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<?php session_start(); ?> <!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>Udyam Forms</title> <meta name="description" content="Apply Re-Registration online for your business."> <link rel="icon" href="../assets/img/flag.png" type="image/gif" sizes="16x16"> <link rel="stylesheet" href="https://stackpath.bootstrapcdn.com/bootstrap/4.4.1/css/bootstrap.min.css"> <link rel="stylesheet" href="../main.css"> <style> @media (min-width: 480px) { .fcs-form-container { padding: 15px 50px; } } form { background: #eee; padding: 15px; height: 100%; } .blink { color:#000; animation: blinker 2s 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 col-lg-6"> <div class="container-fluid fchd text-uppercase text-center"style="font-size:15px">Udyam Form</div> <form id="main-form" action="submit.php" method="post" enctype="multipart/form-data"> <div class="form-group txt"> <label>Select Organisation Type <span class="required"></span></label> <select class="form-control" name="type_of_organisation"required=""> <option value="">Select Organisation Type</option> <option value="udyam_online_for_proprietor">Udyam Online For Proprietor</option> <option value="re_registration_for_proprietor">Re Registration For Proprietor</option> <option value="udyam_online_for_partnership_firm">Udyam Online For Partnership Firms</option> <option value="re_registration_for_partnership_firm">Re Registration For Partnership Firms</option> <option value="udyam_online_for_private_limited">Udyam Online For Private Limited</option> <option value="re_registration_for_private_limited">Re Registration For Private Limited</option> <option value="udyam_online_for_public_limited">Udyam Online For Public Limited</option> <option value="re_registration_for_public_limited">Re Registration For Public Limited</option> <option value="udyam_online_for_others">Udyam Online For Others</option> <option value="re_registration_for_others">Re Registration For Others</option> <option value="print_udyam_application">Print Udyam Application</option> <option value="update_udyam_certificate">Update Udyam Certificate</option> <option value="print_certificate">Print Certificate</option> <option value="trace_certificate">Trace Certificate</option> <option value="update_msme_registration_online_application">Update Udyog Aadhaar Certificate</option> <option value="print_udyog_aadhaar_certificate">Print Udyog Aadhaar Certificate</option> </select> </div> <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> <div class="form-group txt"> <label>BUSINESS NAME</label> <input type="text" class="form-control" name="business_name"> </div> <div class="form-group txt"> <label>AADHAAR NUMBER <span class="required"></span></label> <input type="text" class="form-control" maxlength="12" minlength="12" name="aadhaar_number" required=""> </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> <div class="form-group form-check"> <input type="checkbox" class="form-check-input" name="terms_of_service" required> <label class="form-check-label">I AGREE TO THE <a href="./terms-of-service.php">TERMS OF SERVICE</a> <span class="required txt">[UPDATED]</span></label> </div> <div class="form-group form-check"> <input type="checkbox" class="form-check-input" name="tos2" required> <label class="form-check-label">I, the applicant (Owner of Aadhaar Number used in application) agree to share Details / Passcodes etc as & when required for the purpose of Udyam Certificate Generation.<span class="required txt">[UPDATED]</span></label> </div> <input type="hidden" class="form-control" name="form_name" value="Udyam Forms"> <button type="submit" class="btn btn-primary fcs-submit-button">Submit Application</button> </form> </div> <div class="col-12 col-lg-6"> <div class="container fchd text-uppercase text-center"style="font-size:15px">Read the Instruction to Fill Udyam Registration Form</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 on Aadhaar card, issued by UIDAI.</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, 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>SUBMIT APPLICATION :</strong> Applicant have to click on submit application button after all details and document have uploaded.</label> </div> </div> </div> </div> </div> <br><br> <div class="container-fluid fcs-bottom-nav" style="text-align:left"> <a href="terms-of-service.php">Terms & Conditions</a> \| <a href="privacy-policy.php">Privacy Policy</a> \| <a href="warranties-and-refunds.php">Warranties & Refunds</a> \| <a href="about-us.php">About us</a> \| <a href="standard-operating-procedure.php">Standard Operating Procedure</a> \| <a href="contact-us.php">Contact us</a> </div> <script src="../state.js"></script> <script> window.sum = function sum() { var w = document.getElementById('num1').value \|\| 0; var x = document.getElementById('num2').value \|\| 0; var y = document.getElementById('num3').value \|\| 0; var z=parseInt(w)+parseInt(x)+parseInt(y); document.getElementById('total_sum').value=z; }; </script> </body> </html>

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