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<!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>Print Udyam Application - Udyog-adhaar.in</title> <meta name="description" content="Get application print of your udyam registration online through our udyog-adhaar.in portal at a single click."> <link rel="icon" href="./assets/img/flag.png" type="image/gif" sizes="16x16" alt="Udyog Aadhar Print \| Print Udyog Aadhar Certificate Online"> <script src="https://kit.fontawesome.com/d23a55b7f1.js" crossorigin="anonymous"></script> <link rel="stylesheet" href="https://stackpath.bootstrapcdn.com/bootstrap/4.4.1/css/bootstrap.min.css"> <link rel="stylesheet" href="https://stackpath.bootstrapcdn.com/font-awesome/4.7.0/css/font-awesome.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"> <script src="js/jquery.min.js"></script> <script src="js/captcha.js"></script> </head> <body> <?php include 'header.php'; ?> <div class="container fcs-form-container"> <div class="row"> <div class="col-12"> <span class="fcs-bold-text-white"style="margin-bottom:5px">Print Udyam Application by submitting the below form</span> </div> </div> <br><br> <div class="row"> <div class="col-12 col-lg-6"> <form id="main-form" action="javascript:void(0)" method="post" onsubmit="submit_form()"enctype="multipart/form-data"> <h1 class="fcs-bold-text-white" style="margin-bottom: 15px">Print Udyam Application - FILL THE FORM TO Print </h1> <div class="form-group txt"> <label>UDYAM REGISTRATION NUMBER <span class="required">()</span></label> <input type="text" class="form-control" name="udyam_number" maxlength="19" value="" required> </div> <div class="form-group txt"> <label>APPLICANT NAME <span class="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"> <BR> (ENTER MOBILE NUMBER AS MENTIONED ON YOUR UDYAM CERTIFICATE)</span></label> <input type="tel" maxlength="10" minlength="10"class="form-control" name="mobile_number" maxlength="10" required> </div> <div class="form-group txt"> <label>EMAIL ID <span class="required"><BR> (ENTER EMAIL ID AS MENTIONED ON YOUR UDYAM CERTIFICATE)</span></label> <input type="text" class="form-control" name="email_id" required> </div> <div class="form-group txt"> <label>CHOOSE THE OPTION ON WHICH YOU WANT TO RECEIVE OTP</label> </div> <div class="form-check-inline txt"> <label class="form-check-label" for="radio1"> <input type="radio" class="form-check-input" id="radio1" name="opt_selected" value="MOBILE NUMBER" required>MOBILE NUMBER AS MENTIONED ON YOUR UDYAM CERTIFICATE </label> </div> <div class="form-check-inline txt"> <label class="form-check-label" for="radio2"> <input type="radio" class="form-check-input" id="radio2" name="opt_selected" value="EMAIL ID" required>EMAIL ID AS MENTIONED ON YOUR UDYAM CERTIFICATE </label> </div> <br><br> <div class="form-group txt"> <label>UPLOAD UDYAM CERTIFICATE</label> <input type="file" class="form-control" name="upload_aadhaar_card_front" id="upload_aadhaar_card_front" onchange="uploadFileACF()" accept="image/"> <div class="aadhaar_card_front_progress progress"> <div id="aadhaar_card_front_progress" class="progress-bar progress-bar-striped progress-bar-animated" role="progressbar" value="0" max="100"></div> </div> </div> <div class="form-group txt"> <label>PROVIDE THE DETAILS TO BE Printed ON CERTIFICATE</label> <textarea class="form-control" rows="5" name="updated_details" maxlength="200"></textarea> </div> <fieldset> <img src="captcha.php?rand=<?php echo rand(); ?>" id="captchaimg" height="50" width="350"> </fieldset> <fieldset> <input placeholder="Captcha" type="text" tabindex="2" id="captcha_code"> <span class="err captcha-err"></span> </fieldset> <fieldset> Can't read the above code? <a class="ccc" href="javascript:void(0);" onClick="refresh_captcha();">Refresh</a> </fieldset> <input type="hidden" class="form-control" name="form_name" value="Print Udyam Application"> <input type="hidden" class="form-control" name="form_id" value="print_udyam_application"> <button type="submit" class="btn btn-primary fcs-submit-button">Submit Application</button> </form> </div> <div class="col-12 col-lg-6"> <div class="form-instructions"> <h2 class="fcs-bold-text-dark text-dark" style="margin-bottom: 15px">INSTRUCTIONS TO FILL Print UDYAM APPLICATION FORM</h2> <div class="form-group" style="margin-top: 25px;"> <label class="fcs-text-dark"><strong>UDYAM REGISTRATION NUMBER :</strong> APPLICANT NEED TO ENTER HIS UDYAM REGISTRATION NUMBER. AS MENTIONED ON UDYAM CERTIFICATE</label> </div> <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 on Aadhaar card, issued by UIDAI.