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home/d46091/udyogaadhaar.net/enquiry.php 0000644 00000013552 15026516511 0013756 0 ustar 00 <!DOCTYPE html> <html lang="en"> <head> <meta charset="UTF-8"> <meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no"> <meta http-equiv="X-UA-Compatible" content="ie=edge"> <title>Enquiry</title> <meta name="description" content="Enquiry - Udyam Registration online for your business. "> <link rel="icon" href="./assets/img/flag.png" type="image/gif" sizes="16x16"> <link rel="stylesheet" href="https://use.fontawesome.com/releases/v5.7.0/css/all.css" integrity="sha384-lZN37f5QGtY3VHgisS14W3ExzMWZxybE1SJSEsQp9S+oqd12jhcu+A56Ebc1zFSJ" crossorigin="anonymous"> <link rel="stylesheet" href="https://stackpath.bootstrapcdn.com/bootstrap/4.4.1/css/bootstrap.min.css"> <link href="https://fonts.googleapis.com/css?family=Open+Sans:300,400,600,700,800&display=swap" rel="stylesheet"> <link rel="stylesheet" href="main.css"> <style> @media (min-width: 480px) { .fcs-form-container { padding: 15px 50px; } } .fchd { font-size: 16px; } .blink { color:black; animation: blinker 1s linear infinite; } @keyframes blinker { 50% { opacity: 0; } } </style> </head> <body> <?php include 'header.php'; ?> <div class="container-fluid fcs-form-container"> <div class="row"> <div class="col-12"> <h1 class="fcs-bold-text-white"style="margin-bottom:5px">Enquiry Form for Udyam Registration</h1> <br> </div> </div> <div class="row mb-5"> <div class="col-12 col-lg-6"> <div class="container-fluid fchd text-center"style="font-size:15px">Enquiry Form</div> <form id="main-form" action="mail.php" method="post" enctype="multipart/form-data"autocomplete="off"> <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="email" class="form-control" name="email_id" required> </div> <div class="form-group txt"> <label>Select Enquiry Type For <span class="required">(Required)</span></label> <select class="form-control" name="product" id="dropreason" required=""> <option value="">Select Enquiry Type</option> <option value="Udyam Registration">Udyam Registration</option> <option value="Udyam Re-Registration">Udyam Re-Registration</option> <option value="Udyam Certificate Update">Udyam Certificate Update</option> <option value="Cancel Udyam Registration">Cancel Udyam Registration</option> <option value="Other">Other</option> </select> </div> <div id="opentog"></div> <div class="form-group"> <input type="text" name="vercode" class="form-control" placeholder="Verfication Code" required="required"> </div> <div class="form-group small clearfix"> <label class="checkbox-inline">Verification Code</label> <img src="captcha.php"> </div> <input type="hidden" class="form-control" name="form_name" value="UDYAM Enquiry"> <input type="hidden" class="form-control" name="form_id" value="udyam_enquiry"> <button type="submit" class="btn btn-primary fcs-submit-button">Submit Application</button> </form> </div> <div class="col-12 col-lg-6 boder-instuct"> <h5 class="container-fluid fchd text-center mb-0">Read the Instruction to Fill Udyam Enquiry Form</h5> <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> <div style="height: 25px; background: #f8f8f8;"></div> <script> $(document).ready(function(){ $("#dropreason").change(function(){ var v = $('#dropreason').val(); if(v=='Other'){ var hh = '<div class="form-group txt"><label>OTHER <span class="required">(Required)</span></label><textarea type="text" class="form-control" name="other_reason_text" rows="4" required></textarea></div>'; $('#opentog').html(hh); }else{ $('#opentog').html('');} }) }); </script> <?php include 'footer.php'; ?> </body> </html>
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