value=\"Barbados\">Barbados<\/option><option value=\"Brunei Darussalam\">Brunei Darussalam<\/option><option value=\"Bhutan\">Bhutan<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Central African Republic\">Central African Republic<\/option><option value=\"Canada\">Canada<\/option><option value=\"Switzerland\">Switzerland<\/option><option value=\"Chile\">Chile<\/option><option value=\"China\">China<\/option><option value=\"C\u00f4te d\u2019Ivoire\">C\u00f4te d\u2019Ivoire<\/option><option value=\"Cameroon\">Cameroon<\/option><option value=\"Congo, the Democratic Republic of the\">Congo, the Democratic Republic of the<\/option><option value=\"Congo\">Congo<\/option><option value=\"Cook Islands\">Cook Islands<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Cape Verde\">Cape Verde<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Cayman Islands\">Cayman Islands<\/option><option value=\"Cyprus\">Cyprus<\/option><option value=\"Czech Republic\">Czech Republic<\/option><option value=\"Germany\">Germany<\/option><option value=\"Djibouti\">Djibouti<\/option><option value=\"Dominica\">Dominica<\/option><option value=\"Denmark\">Denmark<\/option><option value=\"Dominican Republic\">Dominican Republic<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"Ecuador\">Ecuador<\/option><option value=\"Egypt\">Egypt<\/option><option value=\"Eritrea\">Eritrea<\/option><option value=\"Spain\">Spain<\/option><option value=\"Estonia\">Estonia<\/option><option value=\"Ethiopia\">Ethiopia<\/option><option value=\"Finland\">Finland<\/option><option value=\"Fiji\">Fiji<\/option><option value=\"France\">France<\/option><option value=\"Micronesia, Federated States of\">Micronesia, Federated States of<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"United Kingdom\">United Kingdom<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Guinea\">Guinea<\/option><option value=\"Gambia\">Gambia<\/option><option value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option value=\"Equatorial Guinea\">Equatorial Guinea<\/option><option value=\"Greece\">Greece<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guam\">Guam<\/option><option value=\"Guyana\">Guyana<\/option><option value=\"Hong Kong\">Hong Kong<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Croatia\">Croatia<\/option><option value=\"Haiti\">Haiti<\/option><option value=\"Hungary\">Hungary<\/option><option value=\"Indonesia\">Indonesia<\/option><option value=\"Ireland\">Ireland<\/option><option value=\"Iran, Islamic Republic of\">Iran, Islamic Republic of<\/option><option value=\"Iraq\">Iraq<\/option><option value=\"Iceland\">Iceland<\/option><option value=\"Israel\">Israel<\/option><option value=\"Italy\">Italy<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Jordan\">Jordan<\/option><option value=\"Japan\">Japan<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kyrgyzstan\">Kyrgyzstan<\/option><option value=\"Cambodia\">Cambodia<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option><option value=\"Korea, Republic of\">Korea, Republic of<\/option><option value=\"Kuwait\">Kuwait<\/option><option value=\"Lao People\u2019s Democratic Republic\">Lao People\u2019s Democratic Republic<\/option><option value=\"Lebanon\">Lebanon<\/option><option value=\"Liberia\">Liberia<\/option><option value=\"Libya\">Libya<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Liechtenstein\">Liechtenstein<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"Lesotho\">Lesotho<\/option><option value=\"Lithuania\">Lithuania<\/option><option value=\"Luxembourg\">Luxembourg<\/option><option value=\"Latvia\">Latvia<\/option><option value=\"Morocco\">Morocco<\/option><option value=\"Monaco\">Monaco<\/option><option value=\"Moldova, Republic of\">Moldova, Republic of<\/option><option value=\"Madagascar\">Madagascar<\/option><option value=\"Maldives\">Maldives<\/option><option value=\"Mexico\">Mexico<\/option><option value=\"Marshall Islands\">Marshall Islands<\/option><option value=\"Macedonia, the former Yugoslav Republic of\">Macedonia, the former Yugoslav Republic of<\/option><option value=\"Mali\">Mali<\/option><option value=\"Malta\">Malta<\/option><option value=\"Myanmar\">Myanmar<\/option><option value=\"Montenegro\">Montenegro<\/option><option value=\"Mongolia\">Mongolia<\/option><option