<commit_before><form name="formHolder.student" id="formHolder.student" novalidate>

<div class="row">
  <div class="col-md-6 col-sm-12 col-xs-12 form-group" ng-class="{'has-error': formHolder.student.student_status.$touched && formHolder.student.student_status.$invalid}">
	<label>Status:&nbsp;</label>
	<label class="radio-inline">
	  <input type="radio" name="student_status" ng-model="student.student_status" value="Regular"> Regular
	</label>
	<label class="radio-inline">
	  <input type="radio" name="student_status" ng-model="student.student_status" value="Transferee"> Transferee
	</label>
	<label class="radio-inline">
	  <input type="radio" name="student_status" ng-model="student.student_status" value="Balik - Aral"> Balik - Aral
	</label>
	<label class="radio-inline">
	  <input type="radio" name="student_status" ng-model="student.student_status" value="Repeater"> Repeater
	</label>
	<span class="help-block" ng-show="formHolder.student.student_status.$touched && formHolder.student.student_status.$invalid">Please select status</span>	
  </div>
</div>
<div class="ln_solid"></div>
<h4><strong>Basic Profile</strong></h4>
<div class="ln_solid"></div>
<div class="row">
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>LRN</label>
	<input type="text" placeholder="" class="form-control" name="lrn" ng-model="student.lrn">
  </div>
  <div class="col-md-4 col-sm-12 col-xs-12 col-md-offset-4 form-group">
	<label>School ID</label>
	<input type="text" placeholder="" class="form-control" name="school_id" ng-model="student.school_id">
  </div>  
</div>
<div class="row">
  <div class="col-md-4 col-sm-12 col-xs-12 form-group" ng-class="{'has-error': formHolder.student.lastname.$touched && formHolder.student.lastname.$invalid}">
	<label>Last Name</label>
	<input type="text" placeholder="" class="form-control" name="lastname" ng-model="student.lastname" required>
	<span class="help-block" ng-show="formHolder.student.lastname.$touched && formHolder.student.lastname.$invalid">Last Name is required</span>
  </div>
  <div class="col-md-4 col-sm-12 col-xs-12 form-group" ng-class="{'has-error': formHolder.student.firstname.$touched && formHolder.student.firstname.$invalid}">
	<label>First Name</label>
	<input type="text" placeholder="" class="form-control" name="firstname" ng-model="student.firstname" required>
	<span class="help-block" ng-show="formHolder.student.firstname.$touched && formHolder.student.firstname.$invalid">First Name is required</span>	
  </div>
  <div class="col-md-4 col-sm-12 col-xs-12 form-group" ng-class="{'has-error': formHolder.student.middlename.$touched && formHolder.student.middlename.$invalid}">
	<label>Middle Name</label>
	<input type="text" placeholder="" class="form-control" name="middlename" ng-model="student.middlename" required>
	<span class="help-block" ng-show="formHolder.student.middlename.$touched && formHolder.student.middlename.$invalid">Middle Name is required</span>	
  </div>  
</div>
<div class="row">
  <div class="col-md-4 col-sm-12 col-xs-12 form-group" ng-class="{'has-error': formHolder.student.gender.$touched && formHolder.student.gender.$invalid}">
	<label>Gender</label>
	<select class="form-control" name="gender" ng-model="student.gender" required>
		<option value="">-</option>
		<option value="Male">Male</option>
		<option value="Female">Female</option>
	</select>
	<span class="help-block" ng-show="formHolder.student.gender.$touched && formHolder.student.gender.$invalid"></span>	
  </div>
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Date of Birth</label>
	<input type="date" placeholder="" class="form-control" name="date_of_birth" ng-model="student.date_of_birth">
  </div>
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Place of Birth</label>
	<input type="text" placeholder="" class="form-control" name="place_of_birth" ng-model="student.place_of_birth">
  </div>  
</div>
<div class="row">
  <div class="col-md-8 col-sm-12 col-xs-12 form-group">
	<label>Address</label>
	<input type="text" placeholder="" class="form-control" name="home_address" ng-model="student.home_address">
  </div>
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Contact</label>
	<input type="text" placeholder="" class="form-control" name="contact_no" ng-model="student.contact_no">
  </div>   
</div>
<div class="row">
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Email</label>
	<input type="email" placeholder="" class="form-control" name="email_address" ng-model="student.email_address">
  </div>
</div>
<div class="ln_solid"></div>
<h4><strong>Other Details</strong></h4>
<div class="ln_solid"></div>
<div class="row">
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Mother Tongue</label>
	<input type="text" placeholder="" class="form-control" name="mother_tongue" ng-model="student.mother_tongue">
  </div>
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Religion</label>
