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<!DOCTYPE html>
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<html>
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<head>
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<meta charset="utf-8">
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<title>报名申请表</title>
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<link rel="stylesheet" href="../component/pear/css/pear.css" />
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<link rel="stylesheet" href="../admin/css/other/result.css" />
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</head>
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<body class="pear-container layui-form">
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<div class="layui-card">
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<div class="layui-card-header">报名申请表</div>
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<div class="layui-card-body">
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<div style="margin: 5px 0 25px 0">
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<label class="layui-form-label" style="width: 85px;">姓名：</label>
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<div class="layui-input-block" style="margin-right: 8px;">
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<input type="text" autocomplete="off" lay-verify="required" name="taskName" placeholder="请输入姓名"
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class="layui-input" style="width: 500px;">
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</div>
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</div>
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<div style="margin: 5px 0 25px 0">
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<label class="layui-form-label" style="width: 85px;">性别：</label>
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<div class="layui-input-block" style="margin-right: 8px;">
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<input type="radio" name="sex" value="1" title="男" checked>
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<input type="radio" name="sex" value="2" title="女">
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</div>
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</div>
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<div style="margin: 5px 0 25px 0">
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<label class="layui-form-label" style="width: 85px;">身份证号：</label>
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<div class="layui-input-block" style="margin-right: 8px;">
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<input type="text" autocomplete="off" lay-verify="required|identity" name="taskName"
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placeholder="请输入身份证号" class="layui-input" style="width: 500px;">
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</div>
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</div>
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<div style="margin: 5px 0 25px 0">
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<label class="layui-form-label" style="width: 85px;">报名学段：</label>
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<div class="layui-input-block" style="margin-right: 8px;">
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<button type="button" class="layui-btn layui-btn-radius">输入身份证号后自动识别</button>
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</div>
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</div>
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<div style="margin: 5px 0 25px 0">
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<label class="layui-form-label" style="width: 85px;">家庭住址：</label>
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<div class="layui-input-block" style="margin-right: 8px;">
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<input type="text" autocomplete="off" lay-verify="required" name="taskName" placeholder="请输入家庭住址"
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class="layui-input" style="width: 500px;">
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</div>
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</div>
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<div style="margin: 5px 0 25px 0">
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<label class="layui-form-label" style="width: 85px;">父亲姓名：</label>
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<div class="layui-input-block" style="margin-right: 8px;">
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<input type="text" autocomplete="off" lay-verify="required" name="taskName" placeholder="请输入父亲姓名"
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class="layui-input" style="width: 500px;">
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</div>
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</div>
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<div style="margin: 5px 0 25px 0">
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<label class="layui-form-label" style="width: 85px;">母亲姓名：</label>
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<div class="layui-input-block" style="margin-right: 8px;">
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<input type="text" autocomplete="off" lay-verify="required" name="taskName" placeholder="请输入母亲姓名"
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class="layui-input" style="width: 500px;">
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</div>
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</div>
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<div style="margin: 5px 0 25px 0">
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<label class="layui-form-label" style="width: 85px;">联系电话：</label>
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<div class="layui-input-block" style="margin-right: 8px;">
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<input type="text" autocomplete="off" lay-verify="required|phone" name="taskName"
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placeholder="请输入联系电话" class="layui-input" style="width: 500px;">
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</div>
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</div>
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<div style="margin: 5px 0 25px 0">
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<label class="layui-form-label" style="width: 85px;">户口本照片(幼儿页)：</label>
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<div class="layui-input-block" style="margin-right: 8px;">
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<div class="layui-upload-drag" id="uploadImg">
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<i class="layui-icon"></i>
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<p>点击上传，或将文件拖拽到此处</p>
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<div class="layui-hide" id="uploadView">
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<hr>
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<img src="" alt="上传成功后渲染" style="max-width: 196px">
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</div>
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</div>
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</div>
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</div>
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<div class="action">
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<button type="submit" class="layui-btn" lay-submit="" lay-filter="save-apply">立即提交</button>
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</div>
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</div>
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</div>
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<script src="../component/layui/layui.js"></script>
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<script src="../component/pear/pear.js"></script>
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<script>
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layui.use(['upload', 'element', 'form', 'layer'], function () {
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var form = layui.form
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, $ = layui.jquery
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, upload = layui.upload
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, element = layui.element
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, layer = layui.layer;
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//拖拽上传
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upload.render({
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elem: '#uploadImg'
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, url: 'https://httpbin.org/post' //此处用的是第三方的 http 请求演示，实际使用时改成您自己的上传接口即可。
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, done: function (res) {
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console.log(res);
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layer.msg('上传成功');
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layui.$('#uploadView').removeClass('layui-hide').find('img').attr('src', res.files.file);
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}
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});
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form.on('submit(save-apply)', function (data) {
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window.location="./success.html";
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});
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});
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</script>
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</body>
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</html> |
