Subversion Repositories SmartDukaan

<section class="wrapper">

	<div class="row">

		<div class="col-lg-12">

			<h3 class="page-header">

				<i class="icon_document_alt"></i>Employee Details

			</h3>

			<ol class="breadcrumb">

				<li><i class="fa fa-home"></i><a

					href="${rc.contextPath}/dashboard">Home</a></li>

				<li><i class="icon_document_alt"></i>Employee Details</li>

			</ol>

		</div>

	</div>

<form id="employee-details-hrms-form">

  <div class="row">

  <h2>EMPLOYEE DETAILS</h2>

    <div class="form-group col-md-6">

      <label for="employeeName">Employee Name</label>

      <input type="text" class="form-control" name="employeeName"  placeholder="Name" required>

    </div>

    <div class="form-group col-md-6">

      <label for="gender">Gender</label>

        <select name="gender" id="gender" class="form-control" required>

       <option value="">-Gender-</option>

       <option value="Male">Male</option>

       <option value="Female">Female</option>

    </select>

          </div>

    </div>

  <div class="row">

   <h2>PERSONAL DETAILS</h2>

   <div class="form-group col-md-6">

   <label for="cars">Marital</label>

   <select name="marital_status" id="marital_status" class="form-control" required>

    <option value="">-Select Marital Status-</option>

    <option value="Single">Single</option>

    <option value="Married">Married</option>

    <option value="Widowed">Widowed</option>

    <option value="Separated">Separated</option>

    <option value="Divorced">Divorced</option>

   </select>

     </div>

    <div class="form-group col-md-6">

      <label for="inputAniversaryDate">ANIVERSERY DATE</label>

      <input type="date" class="form-control" name="inputAniversaryDate" placeholder="Aniversary Date">

    </div>

    <div class="form-group col-md-6">

      <label for="inputDOB">DATE OF BIRTH</label>

      <input type="date" class="form-control" name="inputDOB" placeholder="DATE OF BIRTH" required>

    </div>

    <div class="form-group col-md-6">

      <label for="inputAge">AGE</label>

      <input type="number" class="form-control" name="inputAge" placeholder="Age" required>

    </div>

    <div class="form-group col-md-6">

      <label for="inputBloodGroup">BLOOD GROUP</label>

       <select name="inputBloodGroup" id="inputBloodGroup" class="form-control">

       <option value="">-BLOOD GROUP-</option>

       <option value="A+">A+</option>

       <option value="A-">A-</option>

       <option value="B+">B+</option>

       <option value="B-">B-</option>

       <option value="AB+">AB+</option>

       <option value="AB-">AB-</option>

        <option value="O+">O+</option>

       <option value="O-">O-</option>

      </select>

   </div>

  </div>

    <div class="row">

    <h2>ADDRESS DETAILS</h2>

     <div class="form-group col-md-6">

      <label for="localAddress">LOCAL ADDRESS</label>

      <input type="text" class="form-control" name="localAddress" placeholder="LOCAL ADDRESS" required>

    </div>

    <div class="form-group col-md-6">

      <label for="inputPermanentAdress">PERMANENT ADDRESS</label>

      <input type="text" class="form-control" name="inputPermanentAdress" placeholder="PERMANENT ADDRES" required>

    </div>

    </div>

   <div class="row">

    <h2>FAMILY MEMBERS DETAIL</h2>

     <div class="form-group col-md-6">

      <label for="fatherName">FATHER</label>

      <input type="text" class="form-control" name="fatherName" placeholder="Father" required>

    </div>

     <div class="form-group col-md-6">

      <label for="motherName">Mother</label>

      <input type="text" class="form-control" name="motherName" placeholder="Mother" required>

    </div>

    <div class="form-group col-md-6">

      <label for="dateOfBirth">DATE OF BIRTH</label>

      <input type="date" class="form-control" name="dateOfBirthGuider" placeholder="DATE OF BIRTH" required>

    </div>

    <div class="form-group col-md-6">

      <label for="brotherName">Brother</label>

      <input type="text" class="form-control" name="brotherName" placeholder="Brother">

    </div>

    <div class="form-group col-md-6">

      <label for="brotherName2">Brother</label>

      <input type="text" class="form-control" name="brotherName2" placeholder="Brother-2">

    </div>

    <div class="form-group col-md-6">

      <label for="husbandName">Husband</label>

      <input type="text" class="form-control" name="husbandName" placeholder="HUSBAND">

    </div>

    <div class="form-group col-md-6">

      <label for="dateOfBirthHusband">Date Of Birth</label>

      <input type="date" class="form-control" name="dateOfBirthHusband" placeholder="DATE OF BIRTH">