	<input type="text" placeholder="" class="form-control" name="religion" ng-model="student.religion">
  </div>
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Ethnicity</label>
	<input type="text" placeholder="" class="form-control" name="ethnicity" ng-model="student.ethnicity">
  </div> 
</div>
<div class="row">
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Dialect</label>
	<input type="text" placeholder="" class="form-control" name="dialect" ng-model="student.dialect">
  </div>  
</div>
<div class="ln_solid"></div>
<div class="row">
  <div class="col-md-6 col-sm-12 col-xs-12 form-group">
	<label>Government Program:&nbsp;</label>
	<label class="checkbox-inline">
	  <input type="checkbox" name="govt_program" ng-model="student.govt_program" value="4Ps"> 4Ps
	</label>
	<label class="checkbox-inline">
	  <input type="checkbox" name="govt_program" ng-model="student.govt_program" value="IPs"> IPs
	</label>
	<label class="checkbox-inline">
	  <input type="checkbox" name="govt_program" ng-model="student.govt_program" value="ECD"> ECD
	</label>
	<label class="checkbox-inline">
	  <input type="checkbox" name="govt_program" ng-model="student.govt_program" value="PWD"> PWD
	</label>	
  </div>
  <div class="col-md-6 col-sm-12 col-xs-12 form-group">
	<label>PWD State below</label>
	<input type="text" placeholder="" class="form-control" name="if_pwd" ng-model="student.if_pwd">
  </div>   
</div>
<div class="ln_solid"></div>
<h4><strong>Parent's / Guardian Information</strong></h4>
<div class="ln_solid"></div>
<div class="row">
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Username</label>
	<input type="text" placeholder="" class="form-control" name="username" ng-model="student.username">
  </div>
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Password</label>
	<input type="text" placeholder="" class="form-control" name="password" ng-model="student.password">
  </div>  
</div>
<div class="ln_solid"></div>
<div class="row"><commit_msg>parents/guardian<commit_after><form name="formHolder.student" id="formHolder.student" novalidate>

<div class="row">
  <div class="col-md-6 col-sm-12 col-xs-12 form-group" ng-class="{'has-error': formHolder.student.student_status.$touched && formHolder.student.student_status.$invalid}">
	<label>Status:&nbsp;</label>
	<label class="radio-inline">
	  <input type="radio" name="student_status" ng-model="student.student_status" value="Regular"> Regular
	</label>
	<label class="radio-inline">
	  <input type="radio" name="student_status" ng-model="student.student_status" value="Transferee"> Transferee
	</label>
	<label class="radio-inline">
	  <input type="radio" name="student_status" ng-model="student.student_status" value="Balik - Aral"> Balik - Aral
	</label>
	<label class="radio-inline">
	  <input type="radio" name="student_status" ng-model="student.student_status" value="Repeater"> Repeater
	</label>
	<span class="help-block" ng-show="formHolder.student.student_status.$touched && formHolder.student.student_status.$invalid">Please select status</span>	
  </div>
</div>
<div class="ln_solid"></div>
<h4><strong>Basic Profile</strong></h4>
<div class="ln_solid"></div>
<div class="row">
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>LRN</label>
	<input type="text" placeholder="" class="form-control" name="lrn" ng-model="student.lrn">
  </div>
  <div class="col-md-4 col-sm-12 col-xs-12 col-md-offset-4 form-group">
	<label>School ID</label>
	<input type="text" placeholder="" class="form-control" name="school_id" ng-model="student.school_id">
  </div>  
</div>
<div class="row">
  <div class="col-md-4 col-sm-12 col-xs-12 form-group" ng-class="{'has-error': formHolder.student.lastname.$touched && formHolder.student.lastname.$invalid}">
	<label>Last Name</label>
	<input type="text" placeholder="" class="form-control" name="lastname" ng-model="student.lastname" required>
	<span class="help-block" ng-show="formHolder.student.lastname.$touched && formHolder.student.lastname.$invalid">Last Name is required</span>
  </div>
  <div class="col-md-4 col-sm-12 col-xs-12 form-group" ng-class="{'has-error': formHolder.student.firstname.$touched && formHolder.student.firstname.$invalid}">
	<label>First Name</label>
	<input type="text" placeholder="" class="form-control" name="firstname" ng-model="student.firstname" required>
	<span class="help-block" ng-show="formHolder.student.firstname.$touched && formHolder.student.firstname.$invalid">First Name is required</span>	
  </div>
  <div class="col-md-4 col-sm-12 col-xs-12 form-group" ng-class="{'has-error': formHolder.student.middlename.$touched && formHolder.student.middlename.$invalid}">
	<label>Middle Name</label>
	<input type="text" placeholder="" class="form-control" name="middlename" ng-model="student.middlename" required>