value=\"Mozambique\">Mozambique<\/option><option value=\"Mauritania\">Mauritania<\/option><option value=\"Mauritius\">Mauritius<\/option><option value=\"Malawi\">Malawi<\/option><option value=\"Malaysia\">Malaysia<\/option><option value=\"Namibia\">Namibia<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Netherlands\">Netherlands<\/option><option value=\"Norway\">Norway<\/option><option value=\"Nepal\">Nepal<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"New Zealand\">New Zealand<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Panama\">Panama<\/option><option value=\"Peru\">Peru<\/option><option value=\"Philippines\">Philippines<\/option><option value=\"Palau\">Palau<\/option><option value=\"Papua New Guinea\">Papua New Guinea<\/option><option value=\"Poland\">Poland<\/option><option value=\"Puerto Rico\">Puerto Rico<\/option><option value=\"Korea, Democratic People\u2019s Republic of\">Korea, Democratic People\u2019s Republic of<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Palestine, State of\">Palestine, State of<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Romania\">Romania<\/option><option value=\"Russian Federation\">Russian Federation<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"Saudi Arabia\">Saudi Arabia<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Senegal\">Senegal<\/option><option value=\"Singapore\">Singapore<\/option><option value=\"Solomon Islands\">Solomon Islands<\/option><option value=\"Sierra Leone\">Sierra Leone<\/option><option value=\"El Salvador\">El Salvador<\/option><option value=\"San Marino\">San Marino<\/option><option value=\"Somalia\">Somalia<\/option><option value=\"Serbia\">Serbia<\/option><option value=\"Sao Tome and Principe\">Sao Tome and Principe<\/option><option value=\"Suriname\">Suriname<\/option><option value=\"Slovakia\">Slovakia<\/option><option value=\"Slovenia\">Slovenia<\/option><option value=\"Sweden\">Sweden<\/option><option value=\"Swaziland\">Swaziland<\/option><option value=\"Seychelles\">Seychelles<\/option><option value=\"Syrian Arab Republic\">Syrian Arab Republic<\/option><option value=\"Chad\">Chad<\/option><option value=\"Togo\">Togo<\/option><option value=\"Thailand\">Thailand<\/option><option value=\"Tajikistan\">Tajikistan<\/option><option value=\"Turkmenistan\">Turkmenistan<\/option><option value=\"Timor-Leste\">Timor-Leste<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Trinidad and Tobago\">Trinidad and Tobago<\/option><option value=\"Tunisia\">Tunisia<\/option><option value=\"Turkey\">Turkey<\/option><option value=\"Tuvalu\">Tuvalu<\/option><option value=\"Taiwan, Province of China\">Taiwan, Province of China<\/option><option value=\"Tanzania, United Republic of\">Tanzania, United Republic of<\/option><option value=\"Uganda\">Uganda<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"United States\">United States<\/option><option value=\"Uzbekistan\">Uzbekistan<\/option><option value=\"Saint Vincent and the Grenadines\">Saint Vincent and the Grenadines<\/option><option value=\"Venezuela, Bolivarian Republic of\">Venezuela, Bolivarian Republic of<\/option><option value=\"Virgin Islands, U.S.\">Virgin Islands, U.S.<\/option><option value=\"Viet Nam\">Viet Nam<\/option><option value=\"Vanuatu\">Vanuatu<\/option><option value=\"Samoa\">Samoa<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"South Africa\">South Africa<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><\/select><\/span><\/label><br \/>\n   <label style=\"font-weight: 400;\">Passport Number<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap passportno\"><input type=\"text\" name=\"passportno\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n   <label style=\"font-weight: 400;\">Upload the copy of the passport(JPG \/ JPEG)<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap passportcopy\"><input type=\"file\" name=\"passportcopy\" size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.ppt,.pptx,.odt,.avi,.ogg,.m4a,.mov,.mp3,.mp4,.mpg,.wav,.wmv\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n  <label style=\"font-weight: 400;\">Performance Youtube URL<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap youtube-url\"><input type=\"text\" name=\"youtube-url\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p style=\"font-size:16px;font-weight:400\">&#8220;Applicants should make a sum of Rs. 500\/- (its equivalent) to the following bank account.  