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<!DOCTYPE html> <html lang="en"> <head> <meta charset="UTF-8"> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <title>Enquiry Form | GEM Registration </title> <meta name="description" content="Streamline GEM registration with our easy enquiry form. Get expert assistance for GEM Registration. Simplify the process today!"> <link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/4.5.2/css/bootstrap.min.css"> <link rel="stylesheet" href="https://pro.fontawesome.com/releases/v5.10.0/css/all.css" integrity="sha384-AYmEC3Yw5cVb3ZcuHtOA93w35dYTsvhLPVnYs9eStHfGJvOvKxVfELGroGkvsg+p" crossorigin="anonymous"/> <link rel="stylesheet" href="/assets/css/main.css"> <link rel="stylesheet" href="/posvalidate/css/validationEngine.jquery.css" type="text/css"/> <script src="https://ajax.googleapis.com/ajax/libs/jquery/3.5.1/jquery.min.js"></script> <script src="posvalidate/js/languages/jquery.validationEngine-en.js" type="text/javascript" charset="utf-8"></script> <script src="posvalidate/js/jquery.validationEngine.js" type="text/javascript" charset="utf-8"></script> <script src="https://cdnjs.cloudflare.com/ajax/libs/popper.js/1.16.0/umd/popper.min.js"></script> <script src="https://maxcdn.bootstrapcdn.com/bootstrap/4.5.2/js/bootstrap.min.js"></script> <style> .card-body { padding: 0.25rem !important; } @media (min-width: 1200px) { .container { max-width: 1200px !important; } } label { font-weight: bold; font-size: 14px; } .required { color: red; } .btn-info{ background-color: #286ed8!important; border-color: #286ed8!important; } .btn-info:hover{ background-color: #286ed8; border-color: #286ed8; } </style> <?php include('header.php'); ?> </head> <body> <div class="container-fluid"> <div class="row" style="background: linear-gradient(#dbe6ff,#ffffff);"> <div class="col-lg-12 col-sm-12 text-center"> <h1 class="heading-txt">Enquiry Form for G.e.M</h1> </div> <div class="col-12 col-lg-6 form_box"> <div class="container-fluid fchd text-center pt-2 mt-4"><h2 class="font-weight-bold"> ENQUIRY</h2></div> <form id="main-form" action="submit.php" method="post" enctype="multipart/form-data"> <div class="form-group txt"> <label>APPLICANT NAME <span class="required">(Required)</span></label> <input type="text" class="form-control" name="applicant_name" value="" required> </div> <div class="form-group txt"> <label>MOBILE NUMBER <span class="required">(Required)</span></label> <input type="tel" maxlength="10" minlength="10"class="form-control" name="mobile_number" required> </div> <div class="form-group txt"> <label>EMAIL ID <span class="required">(Required)</span></label> <input type="text" class="form-control" name="email_id" required> </div> <input type="hidden" class="form-control" name="form_name" value="enquiry"> <input type="hidden" class="form-control" name="form_id" value="enquiry"> <button type="submit" class="btn btn-primary fcs-submit-button">Submit Application</button> </form> </div> <div class="col-12 col-lg-6 instruc mt-4"> <div class="container fchd text-center pt-2"><h2>Guidelines to Fill G.e.m Enquiry form</h2></div> <div class="form-instructions"> <div class="form-group" style="margin-top: 25px;"> <label class="fcs-text-dark"><strong>Applicant Name :</strong> Applicant are required to enter his / her name as mentioned.</label> </div> <div class="form-group" style="margin-top: 35px;"> <label class="fcs-text-dark"><strong>Mobile Number :</strong> Applicant are required to enter his / her Indian mobile number. Do not add +91.</label> </div> <div class="form-group" style="margin-top: 30px;"> <label class="fcs-text-dark"><strong>Email Id :</strong> Applicant are required to enter his / her email id.</label> </div> </div> </div> </div> </div> <!--<img src="../assets/img/standard-operating-procedure.svg" style="width:70%;margin:auto;display:block;padding:1.4rem">--> <?php include('footer.php'); ?> <script src="/assets/js/state.js"> </script> </body> </html>
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