	<span class="help-block" ng-show="formHolder.student.middlename.$touched && formHolder.student.middlename.$invalid">Middle Name is required</span>	
  </div>  
</div>
<div class="row">
  <div class="col-md-4 col-sm-12 col-xs-12 form-group" ng-class="{'has-error': formHolder.student.gender.$touched && formHolder.student.gender.$invalid}">
	<label>Gender</label>
	<select class="form-control" name="gender" ng-model="student.gender" required>
		<option value="">-</option>
		<option value="Male">Male</option>
		<option value="Female">Female</option>
	</select>
	<span class="help-block" ng-show="formHolder.student.gender.$touched && formHolder.student.gender.$invalid"></span>	
  </div>
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Date of Birth</label>
	<input type="date" placeholder="" class="form-control" name="date_of_birth" ng-model="student.date_of_birth">
  </div>
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Place of Birth</label>
	<input type="text" placeholder="" class="form-control" name="place_of_birth" ng-model="student.place_of_birth">
  </div>  
</div>
<div class="row">
  <div class="col-md-8 col-sm-12 col-xs-12 form-group">
	<label>Address</label>
	<input type="text" placeholder="" class="form-control" name="home_address" ng-model="student.home_address">
  </div>
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Contact</label>
	<input type="text" placeholder="" class="form-control" name="contact_no" ng-model="student.contact_no">
  </div>   
</div>
<div class="row">
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Email</label>
	<input type="email" placeholder="" class="form-control" name="email_address" ng-model="student.email_address">
  </div>
</div>
<div class="ln_solid"></div>
<h4><strong>Other Details</strong></h4>
<div class="ln_solid"></div>
<div class="row">
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Mother Tongue</label>
	<input type="text" placeholder="" class="form-control" name="mother_tongue" ng-model="student.mother_tongue">
  </div>
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Religion</label>
	<input type="text" placeholder="" class="form-control" name="religion" ng-model="student.religion">
  </div>
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Ethnicity</label>
	<input type="text" placeholder="" class="form-control" name="ethnicity" ng-model="student.ethnicity">
  </div> 
</div>
<div class="row">
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Dialect</label>
	<input type="text" placeholder="" class="form-control" name="dialect" ng-model="student.dialect">
  </div>  
</div>
<div class="ln_solid"></div>
<div class="row">
  <div class="col-md-6 col-sm-12 col-xs-12 form-group">
	<label>Government Program:&nbsp;</label>
	<label class="checkbox-inline">
	  <input type="checkbox" name="govt_program" ng-model="student.govt_program" value="4Ps"> 4Ps
	</label>
	<label class="checkbox-inline">
	  <input type="checkbox" name="govt_program" ng-model="student.govt_program" value="IPs"> IPs
	</label>
	<label class="checkbox-inline">
	  <input type="checkbox" name="govt_program" ng-model="student.govt_program" value="ECD"> ECD
	</label>
	<label class="checkbox-inline">
	  <input type="checkbox" name="govt_program" ng-model="student.govt_program" value="PWD"> PWD
	</label>	
  </div>
  <div class="col-md-6 col-sm-12 col-xs-12 form-group">
	<label>PWD State below</label>
	<input type="text" placeholder="" class="form-control" name="if_pwd" ng-model="student.if_pwd">
  </div>   
</div>
<div class="ln_solid"></div>
<h4><strong>Parent's / Guardian Information</strong>&nbsp;<button type="button" class="btn btn-sm btn-info">Add</button></h4>
<div class="ln_solid"></div>
<div class="row">
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Relationship</label>
	<select class="form-control">
		<option value="">-</option>
		<option value="Father">Father</option>
		<option value="Mother">Mother</option>
		<option value="Guardian">Guardian</option>
	</select>
  </div>
</div>
<div class="row">
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Last Name</label>
	<input type="text" placeholder="" class="form-control" name="">
  </div>
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>First Name</label>
	<input type="text" placeholder="" class="form-control" name="">
  </div>
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Middle Name</label>
	<input type="text" placeholder="" class="form-control" name="">
  </div>  
</div>
<div class="row">
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Occupation</label>
	<input type="text" placeholder="" class="form-control" name="">
  </div>
  <div class="col-md-4 col-sm-12 col-xs-12 form-group">
	<label>Contact No</label>
	<input type="text" placeholder="" class="form-control" name="">
  </div> 
</div>
<div class="ln_solid"></div>
<div class="row">
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