The receipt for the payment should be attached in the given column.<\/p>\n<div style=\"font-size:16px;font-weight:400\">Name on the account: <b>KALAKSHETRA COLLEGE OF FINE ARTSK31<\/b><\/div>\n<div style=\"font-size:16px;font-weight:400\">A\/c : 443596869<\/div>\n<div style=\"font-size:16px;font-weight:400\">&#8220;Name of the bank: Indian Bank<\/div>\n<div style=\"font-size:16px;font-weight:400\">IFSC : IDIB000T044<\/div>\n<div style=\"font-size:16px;font-weight:400\">Swift Code:  IDIBINBBTSY<\/div>\n<div style=\"font-size:16px;font-weight:400\">Thiruvanmiyur branch<\/div>\n<p>  <label style=\"font-weight: 400;font-size:16px;margin-top:20px;\">Receipt of the payment  <span style=\"font-size:16px;font-weight:400\">Max. 1MB (Only JPG\/JPEG\/PNG)<\/span><br \/>\n    <span class=\"wpcf7-form-control-wrap recpay\"><input type=\"file\" name=\"recpay\" size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.ppt,.pptx,.odt,.avi,.ogg,.m4a,.mov,.mp3,.mp4,.mpg,.wav,.wmv\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label>\n   <\/div>\n<\/div>\n<div id=\"right\">\n  <label style=\"font-weight: 400;\">Residential Address (Permanent)<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap res-address\"><textarea name=\"res-address\" cols=\"40\" rows=\"1\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span> <\/label>\n   <\/div>\n<div id=\"left\">\n  <label style=\"font-weight: 400;\" > Choose the course of Study<red>*<\/red><br \/>\n  <span class=\"wpcf7-form-control-wrap course-of-study\"><select name=\"course-of-study\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"course_of_study\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"DIPLOMA IN VISUAL ARTS\">DIPLOMA IN VISUAL ARTS<\/option><option value=\"DIPLOMA IN BHARATNATYAM\">DIPLOMA IN BHARATNATYAM<\/option><option value=\"DIPLOMA IN CARNATIC MUSIC\">DIPLOMA IN CARNATIC MUSIC<\/option><\/select><\/span><\/label>\n  <\/div>\n<div data-id=\"main_course_group\" data-orig_data_id=\"main_course_group\"  data-class=\"wpcf7cf_group\">\n<div id=\"right\">\n  <label style=\"font-weight: 400;\" > Choose the main Subject<red>*<\/red><br \/>\n  <span class=\"wpcf7-form-control-wrap main-course\"><select name=\"main-course\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"main_course\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"Bharatnatyam\">Bharatnatyam<\/option><\/select><\/span><br \/>\n  <\/label>\n  <\/div>\n<\/div>\n<div data-id=\"allied_course_group\" data-orig_data_id=\"allied_course_group\"  data-class=\"wpcf7cf_group\">\n<div id=\"left\">\n  <label style=\"font-weight: 400;\" > Choose the Allied Subject<red>*<\/red><br \/>\n  <span class=\"wpcf7-form-control-wrap allied-course-bharatnatyam\"><select name=\"allied-course-bharatnatyam\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"allied_course\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"Vocal\">Vocal<\/option><\/select><\/span><br \/>\n  <\/label>\n  <\/div>\n<\/div>\n<div data-id=\"main_course_carnatic_group\" data-orig_data_id=\"main_course_carnatic_group\"  data-class=\"wpcf7cf_group\">\n<div id=\"right\">\n  <label style=\"font-weight: 400;\" > Choose the main Subject<red>*<\/red><br \/>\n  <span class=\"wpcf7-form-control-wrap main-course-carnatic\"><select name=\"main-course-carnatic\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"main_course_carnatic\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"Vocal\">Vocal<\/option><option value=\"Violin\">Violin<\/option><option value=\"Veena\">Veena<\/option><option value=\"Mridangam\">Mridangam<\/option><option value=\"Flute\">Flute<\/option><\/select><\/span><br \/>\n  <\/label>\n  <\/div>\n<\/div>\n<div data-id=\"allied_course_carnatic_group\" data-orig_data_id=\"allied_course_carnatic_group\"  data-class=\"wpcf7cf_group\">\n<div id=\"left\">\n  <label style=\"font-weight: 400;\" > Choose the Allied Subject<red>*<\/red><br \/>\n  <span class=\"wpcf7-form-control-wrap allied-course-carnatic\"><select name=\"allied-course-carnatic\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"allied_course_carnatic\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"Violin\">Violin<\/option><option