{"id":420,"date":"2018-05-14T12:37:33","date_gmt":"2018-05-14T12:37:33","guid":{"rendered":"http:\/\/rhemaindia.org.in\/rhema\/?page_id=420"},"modified":"2018-05-24T09:50:13","modified_gmt":"2018-05-24T09:50:13","slug":"demo-page","status":"publish","type":"page","link":"http:\/\/rhemaindia.org.in\/rhema\/demo-page\/","title":{"rendered":"Demo Page"},"content":{"rendered":"<div class=\"row\">\n<div class=\"col-md-12 text-center\">\n<h2>APPLICATION FOR ADMISSION<\/h2>\n<p class=\"text-center\"><b>This form must be filled up by the applicant only, or it will not be accepted.<\/b><\/p>\n<\/p><\/div>\n<div class=\"panel panel-default col-md-6 col-md-offset-3\">\n<div class=\"panel-body\">\n<p class=\"text-justify\" style=\"margin-bottom:15px;\"><b>Kinldy download below given forms before filling up this form.<\/b><\/p>\n<table class=\"table\">\n<tbody>\n<tr>\n<td>\n<p>Pastoral Reference Form<\/p>\n<\/td>\n<td>\n<p><a href=\"http:\/\/192.168.100.121\/rhema_wp\/pdf\/Pastoral Reference Application.pdf\" target=\"_blank\"><button type=\"button\" class=\"btn btn-danger\">Download<\/button><\/a><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Medical History Form<\/p>\n<\/td>\n<td>\n<p><a href=\"http:\/\/192.168.100.121\/rhema_wp\/pdf\/Medical History Application.pdf\" target=\"_blank\"><button type=\"button\" class=\"btn btn-danger\">Download<\/button><\/a><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n<\/p><\/div>\n<div class=\"col-md-12\">\n<form class=\"form-horizontal\" name=\"appadm\" id=\"appadm\" method=\"POST\"  enctype=\"multipart\/form-data\" action=\"https:\/\/rhemaindia.org.in\/rhema\/demo_submit_appadm.php\">\n<p class=\"text-justify\" style=\"margin-bottom:15px;\"><b>PERSONAL DATA<\/b> (This is how your name will appear on Student ID, Diploma and all Correspondence)<\/p>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputState\" class=\"col-sm-2 control-label\">Full Name:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<select id=\"inputState\" name=\"title\" class=\"form-control\" required><option value=\"\">&#8211; SELECT &#8211;<\/option><option value=\"Rev.\">Rev.<\/option><option value=\"Mr.\">Mr.<\/option><option value=\"Mrs.\">Mrs.<\/option><option value=\"Miss.\">Miss.<\/option><\/select>\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"fname\" placeholder=\"First name\" required>\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"mname\" placeholder=\"Middle Name\" required>\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"lname\" placeholder=\"Last name\" required>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputZip\" class=\"col-sm-2 control-label\">Date of Birth:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control datepicker\" name=\"dob\" required>\n\t\t\t<\/div>\n<p>\t\t\t<label for=\"inputZip\" class=\"col-sm-2 control-label\">Age:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"age\" required>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputState\" class=\"col-sm-2 control-label\">Present Address:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"houseno\" placeholder=\"House No.\" required>\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"wardno\" placeholder=\"Ward No.\" required>\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"street\" placeholder=\"Street\/Road\" required>\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"locality\" placeholder=\"Locality\" required>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n<div class=\"col-sm-2 col-sm-offset-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"landmark\" placeholder=\"Landmark\" required>\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"state\" placeholder=\"State\" required>\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"pincode\" placeholder=\"Pin code\" required>\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"country\" placeholder=\"Country\" required>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputState\" class=\"col-sm-2 control-label\">Contact Details:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"email\" class=\"form-control\" name=\"stdemail\" placeholder=\"Email\" required>\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"mobileno\" placeholder=\"Mobile No.\" required maxlength=\"10\">\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"phoneno\" placeholder=\"Phone No.