{% extends 'standard_tpl.html.twig' %}
{% set page_background = 'page-title.jpg' %}
{% block page_content_wrapper %}
<div class="step-section booking-section contact-style-two">
<div class="container">
<div class="row justify-content-center">
<div class="col-md-8">
{{ form_start(form) }}
<h2>Personal Particulars (As in Passport)</h2>
<div class="row">
<div class="col-md-6">
{{ form_label(form.surname, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.surname, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.surname) }}
</div>
<div class="col-md-6">
{{ form_label(form.firstName, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.firstName, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.firstName) }}
</div>
<div class="col-md-6">
{{ form_label(form.previousName, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.previousName, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.previousName) }}
</div>
<div class="col-md-6">
{{ form_label(form.sex, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.sex, {'attr': {'class': 'check-horizontal'}}) }}
{{ form_errors(form.sex) }}
</div>
<div class="col-md-6">
{{ form_label(form.maritalStatus, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.maritalStatus, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.maritalStatus) }}
</div>
<div class="col-md-6">
{{ form_label(form.dateOfBirth, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.dateOfBirth, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.dateOfBirth) }}
</div>
<div class="col-md-6">
{{ form_label(form.religion, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.religion, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.religion) }}
</div>
<div class="col-md-6">
{{ form_label(form.placeOfBirth, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.placeOfBirth, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.placeOfBirth) }}
</div>
<div class="col-md-6">
{{ form_label(form.townCity, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.townCity, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.townCity) }}
</div>
<div class="col-md-6">
{{ form_label(form.countryOfBirth, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.countryOfBirth, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.countryOfBirth) }}
</div>
<div class="col-md-6">
{{ form_label(form.citizenshipNationalIdNo, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.citizenshipNationalIdNo, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.citizenshipNationalIdNo) }}
</div>
<div class="col-md-6">
{{ form_label(form.educationalQualification, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.educationalQualification, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.educationalQualification) }}
</div>
<div class="col-md-6">
{{ form_label(form.currentNationality, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.currentNationality, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.currentNationality) }}
</div>
<div class="col-md-6">
{{ form_label(form.nationalityByBirthOrNaturalization, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.nationalityByBirthOrNaturalization, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.nationalityByBirthOrNaturalization) }}
</div>
<div class="col-md-6">
{{ form_label(form.previousNationality, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.previousNationality, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.previousNationality) }}
</div>
<h2>B. Passport Details</h2>
<div class="col-md-6">
{{ form_label(form.passportNumber, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.passportNumber, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.passportNumber) }}
</div>
<div class="col-md-6">
{{ form_label(form.passportDateOfIssue, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.passportDateOfIssue, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.passportDateOfIssue) }}
</div>
<div class="col-md-6">
{{ form_label(form.passportPlaceOfIssue, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.passportPlaceOfIssue, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.passportPlaceOfIssue) }}
</div>
<div class="col-md-6">
{{ form_label(form.passportDateOfExpiry, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.passportDateOfExpiry, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.passportDateOfExpiry) }}
</div>
<div class="col-md-6">
{{ form_label(form.hasOtherPassportOrIC, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.hasOtherPassportOrIC, {'attr': {'class': 'form-check-input check-horizontal'}}) }}
{{ form_errors(form.hasOtherPassportOrIC) }}
</div>
<div class="col-md-6">
{{ form_label(form.otherPassportCountryOfIssue, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.otherPassportCountryOfIssue, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.otherPassportCountryOfIssue) }}
</div>
<div class="col-md-6">
{{ form_label(form.otherPassportPlaceOfIssue, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.otherPassportPlaceOfIssue, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.otherPassportPlaceOfIssue) }}
</div>
<div class="col-md-6">
{{ form_label(form.otherPassportNumber, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.otherPassportNumber, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.otherPassportNumber) }}
</div>
<div class="col-md-6">
{{ form_label(form.otherPassportDateOfIssue, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.otherPassportDateOfIssue, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.otherPassportDateOfIssue) }}
</div>
<div class="col-md-6">
{{ form_label(form.otherPassportNationality, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.otherPassportNationality, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.otherPassportNationality) }}
</div>
<h2>Applicant’s Contact Details</h2>
<div class="col-md-6">
{{ form_label(form.phoneNumber, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.phoneNumber, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.phoneNumber) }}
</div>
<div class="col-md-6">
{{ form_label(form.mobileNumber, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.mobileNumber, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.mobileNumber) }}
</div>
<div class="col-md-12">
{{ form_label(form.presentAddress, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.presentAddress, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.presentAddress) }}
</div>
<div class="col-md-6">
{{ form_label(form.emailAddress, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.emailAddress, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.emailAddress) }}
</div>
<div class="col-md-12">
{{ form_label(form.permanentAddress, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.permanentAddress, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.permanentAddress) }}
</div>
<h2>Profession/Occupation Details</h2>
<div class="col-md-6">
{{ form_label(form.presentOccupation, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.presentOccupation, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.presentOccupation) }}
</div>
<div class="col-md-6">
{{ form_label(form.designation, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.designation, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.designation) }}
</div>
<div class="col-md-6">
{{ form_label(form.employerName, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.employerName, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.employerName) }}
</div>
<div class="col-md-12">
{{ form_label(form.employerAddress, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.employerAddress, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.employerAddress) }}
</div>
<div class="col-md-6">
{{ form_label(form.employerPhoneNumber, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.employerPhoneNumber, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.employerPhoneNumber) }}
</div>
<div class="col-md-6">
{{ form_label(form.pastOccupation, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.pastOccupation, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.pastOccupation) }}
</div>
<div class="col-md-12">
{{ form_label(form.workedWithForces, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.workedWithForces, {'attr': {'class': 'form-check-input check-horizontal'}}) }}
{{ form_errors(form.workedWithForces) }}
</div>
<div class="col-md-6">
{{ form_label(form.securityOrganization, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.securityOrganization, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.securityOrganization) }}
</div>
<div class="col-md-6">
{{ form_label(form.securityDesignation, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.securityDesignation, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.securityDesignation) }}
</div>
<div class="col-md-6">
{{ form_label(form.securityPlaceOfPosting, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.securityPlaceOfPosting, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.securityPlaceOfPosting) }}
</div>
<div class="col-md-6">
{{ form_label(form.securityRank, null, {'label_attr': {'class': 'form-label'}}) }}
{{ form_widget(form.securityRank, {'attr': {'class': 'form-control'}}) }}
{{ form_errors(form.securityRank) }}
</div>
<div class="col-md-12">
<p>{{ form_widget(form.declarationStatus) }} I understand that in case the information provided in the form is found to be incorrect, I will be liable for denial of visit/ entry or deportation and/ or other penalties during the visit as provided by Indian law.</p>
{{ form_errors(form.declarationStatus) }}
</div>
<div class="col-12 text-center mt-5">
<button type="submit" class="btn btn-primary theme-btn btn-one">Apply</button>
</div>
</div>
{{ form_end(form) }}
</div>
</div>
</div>
</div>
{% endblock %}