    </div>

    <div class="form-group col-md-6">

      <label for="wifeName">Wife</label>

      <input type="text" class="form-control" name="wifeName" placeholder="Wife">

    </div>

    <div class="form-group col-md-6">

      <label for="dateofBirthWife">Date Of Birth</label>

      <input type="date" class="form-control" name="dateofBirthWife" placeholder="Date of Birth">

    </div>

     <div class="form-group col-md-6">

      <label for="sonName">Son</label>

      <input type="text" class="form-control" name="sonName" placeholder="Son">

    </div>

    <div class="form-group col-md-6">

      <label for="sonDate">SON</label>

      <input type="date" class="form-control" name="sonDate" placeholder="Date Of Birth">

    </div>

    <div class="form-group col-md-6">

      <label for="DaughterName">Daughter</label>

      <input type="text" class="form-control" name="DaughterName" placeholder="Daughter">

    </div>

    <div class="form-group col-md-6">

      <label for="doughterDOB">Date Of Birth</label>

      <input type="date" class="form-control" name="doughterDOB" placeholder="Date  Birth">

    </div>

   </div>

    <div class="row">

    <h2>CONTACT DETAIL</h2>

     <div class="form-group col-md-6">

      <label for="landLineNumberLocal">Landline Number(LOCAL)</label>

      <input type="text" class="form-control" name="landLineNumberLocal" placeholder="LANDLINE NUMBER (LOCAL)">

     </div>

     <div class="form-group col-md-6">

      <label for="mobileNumber">Mobile Number(LOCAL)</label>

      <input type="number" class="form-control" name="mobileNumber" placeholder="MOBILE NUMBER (LOCAL)" required>

     </div>

     <div class="form-group col-md-6">

      <label for="personalEmail">Personal Email ID</label>

      <input type="email" class="form-control" name="personalEmail" placeholder="personal email ID" required>

     </div>

    <div class="form-group col-md-6">

      <label for="landLineNumberPermanent">Landline Number (PERMANANT)</label>

      <input type="number" class="form-control" name="landLineNumberPermanent" placeholder="LANDLINE NUMBER (PERMANANT)">

     </div>

     <div class="form-group col-md-6">

      <label for="mobileFamilyNumber">Mobile Number(FAMILY MEMBER)</label>

      <input type="number" class="form-control" name="mobileNumberFamily" placeholder="MOBILE (FAMILY MEMBER)" required>

     </div>

     <div class="form-group col-md-6">

      <label for="emergencyContactNumber">Emergency Contact Person</label>

      <input type="number" class="form-control" name="emergencyContactNumber" placeholder="EMERGENCY CONTACT PERSON" required>

     </div>

  </div>

  <div class="row">

   <h2>Education</h2>

        <div class="form-group col-md-6">

        <label for="eduQualification">Education Qualification (HIGHEST DEGREE)</label>

         <input type="text" class="form-control" name="eduQualification" placeholder="EDUCATIONAL QUALIFICATION (HIGHEST DEGREE)" required>

         </div>

    </div>

   <div class="row">

      <h2>WORK EXPERIENCE (LAST JOB)</h2>

    <div class="form-group col-md-6">

      <label for="expFresher">Experience/Fresher</label>

      <select name="expFresher" id="expFresher" class="form-control" required>

       <option value="">-EXP/FRESHER-</option>

       <option value="">-Fresher-</option>

        <option value="">-Experience-</option>

     </select>

         </div>

     <div class="form-group col-md-6">

      <label for="organisationName">Name Of Organization </label>

      <input type="text" class="form-control" name="organisationName" placeholder="NAME OF ORGANISATION">

     </div>

    <div class="form-group col-md-6">

      <label for="expYear">Year</label>

      <select name="expYear" id="expYear" class="form-control" required>

       <option value="">-0-</option>

                 #set($start = 0)

					#set($end = 45)

				    #set($range = [$start..$end])

				    #foreach($i in $range)

      <option value="">$i</option>

      #end

   </select> 

   </div>

     <div class="form-group col-md-6">

      <label for="expMonth">Month</label>

     <select name="expMonth" id="expMonth" class="form-control" required>

       <option value="">-0-</option>

          #set($start = 0)

		#set($end = 12)

	    #set($range = [$start..$end])

	    #foreach($i in $range)

      <option value="">$i</option>

      #end

   </select> 

     </div>

    <div class="form-group col-md-6">

      <label for="lastDesignation">Last Designation</label>

      <input type="text" class="form-control" name="lastDesignation" placeholder="designation">

     </div>

    <div class="form-group col-md-6">

      <label for="reasonForLeaving">Reason for Leaving</label>

      <input type="text" class="form-control" name="reasonForLeaving" placeholder="REASION FOR LEAVING">

