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<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><ahref="${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"><h3>EMPLOYEE DETAILS</h3><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"><h3>PERSONAL DETAILS</h3><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"><h3>ADDRESS DETAILS</h3><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"><h3>FAMILY MEMBERS DETAIL</h3><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"><h3>CONTACT DETAIL</h3><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"><h3>Education</h3><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"><h3>WORK EXPERIENCE (LAST JOB)</h3><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"><h3>TOTAL WORK EXPERIENCE</h3><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"><h3>INSURANCE DETAIL</h3><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"><h3>BANK DETAILS</h3><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"><h3>STATUTORY DOCS/DATE</h3><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"><h3>IMPORTANT DATES</h3><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>