value=\"Veena\">Veena<\/option><option value=\"Mridangam\">Mridangam<\/option><\/select><\/span><br \/>\n  <\/label>\n  <\/div>\n<\/div>\n<div data-id=\"allied_course_carnatic1_group\" data-orig_data_id=\"allied_course_carnatic1_group\"  data-class=\"wpcf7cf_group\">\n<div id=\"left\">\n  <label style=\"font-weight: 400;\" > Choose the Allied Subject<red>*<\/red><br \/>\n  <span class=\"wpcf7-form-control-wrap allied-course-carnatic1\"><select name=\"allied-course-carnatic1\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"allied_course_carnatic11\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"Vocal\">Vocal<\/option><\/select><\/span><br \/>\n  <\/label>\n  <\/div>\n<\/div>\n<div data-id=\"main_visual_arts\" data-orig_data_id=\"main_visual_arts\"  data-class=\"wpcf7cf_group\">\n<div id=\"right\">\n  <label style=\"font-weight: 400;\" > Choose the Main Subject<red>*<\/red><br \/>\n  <span class=\"wpcf7-form-control-wrap allied-course-visual\"><select name=\"allied-course-visual\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"visual_arts\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"Visual Arts\">Visual Arts<\/option><\/select><\/span><br \/>\n  <\/label>\n  <\/div>\n<\/div>\n<\/fieldset>\n<p>   <br><\/p>\n<fieldset>\n<legend>Parents\/Guardian Information<\/legend>\n<div id=\"left\">\n  <label style=\"font-weight: 400;\"> Name of Father \/ Guardian<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap father-name\"><input type=\"text\" name=\"father-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label>\n   <\/div>\n<div id=\"right\">\n  <label style=\"font-weight: 400;\">Father&#8217;s E-mail Address<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap father-email\"><input type=\"email\" name=\"father-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label>\n   <\/div>\n<div id=\"left\">\n  <label style=\"font-weight: 400;\">Father&#8217;s Mobile Number<red>*<\/red><br \/>\n  <span class=\"wpcf7-form-control-wrap father-number\"><input type=\"tel\" name=\"father-number\" value=\"\" size=\"40\" maxlength=\"10\" minlength=\"10\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label>\n   <\/div>\n<div id=\"right\">\n  <label style=\"font-weight: 400;\">Mother Tongue<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap mother-toungue\"><input type=\"text\" name=\"mother-toungue\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label>\n   <\/div>\n<div id=\"left\">\n  <label style=\"font-weight: 400;\">Name of the Mother<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap mother-name\"><input type=\"text\" name=\"mother-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label>\n  <\/div>\n<div id=\"right\"><label style=\"font-weight: 400;\">Mother&#8217;s E-mail Address<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap mother-email\"><input type=\"email\" name=\"mother-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label>\n  <\/div>\n<div id=\"left\">\n  <label style=\"font-weight: 400;\">Mother&#8217;s Mobile Number<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap mother-number\"><input type=\"tel\" name=\"mother-number\" value=\"\" size=\"40\" maxlength=\"10\" minlength=\"10\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label>\n  <\/div>\n<\/fieldset>\n<div style=\"overflow-x:auto;\">\n<table style=\"width:100%;\">\n<p style=\"font-size:14px;font-weight: 600;padding-top:10px;text-transform:uppercase;\"> Academic Qualifications  <span class=\"red\">*<\/span><\/p>\n<thead>\n<tr>\n<th style=\"font-weight: 400;text-align:center;\"><b>Education<\/b><\/th>\n<th style=\"font-weight: 400;text-align:center;width:50%;\"><b>Name &#038; Address of Institution<\/b><\/th>\n<th style=\"font-weight: 400;text-align:center;width:50%;\"><b>% Marks<\/b><\/th>\n<th style=\"font-weight: 400;text-align:center;\"><b>Month &#038; Year of Passing<\/b><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>10th std.<red>*<\/red><\/td>\n<td><span class=\"wpcf7-form-control-wrap ssc-address\"><input type=\"text\" name=\"ssc-address\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><span class=\"wpcf7-form-control-wrap number-399\"><input type=\"number\" name=\"number-399\" value=\"0.00\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" min=\"0\" max=\"100\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><span class=\"wpcf7-form-control-wrap ssc-year\"><input type=\"date\" name=\"ssc-year\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" max=\"2026-04-19\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>12th std.