Application Form — {{ $app->form

@php $pgCategories = ['UR', 'SC', 'ST', 'OBC', 'EWS', 'PwD']; // Date of birth $dob = $app->date_of_birth ? \Carbon\Carbon::parse($app->date_of_birth) : null; $ddmm = $dob ? $dob->format('d/m/Y') : ''; // Address $addrFull = trim($app->address ?? ''); // Subjects/marks — stored as JSON array of {name, full_marks, marks_obtained} $subjects = is_array($app->subjects_marks) ? $app->subjects_marks : (is_string($app->subjects_marks) ? json_decode($app->subjects_marks, true) : []); $subjects = $subjects ?? []; // Results declaration date — safe parse $resultsDate = null; if ($app->results_declaration_date) { try { $resultsDate = \Carbon\Carbon::parse($app->results_declaration_date); } catch (\Exception $e) { $resultsDate = null; } } // Degree status flags $degreeStatus = $app->degree_status ?? ''; $isDeclared = str_contains($degreeStatus, 'final_declared'); $isAwaited = str_contains($degreeStatus, 'final_awaited'); // Aggregate totals from semester entries $totalFullMarks = 0; $totalMarksObtained = 0; foreach ($subjects as $s) { $totalFullMarks += (float)($s['full_marks'] ?? 0); $totalMarksObtained += (float)($s['marks_obtained'] ?? 0); } $semLabels = ['Semester-I','Semester-II','Semester-III','Semester-IV','Semester-V','Semester-VI']; @endphp Application Form — {{ $app->form_number }} {{-- ─────────── HEADER ─────────── --}}

@php $logo = public_path('images/logo.png'); @endphp @if (file_exists($logo))

@endif

St. Xavier's College (Autonomous), Burdwan

ST. XAVIER'S ROAD ★ P.O. SRIPALLI ★ Dt. PURBA BARDHAMAN ★ W.B. 713103

Recognized by UGC under Section 2(f) & 12(B), NAAC B++ Grade, AICTE Approved
ISO Certified, A Jesuit Minority Autonomous Institution

Academic Session 2026-2027

APPLICATION FORM – 2 YEARS PG COURSE

{{-- ─────────── TOP ROW (Form No / Course / Category / Photo) ─────────── --}} {{-- LEFT: form no, course, subject, gender --}} {{-- RIGHT: category + photo --}}

Form No. : {{ $app->form_number }}

Name of the Course: {{ $app->course }}

Department / Subject: {{ $app->subject }}

Gender: {!! tick($app->gender === 'Male') !!} Male {!! tick($app->gender === 'Female') !!} Female {!! tick($app->gender === 'Transgender') !!} Transgender {!! tick(!in_array($app->gender, ['Male','Female','Transgender'])) !!} Others

[Put (✓) on the appropriate box]

@foreach ($pgCategories as $cat) @endforeach @foreach ($pgCategories as $cat) @endforeach

{{ $cat }}
{!! tick(strtoupper($app->category) === strtoupper($cat)) !!}

@if ($photo)

@else Paste recent
stamp sized
photograph @endif

1. Name of the Applicant
(In block letters)

{!! charBoxes($app->applicant_name, 26) !!}

2. Father's Name

{!! charBoxes($app->father_name, 26) !!}

3. Mother's Name

{!! charBoxes($app->mother_name, 26) !!}

4. Date of Birth: {!! charBoxes($ddmm, 10, 16) !!}

5. Contact No. {!! charBoxes($app->contact_no, 12, 16) !!}

{{-- ─────────── 6. Differently abled | 7. Nationality ─────────── --}}

6. Differently abled: {!! tick(!$app->differently_abled) !!} No {!! tick((bool) $app->differently_abled) !!} Yes

7. Nationality {{ $app->nationality }}

8. Religion: {{ $app->religion }}

9. E-mail ID {{ $app->email }}

10. Address for Correspondence:

Pin {!! charBoxes($app->pincode, 6, 16) !!}

{{-- ─────────── 11. Year of Graduation | 12. University ─────────── --}}

11. Year of Graduation:

{!! charBoxes((string) $app->year_of_graduation, 4, 18) !!}

12. Name of the University

{!! charBoxes($app->university_name, 24, 16) !!}

13. Name of the previous College / Institution & Address

@php $prev = trim($app->prev_institution ?? ''); $prevAddr = trim($app->prev_institution_address ?? ''); echo e($prev . ($prevAddr ? ' — ' . $prevAddr : '')); @endphp

{{-- ─────────── 14. Graduation Semester-wise Marks ─────────── --}}

14. Graduation Details (Semester-wise Marks)

@foreach ($semLabels as $i => $label) @php $sem = $subjects[$i] ?? null; @endphp @endforeach

Semester	Full Marks	Marks Obtained
{{ $label }}	{{ $sem ? $sem['full_marks'] : '' }}	{{ $sem ? $sem['marks_obtained'] : '' }}
Aggregate	@php $aggFull = $app->aggregate_marks ?? ($totalFullMarks > 0 ? rtrim(rtrim(number_format($totalFullMarks, 2, '.', ''), '0'), '.') : ''); echo $aggFull; @endphp	{{ $totalMarksObtained > 0 ? rtrim(rtrim(number_format($totalMarksObtained, 2, '.', ''), '0'), '.') : '' }}
Percentage of Marks (%)		{{ $app->percentage ? $app->percentage . '%' : '' }}

Graduation / University Details:

University Registration No.

{!! charBoxes($app->university_reg_no, 14, 16) !!}

NAD / ABC ID

{!! charBoxes($app->nad_abc_id, 14, 16) !!}

{{--

H.S. Reg. No.

{!! charBoxes($app->hs_reg_no, 14, 16) !!}

Roll / Unique ID

{!! charBoxes($app->hs_unique_id_roll, 14, 16) !!}

--}}

15. Status of Degree: {!! tick($isDeclared) !!} Final Results Declared {!! tick($isAwaited) !!} Final Results Awaited

{{-- ─────────── 16. Month & Year of Results Declaration ─────────── --}}

16. Month & Year of Results Declaration: {{ $resultsDate ? $resultsDate->format('F') : ($app->results_declaration_date ?? '') }} {{ $resultsDate ? $resultsDate->format('Y') : '' }}

17. Scholarship / Stipend: {!! tick(strtolower($app->scholarship ?? '') === 'yes') !!} Yes {!! tick(strtolower($app->scholarship ?? '') !== 'yes') !!} No @if ($app->scholarship && !in_array(strtolower($app->scholarship), ['yes', 'no'])) ({{ $app->scholarship }}) @endif

18. Aadhaar Number: @php $aadhaarNumber = preg_replace('/\s+/', '', $app->aadhaar_number ?? ''); @endphp {{-- @dd($aadhaarNumber); --}} {!! charBoxes($aadhaarNumber, 12, 16) !!}

{{-- ─────────── 19. Father Profession | 20. Family Income ─────────── --}}

19. Father's / Guardian Profession:
{{ $app->father_profession }}

20. Family Income (per annum):
{{ $app->family_income }}

I declare that I shall abide by all the rules and regulations both in case of examinations and in case of discipline in the campus and in any incident of my failure; I shall be liable to be punished as per decision of the College Authority.

Full Signature of the Guardian with Date

@if ($signature)

@endif

Full Signature of the Applicant with Date