     </div>

    </div>

    <div class="row">

    <h2>TOTAL WORK EXPERIENCE</h2>

    <div class="form-group col-md-6">

      <label for="expJoinTimeYear">Year</label>

     <select name="expJoinTimeYear" id="expJoinTimeYear" class="form-control" required>

       <option value="">-0-</option>

                 #set($start = 0)

					#set($end = 45)

				    #set($range = [$start..$end])

				    #foreach($i in $range)

      <option value="$i">$i</option>

      #end

   </select>

     </div>

     <div class="form-group col-md-6">

      <label for="expJoinTimeMonth">Month</label>

      <select name="expJoinTimeMonth" id="expJoinTimeMonth" class="form-control" required>

       <option value="">-0-</option>

                 #set($start = 0)

					#set($end = 12)

				    #set($range = [$start..$end])

				    #foreach($i in $range)

      <option value="$i">$i</option>

      #end

   </select>      </div>

   </div>

    <div class="row">

    <h2>INSURANCE DETAIL</h2>

    <div class="form-group col-md-6">

      <label for="nomineeName">Nominee name</label>

      <input type="text" class="form-control" name="nomineeName" placeholder="NOMINEE NAME" required>

     </div>

      <div class="form-group col-md-6">

      <label for="relation">Relation</label>

      <input type="text" class="form-control" name="relation" placeholder="RELATION" required>

     </div>

   </div>

  <div class="row">

   <h2>BANK DETAILS</h2>

    <div class="form-group col-md-6">

      <label for="pfNumber">PF Number</label>

      <input type="text" class="form-control" name="pfNumber" placeholder="PF NUMBER" required>

     </div>

     <div class="form-group col-md-6">

      <label for="esiNumber">ESI Number</label>

      <input type="text" class="form-control" name="esiNumber" placeholder="ESI NUMBER" required>

     </div>

    <div class="form-group col-md-6">

      <label for="employeeBankName">Emp. Name (as per Bank Detail)</label>

      <input type="text" class="form-control" name="employeeBankName" placeholder="Emp. Name (as per Bank Detail)" required>

     </div>

     <div class="form-group col-md-6">

      <label for="bankAcNumber">Bank A/C Number</label>

      <input type="text" class="form-control" name="bankAcNumber" placeholder="BANK A/C NUMBER" required>

     </div>

      <div class="form-group col-md-6">

      <label for="bankName">Bank Name</label>

      <input type="text" class="form-control" name="bankName" placeholder="bank Name" required>

     </div>

     <div class="form-group col-md-6">

      <label for="ifscCode">IFSC code</label>

      <input type="text" class="form-control" name="ifscCode" placeholder="IFSC code" required>

     </div>

     <div class="form-group col-md-6">

      <label for="personalCompany">Personal / Company</label>

         <select name="personalCompany" id="personalCompany" class="form-control" required>

       <option value="">-Personal / Company-</option>

       <option value="">Personal</option>

       <option value="">Company</option>

      </select>   

        </div>

  </div> 

     <div class="row">

     <h2>STATUTORY DOCS/DATE</h2>

     <div class="form-group col-md-6">

      <label for="panNumber">PAN Number</label>

      <input type="text" class="form-control" name="panNumber" placeholder="PAN Number" required>

     </div>

     <div class="form-group col-md-6">

      <label for="uanNumber">UAN</label>

      <input type="text" class="form-control" name="uanNumber" placeholder="UAN">

     </div>

     <div class="form-group col-md-6">

      <label for="noticePeriod">Notice Period</label>

      <select name="noticePeriod" id="noticePeriod" class="form-control" required>

       <option value="">-Notice Period-</option>

       <option value="">15</option>

       <option value="">30</option>

       <option value="">45</option>

       <option value="">60</option>

       <option value="">75</option>

       <option value="">90</option>

       <option value="">105</option>

       <option value="">120</option>

       <option value="">150</option>

       <option value="">180</option>

    </select> 

    </div>

     <div class="form-group col-md-6">

      <label for="aadharNumber">Aadhar Number</label>

      <input type="text" class="form-control" name="aadharNumber" placeholder="Aadhar" required>

     </div>

  </div>

  <div class="row">   

     <h2>IMPORTANT DATES</h2>

    <div class="form-group col-md-6">

      <label for="bdmth">BD mth</label>

      <input type="text" class="form-control" name="bdMonth" placeholder="BD mth" >

     </div>

      <div class="form-group col-md-6">

      <label for="annMth">Ann Mth</label>

      <input type="text" class="form-control" name="annMonth" placeholder="Ann Mth">

     </div>

    </div>

  <button type="button" class="btn btn-primary employee_form_button">Sign in</button>

</form>

</section>