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<!DOCTYPE html> <html lang="en" > <head> <meta charset="UTF-8"> <meta name="viewport" content="width=device-width, initial-scale=1"> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> <title>Noble Lecture Series Registration Form</title> <link rel='stylesheet' href='css/bootstrap.css'> <link rel='stylesheet' href='css/bootstrap-select.css'> <link rel="stylesheet" href="css/style.css"> <link href="css/style.css" rel="stylesheet" type="text/css" media="all" /> <link href="adm/plugins/sweetalert/sweetalert.css" rel="stylesheet"> <!-- //Custom Theme files --> <!-- web font --> <link href="//fonts.googleapis.com/css?family=Roboto:300,300i,400,400i,700,700i" rel="stylesheet"> </head> <body> <!-- main --> <div class="main-w3layouts wrapper"> <h1>Noble Lecture Series Registration Form</h1> <div class="main-agileinfo"> <div class="agileits-top"> <form action="#" method="post" id="regnform"> <input class="text" type="text" id="fname" name="Name" placeholder="Name" required=""> <input class="text email" type="text" id="femail" name="email" placeholder="Email" required=""> <input class="text" onkeypress="return acceptNumbersOnlyForModule(event);" id="fmobileno" type="text" maxlength="10" minlength="10" name="Mobile" placeholder="Mobile No." required=""> <input class="text email" maxlength="3" id="fattno" onkeypress="return acceptNumbersOnlyForModule(event);" type="text" name="attending people" placeholder="No. of People Attending" required=""> <select id="fdate" class="text selectpicker show-menu-arrow" data-live-search="true" title="-- Select your Dates --" multiple="multiple"> <option data-tokens="Espresso" value="2018-10-29">29th October 2018</option> <option data-tokens="Americano" value="2018-11-05">5th November 2018</option> <option data-tokens="Mocha" value="2018-11-09">9th November 2018</option> </select> <div class="wthree-text"> <label class="anim"> <input type="checkbox" id="fremaider" class="checkbox" required=""> <span style="padding: 0.8em">Remainder</span> </label> <div class="clear"> </div> </div> <input type="button" value="Submit" onclick="saveRegn()"> </form> </div> </div> <!-- copyright --> <!-- //copyright --> <ul class="colorlib-bubbles"> <li></li> <li></li> <li></li> <li></li> <li></li> <li></li> <li></li> <li></li> <li></li> <li></li> </ul> </div> <!-- //main --> <script type="application/x-javascript"> addEventListener("load", function() { setTimeout(hideURLbar, 0); }, false); function hideURLbar(){ window.scrollTo(0,1); } </script> <script src='https://ajax.googleapis.com/ajax/libs/jquery/1.12.4/jquery.min.js'></script> <script src='https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/js/bootstrap.min.js'></script> <script src='https://cdnjs.cloudflare.com/ajax/libs/bootstrap-select/1.11.2/js/bootstrap-select.min.js'></script> <script src="js/index.js"></script> <script src="js/bcuregn.js"></script> </body> </html>
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