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Linux ip-172-26-7-228 5.4.0-1103-aws #111~18.04.1-Ubuntu SMP Tue May 23 20:04:10 UTC 2023 x86_64

Your IP : 18.190.154.24

Current Path : /var/www/html/mcu/Registration/
Upload File :
Current File : /var/www/html/mcu/Registration/index.html

<!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>