<\/td>\n<td><span class=\"wpcf7-form-control-wrap hsc-address\"><input type=\"text\" name=\"hsc-address\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><span class=\"wpcf7-form-control-wrap number-401\"><input type=\"number\" name=\"number-401\" value=\"0.00\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" min=\"0\" max=\"100\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><span class=\"wpcf7-form-control-wrap hsc-year\"><input type=\"date\" name=\"hsc-year\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" max=\"2026-04-19\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td>Degree \/ Diploma<\/td>\n<td><span class=\"wpcf7-form-control-wrap degree-address\"><input type=\"text\" name=\"degree-address\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><span class=\"wpcf7-form-control-wrap number-403\"><input type=\"number\" name=\"number-403\" value=\"0.00\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" min=\"0\" max=\"100\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><span class=\"wpcf7-form-control-wrap degree-year\"><input type=\"date\" name=\"degree-year\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" max=\"2026-04-19\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p style=\"font-size:14px;font-weight: 600;padding-top:10px;text-transform:uppercase;\"> Attach the Marksheets: \u2013 Max. 1MB (JPEG\/JPG)  <span class=\"red\">*<\/span><\/p>\n<div id=\"left\">\n  <label style=\"font-weight: 400;\"><span style=\"float:left;\">10th Std:<red>*<\/red> <\/span>&nbsp; <span style=\"float:right;\"><span class=\"wpcf7-form-control-wrap tenthatt\"><input type=\"file\" name=\"tenthatt\" size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.ppt,.pptx,.odt,.avi,.ogg,.m4a,.mov,.mp3,.mp4,.mpg,.wav,.wmv\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/span><br \/>\n  <\/label>\n  <\/div>\n<div id=\"right\">\n  <label style=\"font-weight: 400;\"> <span style=\"float:left;\">12th Std:<\/span>&nbsp; <span style=\"float:right;\"><span class=\"wpcf7-form-control-wrap twelthatt\"><input type=\"file\" name=\"twelthatt\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.ppt,.pptx,.odt,.avi,.ogg,.m4a,.mov,.mp3,.mp4,.mpg,.wav,.wmv\" aria-invalid=\"false\" \/><\/span> <\/span><br \/>\n  <\/label>\n  <\/div>\n<div id=\"left\">\n  <label style=\"font-weight: 400;\"> <span style=\"float:left;\">Degree \/ Diploma:<\/span>&nbsp; <span style=\"float:right;\"><span class=\"wpcf7-form-control-wrap diplomaatt\"><input type=\"file\" name=\"diplomaatt\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx,.ppt,.pptx,.odt,.avi,.ogg,.m4a,.mov,.mp3,.mp4,.mpg,.wav,.wmv\" aria-invalid=\"false\" \/><\/span> <\/span><br \/>\n  <\/label>\n  <\/div>\n<div class=\"clearfix\">\n<div id=\"left\">\n  <label style=\"font-weight: 400;\"> Whether Hostel Accommodation Needed<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap hostel-accommodation\"><select name=\"hostel-accommodation\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span> <\/label>\n  <\/div>\n<div id=\"right\">\n  <label style=\"font-weight: 400;\"> Blood Group<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap blood-group\"><input type=\"text\" name=\"blood-group\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label>\n  <\/div>\n<div id=\"left\">\n  <label style=\"font-weight: 400;\"> Weight in kilograms<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap wight\"><input type=\"number\" name=\"wight\" value=\"\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label>\n  <\/div>\n<div id=\"right\">\n  <label style=\"font-weight: 400;\"> Height in Centimetres<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap height\"><input type=\"number\" name=\"height\" value=\"\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label>\n  <\/div>\n<\/div>\n<p>  <label style=\"font-weight: 400;\">Do you wear glasses or contact lenses?