\" required>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputState\" class=\"col-sm-2 control-label\">Upload Passport size photo:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-8\">\n\t\t\t\t<input type=\"file\" id=\"userimg\" name=\"userimg\"  multiple class=\"file-loading\" data-allowed-file-extensions='[\"png\", \"jpg\", \"jpeg\"]'><span style=\"color:#FF0000;\">upload 5 x 5 cm photo<\/span>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputState\" class=\"col-sm-2 control-label\">Marital Status:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-10\">\n\t\t\t\t<label><input type=\"radio\" name=\"mastat\" value=\"Single\"> Single&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"mastat\" value=\"Engaged\"> Engaged&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"mastat\" value=\"Married\"> Married&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"mastat\" value=\"Remarried\"> Remarried&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"mastat\" value=\"Divorced\"> Divorced&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"mastat\" value=\"Widower\/Widow\"> Widower\/Widow&nbsp;&nbsp;&nbsp; <input type=\"radio\" name=\"mastat\" value=\"Separated\"> Separated<\/label>\n\t\t\t<\/div>\n<\/p><\/div>\n<p class=\"text-justify\" style=\"margin-bottom:15px;\"><b>SPIRITUAL DATA<\/b><\/p>\n<div class=\"form-group\">\n\t\t<label for=\"inputZip\" class=\"col-sm-5 control-label\">Date of your salvation:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control admitpicker\" name=\"datesal\" required>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputZip\" class=\"col-sm-5 control-label\">Have you received the baptism of the Holy Spirit with the evidence of speaking in other tongues according to Acts 2:4?:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<label><input type=\"radio\" name=\"baptism\" value=\"Yes\"> Yes&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"baptism\" value=\"No\"> No<\/label>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputZip\" class=\"col-sm-5 control-label\">Name of the church that you are a member of:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"churchname\" placeholder=\"Name of the church\" required>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputZip\" class=\"col-sm-5 control-label\">Pastor&#8217;s name and phone No. (List yourself if you are the Pastor):<\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"pastorname\" placeholder=\"Pastor's name\">\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"pastorphno\" placeholder=\"Phone No.\">\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputZip\" class=\"col-sm-5 control-label\">Are you presently working in full-time ministry?<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<label><input type=\"radio\" name=\"fullministry\" value=\"Yes\"> Yes&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"fullministry\" value=\"No\"> No<\/label>\n\t\t\t<\/div>\n<\/p><\/div>\n<p class=\"text-justify\" style=\"margin-bottom:15px;\"><b>EDUCATIONAL DATA<\/b><\/p>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputState\" class=\"col-sm-2 control-label\">Education:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-10\">\n\t\t\t\t<label><input type=\"radio\" name=\"education\" value=\"Under-Matric\"> Under-Matric&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"education\" value=\"Post-Matric\"> Post-Matric&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"education\" value=\"High School Graduate,\"> High School Graduate,&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"education\" value=\"Under Graduate\"> Under Graduate&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"education\" value=\"Bachelor's Degree\"> Bachelor&#8217;s Degree&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"education\" value=\"Master's Degree\"> Master&#8217;s degree&nbsp;&nbsp;&nbsp; <input type=\"radio\" name=\"education\" value=\"P.H.D.\"> P.H.D.<\/label>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputState\" class=\"col-sm-5 control-label\">List any formal Bible training you have had (Seminar, Bible college, Bible course, etc.):<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-4\">\n\t\t\t\t<textarea name=\"bibletraining\" class=\"form-control\" required><\/textarea>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputState\" class=\"col-sm-5 control-label\">Write a testimony on how, when and where received Jesus as Personal Savior (in not less than 200 words.):<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-4\">\n\t\t\t\t<textarea name=\"testimonial\" class=\"form-control\" required><\/textarea>\n\t\t\t<\/div>\n<\/p><\/div>\n<p class=\"text-justify\" style=\"margin-bottom:15px;\"><b>DECLARATIONS<\/b><\/p>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputZip\" class=\"col-sm-5 control-label\">Are you suffering from Epilepsy?<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<label><input type=\"radio\" name=\"epilepsy\" id=\"YesEpilepsy\" class=\"dec1\" value=\"Yes\"> Yes&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"epilepsy\" id=\"noepilepsy\" class=\"dec1\" value=\"No\"> No<\/label>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\" id=\"epilepsyyes\">\n<div class=\"col-sm-4 col-sm-offset-5\">\n\t\t\t\t<textarea name=\"yesepilepsy\" class=\"form-control\"><\/textarea>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputZip\" class=\"col-sm-5 control-label\">Tuberculosis<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<label><input type=\"radio\" name=\"tuberculosis\" id=\"YesTuberculosis\" class=\"dec2\" value=\"Yes\"> Yes&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"tuberculosis\" class=\"dec2\" id=\"notuberculosis\" value=\"No\"> No<\/label>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\" id=\"tuberculosisyes\">\n<div