<!DOCTYPE html>
<html lang="en">
<head>

<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Admission Form - Online Digital Marketing Course</title>

<link href="https://cdn.jsdelivr.net/npm/bootstrap@5.3.1/dist/css/bootstrap.min.css" rel="stylesheet">

<style>
body { font-family: Arial, sans-serif; }

.hero {
    background:#0a4db3;
    color:white;
    padding:60px 20px;
    text-align:center;
}

.section-title {
    font-weight:700;
    font-size:28px;
    margin-top:40px;
    text-align:center;
}

.form-box {
    max-width:650px;
    margin:auto;
    background:#e6f0ff;
    padding:30px;
    border-radius:12px;
    border:2px solid #0a4db3;
}

.form-control {
    padding:12px;
    border-radius:8px;
}

.btn-submit {
    background:#0a4db3 !important;
    color:#fff !important;
    padding:12px 25px;
    border-radius:8px;
    border:none;
    font-weight:600;
    width:100%;
}
</style>

</head>

<body>

<!-- HEADER SECTION -->
<div class="hero">
    <h1>Admission Form</h1>
    <p class="lead">Online Digital Marketing Course by <b>Yasin Malidwale</b></p>
    <p>Fill your details below to confirm your admission</p>
</div>

<!-- ADMISSION FORM -->
<section class="section">
<h2 class="section-title">Fill Your Details</h2>

<div class="form-box">

<form action="submit-admission.php" method="post">

    <label class="mt-3">Full Name</label>
    <input type="text" name="name" class="form-control" required>

    <label class="mt-3">Mobile Number</label>
    <input type="text" name="phone" class="form-control" required>

    <label class="mt-3">Email ID</label>
    <input type="email" name="email" class="form-control">

    <label class="mt-3">City</label>
    <input type="text" name="city" class="form-control">

    <label class="mt-3">Select Your Learning Track</label>
    <select name="track" class="form-control" required>
        <option value="">-- Select Track --</option>
        <option value="Student Track">Student Track</option>
        <option value="Business Owner Track">Business Owner</option>
        <option value="Freelancer Track">Freelancer Track</option>
    </select>

    <label class="mt-3">Preferred Training Language</label>
    <select name="language" class="form-control" required>
        <option value="">-- Choose Language --</option>
        <option>Hindi</option>
        <option>Marathi</option>
        <option>English</option>
    </select>

    <label class="mt-3">Your Goal</label>
    <select name="goal" class="form-control" required>
        <option value="">-- Select Goal --</option>
        <option>Get a Job</option>
        <option>Grow My Business</option>
        <option>Start Freelancing</option>
    </select>

    <!-- NEW COURSE DURATION FIELD -->
    <label class="mt-3">Course Duration</label>
    <select name="duration" class="form-control" required>
        <option value="">-- Select Course Duration --</option>
        <option value="Certification in Digital Marketing - 3 Months">
            Certification in Digital Marketing (3 Months)
        </option>
        <option value="Diploma in Digital Marketing - 6 Months">
            Diploma in Digital Marketing (6 Months)
        </option>
        <option value="Advance excel certification course">
            Advance excel certification course
        </option>
    </select>
    <!-- END NEW FIELD -->

    

    <button class="btn-submit mt-4">Submit Admission Form</button>

</form>

</div>
</section>


</body>
</html>