<red>*<\/red><br \/>\n  <span class=\"wpcf7-form-control-wrap main-glasses\"><select name=\"main-glasses\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span><\/label><\/p>\n<div data-id=\"glasses-wear\" data-orig_data_id=\"glasses-wear\"  data-class=\"wpcf7cf_group\">\n  <label style=\"font-weight: 400;\"> If yes, provide details.<red>*<\/red><br \/>\n  <span class=\"wpcf7-form-control-wrap yes-ownglasses\"><input type=\"text\" name=\"yes-ownglasses\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/label>\n  <\/div>\n<p>  <label style=\"font-weight: 400;\">Are you presently under medical care for a physical or mental health problem?<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap health-problem\"><select name=\"health-problem\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span> <\/label><\/p>\n<div data-id=\"physical-mental\" data-orig_data_id=\"physical-mental\"  data-class=\"wpcf7cf_group\">\n  <label style=\"font-weight: 400;\">Describe the problem and treatment.<red>*<\/red><br \/>\n  <span class=\"wpcf7-form-control-wrap describe-prob\"><input type=\"text\" name=\"describe-prob\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/label>\n  <\/div>\n<p>  <label style=\"font-weight: 400;\">List of medicines that you are taking (include those prescribed by a health professional as well as any other counter medications, vitamins and \/ or herbal supplements).  Include name and dosage<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap medicine-list\"><textarea name=\"medicine-list\" cols=\"40\" rows=\"1\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span> <\/label><\/p>\n<p>  <label style=\"font-weight: 400;\">History of serious illness or injuries (include dates)<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap histroy-injuries\"><input type=\"text\" name=\"histroy-injuries\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p>  <label style=\"font-weight: 400;\">History of surgery or hospitalizations (include dates)<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap histroy-hospitalizations\"><input type=\"text\" name=\"histroy-hospitalizations\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p>  <label style=\"font-weight: 400;\">Have you ever been cared for by a mental health clinician?<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap mental-clinician\"><select name=\"mental-clinician\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span> <\/label><\/p>\n<p>   <label style=\"font-weight: 400;\">Have you ever been hospitalized for a mental health concern?<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap hospitalized-mental\"><select name=\"hospitalized-mental\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span> <\/label><\/p>\n<p>  <label style=\"font-weight: 400;\">Have you ever had a period of depression, anxiety or irritable mood?<red>*<\/red><br \/>\n   for most of the day, lasting for weeks?<br \/>\n   <span class=\"wpcf7-form-control-wrap depression-period\"><select name=\"depression-period\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span><\/label><\/p>\n<p>  <label style=\"font-weight: 400;\">Have you ever been unable to do your academic work because of stress, anxiety  or depression?<red>*<\/red><br \/>\n  <span class=\"wpcf7-form-control-wrap academic-stress\"><select name=\"academic-stress\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span><\/label><\/p>\n<p>  <label style=\"font-weight: 400;\">Have you ever been so upset that you have harmed yourself, or been afraid that you might harm yourself?<red>*<\/red><br \/>\n  <span class=\"wpcf7-form-control-wrap ever-upset\"><select name=\"ever-upset\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span><\/label><\/p>\n<p>  <label style=\"font-weight: 400;\">List any allergy to medications and describe the reaction on you:<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap medications-allergy\"><input type=\"text\" name=\"medications-allergy\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p>  <label style=\"font-weight: 400;\">List any food or environmental allergy and describe the reaction on you:<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap environmental-allergy\"><input type=\"text\" name=\"environmental-allergy\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p>  <label style=\"font-weight: 400;\">Are you presently taking any injection for allergy?