class=\"col-sm-4 col-sm-offset-5\">\n\t\t\t\t<textarea name=\"yestuberculosis\" class=\"form-control\"><\/textarea>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputZip\" class=\"col-sm-5 control-label\">Mental Illness<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<label><input type=\"radio\" name=\"mental\" id=\"YesMental\" class=\"dec3\" value=\"Yes\"> Yes&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"mental\" id=\"nomental\" class=\"dec3\" value=\"No\"> No<\/label>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\" id=\"mentalyes\">\n<div class=\"col-sm-4 col-sm-offset-5\">\n\t\t\t\t<textarea name=\"yesmental\" class=\"form-control\"><\/textarea>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputZip\" class=\"col-sm-5 control-label\">Do you take illegal drugs or alcohol?<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<label><input type=\"radio\" name=\"alcohol\" value=\"Yes\"> Yes&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"alcohol\" value=\"No\"> No<\/label>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputZip\" class=\"col-sm-5 control-label\">Do you have a history of substance abuse?<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<label><input type=\"radio\" name=\"abuse\" id=\"YesAbuse\" class=\"dec4\" value=\"Yes\"> Yes&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"abuse\" id=\"noabuse\" class=\"dec4\" value=\"No\"> No<\/label>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\" id=\"abuseyes\">\n<div class=\"col-sm-4 col-sm-offset-5\">\n\t\t\t\t<textarea name=\"yesabuse\" class=\"form-control\"><\/textarea>\n\t\t\t<\/div>\n<\/p><\/div>\n<p class=\"text-justify\" style=\"margin-bottom:15px;\"><b>Upload Files<\/b><\/p>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputState\" class=\"col-sm-5 control-label\">Upload Pastoral Reference Form:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"file\" id=\"pastref\" name=\"pastref\"  multiple class=\"file-loading\" data-allowed-file-extensions='[\"png\", \"jpg\", \"jpeg\", \"pdf\"]'>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputState\" class=\"col-sm-5 control-label\">Upload Medical History Form:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"file\" id=\"medhis\" name=\"medhis\"  multiple class=\"file-loading\" data-allowed-file-extensions='[\"png\", \"jpg\", \"jpeg\", \"pdf\"]'>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputState\" class=\"col-sm-5 control-label\">Upload Medical Certificate:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"file\" id=\"medcer\" name=\"medcer\"  multiple class=\"file-loading\" data-allowed-file-extensions='[\"png\", \"jpg\", \"jpeg\", \"pdf\"]'>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputState\" class=\"col-sm-5 control-label\">Upload Identity Proof (Any government approved):<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"file\" id=\"idproof\" name=\"idproof\"  multiple class=\"file-loading\" data-allowed-file-extensions='[\"png\", \"jpg\", \"jpeg\", \"pdf\"]'>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputState\" class=\"col-sm-5 control-label\">Upload School \/ College Leaving Certificate:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"file\" id=\"leaving\" name=\"leaving\"  multiple class=\"file-loading\" data-allowed-file-extensions='[\"png\", \"jpg\", \"jpeg\", \"pdf\"]'>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n<div class=\"col-sm-4 col-sm-offset-5\">\n\t\t\t\t<button type=\"submit\" class=\"btn btn-danger\">Submit<\/button>\n\t\t\t<\/div>\n<\/p><\/div>\n<\/p><\/form>\n<\/p><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>APPLICATION FOR ADMISSION This form must be filled up by the applicant only, or it will not be accepted. Kinldy download below given forms before filling up this form. Pastoral Reference Form Download Medical History Form Download PERSONAL DATA (This is how your name will appear on Student ID, Diploma and all Correspondence) Full Name: [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-420","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/rhemaindia.org.in\/rhema\/wp-json\/wp\/v2\/pages\/420","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/rhemaindia.org.in\/rhema\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/rhemaindia.org.in\/rhema\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/rhemaindia.org.in\/rhema\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/rhemaindia.org.in\/rhema\/wp-json\/wp\/v2\/comments?post=420"}],"version-history":[{"count":5,"href":"http:\/\/rhemaindia.org.in\/rhema\/wp-json\/wp\/v2\/pages\/420\/revisions"}],"predecessor-version":[{"id":426,"href":"http:\/\/rhemaindia.org.in\/rhema\/wp-json\/wp\/v2\/pages\/420\/revisions\/426"}],"wp:attachment":[{"href":"http:\/\/rhemaindia.org.in\/rhema\/wp-json\/wp\/v2\/media?parent=420"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}