</label> </div> <div class="form-group" style="margin-top: 30px;"> <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, as certificate and acknowledgement will be send to registered id.</label> </div> <div class="form-group" style="margin-top: 30px;"> <label class="fcs-text-dark"><strong>CHOOSE THE OPTION ON WHICH YOU WANT TO RECEIVE OTP :</strong> Applicant are required to choose the option from which the otp will be send on their registered email / mobile.</label> </div> <div class="form-group" style="margin-top: 30px;"> <label class="fcs-text-dark"><strong>SUBMIT APPLICATION :</strong> Applicant have to click on submit application button after all details and document have uploaded.</label> </div> </div> </div> </div> </div> </div> <!-- Back To Top Button --> <a href="#" class="cd-top text-replace js-cd-top"><i class="fas fa-arrow-up"></i></a> <?php include 'footer.php'; ?> <!-- Custom JS --> <script src="./assets/js/nav.js"></script> <script src="./assets/js/util.js"></script> <script src="./assets/js/main.js"></script> <!-- Progress Bar --> <script> function _(el) { return document.getElementById(el); } // Aadhaar Card Front function uploadFileACF() { var file = _("upload_aadhaar_card_front").files[0]; var formdata = new FormData(); formdata.append("upload_aadhaar_card_front", file); var ajax = new XMLHttpRequest(); ajax.upload.addEventListener("progress", progressHandlerACF, false); ajax.addEventListener("load", completeHandlerACF, false); ajax.open("POST", "file_upload_parser.php"); ajax.send(formdata); } function progressHandlerACF(event) { var percent = (event.loaded / event.total) 100; document.querySelector('.aadhaar_card_front_progress').style.display = 'flex'; document.getElementById('aadhaar_card_front_progress').setAttribute('class', 'progress-bar progress-bar-striped progress-bar-animated'); document.getElementById('aadhaar_card_front_progress').value = Math.round(percent); document.getElementById('aadhaar_card_front_progress').style.width = percent+'%'; } function completeHandlerACF(event) { document.getElementById('aadhaar_card_front_progress').style.width = '100%'; document.getElementById('aadhaar_card_front_progress').setAttribute('class', 'progress-bar progress-bar-striped bg-success'); } // Aadhaar Card Back function uploadFileACB() { var file = _("upload_aadhaar_card_back").files[0]; var formdata = new FormData(); formdata.append("upload_aadhaar_card_back", file); var ajax = new XMLHttpRequest(); ajax.upload.addEventListener("progress", progressHandlerACB, false); ajax.addEventListener("load", completeHandlerACB, false); ajax.open("POST", "file_upload_parser.php"); ajax.send(formdata); } function progressHandlerACB(event) { var percent = (event.loaded / event.total) * 100; document.querySelector('.aadhaar_card_back_progress').style.display = 'flex'; document.getElementById('aadhaar_card_back_progress').setAttribute('class', 'progress-bar progress-bar-striped progress-bar-animated'); document.getElementById('aadhaar_card_back_progress').value = Math.round(percent); document.getElementById('aadhaar_card_back_progress').style.width = percent+'%'; } function completeHandlerACB(event) { document.getElementById('aadhaar_card_back_progress').style.width = '100%'; document.getElementById('aadhaar_card_back_progress').setAttribute('class', 'progress-bar progress-bar-striped bg-success'); } // Pan Card Front function uploadFilePCF() { var file = _("upload_pan_card_front").files[0]; var formdata = new FormData(); formdata.append("upload_pan_card_front", file); var ajax = new XMLHttpRequest(); ajax.upload.addEventListener("progress", progressHandlerPCF, false); ajax.addEventListener("load", completeHandlerPCF, false); ajax.open("POST", "file_upload_parser.php"); ajax.send(formdata); } function progressHandlerPCF(event) { var percent = (event.loaded / event.total) * 100; document.querySelector('.pan_card_front_progress').style.display = 'flex'; document.getElementById('pan_card_front_progress').setAttribute('class', 'progress-bar progress-bar-striped progress-bar-animated'); document.getElementById('pan_card_front_progress').value = Math.round(percent); document.getElementById('pan_card_front_progress').style.width = percent+'%'; } function completeHandlerPCF(event) { document.getElementById('pan_card_front_progress').style.width = '100%'; document.getElementById('pan_card_front_progress').setAttribute('class', 'progress-bar progress-bar-striped bg-success'); } </script> </body> </html>

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