<red>*<\/red><br \/>\n  <span class=\"wpcf7-form-control-wrap any-injection\"><select name=\"any-injection\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span><\/label><\/p>\n<div data-id=\"injection-yes\" data-orig_data_id=\"injection-yes\"  data-class=\"wpcf7cf_group\">\n  <label style=\"font-weight: 400;\">Do you plan to continue those injections while attending the College? If yes, Give details.<red>*<\/red><br \/>\n  <span class=\"wpcf7-form-control-wrap continue-injection\"><textarea name=\"continue-injection\" cols=\"40\" rows=\"1\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span> <\/label>\n  <\/div>\n<p>  <label style=\"font-weight: 400;\">Have you ever had tuberculosis or had a positive tuberculosis test? <red>*<\/red><br \/>\n  <span class=\"wpcf7-form-control-wrap any-tuberculosis\"><select name=\"any-tuberculosis\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span> <\/label><\/p>\n<div data-id=\"tb-yes\" data-orig_data_id=\"tb-yes\"  data-class=\"wpcf7cf_group\">\n  <label style=\"font-weight: 400;\">Furnish a recent of report for a chest X-ray taking upon or after the positive result:<red>*<\/red><br \/>\n  <span class=\"wpcf7-form-control-wrap tb-report\"><input type=\"text\" name=\"tb-report\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label>\n  <\/div>\n<p>  <label style=\"font-weight: 400;\">Have you ever received tuberculosis therapy?<red>*<\/red><br \/>\n  <span class=\"wpcf7-form-control-wrap therapy-tuberculosis\"><select name=\"therapy-tuberculosis\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span><\/label><\/p>\n<div data-id=\"therapy-yes\" data-orig_data_id=\"therapy-yes\"  data-class=\"wpcf7cf_group\">\n  <label style=\"font-weight: 400;\">Please provide information about the period for which therapy was undertaken:<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap therapy-info\"><input type=\"text\" name=\"therapy-info\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label>\n  <\/div>\n<p>  <label style=\"font-weight: 400;\">Do you exhibit cough, fever, chills, night sweats, or weigh loss?<red>*<\/red><br \/>\n  <span class=\"wpcf7-form-control-wrap exhibit-anydisease\"><select name=\"exhibit-anydisease\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span><\/label><\/p>\n<div data-id=\"exhibit-yes\" data-orig_data_id=\"exhibit-yes\"  data-class=\"wpcf7cf_group\">\n  <label style=\"font-weight: 400;\">Please provide complete details.<red>*<\/red><br \/>\n   <span class=\"wpcf7-form-control-wrap disease-details\"><input type=\"text\" name=\"disease-details\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label>\n  <\/div>\n<\/div>\n<div id=\"left\">\n  <label style=\"font-weight: 400;\"> Date :<br \/>\n  <span class=\"wpcf7-form-control-wrap todays-date\"><input type=\"date\" name=\"todays-date\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" min=\"2026-04-19\" max=\"2026-04-19\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><\/p>\n<div style=\"text-align: center; margin-top: 8em; margin-left: 19.5em;\">\n<div class=\"kal_info\">\n<p>  <span class=\"wpcf7-form-control-wrap submission_id\"><input type=\"hidden\" name=\"submission_id\" value=\"75\" class=\"wpcf7-form-control wpcf7-submission_id_hidden wpcf7-validates-as-number\" readonly=\"readonly\" aria-invalid=\"false\" \/><\/span><br \/>\n  <span class=\"wpcf7-form-control-wrap form-type\"><input type=\"text\" name=\"form-type\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text form_type\" id=\"form-type\" aria-invalid=\"false\" \/><\/span><br \/>\n  <span class=\"wpcf7-form-control-wrap transaction-amount\"><input type=\"text\" name=\"transaction-amount\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text transaction_amount\" id=\"transaction-amount\" aria-invalid=\"false\" \/><\/span><br \/>\n  <span class=\"wpcf7-form-control-wrap transaction-reference\"><input type=\"text\" name=\"transaction-reference\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text transaction_reference\" id=\"transaction-reference\" aria-invalid=\"false\" \/><\/span><br \/>\n  <span class=\"wpcf7-form-control-wrap transaction-status\"><input type=\"text\" name=\"transaction-status\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text