{"id":1345,"date":"2019-02-02T12:08:11","date_gmt":"2019-02-02T06:38:11","guid":{"rendered":"http:\/\/myinsurer.in\/?page_id=1345"},"modified":"2019-12-14T13:03:03","modified_gmt":"2019-12-14T07:33:03","slug":"student-safety","status":"publish","type":"page","link":"https:\/\/myinsurer.in\/index.php\/home\/forms\/student-safety\/","title":{"rendered":"Student Safety"},"content":{"rendered":"<h2>Student Safety Insurance<\/h2>\n<h6 style=\"text-align: center;\">This is not a public link.<\/h6>\n<p style=\"text-align: center;\">This page is exclusively designed to enter details of students of Moulana College of Pharmacy, Perinthalmanna only.<\/p>\n<p style=\"text-align: center;\">This is not the proposal form for the product. This form is used to collect data from students<\/p>\n<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f1349-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/1345#wpcf7-f1349-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"1349\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.5.3\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1349-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p><label> Name of student(Required)<br \/>\n    <span class=\"wpcf7-form-control-wrap name-of-student\"><input type=\"text\" name=\"name-of-student\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><span class=\"wpcf7-form-control-wrap AdmissionBatch\"><select name=\"AdmissionBatch\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"Batch 5 (2015 Admission)\">Batch 5 (2015 Admission)<\/option><option value=\"Batch 6 (2016 Admission)\">Batch 6 (2016 Admission)<\/option><option value=\"Batch 7 (2017 Admission)\">Batch 7 (2017 Admission)<\/option><option value=\"Batch 8 (2018 Admission)\">Batch 8 (2018 Admission)<\/option><option value=\"Batch 9 (2019 Admission)\">Batch 9 (2019 Admission)<\/option><\/select><\/span><\/p>\n<p><label> Date of Birth<br \/>\n<span class=\"wpcf7-form-control-wrap dobstudent\"><input type=\"date\" name=\"dobstudent\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" min=\"1988-01-01\" max=\"2003-01-01\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><span class=\"wpcf7-form-control-wrap Gender\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"Gender\" value=\"Male\" \/><span class=\"wpcf7-list-item-label\">Male<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"Gender\" value=\"Female\" \/><span class=\"wpcf7-list-item-label\">Female<\/span><\/span><\/span><\/span><\/p>\n<p><label> Email<br \/>\n<span class=\"wpcf7-form-control-wrap studentemail\"><input type=\"email\" name=\"studentemail\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-email\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Permanent Address<br \/>\n    <span class=\"wpcf7-form-control-wrap address\"><textarea name=\"address\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span> <\/label><\/p>\n<p><label> Mobile number<br \/>\n<span class=\"wpcf7-form-control-wrap Mobile\"><input type=\"text\" name=\"Mobile\" 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> Name of Earning Parent<br \/>\n<span class=\"wpcf7-form-control-wrap EarningParent\"><input type=\"text\" name=\"EarningParent\" 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> Age of Earning Parent<br \/>\n<span class=\"wpcf7-form-control-wrap EarningParentAge\"><input type=\"text\" name=\"EarningParentAge\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><input type=\"submit\" value=\"Submit\" class=\"wpcf7-form-control has-spinner wpcf7-submit\" \/><\/p>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Student Safety Insurance This is not a public link. This page is exclusively designed to enter details of students of Moulana College of Pharmacy, Perinthalmanna only. This is not the proposal form for the product. This form is used to collect data from students<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1316,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1345","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/myinsurer.in\/index.php\/wp-json\/wp\/v2\/pages\/1345","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/myinsurer.in\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/myinsurer.in\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/myinsurer.in\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/myinsurer.in\/index.php\/wp-json\/wp\/v2\/comments?post=1345"}],"version-history":[{"count":10,"href":"https:\/\/myinsurer.in\/index.php\/wp-json\/wp\/v2\/pages\/1345\/revisions"}],"predecessor-version":[{"id":1381,"href":"https:\/\/myinsurer.in\/index.php\/wp-json\/wp\/v2\/pages\/1345\/revisions\/1381"}],"up":[{"embeddable":true,"href":"https:\/\/myinsurer.in\/index.php\/wp-json\/wp\/v2\/pages\/1316"}],"wp:attachment":[{"href":"https:\/\/myinsurer.in\/index.php\/wp-json\/wp\/v2\/media?parent=1345"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}