transaction_status\" id=\"transaction-status\" aria-invalid=\"false\" \/><\/span><br \/>\n  <span class=\"wpcf7-form-control-wrap transaction-id\"><input type=\"text\" name=\"transaction-id\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text transaction_id\" id=\"transaction-id\" aria-invalid=\"false\" \/><\/span><br \/>\n  <span class=\"wpcf7-form-control-wrap transaction-date\"><input type=\"text\" name=\"transaction-date\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text transaction_date\" id=\"transaction-date\" aria-invalid=\"false\" \/><\/span><br \/>\n  <span class=\"wpcf7-form-control-wrap transaction-error-code\"><input type=\"text\" name=\"transaction-error-code\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text error-code\" id=\"error_code\" aria-invalid=\"false\" \/><\/span><br \/>\n  <span class=\"wpcf7-form-control-wrap transaction-error-msg\"><input type=\"text\" name=\"transaction-error-msg\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text error-msg\" id=\"error_msg\" aria-invalid=\"false\" \/><\/span>\n  <\/p><\/div>\n<div data-id=\"indian-nation\" data-orig_data_id=\"indian-nation\"  data-class=\"wpcf7cf_group\">\n  <\/div>\n<div data-id=\"indian_payment\" data-orig_data_id=\"indian_payment\"  data-class=\"wpcf7cf_group\">\n<center><input type=\"submit\" value=\"Proceed to Payment\" class=\"wpcf7-form-control has-spinner wpcf7-submit\" \/><\/center>\n<\/div>\n<div data-id=\"other-nation\" data-orig_data_id=\"other-nation\"  data-class=\"wpcf7cf_group\">\n  <center><input type=\"submit\" value=\"Submit\" class=\"wpcf7-form-control has-spinner wpcf7-submit\" \/><\/center>\n  <\/div>\n<\/div>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-abc7afb elementor-widget elementor-widget-html\" data-id=\"abc7afb\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<script>\r\ndocument.getElementById(\"rdcfa-dob\").onchange = function () {\r\n    var userinput = this.value;\r\n    if (!userinput) return;\r\n\r\n    var dob = new Date(userinput);\r\n\r\n    \/\/ Cut-off date: 01 July 2026\r\n    var cutoffDate = new Date(2026, 6, 1); \/\/ July = 6\r\n\r\n    var age = cutoffDate.getFullYear() - dob.getFullYear();\r\n\r\n    \/\/ Adjust if birthday not completed by cutoff date\r\n    if (\r\n        cutoffDate.getMonth() < dob.getMonth() ||\r\n        (cutoffDate.getMonth() === dob.getMonth() && cutoffDate.getDate() < dob.getDate())\r\n    ) {\r\n        age--;\r\n    }\r\n\r\n    document.getElementById(\"rdcfa-age\").value = age;\r\n};\r\n<\/script>\r\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-39a0db5 elementor-widget elementor-widget-html\" data-id=\"39a0db5\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<script>\nvar referenceDate = new Date(2026, 6, 1); \/\/ 01-07-2026\n\nvar twentyFiveYearsAgo = new Date(\n  referenceDate.getFullYear() - 25,\n  referenceDate.getMonth(),\n  referenceDate.getDate()\n);\n\nvar formattedDate =\n  twentyFiveYearsAgo.getFullYear() + '-' +\n  ('0' + (twentyFiveYearsAgo.getMonth() + 1)).slice(-2) + '-' +\n  ('0' + twentyFiveYearsAgo.getDate()).slice(-2);\n\nconsole.log(\"Maximum DOB allowed:\", formattedDate);\n\n<\/script>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":"","_expiration-date-status":"","_expiration-date":0,"_expiration-date-type":"","_expiration-date-categories":[],"_expiration-date-options":[]},"class_list":["post-96","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/application.kalakshetra.in\/index.php\/wp-json\/wp\/v2\/pages\/96","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/application.kalakshetra.in\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/application.kalakshetra.in\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/application.kalakshetra.in\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/application.kalakshetra.in\/index.php\/wp-json\/wp\/v2\/comments?post=96"}],"version-history":[{"count":93,"href":"https:\/\/application.kalakshetra.in\/index.php\/wp-json\/wp\/v2\/pages\/96\/revisions"}],"predecessor-version":[{"id":1515,"href":"https:\/\/application.kalakshetra.in\/index.php\/wp-json\/wp\/v2\/pages\/96\/revisions\/1515"}],"wp:attachment":[{"href":"https:\/\/application.kalakshetra.in\/index.php\/wp-json\/wp\/v2\/media?parent=96"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}